Alcohol Use Disorder, Depression
Conditions
Keywords
Alcohol-Related Disorders, Anxiety, Alcoholism, Self Medication, Stress Disorders, Post-Traumatic, Depression, Psychological Distress, Drinking Behavior, Substance-Related Disorders
Brief summary
This study will examine the efficacy of an internet-based brief intervention designed to reduce risky behavior veterans as the move into their second year post-Army. Up to 350 veterans drawn from The Network Study (Dept of Defense; Award number: W81XWH1920001) will be recruited with the intention of drawing a final sample of 300. Study participants will be randomly assigned to either the intervention or the control group, stratified by age and gender.
Detailed description
The combination of alcohol use and negative emotional states is a particularly toxic combination for suicide risk. The current study examines changes in alcohol/drug use/misuse and depression as veterans transition further into their post-Army environment and offers a personalized internet-based brief intervention intended to prevent/reduce alcohol misuse and depression in this population. The study's objectives are to empirically quantify the form of changes that occur with respect to alcohol use and depression as veterans move into their second year post-Army; to identify stable individual risk factors (e.g., personality, military experiences) and dynamic risk factors (e.g., changes in stressors and normative contexts over time) that may be associated with differential temporal patterns of suicide-related behavior (i.e., alcohol use/misuse) and cognition (i.e., depression); and lastly, to determine whether a simple, internet-delivered brief intervention shown can reduce risky behavior in the veteran population.
Interventions
BEHAVIORALInternet Delivered Brief Intervention (IDBI)
The intervention is an online module that can be accessed through smartphone, tablet, computer or other device. Participants will receive information about alcohol expectancies, alcohol use and norms, identity (service member, veteran, civilian), sleep, stress, and strategies for coping on the job.
Sponsors
University of Washington
Cornell University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
One group will receive an opportunity to engage with a personalized internet-delivered brief intervention (IDBI) and the second group will not be granted access. This IDBI will serve as a second booster intervention for half o those randomized into the treatment condition. For the other half randomized into the treatment condition, this IDBI will serve as an initial intervention coming 12 months after separation from the military.
Eligibility
Sex/Gender
ALL
Age
18 Years to 62 Years
Healthy volunteers
Yes
Inclusion criteria
* Is US Army veteran who participated in The Network Study (Dept of Defense; Award number: W81XWH1920001) * Seeks/engages in civilian employment * Lives in US
Exclusion criteria
* Retired with no plans to seek civilian employment * Living outside of the US * Separated from the National Guard or Reserves
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Heavy Episodic Drinking | Through study completion, data collected quarterly from 15 to up to 24 months post-separation from the Army | Single Alcohol Screening Question (SASQ) (Williams and Vinson, 2001) |
| Change in Modal alcohol consumption | Through study completion, data collected quarterly from 15 to up to 24 months post-separation from the Army | Daily Drinking Questionnaire (DDQ) (Collins, Parks, & Marlatt, 1985) |
| Change in Negative Emotional State -- Depression | Through study completion, data collected quarterly from 15 to up to 24 months post-separation from the Army | The Patient Health Questionnaire (PHQ)-9 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Alcohol-related problems | Through study completion, data collected quarterly from 15 to up to 24 months post-separation from the Army | Short Rutgers Alcohol Problems Index (S-RAPI) (Earleywine, LaBrie & Pedersen) |
| Change in Suicidal ideation | Through study completion, data collected quarterly from 15 to up to 24 months post-separation from the Army | Suicide ideation measure developed by Nock, 2007 |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change in Employment | Through study completion, data collected quarterly from 15 to up to 24 months post-separation from the Army | Current job situation/Change employment |
Countries
United States
Outcome results
None listed