Adapting Alcohol Behavioral Couple Therapy for Service Members in Post-Deployment

NCT03589521 | Completed

• 2 other identifiers: AA0230275R34AA023027
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The specific aims of the ABCT\_Military project are as follows: 1) To modify the existing, Alcohol Behavioral Couple Therapy (ABCT) model to treat service members in the reconstitution (post deployment, reintegration, or separation) stage of service, and develop optional psychoeducation modules to address relevant co-morbid problems and challenges in this population in a weekly, 15 session, stand-alone outpatient format. 2) To test feasibility and preliminary efficacy of the study intervention protocol in a successive cohort design for one cohort of 8 couples and one cohort of 22 couples, with iterative manual revision.

Conditions

Alcohol Abuse

Keywords

Veterans; Cognitive Therapy; Couple Therapy

Outcome Measures

Primary Outcomes (4)

• Percent Drinking Days (PDD)

  Derived from Timeline Followback (TLFB)

  Change from baseline at 4 months post Session 1

• Percent Heavy Drinking Days

  Derived from Timeline Followback (TLFB)

  Change from baseline at 4 months post Session 1

• Mean Drinks Per Drinking Day

  Derived from Timeline Followback (TLFB)

  Change from baseline at 4 months post Session 1

• Couple Satisfaction Inventory 16

  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.

  Change from baseline at 4 months post Session 1

Secondary Outcomes (7)

• Coping Strategies Scale

  Change from baseline at 4 months post Session 1

• World Health Quality of Life Questionnaire - Bref

  Change from baseline at 4 months post Session 1

• Treatment Services Review

  Weekly during treatment, for up to 16 weeks

• Working Alliance Inventory Short Form

  Baseline and through study completion, about 16 weeks

• Post-Traumatic Stress Disorder (PTSD)

  Baseline

Other Outcomes (11)

• Beck Depression Inventory II (BDI-II)

  Change from baseline at 4 months post Session 1

• Copello Coping Questionnaire

  Change from baseline at 4 months post Session 1

• Intimate Partner Violence (IPV)

  Change from baseline at 4 months post Session 1

Study Arms (1)

ABCT_Military

EXPERIMENTAL

ABCT\_Military manual will address alcohol use, couple issues and military specific issues. Required interventions include: routine interventions, overview of treatment, reintegration issues, motivational techniques, patient-focused interventions for abstinence, partner-related interventions for abstinence, couple interventions, general coping skills, social skills and relapse prevention. In addition, to personalize each treatment plan, interventions from optional modules (e.g., intimate partner violence (IPV), depression, trauma, and traumatic brain injury (TBI)) will be integrated into each couple's treatment plan depending on clinical presentation.

Behavioral: ABCT_Military

Interventions

ABCT_Military BEHAVIORAL

15 Weekly Couple Therapy Sessions

ABCT_Military

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 18 and older;
• Served or serving in the U.S. Military,
• Current Alcohol Use Disorder diagnosis, or drink at high risk levels as defined by NIAAA (2010)

You may not qualify if:

• Either individual is not fluent in the English language.
• Unstabilized Psychotic disorder in past six months
• Either partner is fearful of participating in couple therapy OR either partner suffered severe physical abuse from partner when perpetrator not intoxicated, in past year

Sponsors & Collaborators

• University of Massachusetts, Worcester: lead
• National Institute on Alcohol Abuse and Alcoholism (NIAAA): collaborator

Study Sites (1)

University of Massachusetts Medical School

Worcester, Massachusetts, 01655, United States

Location

MeSH Terms

Conditions

Alcoholism

Condition Hierarchy (Ancestors)

Alcohol-Related Disorders; Substance-Related Disorders; Chemically-Induced Disorders; Mental Disorders

Study Officials

• Elizabeth Epstein, PhD

  University of Massachusetts, Worcester

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: June 8, 2018
• First Posted: July 18, 2018
• Study Start: June 1, 2015
• Primary Completion: November 28, 2018
• Study Completion: November 28, 2018
• Last Updated: May 23, 2019

Record last verified: 2019-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)