16 ASTRONAUTS ARE EXPOSED TO EXTREME ENVIRONMENTS AND BEHAVIORAL HEALTH RISKS DURING SPACE MISSIONS. THESE STRESSORS MAY PLACE ASTRONAUTS AT ELEVATED RISK FOR BEHAVIORAL HEALTH CONSEQUENCES INCLUDING DELIRIUM, ADJUSTMENT DISORDERS, ASTHENIA, AND MOOD AND ANXIETY PROBLEMS, ESPECIALLY DURING LONG-DURATION MISSIONS. AN EXPECTED BARRIER TO DELIVERING TREATMENT TO ASTRONAUTS DURING LONGDURATION MISSIONS IS THE LAG IN REAL-TIME COMMUNICATION BETWEEN ASTRONAUTS AND MENTAL HEALTH SPECIALISTS ON EARTH. THEREFORE, THE OBJECTIVE OF THIS PROPOSAL IS TO IDENTIFY TECHNOLOGIES THAT WILL BEST FACILITATE THE USE OF PSYCHOTHERAPEUTIC TECHNIQUES WHEN REAL-TIME COMMUNICATION IS NOT POSSIBLE. PHASE I WILL INVOLVE SYSTEMATIC REVIEWS OF THE EXISTING LITERATURE ON (A) PSYCHOTHERAPY TECHNIQUES CURRENTLY AND HISTORICALLY USED ON SPACE MISSIONS AND (B) EXISTING TECHNOLOGIES (E.G., VIDEO DIARIES, VIRTUAL REALITY IMMERSION) WITH THE POTENTIAL FOR USE IN THE ASYNCHRONOUS DELIVERY OF PSYCHOTHERAPUETIC TECHNIQUES TO ASTRONAUTS. PHASE II WILL USE THE KNOWLEDGE GAINED FROM PHASE I TO INFORM THE DESIGN OF A THREE-ARM RANDOMIZED CLINICAL TRIAL AIMED AT EVALUATING THE FEASIBILITY, ACCEPTABILITY, AND EFFICACY OF THE MOST PROMISING TECHNOLOGIES, ALONE AND IN COMBINATION, FOR ASYNCHRONOUS DELIVERY OF EMPIRICALLY SUPPORTED PSYCHOTHERAPEUTIC SKILLS. PRODUCTS OF THIS STUDY WILL INCLUDE BEST PRACTICE GUIDELINES FOR ASYNCHRONOUS DELIVERY OF EMPIRICALLY SUPPORTED PSYCHOTHERAPUETIC TECHNIQUES DURING LONG-DURATION SPACE MISSIONS. THESE GUIDELINES WILL BE MADE PUBLIC VIA A FINAL REPORT AND PEER-REVIEWED MANUSCRIPT. FURTHER, WE WILL DEVELOP A PRESENTATION/WORKSHOP BASED ON OUR FINDINGS TO PRESENT TO NASA BEHAVIORAL HEALTH EXPERTS. Funding Only Action ($3) 3/9/20 Not listed ASTRONAUTS ARE EXPOSED TO EXTREME ENVIRONMENTS AND BEHAVIORAL HEALTH RISKS DURING SPACE MISSIONS. THESE STRESSORS MAY PLACE ASTRONAUTS AT ELEVATED RISK FOR BEHAVIORAL HEALTH CONSEQUENCES INCLUDING DELIRIUM ADJUSTMENT DISORDERS ASTHENIA AND MOOD ANDANXIETY PROBLEMS ESPECIALLY DURING LONG-DURATION MISSIONS. AN EXPECTED BARRIER TO DELIVERING TREATMENT TO ASTRONAUTS DURING LONGDURATION MISSIONS IS THE LAG IN REAL-TIME COMMUNICATION BETWEEN ASTRONAUTS AND MENTAL HEALTH SPECIALISTS ON EARTH. THEREFORE THE OBJECTIVE OF THIS PROPOSAL IS TO IDENTIFY TECHNOLOGIES THAT WILL BEST FACILITATE THE USE OF PSYCHOTHERAPEUTIC TECHNIQUES WHEN REAL-TIME COMMUNICATION IS NOT POSSIBLE. PHASE I WILL INVOLVE SYSTEMATIC REVIEWS OF THE EXISTING LITERATURE ON (A) PSYCHOTHERAPY TECHNIQUES CURRENTLY AND HISTORICALLY USED ON SPACE MISSIONS AND (B) EXISTING TECHNOLOGIES (E.G. VIDEO DIARIES VIRTUAL REALITY IMMERSION) WITHTHE POTENTIAL FOR USE IN THE ASYNCHRONOUS DELIVERY OF PSYCHOTHERAPUETIC TECHNIQUES TO ASTRONAUTS. PHASE II WILL USE THE KNOWLEDGE GAINED FROM PHASE I TO INFORM THE DESIGN OF A THREE-ARM RANDOMIZED CLINICAL TRIAL AIMED AT EVALUATING THE FEASIBILITY ACCEPTABILITY AND EFFICACY OF THE MOST PROMISING TECHNOLOGIES ALONE AND IN COMBINATION FOR ASYNCHRONOUS DELIVERY OF EMPIRICALLY SUPPORTED PSYCHOTHERAPEUTIC SKILLS. PRODUCTS OF THIS STUDY WILL INCLUDE BEST PRACTICE GUIDELINES FOR ASYNCHRONOUS DELIVERY OF EMPIRICALLY SUPPORTED PSYCHOTHERAPUETIC TECHNIQUES DURING LONG-DURATION SPACE MISSIONS. THESE GUIDELINES WILL BE MADE PUBLIC VIA A FINALREPORT AND PEER-REVIEWED MANUSCRIPT. FURTHER WE WILL DEVELOP A PRESENTATION/WORKSHOP BASED ON OUR FINDINGS TO PRESENT TO NASA BEHAVIORAL HEALTH EXPERTS. ($3) 3/9/20 Not listed ASTRONAUTS ARE EXPOSED TO EXTREME ENVIRONMENTS AND BEHAVIORAL HEALTH RISKS DURING SPACE MISSIONS. THESE STRESSORS MAY PLACE ASTRONAUTS AT ELEVATED RISK FOR BEHAVIORAL HEALTH CONSEQUENCES INCLUDING DELIRIUM ADJUSTMENT DISORDERS ASTHENIA AND MOOD ANDANXIETY PROBLEMS ESPECIALLY DURING LONG-DURATION MISSIONS. AN EXPECTED BARRIER TO DELIVERING TREATMENT TO ASTRONAUTS DURING LONGDURATION MISSIONS IS THE LAG IN REAL-TIME COMMUNICATION BETWEEN ASTRONAUTS AND MENTAL HEALTH SPECIALISTS ON EARTH. THEREFORE THE OBJECTIVE OF THIS PROPOSAL IS TO IDENTIFY TECHNOLOGIES THAT WILL BEST FACILITATE THE USE OF PSYCHOTHERAPEUTIC TECHNIQUES WHEN REAL-TIME COMMUNICATION IS NOT POSSIBLE. PHASE I WILL INVOLVE SYSTEMATIC REVIEWS OF THE EXISTING LITERATURE ON (A) PSYCHOTHERAPY TECHNIQUES CURRENTLY AND HISTORICALLY USED ON SPACE MISSIONS AND; (B) EXISTING TECHNOLOGIES (E.G. VIDEO DIARIES VIRTUAL REALITY IMMERSION) WITHTHE POTENTIAL FOR USE IN THE ASYNCHRONOUS DELIVERY OF PSYCHOTHERAPUETIC TECHNIQUES TO ASTRONAUTS. PHASE II WILL USE THE KNOWLEDGE GAINED FROM PHASE I TO INFORM THE DESIGN OF A THREE-ARM RANDOMIZED CLINICAL TRIAL AIMED AT EVALUATING THE FEASIBILITY ACCEPTABILITY AND EFFICACY OF THE MOST PROMISING TECHNOLOGIES ALONE AND IN COMBINATION FOR ASYNCHRONOUS DELIVERY OF EMPIRICALLY SUPPORTED PSYCHOTHERAPEUTIC SKILLS. PRODUCTS OF THIS STUDY WILL INCLUDE BEST PRACTICE GUIDELINES FOR ASYNCHRONOUS DELIVERY OF EMPIRICALLY SUPPORTED PSYCHOTHERAPUETIC TECHNIQUES DURING LONG-DURATION SPACE MISSIONS. THESE GUIDELINES WILL BE MADE PUBLIC VIA A FINALREPORT AND PEER-REVIEWED MANUSCRIPT. FURTHER WE WILL DEVELOP A PRESENTATION/WORKSHOP BASED ON OUR FINDINGS TO PRESENT TO NASA BEHAVIORAL HEALTH EXPERTS. $29.9k 4/11/19 15 ASTRONAUTS ARE EXPOSED TO EXTREME ENVIRONMENTS AND BEHAVIORAL HEALTH RISKS DURING SPACE MISSIONS. THESE STRESSORS MAY PLACE ASTRONAUTS AT ELEVATED RISK FOR BEHAVIORAL HEALTH CONSEQUENCES INCLUDING DELIRIUM, ADJUSTMENT DISORDERS, ASTHENIA, AND MOOD AND ANXIETY PROBLEMS, ESPECIALLY DURING LONG-DURATION MISSIONS. AN EXPECTED BARRIER TO DELIVERING TREATMENT TO ASTRONAUTS DURING LONGDURATION MISSIONS IS THE LAG IN REAL-TIME COMMUNICATION BETWEEN ASTRONAUTS AND MENTAL HEALTH SPECIALISTS ON EARTH. THEREFORE, THE OBJECTIVE OF THIS PROPOSAL IS TO IDENTIFY TECHNOLOGIES THAT WILL BEST FACILITATE THE USE OF PSYCHOTHERAPEUTIC TECHNIQUES WHEN REAL-TIME COMMUNICATION IS NOT POSSIBLE. PHASE I WILL INVOLVE SYSTEMATIC REVIEWS OF THE EXISTING LITERATURE ON (A) PSYCHOTHERAPY TECHNIQUES CURRENTLY AND HISTORICALLY USED ON SPACE MISSIONS AND; (B) EXISTING TECHNOLOGIES (E.G., VIDEO DIARIES, VIRTUAL REALITY IMMERSION) WITH THE POTENTIAL FOR USE IN THE ASYNCHRONOUS DELIVERY OF PSYCHOTHERAPUETIC TECHNIQUES TO ASTRONAUTS. PHASE II WILL USE THE KNOWLEDGE GAINED FROM PHASE I TO INFORM THE DESIGN OF A THREE-ARM RANDOMIZED CLINICAL TRIAL AIMED AT EVALUATING THE FEASIBILITY, ACCEPTABILITY, AND EFFICACY OF THE MOST PROMISING TECHNOLOGIES, ALONE AND IN COMBINATION, FOR ASYNCHRONOUS DELIVERY OF EMPIRICALLY SUPPORTED PSYCHOTHERAPEUTIC SKILLS. PRODUCTS OF THIS STUDY WILL INCLUDE BEST PRACTICE GUIDELINES FOR ASYNCHRONOUS DELIVERY OF EMPIRICALLY SUPPORTED PSYCHOTHERAPUETIC TECHNIQUES DURING LONG-DURATION SPACE MISSIONS. THESE GUIDELINES WILL BE MADE PUBLIC VIA A FINAL REPORT AND PEER-REVIEWED MANUSCRIPT. FURTHER, WE WILL DEVELOP A PRESENTATION/WORKSHOP BASED ON OUR FINDINGS TO PRESENT TO NASA BEHAVIORAL HEALTH EXPERTS. Funding Only Action $29.9k 4/11/19 14 ASTRONAUTS ARE EXPOSED TO EXTREME ENVIRONMENTS AND BEHAVIORAL HEALTH RISKS DURING SPACE MISSIONS. THESE STRESSORS MAY PLACE ASTRONAUTS AT ELEVATED RISK FOR BEHAVIORAL HEALTH CONSEQUENCES INCLUDING DELIRIUM, ADJUSTMENT DISORDERS, ASTHENIA, AND MOOD AND ANXIETY PROBLEMS, ESPECIALLY DURING LONG-DURATION MISSIONS. AN EXPECTED BARRIER TO DELIVERING TREATMENT TO ASTRONAUTS DURING LONGDURATION MISSIONS IS THE LAG IN REAL-TIME COMMUNICATION BETWEEN ASTRONAUTS AND MENTAL HEALTH SPECIALISTS ON EARTH. THEREFORE, THE OBJECTIVE OF THIS PROPOSAL IS TO IDENTIFY TECHNOLOGIES THAT WILL BEST FACILITATE THE USE OF PSYCHOTHERAPEUTIC TECHNIQUES WHEN REAL-TIME COMMUNICATION IS NOT POSSIBLE. PHASE I WILL INVOLVE SYSTEMATIC REVIEWS OF THE EXISTING LITERATURE ON (A) PSYCHOTHERAPY TECHNIQUES CURRENTLY AND HISTORICALLY USED ON SPACE MISSIONS AND; (B) EXISTING TECHNOLOGIES (E.G., VIDEO DIARIES, VIRTUAL REALITY IMMERSION) WITH THE POTENTIAL FOR USE IN THE ASYNCHRONOUS DELIVERY OF PSYCHOTHERAPUETIC TECHNIQUES TO ASTRONAUTS. PHASE II WILL USE THE KNOWLEDGE GAINED FROM PHASE I TO INFORM THE DESIGN OF A THREE-ARM RANDOMIZED CLINICAL TRIAL AIMED AT EVALUATING THE FEASIBILITY, ACCEPTABILITY, AND EFFICACY OF THE MOST PROMISING TECHNOLOGIES, ALONE AND IN COMBINATION, FOR ASYNCHRONOUS DELIVERY OF EMPIRICALLY SUPPORTED PSYCHOTHERAPEUTIC SKILLS. PRODUCTS OF THIS STUDY WILL INCLUDE BEST PRACTICE GUIDELINES FOR ASYNCHRONOUS DELIVERY OF EMPIRICALLY SUPPORTED PSYCHOTHERAPUETIC TECHNIQUES DURING LONG-DURATION SPACE MISSIONS. THESE GUIDELINES WILL BE MADE PUBLIC VIA A FINAL REPORT AND PEER-REVIEWED MANUSCRIPT. FURTHER, WE WILL DEVELOP A PRESENTATION/WORKSHOP BASED ON OUR FINDINGS TO PRESENT TO NASA BEHAVIORAL HEALTH EXPERTS. Funding Only Action $25.0k 2/5/19