Evaluating the Effectiveness of Leadership Training for Preventing Risk Factors and Promoting Protective Factors Contributing to Psychological Health
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Enrollment
- 5,400
- Primary Endpoint
- Dimensions of Anger (DAR-5)
Study Overview
Brief Summary
The goal of this randomized clinical trial is to evaluate an intervention aimed at increasing the support leaders in the National Guard provide to their subordinates to promote mental health and well-being and reduce risk factors. Survey data will be collected from leaders, service members (SMs) and spouse/partners to evaluate the training effectiveness.
The primary objective of the trial is to demonstrate efficacy in the NG, including effects on leaders, SMs, and spouse/partners on the following outcomes:
H1: Leaders in the intervention group will demonstrate significant improvements in digital learning effects from pre-test to post-test.
H2: The intervention will significantly decrease SM and Leader reports of problematic anger, loneliness, and psychological distress 6-months and then 12-months post-baseline.
H3: Spouses/partners of SMs in the intervention group will report decreases in problematic anger, loneliness, and psychological distress at 6 and 12 months.
Researchers will compare those in the training intervention group to a wait-list control group.
The leadership training builds on a training evaluated in a previous RCT (NCT04152824) adapting from active duty Army to National Guard, including Air NG, and adding an additional facilitated session component. The intervention will include: (1) a 1-hour digital learning utilizing an interactive and self-paced computer-based training, (2) an behavior tracking exercise, and (3) a 1-hour facilitated session, approximately one month later.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 89 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •18 years of age (adults)
- •Employed as a member of the Oregon National Guard (ORNG), including Title 5 and 32 civilians, or is a spouse/partner of an ORNG service member married or cohabitating with the SM for 6 months or more
Exclusion Criteria
- •Under 18 years of age
- •Not employed as a member of the Oregon National Guard (ORNG), including Title 5 and 32 civilians, or is a spouse/partner of an ORNG service member married or cohabitating with the SM for less than 6 months
Arms & Interventions
Leadership Training Intervention
Includes leaders, service members, and their spouse/partners where applicable whose units were randomized to receive the RESULT-NG training
Intervention: Readiness Supportive Leadership Training for the National Guard (RESULT-NG) (Behavioral)
Wait-list Control
The Waitlist Control Arm serves as a delayed start arm. During months 0-15, the waitlist control arm acts as usual practice/no intervention comparator. During months 16-21 (i.e. after final data collection), the waitlist control warm will receive the intervention.
Outcomes
Primary Outcomes
Dimensions of Anger (DAR-5)
Time Frame: 0 months, 6 months, and 12 months
Each item in the scale uses a 5-point Likert scale (1 = none of the time, 2 = a little of the time, 3 = some of the time, 4 = most of the time, and 5 = all of the time). A cutoff score of 8 or greater on the DAR-3 is considered indicative of problematic anger and shows optimal sensitivity and specificity.
Depression Subscale- Primary Health Questionnaire (PHQ-9)
Time Frame: 0 months, 6 months, and 12 months
Nine item questionnaire based on the diagnostic criteria for major depressive disorder in the DSM-5. Each question is scored on a scale of 0 to 3, with higher scores indicating greater symptom severity.
Brief Loneliness Scale
Time Frame: 0 months, 6 months, and 12 months.
3-item scale. Responses are summed to calculate a total score between 3 and 9. Lower scores (3-5) indicate less loneliness, while higher scores (6-9) suggest more significant feelings of loneliness.
Secondary Outcomes
No secondary outcomes reported
Investigators
Leslie Hammer
Associate Director of Applied Research
Oregon Health and Science University