Evaluating the implementation and sustainability of a program for enhancing veterans' intimate relationships

Area of Science:

• Veterans Affairs Chaplain Services
• Relationship Enhancement Programs
• Program Implementation and Sustainability

Background:

• The Warrior to Soul Mate (W2SM) program is a grassroots initiative by Veterans Affairs (VA) chaplain services.
• It aims to enhance relationship skills for veterans and their significant others using the Practical Application of Intimate Relationship Skills (PAIRS) model.

Purpose of the Study:

• To examine the implementation and sustainability of the W2SM program within VA facilities.
• To identify factors influencing the successful delivery and long-term viability of the program.

Main Methods:

• Two online surveys were administered to W2SM leaders at participating facilities (100% response rate for both).
• The first survey assessed individual W2SM event execution (67 surveys), while the second evaluated facility-level sustainability issues (23 surveys).
• Qualitative interviews were conducted at four sites selected based on their sustainability levels.

Main Results:

• In 2013, the W2SM program served 1,664 individuals, including 847 veterans, at a reasonable cost compared to other intensive VA services.
• Significant systematic challenges (e.g., contracting) and resource limitations (e.g., time, funding concerns) were identified.
• These challenges contributed to a wide range of predicted program sustainability across facilities.

Conclusions:

• The W2SM program demonstrates cost-effectiveness in serving veterans and their partners.
• Systemic and resource-related barriers pose significant challenges to the program's widespread and sustained implementation.
• Further attention to addressing these operational and funding issues is crucial for ensuring the long-term success of the W2SM initiative.