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Military service and reserve duty in combat units entails exposure to traumatic events that require mental adjustment. In light of the results of controlled studies that proved the effectiveness an response-time based mechanized training protocol in reducing risk for post-trauma symptoms in deployed combat soldiers, the Israeli Defense Forces decided at the beginning of the Iron Swords War to implement an internet-based App of the intervention. Soldiers and combat reservists were invited to use the Combat Attention App. The purpose of this study is to examine the effectiveness of the Combat Attention App in relation to a control group of soldiers who did not use the App in reducing risk for post-traumatic stress symptoms of deployed soldiers.
Participants who used the Combat Attention App before combat deployment and a group of matched (age and sex) participants who did not use the App will be compared on PTSD, depression, and anxiety symptoms post deployment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Attention App Users | Soldiers who used the App and completed at least one training session |
| |
| Non Users | Soldiers matched on age, sex, and specialty to the Attention App Users group who never used the App |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Combat Attention Training | Behavioral | The Combat Attention App is a response-time based mechanized preventive intervention designed to train combat soldiers' attention toward threats before combat exposure in order to reduce the risk for combat-related post-trauma symptoms. In light of the results of controlled studies that proved the efficacy of this preventive intervention, the Israel Defense Forces (IDF) decided at the beginning of the Iron Swords War (October 7th, 2023) to implement an internet-based App of the intervention, and soldiers and combat reservists were invited to train on the Combat Attention App. |
| Measure | Description | Time Frame |
|---|---|---|
| PTSD Checklist for DSM-5 (PCL-5) | Measures PTSD symptoms according to DSM-5 | January-June 2025 |
| IDF Medical Records | Holds all the medical information and contact with health/mental health professionals during one's service | January-June 2025 |
| Measure | Description | Time Frame |
|---|---|---|
| Combat Experiences Scale | Measures the occurrence of specific combat events | January-June 2025 |
| Patient Health Questionnaire 9 (PHQ-9) | Measures Depression symptoms according to DSM-5 |
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Inclusion criteria:
Exclusion criteria:
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The study population consists of enlisted and reservist soldiers who participated in the Iron Swards war and either used or did not use the attention App.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yair Bar-Haim, PhD | Contact | +972-3-6405465 | yair1@tauex.tau.ac.il | |
| Chelsea Gober Dykan, MA | Contact | +972-3-6405465 | chelseagober@mail.tau.ac.il |
| Name | Affiliation | Role |
|---|---|---|
| Yair bAR-hAIM, PhD | Tel Aviv University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tel Aviv University | Tel Aviv | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27377418 | Background | Wald I, Fruchter E, Ginat K, Stolin E, Dagan D, Bliese PD, Quartana PJ, Sipos ML, Pine DS, Bar-Haim Y. Selective prevention of combat-related post-traumatic stress disorder using attention bias modification training: a randomized controlled trial. Psychol Med. 2016 Sep;46(12):2627-36. doi: 10.1017/S0033291716000945. Epub 2016 Jul 5. |
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| ID | Term |
|---|---|
| D003130 | Combat Disorders |
| ID | Term |
|---|---|
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |
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|
| January-June 2025 |
| Attention Bias Questionnaire (ABQ) | Measures subjective experiences of attention allocation to threats | January-June 2025 |
| GAD-7 | measures symptoms of generalized anxiety disorder | January-June 2025 |
| Dissociative Experiences Scale (DES) | measures dissociative symptoms associated with trauma exposure | January-June 2025 |