Testing A Couple-based Program for Alcohol Risk Reduction in the National Guard
- Conditions
- Alcohol; Harmful Use
- Registration Number
- NCT03589508
- Lead Sponsor
- University of Massachusetts, Worcester
- Brief Summary
The purpose of this project is to develop and test indicated prevention intervention to harness support and health promoting endeavors to address use of alcohol to cope with reintegration challenges in Massachusetts National Guard (MANG) service members.
- Detailed Description
Specific Aim 1: To modify the existing, efficacious Alcohol Behavioral Couple Therapy (ABCT) manual into a 6-session prevention protocol, called Alcohol Behavioral Couple Prevention (ABCP) that will be developed for delivery via in-person and telehealth platforms. The goal of the new ABCP is for individuals or family dyads to learn to work together to minimize hazardous drinking in order to effectively address other problems often present among returning service members.
Specific Aim 2: To field test feasibility and preliminary efficacy of a prevention protocol using a successive cohort design. First, an in-person protocol will be tested with 4 National Guard (NG) members and then adapt and test the protocol for 4 NG members via an analog telehealth design. Again, the manual and accompanied materials will be revised.
Specific Aim 3: To conduct a small Randomized Controlled Trial (RCT) to compare 2 conditions with 22 NG Members in each: (1) In person (ABCP_P; 11 individual, 11 dyad), and (2) Telehealth (ABCP_T; 11 individual, 11 dyad).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 44
Not provided
- unable to give consent
- Prisoners
- Principal Investigators determined the participant requires a higher level of care (based on unstabilized psychiatric disorder, and/or high drinking or drug use severity, and/or inability to attend to adl's and/or agitated behavior
- Service Member is unable to read or comprehend English at the 7th grade education level
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Attitude Items Baseline and through study completion, about 8 weeks 6 item self-report questionnaire assessing attitudes toward drinking under different circumstances. Item scores were summed to calculate total scores, with scores ranging from 6 to 24. Higher scores indicate greater attitudes about acceptability of drinking across situations.
Percent Drinking Days Change from baseline at 2 months post session 1 Derived from Timeline Followback (TLFB)
Percent Heavy Drinking Days Change from baseline at 2 months post session 1 Derived from Timeline Followback (TLFB)
Mean Drinks Per Drinking Day Change from baseline at 2 months post session 1 Derived from Timeline Followback (TLFB)
- Secondary Outcome Measures
Name Time Method Coping Strategies Scale Change from baseline at 2 months post Session 1 25-item brief measure assessing coping in alcohol-specific and non-alcohol situations. Scores range from 1-4 and higher scores indicate greater use of coping skills. Total score is calculated by averaging all values.
Alcohol Expectancies Questionnaire 3 Change from baseline at 2 months post Session 1 40 item self-report questionnaire assessing thoughts, feelings and beliefs about alcohol. Sub scale scores are calculated by averaging item scores. Positive expectancy subscales are Global positive, Social and physical pleasure, Social expressiveness, Sexual enhancement, Power and aggression, and Tension reduction and relaxation. Negative expectancy sub scales are Cognitive and physical impairment, and Careless unconcern. Higher scores indicate greater expectancies.
Treatment Services Review Weekly for up to 8 weeks Interview assessing quantity and type of services received (e.g., health, psychological) outside of study intervention. Total scores are calculated by summing the number of outside services used. Total scores have a minimum of 0 and no maximum value.
Couple Satisfaction Inventory 16 Baseline and through study completion, about 8 weeks 16 item measure assessing satisfaction in couple relationship. Scores range from 0 to 81 and higher scores indicate higher levels of relationship satisfaction. Total score is calculated by summing all values.
Perceived Social Support - Family Baseline and through study completion, about 8 weeks 20 item self report assessing perceived level of social support from family members. Higher scores indicate higher level of perceived social support.
Outcomes Questionnaire (OQ) - 30 Baseline and through study completion, about 8 weeks 30 item self-report questionnaire assessing past week psychological well-being. Scores are summed across items and range from 0 to 120, with higher scores indicating worse psychological well-being.
Working Alliance Inventory Short Form Baseline and through study completion, about 8 weeks 12-item self-report measure of the therapeutic alliance. Total scales are calculated by summing all values. Values range from 1-7 with total scores ranging from 12 to 84). Higher scores indicate greater alliance.
Use of Prevention Skills Baseline and through study completion, about 8 weeks Self-report questionnaire assessing use of skills learned during prevention. Item scores range from 1-5 and a total score is calculated by summing all values. Higher scores indicate greater use of skills.
Copello Coping Questionnaire Baseline and through study completion, about 8 weeks 30 item self-report assessing partner alcohol-related coping skill use. Total score is calculated by summing the values from each item and scores range from 0-90 with higher scored indicating greater use of coping strategies.
World Health Organization Quality of Life (WHOQOL) Questionnaire - Bref Change from baseline at 2 months post Session 1 26-item self report assessing quality of life across 4 domains/subscales: Physical health, Psychological, Social relationships, Environment. The first two items measure quality of life and overall health and are examined separately, with scores ranging from 1-5. The four domain scores are calculated by averaging values and scores range from 1-5. Higher scores indicate higher quality of life within each domain. Mean scores are then multiplied by 4 in order to make domain scores comparable with the scores used in the WHOQOL-100 (full scale measure).
Trial Locations
- Locations (1)
University of Massachusetts Medical School
🇺🇸Worcester, Massachusetts, United States