Develop and Validation of Measurement-Based Transition Assistance

NCT05384171 | Completed Results

• 1 other identifier: SDR 21-075
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

Although some Veterans seek help when they experience post-military readjustment challenges, many do not. One factor that stands in the way of Veterans' willingness to seek help for these challenges is their lack of knowledge, both with regard to how severe challenges must be to warrant help-seeking and what resources are available to address these challenges. Measurement-Based Transition Assistance (MBTA) aims to address these barriers to help-seeking by providing Veterans with individualized feedback on areas in which they would benefit from additional support with regard to their health, vocational, financial, and social circumstances, along with personalized recommendations for relevant programs, services, and supports. If effective, this scalable, population-based intervention strategy could be used independently or in conjunction with other approaches to enhancing Veterans' help-seeking to interrupt high-risk trajectories before they lead to chronic maladjustment and increased risk for suicide.

Conditions

Well-being

Keywords

well-being; mental health; help-seeking; veteran

Outcome Measures

Primary Outcomes (3)

• Number of Participants Assessed for the Feasibility of Study Procedures

  Participation in the study will be evaluated to assess feasibility of the study procedures. To determine feasibility, at the end of data collection the investigators will calculate the following: 1. Percentage of veterans who enroll in the study out of those invited (baseline; T1) 2. Percentage of veterans who complete both T1 and T2 surveys (baseline \[T1\] and three-month follow-up \[T2\] data) 3. Percentage of veterans who access the MBTA assessment (baseline \[T1\] for intervention group; three-month follow-up \[T2\] for active control group) 4. Percentage of veterans who complete the MBTA assessment (baseline \[T1\] for intervention group; three-month follow-up \[T2\] for active control group) 5. Percentage of veterans who review the personalized well-being report (baseline \[T1\] for intervention group; three-month follow-up \[T2\] for active control group)

  baseline (T1) and three-month follow-up (T2)

• Satisfaction With MBTA Tool

  For the intervention group at the baseline assessment (T1), the investigators assessed satisfaction with the MBTA tool with items developed specifically for this pilot study. T1 (baseline) was the only timeframe these questions were administered for this group). The investigators asked open-ended questions such as: What did you like about the tool? What did you not like about the tool? Is there anything you would change about the tool?

  baseline assessment (T1 only for intervention group)

• Satisfaction With MBTA Tool

  For the active control group, they were asked at the three-month follow-up (T2) their satisfaction with the MBTA tool with items developed specifically for this pilot study. T2 (three-month follow-up) was the only timeframe these questions were administered for this group). The investigators asked open-ended questions such as: What did you like about the tool? What did you not like about the tool? Is there anything you would change about the tool?

  three-month follow-up (T2 only for active control group)

Secondary Outcomes (5)

• University of Rhode Island Change Assessment Scale (URICA) - Readiness to Change

  measured at T1(baseline) and T2 (three-month follow-up) for the intervention group and active control group; estimates reported below are three-month follow-up adjusted mean scores

• Stages Algorithm

  measured at T1 (baseline) and T2 (three-month follow-up) for the intervention group and active control group; challenges reported are from baseline (T1) and if they were were taking action to address these challenges are data from three-month follow-up

• Theory of Planned Behavior Constructs

  measured at T1 (baseline) and T2 (three-month follow-up) for the intervention group and active control group; estimates reported below are three-month follow-up adjusted mean scores

• Attitudes Toward Seeking Professional Psychological Help-Short Form

  measured at T1 (baseline) and T2 (three-month follow-up) for the intervention group and active control group; estimates reported below are three-month follow-up adjusted mean scores

• Support-Seeking Actions to Improve Well-Being

  Measured at T2 (three-month follow-up) for intervention group only

Study Arms (2)

Intervention Group

EXPERIMENTAL

MBTA, MBTA satisfaction measures, and other assessment measures at T1 (baseline); MBTA and other assessment measures at T2 (three month follow-up)

Behavioral: Measurement-Based Transition Assistance (MBTA)

Active Control Group

ACTIVE COMPARATOR

assessment measures only at T1 (baseline); MBTA, MBTA satisfaction measures, and other assessment measures at T2 (three month follow-up)

Behavioral: Measurement-Based Transition Assistance (MBTA)

Interventions

Measurement-Based Transition Assistance (MBTA) BEHAVIORAL

Measurement-Based Transition Assistance (MBTA) asks Veterans about their well-being and then provides Veterans with individualized feedback on areas in which they would benefit from additional support with regard to their health, vocational, financial, and social circumstances, along with personalized recommendations for relevant programs, services, and supports.

Active Control Group; Intervention Group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• having separated from active duty military service within the prior three years, but not the past three months (for whom not enough time may have gone by to adequately assess readjustment challenge)
• having a postal address in the U.S
• having access to the internet

You may not qualify if:

• None

Sponsors & Collaborators

• VA Office of Research and Development: lead

Study Sites (1)

VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA

Boston, Massachusetts, 02130-4817, United States

Location

MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Limitations and Caveats

The number of veterans that enrolled in this pilot study was lower than expected which resulted in the study being underpowered.

Results Point of Contact

• Title: Dr. Dawne Vogt
• Organization: VA Boston Healthcare system

dawne.vogt@va.gov

857-364-5976

Study Officials

• Dawne S Vogt, PhD BA

  VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA

  PRINCIPAL INVESTIGATOR

Publication Agreements

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Model Details: Participants are randomized to an assessment only condition or to the full MBTA intervention (assessment, feedback and resource recommendations)

Study Record Dates

• First Submitted: March 18, 2022
• First Posted: May 20, 2022
• Study Start: November 3, 2022
• Primary Completion: April 30, 2023
• Study Completion: June 26, 2023
• Last Updated: October 9, 2024
• Results First Posted: September 19, 2024

Record last verified: 2024-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)