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

Not Applicable

Recruiting

• Conditions: Alcohol Abuse; Relations, Interpersonal; Military Family; Alcohol Drinking; Alcohol Use Disorder
• Interventions: Behavioral: Gottman Self-Guided Resources; Behavioral: CRAFT Web-Based Intervention; Behavioral: Phone-Based CRAFT; Behavioral: CRAFT Workbook

• Registration Number: NCT05619185
• Lead Sponsor: Stanford University

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-11-02
• Study First Submitted QC: 2022-11-08
• Study First Posted: 2022-11-16
• Study Start: 2024-06-14
• Status Verified: 2024-07
• Last Update Submitted: 2024-07-10
• Last Update Posted: 2024-07-12
• Primary Completion: 2027-08-31
• Study Completion: 2027-08-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 744

Inclusion Criteria

• 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.

Exclusion Criteria

• 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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	Phone-Based CRAFT	Those randomized to the CRAFT intervention will receive a web-based intervention
Phone Based CRAFT	Phone-Based CRAFT	If a member of the recruited dyad does not respond, then participants will be randomized to receive phone-based CRAFT
Control	Gottman Self-Guided Resources	Those randomized to CONTROL will complete a self-guided intervention
Phone Based CRAFT	CRAFT Web-Based Intervention	If a member of the recruited dyad does not respond, then participants will be randomized to receive phone-based CRAFT
Intervention	CRAFT Web-Based Intervention	Those randomized to the CRAFT intervention will receive a web-based intervention
CRAFT Workbook	CRAFT Web-Based Intervention	If a member of the recruited dyad does not respond, then participants will be randomized to receive a CRAFT workbook
Intervention	CRAFT Workbook	Those randomized to the CRAFT intervention will receive a web-based intervention
CRAFT Workbook	CRAFT Workbook	If a member of the recruited dyad does not respond, then participants will be randomized to receive a CRAFT workbook

Primary Outcome Measures

Name	Time	Method
Concerned Partner Drinking Days	Baseline to 6 month follow-up	The CP primary outcome is drinking defined as number of drinking days in the past month
Concerned Partner Drinks per Episode	Baseline to 6 month follow-up	The CP primary outcome is drinking defined as number of drinks per episode in the past month
Service Member help-seeking	Baseline to 6 month	Completion of the personalized normalized feedback (PNF) component of the intervention as a signal of increase help-seeking behavior

Secondary Outcome Measures

Name	Time	Method
mental health symptoms	Baseline to 6 month follow-up	Depression as measured by the global score on the Patient Health Questionnaire 9-item (PHQ-9)

Trial Locations

Locations (1)

Stanford University; 🇺🇸 Palo Alto, California, United States