Health Coaching: A Pilot Trial Among Reintegrating Veterans
- Conditions
- Veteran Reintegration
- Interventions
- Behavioral: VA Benefits InformationBehavioral: Health Coaching
- Registration Number
- NCT05199467
- Lead Sponsor
- VA Office of Research and Development
- Brief Summary
Health coaches help people focus on goals, identify strengths and values, and work towards building the life they wish to live. Health coaching may be especially helpful for people navigating a life transition, such as Veterans who recently separated from military service (i.e., reintegrating Veterans). In this pilot trial the investigators will 1) examine the feasibility of study procedures and acceptability of health coaching among reintegrating Veterans, 2) evaluate measures for suitability in a future trial that will examine efficacy of the intervention, 3) determine barriers and facilitators to implementing the intervention among reintegrating Veterans.
- Detailed Description
This pilot study is designed to provide data to inform the design and procedures of a future efficacy trial of health coaching among reintegrating Veterans. An enrollment rate 30% and an assessment completion rate 65% at 9 months will be considered feasible enrollment and assessment completion rates for a future efficacy trial. An intervention completion rate 70% and mean score 27 on the Client Satisfaction Questionnaire-8 will indicate acceptability. Evaluation of measures will entail quantifying the mean levels in this population, characterizing typical variation in the outcomes, descriptive analyses of within-person change across time, and adjusted estimates of treatment effect sizes with 95% confidence intervals to calibrate the sample size needs of a fully powered trial. Qualitative interviews with participants will provide information on barriers and facilitators to implementation as well as perceived benefits and potential harms.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 95
- United States military Veterans recently separated from service
- Currently living in an institution (e.g., nursing home, prison)
- Cognitive impairment as indicated by a score equal to or greater than 10 on the Short Blessed Test
- Currently experiencing psychosis as indicated by endorsing thought interference or hallucinations on the Psychosis Screening Questionnaire
- At acute risk for suicide as indicated by the P4 screener
- Unable to read or understand English
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description VA Benefits Information VA Benefits Information Receipt of printed materials providing information on VA benefits Health Coaching Health Coaching Receipt of up to 12 sessions of health coaching, plus printed materials providing information on VA benefits Health Coaching VA Benefits Information Receipt of up to 12 sessions of health coaching, plus printed materials providing information on VA benefits
- Primary Outcome Measures
Name Time Method Depressive Symptom Index - Suicidality subscale Month 9 The Suicidality subscale of the Depressive Symptom Index scores range from 0 to 12, with higher scores indicating higher suicidal ideation severity.
Columbia Suicide Severity Rating Scale Month 9 The Columbia Suicide Severity Rating Scale - Screen scores range from 0 to 7, with higher scores indicating higher suicidal ideation severity.
Military to Civilian Questionnaire Month 9 The Military to Civilian Questionnaire scores range from 0 to 4, with higher scores indicating a higher degree of reintegrating difficulty.
Well-being Inventory - Functional Status Month 9 The Functional Status composite measure from the Well-being Inventory scores range from 1 to 5, with higher scores indicating a higher level of functioning.
- Secondary Outcome Measures
Name Time Method Number of VA healthcare visits (primary care, mental health, or other specialty care visits) Month 9 Number of VA healthcare visits (primary care, mental health, or other specialty care visits) completed during study participation (9 months), with higher number of visits indicating higher VA care utilization.
Trial Locations
- Locations (1)
VA Portland Health Care System, Portland, OR
🇺🇸Portland, Oregon, United States