title: Total Force Fitness in units part 1: military demand-resource model.
abstract: The military unit is a critical center of gravity in the military's efforts to enhance resilience and the health of the force. The purpose of this article is to augment the military's Total Force Fitness (TFF) guidance with a framework of TFF in units. The framework is based on a Military Demand-Resource model that highlights the dynamic interactions across demands, resources, and outcomes. A joint team of subject-matter experts identified key variables representing unit fitness demands, resources, and outcomes. The resulting framework informs and supports leaders, support agencies, and enterprise efforts to strengthen TFF in units by (1) identifying TFF unit variables aligned with current evidence and operational practices, (2) standardizing communication about TFF in units across the Department of Defense enterprise in a variety of military organizational contexts, (3) improving current resources including evidence-based actions for leaders, (4) identifying and addressing of gaps, and (5) directing future research for enhancing TFF in units. These goals are intended to inform and enhance Service efforts to develop Service-specific TFF models, as well as provide the conceptual foundation for a follow-on article about TFF metrics for units.
authors.affiliation: Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury, 1335 East West Highway, Silver Spring, MD 20910.
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Bates
authors.forename: Jon J
authors.initials: JJ
authors.lastname: Fallesen
authors.forename: Wesley S
authors.initials: WS
authors.lastname: Huey
authors.forename: Gary A
authors.initials: GA
authors.lastname: Packard
authors.forename: Diane M
authors.initials: DM
authors.lastname: Ryan
authors.forename: C Shawn
authors.initials: CS
authors.lastname: Burke
authors.forename: David G
authors.initials: DG
authors.lastname: Smith
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Watola
authors.forename: Evette D
authors.initials: ED
authors.lastname: Pinder
authors.forename: Todd M
authors.initials: TM
authors.lastname: Yosick
authors.forename: Armando X
authors.initials: AX
authors.lastname: Estrada
authors.forename: Loring
authors.initials: L
authors.lastname: Crepeau
authors.forename: Stephen V
authors.initials: SV
authors.lastname: Bowles
mesh_terms: D006295:Health Resources; D006301:Health Services Needs and Demand / Q000458:organization & administration*; D006801:Humans; D008887:Military Medicine; D008889:Military Personnel; D017146:Models, Organizational; D014481:United States