{"project":{"acronym":"","projectId":23265,"title":"Countermeasure for Managing Interpersonal Conflicts in Space: A Continuation Study","primaryTaxonomyNodes":[{"taxonomyNodeId":10696,"taxonomyRootId":8816,"parentNodeId":10693,"level":3,"code":"TX06.3.3","title":"Behavioral Health and Performance","definition":"Behavioral health and performance technologies provide countermeasures and conduct monitoring to reduce the psychosocial, neurobehavioral, and performance risk associated with extended space travel and return to Earth.","exampleTechnologies":"Psychomotor Vigilance Task (PVT); objective sleep measures for spaceflight operations; optimal use of light as a countermeasure; medications to promote sleep, alertness, and circadian entrainment; scheduling software; countermeasure to enhance behavioral health; tool to predict, detect, and assess decrements in behavioral health; cognitive assessment tool; tools for treating behavioral health problems during long-duration spaceflight missions; tool to effectively monitor and measure team health and performance fluctuations; social support countermeasures; advanced exercise software to enhance psychological and physiological benefits","hasChildren":false,"hasInteriorContent":true}],"startTrl":4,"currentTrl":6,"endTrl":6,"benefits":"Workplace conflict is ubiquitous. Clearly, if effective, this countermeasure could help firefighters and other first responders. It could also be adapted for use in isolated operational environments, such as polar research stations, submarines, commercial ships, oilrigs, and underwater research stations. However, even greater value would be derived by making this and similar programs available to the public in workplaces and other settings such as secondary schools, social services offices, places of worship, military bases, prisons, public health and mental health centers, and eventually at home or in any location, through broadband Internet.
","description":"Some amount of interpersonal conflict is expected on long-duration (LD) space missions, whether between crewmembers or between the crew and the ground. Severe conflicts, however, can interfere with mission success and even safety. 1. THE PRIMARY DELIVERABLE IS A COUNTERMEASURE TO HELP CREWS MANAGE INTERPERSONAL CONFLICT. We have produced an interactive media intervention program to assist persons to manage real, ongoing conflicts on LD missions. This intervention is based on cognitive-behavioral therapy and is designed to help individuals to: A) work out strategies to manage the conflict, and B) maintain good psychosocial/mental wellbeing and good work productivity despite the conflict, via the assistance of a coach, on computer. 2. A SECOND DELIVERABLE IS PRELIMINARY DATA ON THE USABILITY, ACCEPTABILITY, AND EFFECTIVENESS OF THE COUNTERMEASURE IN FIREFIGHTERS. We conducted an open trial to obtain these data using firefighters (a population analogous to astronauts) who are in ongoing conflicts. This open trial also enabled us to develop and assess our procedures and instruments for data collection, and estimate effect size, in preparation for a future randomized controlled trial. THIS APPEARS TO BE THE FIRST STANDARDIZED INTERVENTION (SELF-GUIDED OR OTHERWISE) TO BE EVALUATED FOR THE MANAGEMENT OF WORKPLACE CONFLICTS BETWEEN PEERS IN ANY INDUSTRY. This interactive media program rounds out a suite of assessment, intervention, and training tools for long-duration flyers, all accessible via a single portal: the Virtual Space Station (see Carter et al., 2005). Other major resources in the Virtual Space Station developed through NSBRI (National Space Biomedical Research Institute) support include an intervention for depression, an intervention for chronic stress, and self-assessment of depression and conflict with tailored feedback. Year 4 involved the design of a methodology to collect data from firefighters who would use the program across the United States. The process involved the executable program bundling and sending data to a HIPAA-compliant cloud server and the subsequent transfer of that data to a local server behind the firewall at Partners Healthcare. This year also involved the programming of a web-based assessment for completion of pre- and post-intervention. Finally, the conflict management program was evaluated with a sample of firefighters. Throughout, we have worked closely with NASA flight surgeons, plus the Houston Fire Department, the Phoenix Fire Department, and the San Diego Fire Department. UNIQUE ASPECTS OF THIS STUDY: 1. This software appears to be the FIRST COMPUTER-AUTOMATED BEHAVIORAL INTERVENTION THAT TAILORS THE INTERVENTION COMPONENTS TO THE USER'S NEEDS. Prior computer-automated treatments have provided the same clinical components to all users, without regard to whether the user needed them or not. This makes our intervention highly tailored to the unique status of the individual and also highly efficient, since users are only presented with content that is applicable to them. 2. TAILORING THE PROGRAM TO USERS FOLLOWS A UNIQUE PROCESS. We have developed a set of algorithms that approximates an item-response procedure to decide whether users should receive domains of interventional content or not. Computer-adaptive testing is performed in the first intervention setting to create a treatment plan to help him or her manage the interpersonal conflict. Users answer questions from validated measures to determine whether or not a given content area will be presented to them. The assessments are only used to make a binary decision of whether a user should receive that interventional content. Once the user's responses reach a numerical threshold (or cannot reach it), the program ceases asking questions in that domain and moves to the next. This application of computer-adaptive testing technology reduces the amount of questions needed to be answered by users to tailor their treatment, making the intervention more time-efficient. 3. This appears to be the FIRST INTERACTIVE MEDIA PROGRAM EVER DEVELOPED TO ASSIST PERSONS TO FORMULATE AN ACTION PLAN TO MANAGE A SPECIFIC WORKPLACE CONFLICT. 4. The planned evaluation of the program will be THE FIRST TO EVALUATE ANY INTERVENTION FOR CONFLICT BETWEEN CO-WORKERS ACROSS MULTIPLE SETTINGS IN ANY INDUSTRY. Current computer-delivered behavioral interventions have generally guided users through a pre-determined set of activities designed to address a presenting problem. This study advances the field of automated, computer-based interventions by tailoring the contents of the intervention—and even the clinical topics presented—to the user's needs. The conflict intervention program delivers a core set of interventions to assist users with their interpersonal conflict: problem solving, cognitive restructuring, and negotiation skills training. In addition, a series of empirically supported self-assessments also evaluate whether a user should receive content to improve his or her assertiveness, ability to manage anger, or empathy (the ability to understand the other party's point of view and emotional state). With this approach, the users receive content tailored to their particular needs, and they don't waste time on unnecessary content. Persons involved in intense workplace conflicts may also experience problems with sleep, anxiety, depression, alcohol abuse, stress, rumination, and others. This program incorporates empirically supported measures of these problems to determine whether users would benefit from content on any or all of these seven topics. If so, the program provides optional content on the topic area. Finally, to date, research on workgroup conflict has generally been phenomenological and descriptive. Despite the ubiquity of conflict between co-workers across all industries, and the potentially large costs of conflict in productivity, NO PRIOR STUDIES HAVE EMPIRICALLY EVALUATED A STANDARDIZED INTERVENTION FOR WORKPLACE CONFLICTS. ","destinations":[{"lkuCodeId":1518,"code":"MARS","description":"Mars","lkuCodeTypeId":526,"lkuCodeType":{"codeType":"DESTINATION_TYPE","description":"Destination Type"}}],"startYear":2009,"startMonth":9,"endYear":2013,"endMonth":10,"statusDescription":"Completed","principalInvestigators":[{"contactId":193116,"canUserEdit":false,"firstName":"James","lastName":"Cartreine","fullName":"James A Cartreine","fullNameInverted":"Cartreine, James A","middleInitial":"A","primaryEmail":"jcartreine@partners.org","publicEmail":false,"nacontact":false}],"programDirectors":[{"contactId":103847,"canUserEdit":false,"firstName":"David","lastName":"Baumann","fullName":"David K Baumann","fullNameInverted":"Baumann, David K","middleInitial":"K","primaryEmail":"david.k.baumann@nasa.gov","publicEmail":true,"nacontact":false}],"programExecutives":[{"contactId":56,"canUserEdit":false,"firstName":"Stephen","lastName":"Davison","fullName":"Stephen C Davison","fullNameInverted":"Davison, Stephen C","middleInitial":"C","primaryEmail":"stephen.c.davison@nasa.gov","publicEmail":true,"nacontact":false}],"coInvestigators":[{"contactId":311920,"canUserEdit":false,"firstName":"Mark","lastName":"Hegel","fullName":"Mark Hegel","fullNameInverted":"Hegel, Mark","publicEmail":false,"nacontact":false},{"contactId":158781,"canUserEdit":false,"firstName":"Gary","lastName":"Beven","fullName":"Gary E Beven","fullNameInverted":"Beven, Gary E","middleInitial":"E","primaryEmail":"gary.beven-1@nasa.gov","publicEmail":true,"nacontact":false},{"contactId":290291,"canUserEdit":false,"firstName":"Leonard","lastName":"Greenhalgh","fullName":"Leonard Greenhalgh","fullNameInverted":"Greenhalgh, Leonard","publicEmail":false,"nacontact":false}],"website":"https://taskbook.nasaprs.com","libraryItems":[{"files":[],"id":309347,"title":"Articles in Peer-reviewed Journals","description":"Anderson AP, Fellows AM, Binsted KA, Hegel MT, Buckey JC. \"Autonomous, computer-based behavioral health countermeasure evaluation at HI-SEAS Mars Analog.\" Aerosp Med Hum Perform. 2016 Nov;87(11):912-20. PMID: 27779949 ; http://dx.doi.org/10.3357/AMHP.4676.2016 , Nov-2016 ","libraryItemTypeId":1091,"projectId":23265,"publishedDateString":"","contentType":{"lkuCodeId":1091,"code":"STORY","description":"Story","lkuCodeTypeId":341,"lkuCodeType":{"codeType":"LIBRARY_ITEM_TYPE","description":"Library Item Type"}}},{"files":[],"id":309345,"title":"Articles in Peer-reviewed Journals","description":"Cartreine JA, Chang TE, Seville JL, Sandoval L, Moore JB, Xu S, Hegel MT. \"Using self-guided treatment software (ePST) to teach clinicians how to deliver problem-solving treatment for depression.\" Depression Research and Treatment. 2012;2012:309094. http://dx.doi.org/10.1155/2012/309094 ; PubMed PMID: 23213493, Nov-2012 ","libraryItemTypeId":1091,"projectId":23265,"publishedDateString":"","contentType":{"lkuCodeId":1091,"code":"STORY","description":"Story","lkuCodeTypeId":341,"lkuCodeType":{"codeType":"LIBRARY_ITEM_TYPE","description":"Library Item Type"}}},{"files":[],"id":309344,"title":"Articles in Peer-reviewed Journals","description":"Cartreine JA, Locke SE, Buckey JC, Sandoval L, Hegel MT. \"Electronic problem-solving treatment: description and pilot study of an interactive media treatment for depression.\" Journal of Medical Internet Research: Research Protocols. 2012 Sep 25;1(2):e11. http://dx.doi.org/10.2196/resprot.1925 , Sep-2012 ","libraryItemTypeId":1091,"projectId":23265,"publishedDateString":"","contentType":{"lkuCodeId":1091,"code":"STORY","description":"Story","lkuCodeTypeId":341,"lkuCodeType":{"codeType":"LIBRARY_ITEM_TYPE","description":"Library Item Type"}}},{"files":[],"id":309343,"title":"Articles in Peer-reviewed Journals","description":"Rose RD, Buckey JC Jr, Zbozinek TD, Motivala SJ, Glenn DE, Cartreine JA, Craske MG. \"A randomized controlled trial of a self-guided, multimedia, stress management and resilience training program.\" Behaviour Research and Therapy. 2013 Feb;51(2):106-12. Epub 2012 Nov 21. http://dx.doi.org/10.1016/j.brat.2012.11.003 ; PubMed PMID: 23262118, Feb-2013 ","libraryItemTypeId":1091,"projectId":23265,"publishedDateString":"","contentType":{"lkuCodeId":1091,"code":"STORY","description":"Story","lkuCodeTypeId":341,"lkuCodeType":{"codeType":"LIBRARY_ITEM_TYPE","description":"Library Item Type"}}},{"files":[],"id":309346,"title":"Articles in Peer-reviewed Journals","description":"Lyons KD, Slaughenhaupt RM, Mupparaju SH, Lim JS, Anderson AA, Stankovic AS, Cowan DR, Fellows AM, Binsted KA, Buckey JC. \"Autonomous psychological support for isolation and confinement.\" Aerosp Med Hum Perform. 2020 Nov;91(11):876-85. https://doi.org/10.3357/AMHP.5705.2020 ; PMID: 33334408 , Nov-2020 ","libraryItemTypeId":1091,"projectId":23265,"publishedDateString":"","contentType":{"lkuCodeId":1091,"code":"STORY","description":"Story","lkuCodeTypeId":341,"lkuCodeType":{"codeType":"LIBRARY_ITEM_TYPE","description":"Library Item Type"}}},{"files":[],"id":309341,"title":"Articles in Peer-reviewed Journals","description":"Cartreine JA, Locke SE, Buckey JC, Sandoval L, Hegel M. \"Interactive Media Treatment for Depression: Description and Feasibility Evaluation.\" Journal of Medical Internet Research. In press, August 2011., Aug-2011 ","libraryItemTypeId":1091,"projectId":23265,"publishedDateString":"","contentType":{"lkuCodeId":1091,"code":"STORY","description":"Story","lkuCodeTypeId":341,"lkuCodeType":{"codeType":"LIBRARY_ITEM_TYPE","description":"Library Item Type"}}},{"files":[],"id":309340,"title":"Articles in Peer-reviewed Journals","description":"Feldman G, Zayfert C, Sandoval L, Dunn E, Cartreine JA. \"Reward responsiveness and anxiety predict performance of Mount Everest climbers.\" Journal of Research in Personality. 2013 Feb;47(1):111-5. http://dx.doi.org/10.1016/j.jrp.2012.10.001 , Feb-2013 ","libraryItemTypeId":1091,"projectId":23265,"publishedDateString":"","contentType":{"lkuCodeId":1091,"code":"STORY","description":"Story","lkuCodeTypeId":341,"lkuCodeType":{"codeType":"LIBRARY_ITEM_TYPE","description":"Library Item Type"}}},{"files":[],"id":309338,"title":"Articles in Peer-reviewed Journals","description":"Cartreine JA, Locke SE, Buckey JC, Sandoval L, Hegel MT. \"Electronic problem-solving treatment: Description and pilot study of an interactive media treatment for depression.\" J Med Internet Res Res Protoc. 2012 Jul-Dec;1(2):e11. 9/12/2012 E-collection 'Formative Studies and eHealth/mHealth Development' ; http://dx.doi.org/10.2196/resprot.1925 ; PMID: 23611902 ; PMCID: PMC3626146, Sep-2012 ","libraryItemTypeId":1091,"projectId":23265,"publishedDateString":"","contentType":{"lkuCodeId":1091,"code":"STORY","description":"Story","lkuCodeTypeId":341,"lkuCodeType":{"codeType":"LIBRARY_ITEM_TYPE","description":"Library Item Type"}}},{"files":[],"id":309342,"title":"Significant Media Coverage","description":"Leo RA. \"Article, 'Atmospheric Disturbance,' focused entirely on Dr. Cartreine's research supported by the NSBRI, in the magazine, Harvard Medicine.\" Harvard Medicine. 2012 Spring;85(2)., Jun-2012 ","libraryItemTypeId":1091,"projectId":23265,"publishedDateString":"","contentType":{"lkuCodeId":1091,"code":"STORY","description":"Story","lkuCodeTypeId":341,"lkuCodeType":{"codeType":"LIBRARY_ITEM_TYPE","description":"Library Item Type"}}},{"files":[],"id":309339,"title":"Significant Media Coverage","description":"Salazar J. \"Radio interview regarding NSBRI project.\" National Public Radio, plus syndicated internationally, January 2010., Jan-2010 ","libraryItemTypeId":1091,"projectId":23265,"publishedDateString":"","contentType":{"lkuCodeId":1091,"code":"STORY","description":"Story","lkuCodeTypeId":341,"lkuCodeType":{"codeType":"LIBRARY_ITEM_TYPE","description":"Library Item Type"}}}],"transitions":[{"transitionId":76145,"projectId":23265,"partner":"Other","transitionDate":"2013-10-01","infusion":"Other","path":"Closed Out","details":"At this point, we have accomplished the aim of developing an interactive media program to assist long-duration space crews to manage specific, ongoing conflicts that are substantially interfering with work or well-being. The aim of collecting preliminary data about the program's efficacy and usability has also been completed. This program rounds out the Virtual Space Station suite of clinically validated interactive media programs to assist astronauts to manage the psychosocial challenges of long-duration missions. The Virtual Space Station was designed specifically for astronauts to provide tools that can be used autonomously to prevent, detect, assess, and manage psychosocial wellbeing and maintain optimal performance. The Virtual Space Station is the product of 12 years of research to develop and clinically validate programs customized for astronauts to manage depression, chronic stress, and interpersonal conflict. The Virtual Space Station portal, itself, was validated in a study of its usability, acceptability, and credibility to astronauts, at NASA-Johnson Space Center. A poster presentation that was made during the current project summarizes this astronaut data. ","rationale":"Other","infoText":"Closed out","infoTextExtra":"","dateText":"October 2013"}],"responsibleMd":{"acronym":"SOMD","canUserEdit":false,"city":"","external":false,"linkCount":0,"organizationId":9526,"organizationName":"Space Operations Mission Directorate","organizationType":"NASA_Mission_Directorate","naorganization":false,"organizationTypePretty":"NASA Mission Directorate"},"program":{"acronym":"HRP","active":true,"description":"Strategically, the HRP conducts research and technology development that: 1) enables the development or modification of Agency-level human health and performance standards by the Office of the Chief Health and Medical Officer (OCHMO) and 2) provides Human Exploration Operations Mission Directorate (HEOMD) with methods of meeting those standards in the design, development, and operation of mission systems.
HRP research focuses on reducing crew health and performance risks for exploration missions. In addition, HRP research gathers the data necessary to understand and mitigate the long-term health risks to the crew, to allow the update of specific crew health standards for each mission scenario, to support crew selection, and to address any rehabilitation requirements. The OCHMO owns and sets the standards upon which the HRP research efforts are based. The Transition to Medical Practice process defined by the OCHMO is used to review the HRP deliverable countermeasures and technologies prior to their operational use.
HRP technology development advances medical care and countermeasure systems for exploration and vehicle development programs’ missions. The HRP also develops and matures operational concepts to inform requirements for the design and operation of space vehicles and habitats needed for exploration. This includes requirements for displays and controls, internal environments, operations planning, habitability, and methodologies for maintaining crew physical and mental health as well as physical and cognitive capabilities.
The HRP is managed at the Johnson Space Center (JSC) and comprised of six research and technology development projects. These projects provide the program knowledge and capabilities to conduct research addressing the human health and performance risks as well as advancing the readiness levels of technology and countermeasures to the point of transfer to the customer programs and organizations. The six projects within the HRP are referred to as Program Elements throughout this document. Each Element is managed at the JSC with research and technology development expertise provided by JSC, Ames Research Center (ARC), Glenn Research Center (GRC), the Langley Research Center (LaRC), and the Kennedy Space Center (KSC), as well as other Agencies, institutions and organizations identified in the following Element descriptions. The six Elements are:
1) Space Radiation (SR) Element – The SR Element performs investigations to develop the scientific basis to accurately predict and mitigate health risks from the space radiation environment. This knowledge yields recommendations to permissible exposure limits, assessment/projection tools/models of crew risk from radiation exposure, and models/tools to assess vehicle design for radiation protection. The SR Element conducts research using accelerator-based simulation of space radiation. The SR Element explores and develops countermeasures to the deleterious effects of radiation on human health. The LaRC and ARC contribute to the SR Element.
2) Behavioral Health and Performance (BHP) Element – The BHP Element identifies and characterizes the behavioral and performance risks associated with training, living and working in space, and returning to Earth. The BHP Element develops strategies, tools, and technologies to mitigate these risks.
3) Exploration Medical Capability (ExMC) Element – The ExMC Element is responsible for defining requirements for crew health maintenance during exploration missions, developing treatment scenarios, extrapolating from the scenarios to health management modalities, and evaluating the feasibility of those modalities for use during exploration missions. The ExMC Element is also responsible for the technology and informatics development that will enable the availability of medical care and decision systems for exploration missions. GRC, LaRC and ARC contribute technology development and clinical care expertise to the ExMC Element.
4) Space Human Factors and Habitability (SHFH) Element – The SHFH Element is focused on the human system in space environments: how do humans interface with spacecraft systems, and what environmental and habitation factors are essential to maintain crew health and performance? The SHFH Element has three main focus areas: space human factors engineering, advanced environmental health, and advanced food technology. The ARC contributes to the SHFH Element.
5) Human Health Countermeasures (HHC) Element – The HHC Element is responsible for understanding the physiological effects of spaceflight and developing countermeasure strategies and procedures. The Element provides the biomedical expertise for the development and assessment of medical standards and vehicle and spacesuit requirements dictated by human physiological needs. In addition, the HHC Element develops a validated and integrated suite of countermeasures for exploration missions to ensure the maintenance of crew health during all mission phases. The ARC and GRC contribute to the HHC Element as well as international agencies cooperating on joint flight proposals, reduced gravity studies, and collaborative bed rest studies.
6) International Space Station Medical Projects (ISSMP) Element – The ISSMP Element is responsible for managing all ISS and ground analog human research activities, including those integrated with operational medical support of the crews, and to ensure research tasks are completed. The ISSMP is responsible for all planning, integration, and implementation services for HRP research tasks and evaluation activities requiring access to space or related flight resources on the ISS, Soyuz, Progress, Multi-Purpose Crew Vehicle (MPCV), commercial vehicles and ground-based spaceflight analogs. This includes support to related pre- and postflight activities. The ARC contributes to the ISSMP with technical support to experiment management, hardware development, and international partner integration. KSC provides support for baseline data collection requirements development for future crew vehicles.
The work performed within the six Elements is supported by numerous collaborative efforts with academia and international agencies. Relationships with the ISS Program, the National Space Biomedical Research Institute (NSBRI), the Brookhaven National Laboratory (BNL), and the University of Texas Medical Branch (UTMB) are critical to the HRP successfully meeting its objectives. The HRP also maintains collaborative relationships with the International Partners through various working groups. These relationships enhance the research capabilities and provide synergy between the research and technology efforts of different countries.
","programId":273,"responsibleMd":{"acronym":"SOMD","canUserEdit":false,"city":"","external":false,"linkCount":0,"organizationId":9526,"organizationName":"Space Operations Mission Directorate","organizationType":"NASA_Mission_Directorate","naorganization":false,"organizationTypePretty":"NASA Mission Directorate"},"responsibleMdId":9526,"stockImageFileId":28253,"title":"Human Research Program"},"leadOrganization":{"acronym":"NSBRI","canUserEdit":false,"city":"Houston","country":{"abbreviation":"US","countryId":236,"name":"United States"},"countryId":236,"external":true,"linkCount":0,"organizationId":4886,"organizationName":"National Space Biomedical Research Institute","organizationType":"Industry","stateTerritory":{"abbreviation":"TX","country":{"abbreviation":"US","countryId":236,"name":"United States"},"countryId":236,"name":"Texas","stateTerritoryId":29},"stateTerritoryId":29,"naorganization":false,"organizationTypePretty":"Industry"},"supportingOrganizations":[{"canUserEdit":false,"city":"Boston","country":{"abbreviation":"US","countryId":236,"name":"United States"},"countryId":236,"external":true,"linkCount":0,"organizationId":1463,"organizationName":"Brigham And Women's Hospital, Inc.","organizationType":"Industry","stateTerritory":{"abbreviation":"MA","country":{"abbreviation":"US","countryId":236,"name":"United States"},"countryId":236,"name":"Massachusetts","stateTerritoryId":30},"stateTerritoryId":30,"dunsNumber":"030811269","naorganization":false,"organizationTypePretty":"Industry"},{"canUserEdit":false,"city":"Hanover","country":{"abbreviation":"US","countryId":236,"name":"United States"},"countryId":236,"external":true,"linkCount":0,"organizationId":3125,"organizationName":"Dartmouth College","organizationType":"Academia","stateTerritory":{"abbreviation":"NH","country":{"abbreviation":"US","countryId":236,"name":"United States"},"countryId":236,"name":"New Hampshire","stateTerritoryId":58},"stateTerritoryId":58,"murepUnitId":182670,"naorganization":false,"organizationTypePretty":"Academia"},{"canUserEdit":false,"city":"Boston","country":{"abbreviation":"US","countryId":236,"name":"United States"},"countryId":236,"external":true,"linkCount":0,"organizationId":1738,"organizationName":"Harvard Medical School","organizationType":"Academia","stateTerritory":{"abbreviation":"MA","country":{"abbreviation":"US","countryId":236,"name":"United States"},"countryId":236,"name":"Massachusetts","stateTerritoryId":30},"stateTerritoryId":30,"naorganization":false,"organizationTypePretty":"Academia"}],"statesWithWork":[{"abbreviation":"MA","country":{"abbreviation":"US","countryId":236,"name":"United States"},"countryId":236,"name":"Massachusetts","stateTerritoryId":30}],"lastUpdated":"2024-2-9","releaseStatusString":"Released","viewCount":775,"endDateString":"Oct 2013","startDateString":"Sep 2009"}}