背景:2001年9月11日袭击美国后服役的年轻成年退伍军人(即,9/11后)面临更高的行为健康困扰和障碍风险,包括危险饮酒,创伤后应激障碍,和抑郁症。这些退伍军人在行为健康治疗方面经常面临重大障碍,通过简短的基于手机的干预措施可以帮助他们减少饮酒并促进治疗参与。
目的:经过成功的试点研究,这项随机对照试验(RCT)旨在进一步测试简短(即,单一会话)手机交付的个性化规范反馈干预增强了内容,以促进治疗参与。
方法:我们将对800名具有潜在危险饮酒且最近未接受任何行为健康问题治疗的9/11后年轻成年退伍军人(年龄18至40岁)进行RCT。参与者将被随机分配到个性化干预或控制条件,并拥有寻求护理的资源。干预中的个性化规范反馈模块侧重于纠正对同伴饮酒的误解规范,并使用经验知情的方法来增加解决饮酒和共同发生的行为健康问题的动机。过去30天饮酒,与酒精有关的后果,和寻求治疗的行为将在基线和干预后3,6,9和12个月进行评估.性,护理障碍,创伤后应激障碍,抑郁症,和酒精使用障碍症状的严重程度将作为结局的潜在调节因素进行探讨。
结果:我们预计招聘将在6个月内完成,每个注册参与者的数据收集需要12个月。分析将在最终数据收集点后的3个月内开始(即,12个月随访)。
结论:这项RCT将评估一种新型干预措施的有效性,该措施适用于那些与危险饮酒和可能同时发生的行为健康问题作斗争的非寻求治疗的退伍军人。这种干预措施有可能改善退伍军人的健康状况,并克服治疗的重大障碍。
背景:ClinicalTrials.govNCT04244461;https://clinicaltrials.gov/study/NCT04244461。
■DERR1-10.2196/59993。
BACKGROUND: Young adult veterans who served after the September 11 attacks on the United States in 2001 (ie, post-9/11) are at heightened risk for experiencing behavioral health distress and disorders including hazardous
drinking, posttraumatic stress disorder, and depression. These veterans often face significant barriers to behavioral health treatment, and reaching them through brief mobile phone-based interventions may help reduce
drinking and promote treatment engagement.
OBJECTIVE: Following a successful pilot study, this randomized controlled trial (RCT) aims to further test the efficacy of a brief (ie, single session) mobile phone-delivered personalized normative feedback intervention enhanced with content to promote treatment engagement.
METHODS: We will conduct an RCT with 800 post-9/11 young adult veterans (aged 18 to 40 years) with potentially hazardous
drinking and who have not recently received treatment for any behavioral health problems. Participants will be randomly assigned to the personalized intervention or a control condition with resources for seeking care. The personalized normative feedback module in the intervention focuses on the correction of misperceived norms of peer alcohol use and uses empirically informed approaches to increase motivation to address alcohol use and co-occurring behavioral health problems. Past 30-day
drinking, alcohol-related consequences, and treatment-seeking behaviors will be assessed at baseline and 3, 6, 9, and 12 months post intervention. Sex, barriers to care, posttraumatic stress disorder, depression, and severity of alcohol use disorder symptoms will be explored as potential moderators of outcomes.
RESULTS: We expect recruitment to be completed within 6 months, with data collection taking 12 months for each enrolled participant. Analyses will begin within 3 months of the final data collection point (ie, 12 months follow-up).
CONCLUSIONS: This RCT will evaluate the efficacy of a novel intervention for non-treatment-seeking veterans who struggle with hazardous
drinking and possible co-occurring behavioral health problems. This intervention has the potential to improve veteran health outcomes and overcome significant barriers to treatment.
BACKGROUND: ClinicalTrials.gov NCT04244461; https://clinicaltrials.gov/study/NCT04244461.
UNASSIGNED: DERR1-10.2196/59993.