A SMART Evaluation of an Adaptive Web-based AUD Treatment for Service Members and Their Partners

Stanford University

Status: Enrolling

Conditions: Alcohol Abuse; Relations, Interpersonal; Military Family; Alcohol Use Disorder; Alcohol Drinking

Treatments: Behavioral: CRAFT Web-Based Intervention; Behavioral: Gottman Self-Guided Resources; Behavioral: Phone-Based CRAFT; Behavioral: CRAFT Workbook

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05619185

1R01AA030258 (U.S. NIH Grant/Contract)

67087

Details and patient eligibility

About

The purpose of this study is to evaluate the efficacy of an adaptive web intervention (Partners Connect) on military spouse drinking behaviors (CPs) and service member help-seeking (SMs). The investigators want to identify for whom this intervention is most efficacious and on what drinking behaviors and mechanisms. The investigators hypothesize that the intervention will reduce concerned partner drinking and increase service member help-seeking, compared to website resources, and that phone-based CRAFT will increase help-seeking behaviors, compared to those who are guided via a CRAFT workbook.

Enrollment: 744 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• at least 18 years of age;
• be living together with their partner, with no plans to change that status in the next 2 months;
• not be in the military themselves (to reduce concerns about mandated reporting of alcohol use);
• score ≥4 on the AUDIT-C for females or ≥5 for males/other;
• respond yes to "Do you feel safe in your current relationship?" from the Partner Violence Screen;
• report not currently being in mental health or alcohol treatment (CP and SM)
• understand English fluently,
• be willing to try an online program to address risky drinking.

We require cohabitating CPs and SMs with no anticipated changes in the next two months to ensure close contact and opportunity to practice new skills, and those who would feel safe participating.

Exclusion criteria

• CPs in substance use treatment or their SM was in treatment in the last three months;
• does not feel safe in the current relationship;
• does not understand English fluently;
• has an impaired capacity (cognitive, visual, or hearing);
• is not cohabitating with their SM

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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744 participants in 4 patient groups

Intervention

Experimental group

Description:

Those randomized to the CRAFT intervention will receive a web-based intervention

Treatment:

Behavioral: CRAFT Workbook

Behavioral: Phone-Based CRAFT

Behavioral: CRAFT Web-Based Intervention

Control

Active Comparator group

Description:

Those randomized to CONTROL will complete a self-guided intervention

Treatment:

Behavioral: Gottman Self-Guided Resources

Phone Based CRAFT

Experimental group

Description:

If a member of the recruited dyad does not respond, then participants will be randomized to receive phone-based CRAFT

Treatment:

Behavioral: Phone-Based CRAFT

Behavioral: CRAFT Web-Based Intervention

CRAFT Workbook

Active Comparator group

Description:

If a member of the recruited dyad does not respond, then participants will be randomized to receive a CRAFT workbook

Treatment:

Behavioral: CRAFT Workbook

Behavioral: CRAFT Web-Based Intervention