NCT07286955

Brief Summary

This project will evaluate the effectiveness of Level Up: Boost Your Life Skills ("Level Up"), a strengths based, military-specific life skills training program. The goal is to determine whether Level Up can decrease suicidal-related behaviors (SRBs) and other harmful behaviors, improve mental health, enhance job performance, and reduce early military separation. The Level Up program components will be made available to participants through an online platform or mobile app that can be downloaded onto their personal mobile devices. These training materials will help Soldiers learn and practice skills. The Level Up program will also involve personalized messages from a Level Up trainer and virtual booster sessions. Soldiers arriving at their first duty location will be randomized to receive either Level Up or a single session Army bystander intervention program. Participants will complete baseline and follow up surveys 1, 3, and 6 months post-baseline.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
5,000

participants targeted

Target at P75+ for not_applicable

Timeline
38mo left

Started Dec 2025

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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

Study Progress11%
Dec 2025Jul 2029

First Submitted

Initial submission to the registry

December 3, 2025

Completed
7 days until next milestone

Study Start

First participant enrolled

December 10, 2025

Completed
6 days until next milestone

First Posted

Study publicly available on registry

December 16, 2025

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2028

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2029

Last Updated

January 13, 2026

Status Verified

December 1, 2025

Enrollment Period

2.6 years

First QC Date

December 3, 2025

Last Update Submit

January 9, 2026

Conditions

Keywords

Military HealthSuicide PreventionHarmful BehaviorsLife Skills TrainingFirst Duty LocationActive-duty MilitaryRisk ReductionPreventionLevel Up

Outcome Measures

Primary Outcomes (2)

  • The occurrence of any harmful behavior

    The occurrence of any harmful behavior, either self-reported in follow up surveys or administratively reported

    Within the 12 months after intervention randomization

  • The occurrence of any suicide-related behavior

    The occurrence of any suicide-related behavior, either self-reported in follow up surveys or administratively reported

    Within the 12 months after intervention randomization

Secondary Outcomes (33)

  • The occurrence of any premature separations from service

    Within the 12 months after intervention randomization

  • Poor performance as indicated either by written reprimands, designations in the NCOER, a corrective action plan, remedial training, flagging actions, demotion, Article 15, or barred reenlistment

    Within the 12 months after intervention randomization

  • Personal deployment readiness

    Within the 6 months after intervention randomization

  • Emotionality

    Within the 6 months after intervention randomization

  • Job satisfaction

    Within the 6 months after intervention randomization

  • +28 more secondary outcomes

Study Arms (2)

Level Up Program

EXPERIMENTAL

The Level Up program is a hybrid intervention combining interactive learning, mobile/online technology, personalized coaching, and on-demand virtual booster sessions. The evidence-based training program was designed to build life skills and coping strategies that can protect against suicide, other harmful behaviors, poor work performance, and premature separation during a Soldier's first duty assignment.

Behavioral: Level Up

ENGAGE Training

ACTIVE COMPARATOR

ENGAGE is an existing single session Army bystander intervention program. The training program is based on bystander intervention and prosocial behavior research.

Behavioral: ENGAGE

Interventions

Level UpBEHAVIORAL

The Level Up program components include: * A 90-minute live group session during Soldiers' in-processing week at their first duty station * A mobile app/online platform/workbook with brief, interactive self-guided exercises in core skill areas (e.g., managing stress, tactical thinking, healthy relationships) * Personalized coaching via messages from trained Level Up staff during the first month of app use * Virtual booster sessions over one year, focused on practical domains like finances, leadership, promotion tips, and personal relationships

Also known as: Life Skills
Level Up Program
ENGAGEBEHAVIORAL

ENGAGE training is a single 90-minute workshop aimed at developing leadership skills and confidence in handling professional and personal confrontations.

ENGAGE Training

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Active duty Soldiers arriving at a military installation located in the South Central U.S. for their first duty location who are attending reception center activities

You may not qualify if:

  • Soldiers who are not available to attend the in-person training
  • Soldiers who are under the age of 18 years old
  • Soldiers who do not have a smart phone that supports installation of the mobile app

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Fort Hood Installation Reception Center

Fort Hood, Texas, 76544, United States

RECRUITING

MeSH Terms

Conditions

Risk Reduction BehaviorSuicide PreventionPsychological Well-Being

Interventions

engage 8200

Condition Hierarchy (Ancestors)

BehaviorSuicideSelf-Injurious BehaviorBehavioral SymptomsPersonal Satisfaction

Study Officials

  • Thomas H Nassif, PhD

    Uniformed Services University of the Health Sciences

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Life Skills Study Team

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
FED
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 3, 2025

First Posted

December 16, 2025

Study Start

December 10, 2025

Primary Completion (Estimated)

July 1, 2028

Study Completion (Estimated)

July 1, 2029

Last Updated

January 13, 2026

Record last verified: 2025-12

Data Sharing

IPD Sharing
Will not share

Locations