IDENTIFYING OPPORTUNITIES TO ALIGN U.S. AIR FORCE AND U.S. ARMY MULTI-DOMAIN OPERATIONS IN THE CONTEXT OF INTEGRATED DETERRENCE: AN ANNOTATED BIBLIOGRAPHY OF DETERRENCE AND MULTI-DOMAIN OPERATIONS

The objective of this capstone is to identify readings that can suggest doctrinal changes to better align U.S. Army and U.S. Air Force concepts of multi-domain operations. Currently, there is no joint consensus on how to conceptualize multi-domain operations, nor how they should support the 2022 National Security Strategy. This capstone identifies readings related to two areas of potential alignment between U.S. Army and U.S. Air Force doctrine: Deterrence Theories, and Multi-Domain Operations. It also suggests designating service leads for long-range fires and command and control, and furthering development of common technological standards. Future research could study the readings identified in this capstone to refine and develop multi-domain operations doctrine.Captain, United States Air ForceApproved for public release. Distribution is unlimited

Vision-related quality of life in adults with severe peripheral vision loss: a qualitative interview study

Abstract Background Existing patient-reported outcome (PRO) measures may not be relevant to the full range of functional and vision-related quality of life (VR-QOL) concerns of individuals with vision impairment due to severe peripheral field loss (PFL). Measurement of VR-QOL in severe PFL is important in order to determine the effectiveness of vision rehabilitation interventions for this population. The purpose of this study was to characterize the impact of severe PFL due to retinitis pigmentosa (RP) and glaucoma on VR-QOL as the initial phase in the development of a novel PRO measure. Methods Individuals with severe PFL due to RP or glaucoma were recruited from the Kellogg Eye Center and the Association for the Blind and Visually Impaired. Participants completed semi-structured qualitative interviews, the Impact of Vision Impairment (IVI) questionnaire and the RAND 36-Item Health Survey. Interviews were analyzed by two coders using thematic analysis. A matrix analysis was conducted to compare VR-QOL by cause of severe PFL. Sample size was determined by thematic saturation. Results The study included 37 participants (19 RP, 18 glaucoma). Median best-corrected visual acuity for those with RP and glaucoma was 20/40 and 20/27.5, while Pelli-Robson contrast sensitivity was 1.2 log contrast sensitivity (logCS) and 1.1 logCS, respectively. Median domain scores on the IVI (reading, mobility, well-being) ranged from a low of − 0.2 to a high of 0.7 logits in those with RP and from 0.5 to 1.2 logits in those with glaucoma. Qualitative interviews identified six VR-QOL themes relevant across participants with both RP and glaucoma, including activity limitations, driving, emotional well-being, reading, mobility, and social function. VR-QOL concerns were largely consistent among those with severe PFL due to RP and glaucoma. These overarching themes contained content relevant to specific challenges related to severe PFL. Conclusions There are commonly occurring VR-QOL concerns among individuals with severe PFL due to RP and glaucoma. The outlined themes will serve as the basis for development of the Low Vision Severely Constricted Peripheral Eyesight (LV-SCOPE) Questionnaire.http://deepblue.lib.umich.edu/bitstream/2027.42/174057/1/41687_2020_Article_281.pd