A SMART Evaluation of an Adaptive Web-based AUD Treatment for Service Members and Their Partners

Обзор

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.

Вмешательства

• Поведенческое CRAFT Web-Based Intervention
  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 thei
• Поведенческое Phone-Based CRAFT
  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.
• Поведенческое CRAFT Workbook
  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.
• Поведенческое Gottman Self-Guided Resources
  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 approximate

Первичные конечные точки

• Concerned Partner Drinking Days [Срок оценки: Baseline to 6 month follow-up]
• Concerned Partner Drinks per Episode [Срок оценки: Baseline to 6 month follow-up]
• Service Member help-seeking [Срок оценки: Baseline to 6 month]

Вторичные конечные точки (2)

• mental health symptoms [Срок оценки: Baseline to 6 month follow-up]
• mental health symptoms [Срок оценки: Baseline to 6 month follow-up]

Критерии участия

Критерии включения

• at least 18 years of age;
• be living together with their partner, with no plans to change that status in the next 2 months;
• not be in the military themselves (to reduce concerns about mandated reporting of alcohol use);
• score ≥4 on the AUDIT-C for females or ≥5 for males/other;
• respond yes to "Do you feel safe in your current relationship?" from the Partner Violence Screen;
• report not currently being in mental health or alcohol treatment (CP and SM)
• understand English fluently,
• be willing to try an online program to address risky drinking.

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.

Критерии исключения

• CPs in substance use treatment or their SM was in treatment in the last three months;
• does not feel safe in the current relationship;
• does not understand English fluently;
• has an impaired capacity (cognitive, visual, or hearing);
• is not cohabitating with their SM

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

США · 1 центр

• Stanford University — Palo Alto

Публикации

• 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. PMID 37652360

Идентификаторы

NCT: NCT05619185 · 67087 · 1R01AA030258

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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