Core ADVANCE

The first ADVANCE Study publication – describing in detail the ADVANCE Study protocol – was published in BMJ Open in September 2020 and can be found here.

ADVANCE is a lifetime cohort study investigating a wide range of outcomes relating to serious combat injury. What we find out from our ADVANCE participants will provide unique information that will be essential to the care of survivors of serious injuries, military or otherwise, across the globe.

The study has enrolled nearly 1,200 serving and discharged combat veterans, who are followed over their lifetime. Participation involves a baseline visit and at least five subsequent follow-up visits at the Defence Medical Rehabilitation Centre (DMRC) Stanford Hall, where the study is based.

The vast amounts of data collected from the study are analysed by our researchers at the National Heart and Lung Institute and the Centre for Blast Injury Studies at Imperial College London, and the King’s Centre for Military Health Research at King’s College London.

In our assessments we are currently looking at:

Baseline participant visits were completed in August 2020, and we have been analysing the baseline data ever since. The first follow-up visits were completed in August 2023.

ADVANCE baseline findings on cardiovascular risk, mental health outcomes, post-traumatic growth (PTG) and more have been published. See our Publications section for full details of all ADVANCE publications.

Some of the ADVANCE baseline research and findings are explained in the videos below. More videos can be found on the ADVANCE YouTube channel.

Part 1 of the interview with Dr Fearghal Behan who investigates bone health in the ADVANCE cohort. In this video from August 2023 Dr Behan summarises the ADVANCE baseline findings of his bone mineral density research.
Part 2 of the interview with Dr Fearghal Behan who investigates bone health in the ADVANCE cohort. In this video from August 2023 Dr Behan talks about the next steps in his research.
Part 3 of the interview with Dr Fearghal Behan who investigates bone health in the ADVANCE cohort. In this video Dr Behan talks about what makes the ADVANCE cohort so special. (Aug 2023)
The first ADVANCE baseline findings on the relationship between combat-related traumatic injury and cardiovascular risk were published in Nov 2021, led by Dr Christopher Boos. In this video he summarises the findings. (Feb 2022)
Wearable activity monitors were introduced to the ADVANCE study core research in 2023. Find out in this video why the activity monitors were added and what they can tell us about the ADVANCE cohort? (Apr 2023)
The ADVANCE baseline mental health findings were published in July 2022. In this video Dr Dan Dyball summarises the findings. (June 2022)