Evaluation of the Fort Campbell Army Wellness Center Injury Prevention Pilot Program, PHIP No. 12-07-0922
Abstract:
This information paper documents a U.S. Army Public Health Center (APHC) pilot program with Soldiers in the 101st Airborne (ABN) Division at Fort Campbell, Kentucky (FCKY). The objective was to test a program to reduce modifiable risk factors for musculoskeletal (MSK) injuries and the incidence of MSK injuries by leveraging existing on-site health promotion services available at the FCKY Army Wellness Center (AWC). Data-driven referral guidelines were developed, focusing on two factors routinely associated with higher injury risk in military populations: low aerobic fitness and high or low body fat. The 3rd Brigade (3BDE), 101st ABN Division identified and referred Soldiers meeting the recommended 2-mile run time criteria of 15:30 minutes (males) or 19:00 minutes (females). Referrals occurred February 2019 through August 2019, the pilot was discontinued in December 2019 due to unit operational tempo, and AWC and injury metrics were assessed after 9 months (May 2020). Results indicated that approximately 14 of 3BDE Soldiers (n=534) met the 2-mile run time criteria and were not currently injured or on profile. Of the 324 Soldiers ultimately eligible for the pilot, 19.1 (n=62) visited the AWC for the first time; eight other eligible Soldiers were walk-ins. Given the small total number of referrals (n=70), improvements in body mass index, 2-mile run time, VO2 max, or injury rates were not observed within 9 months of implementation. Referral criteria development continued following execution of this project, and further revisions are planned to develop criteria using Army Combat Readiness Test run time results. Injuries continue to be a leading barrier to Soldier medical readiness, and AWCs offer services to modify low aerobic fitness and body composition, leading risk factors for Soldier injury. Execution of a pilot in a larger Soldier population using revised guidelines, and implementation of recommendations from this pilot, is warranted.