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Evaluation of a Group-based, Skills Training for Increasing Mental Toughness

SAFEGUARD Life Force

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07050238
Enrollment
2400
Registered
2025-07-03
Start date
2026-01-06
Completion date
2029-07-01
Last updated
2026-06-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Mental Toughness, Resilience

Keywords

Mental Toughness, Active-duty Military, Risk Reduction, Prevention

Brief summary

The goal of the Life Force study is to (1) evaluate the efficacy of targeted, skills-based training for enhancing mental toughness and mitigating harmful and high-risk behaviors in active-duty Soldiers, and (2) to determine who benefits the most from this type of training. Researchers will compare the training group to a control group. All participants will complete a baseline survey and two follow up surveys at 6 and 12 months post-baseline. The group assigned to the Life Force training condition will also complete a 5-session, group-based, skills training program.

Detailed description

This study will evaluate the effectiveness of the Life Force training program, a 5- session, group-based, skills training program tailored specifically for active-duty Soldiers. The program uses evidence-based strategies to mitigate harmful and high-risk behaviors and promote Mental Toughness-defined as the ability to maintain peak performance under pressure or adversity, recover from setbacks, cope effectively with challenges, maintain a positive attitude, and persevere towards goals. The training sessions are led by skilled Life Force trainers from the study team and focus on building the following skills: * Grow Through Support - building the inner circle and recognizing when to lean on that support * Relentlessness - mastering the ability to push forward past the point of quitting * Invite Adversity - fail forward, seeing failure as an opportunity for growth * Nonstop Resolve - owning the setback, taking accountability of mistakes to reset and move forward * Dominate Your Emotions - controlling emotions, breaking down intervention points and how to respond instead of reacting Participants will complete a 15-20 minute baseline survey. An AI machine learning algorithm, built from existing military administrative and health records, will be used to determine eligibility for participation by predicting who will benefit most from this training. Eligible participants will be randomly assigned to either the Life Force training or a control group. The training group will participate in 5 group training sessions. Both the training and control groups will complete two 15-20 minute follow-up surveys at 6 and 12 months. The surveys will assess for the occurrence of high-risk behaviors or events qualified for an Army Serious Incident Report (SIR), indicators of poor performance, and self-reported improvements in mental toughness, military readiness, job satisfaction, career intentions, and overall functioning in their occupational, personal, and social lives. Training group data will be compared to the control group (who will only complete the surveys).

Interventions

BEHAVIORALLife Force

5-session, group-based, skills training program tailored specifically for active-duty Soldiers aimed at mitigating harmful and high-risk behaviors and promote Mental Toughness.

Sponsors

Uniformed Services University of the Health Sciences
Lead SponsorFED
Defense Health Agency
CollaboratorFED
Harvard University
CollaboratorOTHER
Henry M. Jackson Foundation for the Advancement of Military Medicine
CollaboratorOTHER
Regents of the University of Michigan
CollaboratorUNKNOWN

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Active duty Soldiers in the regular Army * Age 18 or older * Stationed at Fort Hood, TX

Exclusion criteria

* Soldiers with self-identified plans of leaving active duty service within 12 months of the baseline assessment * Soldiers having a planned permanent change in station (PCS) or deployment within 12 months of the baseline assessment

Design outcomes

Primary

MeasureTime frameDescription
Risky/Harmful BehaviorsWithin the 12 months following completion of the baseline assessmentSelf-reported or administratively recorded

Secondary

MeasureTime frameDescription
Poor PerformanceWithin the 12 months following completion of the baseline assessmentPoor performance as indicated either by written reprimands, designations in the NCOER, a corrective action plan (DA Form 4856), remedial training, flagging actions, demotion, Article 15, or barred reenlistment
Mental ToughnessWithin the 12 months following completion of the baseline assessmentSelf-reported; From the Sports Mental Toughness Questionnaire
Military Readiness, Satisfaction, & Career PlansWithin the 12 months following completion of the baseline assessmentSelf-reported
Suicide-related behaviorsWithin the 12 months following completion of the baseline assessmentSelf-reported
Role Functioning (occupational, personal, and social)Within the 12 months following completion of the baseline assessmentSelf-reported

Countries

United States

Contacts

CONTACTLife Force Study
life-force-study-ggg@usuhs.edu301-295-3485

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 16, 2026