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| ID | Type | Description | Link |
|---|---|---|---|
| 1R01AA030258 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| University of Southern California | OTHER |
| RAND | OTHER |
| Northern California Institute of Research and Education | OTHER |
| National Institute on Alcohol Abuse and Alcoholism (NIAAA) |
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The purpose of this study is to evaluate the efficacy of an adaptive web intervention (Partners Connect) on military spouse drinking behaviors (CPs) and service member help-seeking (SMs). The investigators want to identify for whom this intervention is most efficacious and on what drinking behaviors and mechanisms. The investigators hypothesize that the intervention will reduce concerned partner drinking and increase service member help-seeking, compared to website resources, and that phone-based CRAFT will increase help-seeking behaviors, compared to those who are guided via a CRAFT workbook.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Those randomized to the CRAFT intervention will receive a web-based intervention |
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| Control | Active Comparator | Those randomized to CONTROL will complete a self-guided intervention |
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| Phone Based CRAFT | Experimental | If a member of the recruited dyad does not respond, then participants will be randomized to receive phone-based CRAFT |
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| CRAFT Workbook | Active Comparator | If a member of the recruited dyad does not respond, then participants will be randomized to receive a CRAFT workbook |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CRAFT Web-Based Intervention | Behavioral | Session 1 addresses CPs' mental health issues and drinking. CPs select reasons why they are seeking help and steps they will take towards those goals. Session 2 is focused on improving their relationship through communication exercises. Session 3 is focused on functional analysis of their partner's drinking, and how to positively reinforce their partner's sobriety and negatively reinforce their drinking. Finally, Session 4 focuses on continuing self-care and talking with their partner about their concerns while interacting with them in healthy ways. The WBI contains audio, video, text, and exercises that utilize digital storytelling and vignettes to convey teaching points - a method utilized by the military to address stigma and increase treatment utilization. Actresses portrayed different experiences that the CP may be going through and modeled skills. CPs clicked on the vignette that they most connected with and followed that character across all the sessions. |
| Measure | Description | Time Frame |
|---|---|---|
| Concerned Partner Drinking Days | The CP primary outcome is drinking defined as number of drinking days in the past month | Baseline to 6 month follow-up |
| Concerned Partner Drinks per Episode | The CP primary outcome is drinking defined as number of drinks per episode in the past month | Baseline to 6 month follow-up |
| Service Member help-seeking | Completion of the personalized normalized feedback (PNF) component of the intervention as a signal of increase help-seeking behavior | Baseline to 6 month |
| Measure | Description | Time Frame |
|---|---|---|
| mental health symptoms | Anxiety as measured by the global score on the Generalized Anxiety Disorder 7-item scale (GAD-7) | Baseline to 6 month follow-up |
| mental health symptoms | Depression as measured by the global score on the Patient Health Questionnaire 9-item (PHQ-9) |
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Inclusion Criteria:
We require cohabitating CPs and SMs with no anticipated changes in the next two months to ensure close contact and opportunity to practice new skills, and those who would feel safe participating.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kat Nameth, BS | Contact | 6505429699 | knameth@stanford.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stanford University | Recruiting | Palo Alto | California | 94305 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37652360 | Derived | Osilla KC, Gore KL, Pedersen ER, Hummer JF, DeYoreo M, Manuel JK, McKay JR, Kim JP, Nameth K. Study protocol for a sequential multiple assignment randomized trial to reduce risky drinking among service members and their partners. Contemp Clin Trials. 2023 Oct;133:107324. doi: 10.1016/j.cct.2023.107324. Epub 2023 Aug 29. |
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There will be no IPD shared
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| NIH |
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| Phone-Based CRAFT | Behavioral | The phone-based CRAFT intervention consists of six individual sessions with a CRAFT clinician that will explore what they learned from the WBI and additional skills they need. Session content includes positive reinforcement of non-drinking SM behaviors, refraining from interfering in SM's consequences of alcohol use, communication skills, and self-care. |
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| CRAFT Workbook | Behavioral | The self-directed CRAFT workbook Table 1.Partners Connect WBI has a parent and partner version that uses CRAFT to help the CP help with understanding, self-care, communication, and actions (e.g., how to react when a partner has been using substances and when they have not been using substances, how to talk to partner so that they are more likely to be heard) and includes more information about communicating than the WBI and several interactive worksheets. |
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| Gottman Self-Guided Resources | Behavioral | To match time spent reviewing the website, CPs will receive an orientation guide that includes the website URL and a 4-week guide for how they can navigate this website for 20-30 minutes per week (e.g., read article "'It's Not My Fault!': Why Defensiveness is Damaging" and write down one tool to dissolve defensiveness you're willing to try). We will send reminder emails each week to visit the website and include questions in the emails and our first online follow-up survey asking CPs approximately how many times they visited the website and how long they spent viewing content on the website. Reminder emails will be programmed such that CPs get directed automatically to the website if the CP notes no time spent on it. |
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| Baseline to 6 month follow-up |
| ID | Term |
|---|---|
| D000437 | Alcoholism |
| D000428 | Alcohol Drinking |
| D019966 | Substance-Related Disorders |
| ID | Term |
|---|---|
| D019973 | Alcohol-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
| D004327 | Drinking Behavior |
| D001519 | Behavior |
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