Beyond the finish line

Abstract: Forces in Mind Trust’s mission is that all ex-Service persons and their families make a successful and sustainable transition to civilian life, a principle closely aligned to Invictus objectives. The publication of this report also marks the Trust’s enduring support for the Invictus vison. Through several iterations of the Invictus Games, interviews with a multitude of participants and families and addressing the unforeseen consequences and impact of the COVID pandemic, this report is significant as the first longitudinal investigation of the benefits of international adapted sport competition for Service Members and Veterans experiencing physical and/or psychological illnesses and injuries. As such, our hope is that it can be of use to Invictus Games and groups such as Help 4 Heroes, Walking With The Wounded and others offering any sort of sports or activities-based rehabilitation and recreation for wounded, injured and sick veterans, and, perhaps as well, those paralympic organisations where the ultimate competitive challenge might be found. The study’s general findings might seem self-evident: long-term competitive adaptive sports are valuable; sports are a good platform for personal growth; strengthening of the entire community of competitors, non-competitors and entourage in both physical and mental health is important. But the findings go further than this. The default view that ‘para-sports’ or adaptive games are only for the physically injured is comprehensively re-addressed and importantly recognises the complexity of participants conditions including their psychological impact. The short and longerterm dividends for improved personal resilience in all its dimensions are also empirically recorded with useful findings of where best practice can be found. The recognition of families and of those who might not compete is also important and recognising the importance of their resilience in the long road toward rehabilitation is a welcome aspect. The positivity of preparing for competition and competing itself is a genuine ‘team effort’ however broadly one defines that ‘team’. As the Invictus Games Foundation looks forward, reflecting upon the experience of Dusseldorf and looking ahead to Vancouver, this independent report can hopefully be seen as a validation of the founding aim of Invictus, to inspire through the power of the unconquered human spirit. But it also should be seen as a comprehensive and objective evaluation of the benefit of sport, with findings upon which to evolve and continually improve the experience for all concerned.

Read the full article
Report a problem with this article

Related articles

  • More for Researchers

    Identifying opioid relapse during COVID-19 using natural language processing of nationwide Veterans Health Administration electronic medical record data

    Abstract: Novel and automated means of opioid use and relapse risk detection are needed. Unstructured electronic medical record data, including written progress notes, can be mined for clinically relevant information, including the presence of substance use and relapse-critical markers of risk and recovery from opioid use disorder (OUD). In this study, we used natural language processing (NLP) to automate the extraction of opioid relapses, and the timing of these occurrences, from veteran patients' electronic medical record. We then demonstrated the utility of our NLP tool via analysis of pre-/post-COVID-19 opioid relapse trends among veterans with OUD. For this demonstration, we analyzed data from 107,606 veterans OUD enrolled in Veterans Health Administration, comparing a pandemic-exposed cohort (n = 53,803; January 2019-March 2021) to a matched prepandemic cohort (n = 53,803; October 2017-December 2019). The recall of our NLP tool was 75% and our precision was 94%, demonstrating moderate sensitivity and excellent specificity. Using the NLP tool, we found that the odds of opioid relapse postpandemic onset were proportionally higher compared to prepandemic trends, despite patients having fewer mental health encounters from which to derive instances of relapse postpandemic onset. In this research application of the tool, and as hypothesized, we found that opioid relapse risk was elevated postpandemic. The application of NLP Methods: to identify and monitor relapse risk holds promise for future surveillance, risk prevention, and clinical outcome research.