Veteran Reintegration
Conditions
Keywords
Veterans, Vocational rehabilitation
Brief summary
Health coaches help people focus on goals, identify strengths and values, and work towards building the life they wish to live. Health coaching may be especially helpful for people navigating a life transition, such as Veterans who recently separated from military service (i.e., reintegrating Veterans). In this pilot trial the investigators will 1) examine the feasibility of study procedures and acceptability of health coaching among reintegrating Veterans, 2) evaluate measures for suitability in a future trial that will examine efficacy of the intervention, 3) determine barriers and facilitators to implementing the intervention among reintegrating Veterans.
Detailed description
This pilot study is designed to provide data to inform the design and procedures of a future efficacy trial of health coaching among reintegrating Veterans. An enrollment rate 30% and an assessment completion rate 65% at 9 months will be considered feasible enrollment and assessment completion rates for a future efficacy trial. An intervention completion rate 70% and mean score 27 on the Client Satisfaction Questionnaire-8 will indicate acceptability. Evaluation of measures will entail quantifying the mean levels in this population, characterizing typical variation in the outcomes, descriptive analyses of within-person change across time, and adjusted estimates of treatment effect sizes with 95% confidence intervals to calibrate the sample size needs of a fully powered trial. Qualitative interviews with participants will provide information on barriers and facilitators to implementation as well as perceived benefits and potential harms.
Interventions
BEHAVIORALHealth Coaching
Health coaches help people focus on goals, identify strengths and values, and work towards building the kind of life they wish to live.
BEHAVIORALVA Benefits Information
Printed materials with information on VA benefits.
Sponsors
VA Office of Research and Development
University of Michigan
VA Finger Lakes Healthcare System
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* United States military Veterans recently separated from service
Exclusion criteria
* Currently living in an institution (e.g., nursing home, prison) * Cognitive impairment as indicated by a score equal to or greater than 10 on the Short Blessed Test * Currently experiencing psychosis as indicated by endorsing thought interference or hallucinations on the Psychosis Screening Questionnaire * At acute risk for suicide as indicated by the P4 screener * Unable to read or understand English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Military to Civilian Questionnaire | Month 4 | The Military to Civilian Questionnaire scores range from 0 to 4, with higher scores indicating a higher degree of reintegrating difficulty. |
| Well-being Inventory - Functional Status | Month 4 | The Functional Status composite measure from the Well-being Inventory scores range from 1 to 5, with higher scores indicating a higher level of functioning. |
| Depressive Symptom Index - Suicidality Subscale | Month 4 | Reported as count of participants with no suicidal ideation |
| Columbia Suicide Severity Rating Scale | Month 4 | Reported as count of participants with no suicidal ideation |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORLauren M. Denneson, PhD
VA Portland Health Care System, Portland, OR
Baseline characteristics
| Characteristic | — |
|---|---|
| Age, Continuous | 31.6 years |
| Columbia Suicide Severity Rating Scale | 38 Participants |
| Depressive Symptom Index - Suicidality Subscale | 42 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 13 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 41 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Military to Civilian Questionnaire | 1.77 score on a scale STANDARD_DEVIATION 0.9 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 2 Participants |
| Race (NIH/OMB) Black or African American | 6 Participants |
| Race (NIH/OMB) More than one race | 2 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 2 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 10 Participants |
| Race (NIH/OMB) White | 62 Participants |
| Sex/Gender, Customized men | 38 Participants |
| Sex/Gender, Customized Women | 22 Participants |
| Well-being Inventory | 3.77 score on a scale STANDARD_DEVIATION 0.54 |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 48 | 0 / 47 |
| other Total, other adverse events | 0 / 48 | 0 / 47 |
| serious Total, serious adverse events | 0 / 48 | 0 / 47 |
Outcome results
None listed