A SMART Evaluation of an Adaptive Web-based AUD Treatment for Service Members and Their Partners
2 other identifiers
interventional
744
1 country
1
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jun 2024
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 2, 2022
CompletedFirst Posted
Study publicly available on registry
November 16, 2022
CompletedStudy Start
First participant enrolled
June 14, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 31, 2027
April 27, 2026
December 1, 2025
3.2 years
November 2, 2022
April 22, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Concerned Partner Drinking Days
The CP primary outcome is drinking defined as number of drinking days in the past month
Baseline to 6 month follow-up
Concerned Partner Drinks per Episode
The CP primary outcome is drinking defined as number of drinks per episode in the past month
Baseline to 6 month follow-up
Service Member help-seeking
Completion of the personalized normalized feedback (PNF) component of the intervention as a signal of increase help-seeking behavior
Baseline to 6 month
Secondary Outcomes (2)
mental health symptoms
Baseline to 6 month follow-up
mental health symptoms
Baseline to 6 month follow-up
Study Arms (4)
Intervention
EXPERIMENTALThose randomized to the CRAFT intervention will receive a web-based intervention
Control
ACTIVE COMPARATORThose randomized to CONTROL will complete a self-guided intervention
Phone Based CRAFT
EXPERIMENTALIf a member of the recruited dyad does not respond, then participants will be randomized to receive phone-based CRAFT
CRAFT Workbook
ACTIVE COMPARATORIf a member of the recruited dyad does not respond, then participants will be randomized to receive a CRAFT workbook
Interventions
Session 1 addresses CPs' mental health issues and drinking. CPs select reasons why they are seeking help and steps they will take towards those goals. Session 2 is focused on improving their relationship through communication exercises. Session 3 is focused on functional analysis of their partner's drinking, and how to positively reinforce their partner's sobriety and negatively reinforce their drinking. Finally, Session 4 focuses on continuing self-care and talking with their partner about their concerns while interacting with them in healthy ways. The WBI contains audio, video, text, and exercises that utilize digital storytelling and vignettes to convey teaching points - a method utilized by the military to address stigma and increase treatment utilization. Actresses portrayed different experiences that the CP may be going through and modeled skills. CPs clicked on the vignette that they most connected with and followed that character across all the sessions.
The phone-based CRAFT intervention consists of six individual sessions with a CRAFT clinician that will explore what they learned from the WBI and additional skills they need. Session content includes positive reinforcement of non-drinking SM behaviors, refraining from interfering in SM's consequences of alcohol use, communication skills, and self-care.
The self-directed CRAFT workbook Table 1.Partners Connect WBI has a parent and partner version that uses CRAFT to help the CP help with understanding, self-care, communication, and actions (e.g., how to react when a partner has been using substances and when they have not been using substances, how to talk to partner so that they are more likely to be heard) and includes more information about communicating than the WBI and several interactive worksheets.
To match time spent reviewing the website, CPs will receive an orientation guide that includes the website URL and a 4-week guide for how they can navigate this website for 20-30 minutes per week (e.g., read article "'It's Not My Fault!': Why Defensiveness is Damaging" and write down one tool to dissolve defensiveness you're willing to try). We will send reminder emails each week to visit the website and include questions in the emails and our first online follow-up survey asking CPs approximately how many times they visited the website and how long they spent viewing content on the website. Reminder emails will be programmed such that CPs get directed automatically to the website if the CP notes no time spent on it.
Eligibility Criteria
You may qualify if:
- 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.
You may not qualify if:
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Stanford Universitylead
- University of Southern Californiacollaborator
- RANDcollaborator
- Northern California Institute of Research and Educationcollaborator
- National Institute on Alcohol Abuse and Alcoholism (NIAAA)collaborator
Study Sites (1)
Stanford University
Palo Alto, California, 94305, United States
Related Publications (1)
Osilla KC, Gore KL, Pedersen ER, Hummer JF, DeYoreo M, Manuel JK, McKay JR, Kim JP, Nameth K. Study protocol for a sequential multiple assignment randomized trial to reduce risky drinking among service members and their partners. Contemp Clin Trials. 2023 Oct;133:107324. doi: 10.1016/j.cct.2023.107324. Epub 2023 Aug 29.
PMID: 37652360DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
November 2, 2022
First Posted
November 16, 2022
Study Start
June 14, 2024
Primary Completion (Estimated)
August 31, 2027
Study Completion (Estimated)
August 31, 2027
Last Updated
April 27, 2026
Record last verified: 2025-12
Data Sharing
- IPD Sharing
- Will not share
There will be no IPD shared