Career Enhancement Training Study (USAF)

NCT04067401 | Completed Results DMC

• 1 other identifier: 1337
• Study Type: interventional
• Target: 1,485
• Locations: 1 country
• Sites: 1

Brief Summary

A study evaluating a training program to decrease risk for suicidal thoughts and behaviors among early career trainees in the United States Air Force.

Conditions

Suicidal Ideation

Outcome Measures

Primary Outcomes (2)

• Mean Computerized Adaptive Testing for Suicide Severity

  Participants will complete a computerized adaptive test for suicide severity. Participants will answer questions about their mental health. Participant scores will range from 0-100 with 100 indicating higher likelihood of current suicidal ideation and higher risk for suicide attempt.

  6 months

• Mean Computerized Adaptive Testing for Suicide Severity

  Participants will complete a computerized adaptive test for suicide severity. Participants will answer questions about their mental health. Participant scores will range from 0-100 with 100 indicating higher likelihood of current suicidal ideation and higher risk for suicide attempt.

  1 month

Secondary Outcomes (6)

• Mean Computerized Adaptive Testing for Depression

  6 months

• Computerized Adaptive Testing for Depression

  1 month

• Mean Behavioral Occupational Performance Outcomes

  6 months

• Mean Behavioral Occupational Performance Outcomes

  1 month

• Mean Class Cohesion

  1 month

Study Arms (2)

Wingman Connect

EXPERIMENTAL

Wingman-Connect total training time is 5 hours, typically spread over three consecutive training 'blocks'(or days), plus 1-hour of booster training (one month later).

Behavioral: Wingman Connect

Stress Management

ACTIVE COMPARATOR

The control training condition will consist of a 2 hr. informational training that provides an overview of the human stress response system and strategies to manage stress. The training will be delivered through lecture format using PowerPoint, supplemented by brief videos and interactive discussion.

Behavioral: Stress Management

Interventions

Wingman Connect BEHAVIORAL

Wingman-Connect combines group and individual skill training. Group exercises build cohesion, belonging and shared purpose, and promote value of healthy unit, giving and receiving support. Individual skills promote the ability to thrive during transitions, manage stressors and meet career goals, and decrease barriers to utilizing organizational resources (family, health). The training has a total of 22 modules comprised of specific learning objectives and activities. Six months of text messages (1-2 per week) to reinforce and extend program concepts and skills.

Wingman Connect

Stress Management BEHAVIORAL

Stress management training reviews the basics of the hypothalamic-pituitary-adrenal axis stress-response system; common experiences of stress (physiological, cognitive, emotional); the impact of chronic stress on the brain and other domains of health; how exercise reduces harmful effects of stress; and relaxation techniques that have been shown to reduce stress and adverse effects of stress on health. Additional modules review the physiological stress response and effects of stress on health; introduces how cognition influences stress responses; common cognitive distortions/attributions are reviewed that affect stress including strategies to strengthen protective cognitive responses. Six months of text messages (1-2 per week) to reinforce and extend program concepts and skills.

Stress Management

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Airmen-in-Training (AiT) in Technical Training classes in the 365 or 363 Training Squadrons of the 82 Training Wing (82 TRW)
• Eligible classes must be between 37-91 class days in length

You may not qualify if:

• Airmen from other countries receiving training in US
• Airmen who are not in their first year of enlistment

Sponsors & Collaborators

• University of Rochester: lead
• United States Department of Defense: collaborator

Study Sites (1)

Sheppard Air Force Base

Wichita Falls, Texas, 76311-9999, United States

Location

Related Publications (7)

• Gibbons RD, Kupfer D, Frank E, Moore T, Beiser DG, Boudreaux ED. Development of a Computerized Adaptive Test Suicide Scale-The CAT-SS. J Clin Psychiatry. 2017 Nov/Dec;78(9):1376-1382. doi: 10.4088/JCP.16m10922.

  PMID: 28493655 BACKGROUND

• Wyman PA, Brown CH, LoMurray M, Schmeelk-Cone K, Petrova M, Yu Q, Walsh E, Tu X, Wang W. An outcome evaluation of the Sources of Strength suicide prevention program delivered by adolescent peer leaders in high schools. Am J Public Health. 2010 Sep;100(9):1653-61. doi: 10.2105/AJPH.2009.190025. Epub 2010 Jul 15.

  PMID: 20634440 BACKGROUND

• Petrova M, Wyman PA, Schmeelk-Cone K, Pisani AR. Positive-Themed Suicide Prevention Messages Delivered by Adolescent Peer Leaders: Proximal Impact on Classmates' Coping Attitudes and Perceptions of Adult Support. Suicide Life Threat Behav. 2015 Dec;45(6):651-63. doi: 10.1111/sltb.12156. Epub 2015 Feb 18.

  PMID: 25692382 BACKGROUND

• Gibbons RD, Weiss DJ, Pilkonis PA, Frank E, Moore T, Kim JB, Kupfer DJ. Development of a computerized adaptive test for depression. Arch Gen Psychiatry. 2012 Nov;69(11):1104-12. doi: 10.1001/archgenpsychiatry.2012.14.

  PMID: 23117634 BACKGROUND

• Herrell RK, Edens EN, Riviere LA, Thomas JL, Bliese PD, Hoge CW. Assessing functional impairment in a working military population: the Walter Reed functional impairment scale. Psychol Serv. 2014 Aug;11(3):254-64. doi: 10.1037/a0037347.

  PMID: 25068298 BACKGROUND

• Williams, J, Brown, JM, Bray, RM, Anderson Goodell, EM, Olmsted, KR, Adler, AB. (2016) Unit Cohesion, Resilience, and Mental Health of Soldiers in Basic Combat Training, Military Psychology, 28:4, 241-250, DOI: 10.1037/mil0000120

  BACKGROUND

• Wyman PA, Pisani AR, Brown CH, Yates B, Morgan-DeVelder L, Schmeelk-Cone K, Gibbons RD, Caine ED, Petrova M, Neal-Walden T, Linkh DJ, Matteson A, Simonson J, Pflanz SE. Effect of the Wingman-Connect Upstream Suicide Prevention Program for Air Force Personnel in Training: A Cluster Randomized Clinical Trial. JAMA Netw Open. 2020 Oct 1;3(10):e2022532. doi: 10.1001/jamanetworkopen.2020.22532.

  PMID: 33084901 DERIVED

MeSH Terms

Conditions

Suicidal Ideation

Condition Hierarchy (Ancestors)

Suicide; Self-Injurious Behavior; Behavioral Symptoms; Behavior

Limitations and Caveats

AiTs and training school leadership were not blinded to intervention condition. Second, outcomes relied on self-report. Third, trainers were research staff, and findings may not generalize to training by military personnel.

Results Point of Contact

• Title: Dr. Peter Wyman
• Organization: University of Rochester Medical Center, Psychiatry Dept

peter_wyman@urmc.rochester.edu

5852733372

Study Officials

• Peter A Wyman, PhD

  University of Rochester Medical Center, Psychiatry Dept

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: The study design will involve randomizing approximately 1440 Airman-in-Training (AiT) within 160 Technical Training classes to one of two conditions: Wingman-Connect or a brief Stress Management training. Randomization will occur at the class level, since Wingman-Connect is designed to train AiTs within a class together as a group (those who voluntarily enroll).

Study Record Dates

• First Submitted: August 21, 2019
• First Posted: August 26, 2019
• Study Start: October 3, 2017
• Primary Completion: September 2, 2019
• Study Completion: September 2, 2019
• Last Updated: July 8, 2020
• Results First Posted: July 8, 2020

Record last verified: 2020-06

Locations

US (1)