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Lack of funding to continue
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| Name | Class |
|---|---|
| University of Washington | OTHER |
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This study will examine the efficacy of an internet-based brief intervention designed to reduce risky behavior veterans as the move into their second year post-Army. Up to 350 veterans drawn from The Network Study (Dept of Defense; Award number: W81XWH1920001) will be recruited with the intention of drawing a final sample of 300. Study participants will be randomly assigned to either the intervention or the control group, stratified by age and gender.
The combination of alcohol use and negative emotional states is a particularly toxic combination for suicide risk. The current study examines changes in alcohol/drug use/misuse and depression as veterans transition further into their post-Army environment and offers a personalized internet-based brief intervention intended to prevent/reduce alcohol misuse and depression in this population.
The study's objectives are to empirically quantify the form of changes that occur with respect to alcohol use and depression as veterans move into their second year post-Army; to identify stable individual risk factors (e.g., personality, military experiences) and dynamic risk factors (e.g., changes in stressors and normative contexts over time) that may be associated with differential temporal patterns of suicide-related behavior (i.e., alcohol use/misuse) and cognition (i.e., depression); and lastly, to determine whether a simple, internet-delivered brief intervention shown can reduce risky behavior in the veteran population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Condition | Experimental | Participants assigned to the intervention condition will be invited to engage with an internet-based intervention at the start of the study (12 months following their separation)
|
|
| Control | No Intervention | The control group will not be offered this month-12 internet-based intervention.
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Internet Delivered Brief Intervention (IDBI) | Behavioral | The intervention is an online module that can be accessed through smartphone, tablet, computer or other device. Participants will receive information about alcohol expectancies, alcohol use and norms, identity (service member, veteran, civilian), sleep, stress, and strategies for coping on the job. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Heavy Episodic Drinking | Single Alcohol Screening Question (SASQ) (Williams and Vinson, 2001) | Through study completion, data collected quarterly from 15 to up to 24 months post-separation from the Army |
| Change in Modal alcohol consumption | Daily Drinking Questionnaire (DDQ) (Collins, Parks, & Marlatt, 1985) | Through study completion, data collected quarterly from 15 to up to 24 months post-separation from the Army |
| Change in Negative Emotional State -- Depression | The Patient Health Questionnaire (PHQ)-9 | Through study completion, data collected quarterly from 15 to up to 24 months post-separation from the Army |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Alcohol-related problems | Short Rutgers Alcohol Problems Index (S-RAPI) (Earleywine, LaBrie & Pedersen) | Through study completion, data collected quarterly from 15 to up to 24 months post-separation from the Army |
| Change in Suicidal ideation |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Employment | Current job situation/Change employment | Through study completion, data collected quarterly from 15 to up to 24 months post-separation from the Army |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Samuel Bacharach, PhD | Cornell University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Washington | Seattle | Washington | 98105 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 11300981 | Background | Williams R, Vinson DC. Validation of a single screening question for problem drinking. J Fam Pract. 2001 Apr;50(4):307-12. | |
| 3998247 | Background | Collins RL, Parks GA, Marlatt GA. Social determinants of alcohol consumption: the effects of social interaction and model status on the self-administration of alcohol. J Consult Clin Psychol. 1985 Apr;53(2):189-200. doi: 10.1037//0022-006x.53.2.189. No abstract available. |
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| ID | Term |
|---|---|
| D000437 | Alcoholism |
| D003863 | Depression |
| D019973 | Alcohol-Related Disorders |
| D001008 | Anxiety Disorders |
| D013313 | Stress Disorders, Post-Traumatic |
| D004327 | Drinking Behavior |
| D019966 | Substance-Related Disorders |
| ID | Term |
|---|---|
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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One group will receive an opportunity to engage with a personalized internet-delivered brief intervention (IDBI) and the second group will not be granted access. This IDBI will serve as a second booster intervention for half o those randomized into the treatment condition. For the other half randomized into the treatment condition, this IDBI will serve as an initial intervention coming 12 months after separation from the military.
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|
Suicide ideation measure developed by Nock, 2007 |
| Through study completion, data collected quarterly from 15 to up to 24 months post-separation from the Army |
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| D040921 |
| Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |