Develop and Validation of Measurement-Based Transition Assistance

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)

Time frame: baseline (T1) and three-month follow-up (T2)

Population: 500 letters mailed; number analyzed varies per row because of number of eligible participants within each category/row

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?

Time frame: baseline assessment (T1 only for intervention group)

Population: 16 Veterans in the intervention group provided data for open-ended questions at T1 (baseline). T1 (baseline) was the only timeframe when these questions were administered for this group.

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?

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

Population: 7 Veterans in the active control group provided data for open-ended questions at T2 (three-month follow-up). T2 (three-month follow-up) was the only timeframe when these questions were administered for this group

The investigators assessed movement in support seeking perceptions from baseline (T1) to the three-month follow-up (T2) with the Attitudes Toward Seeking Professional Psychological Help - Short Form scale (Picco et al., 2016). Questions were slightly modified to focus on seeking support to address well-being challenges and problems. To calculate a total score, items 2, 4, 8, 9, and 10 were reverse scored. Scores were then summed together, with higher scores indicating more positive attitudes toward seeking professional help. Scores could range range for 0-30.

Time frame: 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

Population: Possible scores ranged from 0 to 30, with higher scores indicating more positive attitudes toward seeking professional help. Using ANCOVAs, data values represent three-month follow-up adjusted mean (follow-up) scores after controlling for baseline scores and age

The investigators administered the Stages Algorithm (DiClemente et al., 1991) to measure movement in the stages of change from baseline to the three-month follow-up. Questions were modified slightly to assess for willingness to work on resolving problems or challenges related to areas of well-being (i.e., mental health/emotional well-being, physical health, vocation, social life, and finances). This measure is designed as a decision tree based on reported challenges, and is scored based on where participants fall within the decision tree. It classifies participants according to the following stages of change: precontemplation, contemplation, preparation, action, and maintenance stages.

Time frame: 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

Population: Data were collected for intervention and active control group at baseline and three-month follow-up. Among participants who identified a challenge within a domain. Then within that subgroup of those with challenges, we examined the number that moved forward at least one stage/were taking action to work on their challenges between baseline (T1) and the three-month follow-up (T2).

For the intervention group, the investigators assessed support seeking behavior with items developed specifically for this pilot study at T2 (three-month follow-up). Questions asked about the extent to which the tool has helped increase awareness about well-being related challenges or problems, the extent to which the tool has helped encourage improving well-being related problems or challenges, and which types of resources the participant has used since using the tool. Items were examined separately. A response of moderately or higher on the two Likert scale items was considered a positive response.

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

Population: 15 veterans in the intervention group provided data for support-seeking actions at T2 (three-month follow-up); number of participants analyzed is different because type of service percentage applies only to those that used services (n=10). These measures were only administered to the intervention group at T2 (three-month follow-up). These measures were not administered to the active control group at either time point.

The investigators used Theory of Planned Behavior Questionnaire (Ajzen, 1991) to assess movement from baseline to the three-month follow-up in the constructs from the theory of planned behavior (intention, attitude toward the behavior, subjective norm, perceived behavioral control). Questions were slightly modified to focus on well-being. The investigators scored each of the aforementioned constructs/subscales separately. For each subscale, the investigators calculated the the mean of the items. Scores could range from 1 to 7 with higher scores indicating a more positive response.

Time frame: 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

Population: Scores were calculated at T1 (baseline) and T2 (three-month follow-up) for intervention and active control group. Scores could range from 1 to 7 with higher scores indicating a more positive response. Number of participants analyzed for each row varies based on the number of participants that provided data for that construct at both time points. Using ANCOVAs, data values represent three-month follow-up adjusted mean (follow-up) scores after controlling for baseline scores and age.

The investigators administered the University of Rhode Island Change Assessment Scale (URICA; DiClemente et al., 2004) to measure movement in the stages of change. Questions in the URICA were slightly modified to focus on well-being. To score the URICA, the investigators will calculate a readiness to change score based on the four stages of change (precontemplation, contemplation, action, and maintenance). The investigators will calculate means for precontemplation responses, contemplation responses, action responses and maintenance responses and subtract the mean from the precontemplation score from the summation of the other three stages. This sum score represents an individual's readiness to change. Possible readiness to change scores range from -2 to +14, with higher scores indicating higher levels of readiness to change.

Time frame: 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

Population: An overall readiness to change score was calculated at T1 (baseline) and T2 (three-month follow-up). Using ANCOVAs, data values represent three-month follow-up adjusted mean scores after controlling for baseline scores and age.