Anxiety Clinical Trial
Official title:
Increasing Resiliency in U.S. Air Force Personnel: A Multi-Site Trial
The goal of this clinical trial is to examine the effectiveness of the Stress Management and Resilience Training (SMART) in increasing resilience in a population of U.S. Air Force personnel at Joint Base Andrews, Joint Base San Antonio-Lackland, Nellis Air Force Base, and Wright-Patterson Air Force Base. The main questions it aims to answer are: 1. When delivered in real-world conditions, to what extent does SMART increase levels of resiliency and decrease levels of stress in a sample of active component U.S. Air Force personnel? 2. Does SMART have a sustained effectiveness from baseline to 12, 24 and 36-weeks after training completion in a sample of active component U.S. Air Force personnel? 3. Does SMART provided via an in-person/video-teleconference (VTC) or Computer-Based Training (CBT) modality demonstrate equivalent effectiveness in increasing resilience and decreasing stress in active component Air Force personnel? Participants will be asked to complete a pre-intervention survey, complete the assigned modality of SMART ( in-person/VTC or CBT), and complete follow-up measurements at 12-, 24-, and 36-weeks post-intervention completion. Researchers will compare in-person/VTC and CBT groups' measurements to see if a difference in self-reported resilience, stress, anxiety, or quality of life is present pre-intervention. Researchers will compare in-person/VTC and CBT groups' measurements to see if a difference in self-reported resilience, stress, anxiety, or quality of life is present post-intervention.
Status | Recruiting |
Enrollment | 500 |
Est. completion date | September 30, 2024 |
Est. primary completion date | September 30, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Active Component Air Force personnel assigned or attached to the: - 59th Medical Wing, including the 59th Medical Operations Group, 59th Medical Support Group, 559th MDG, 959th MDG, 59th Training Group, and 59th Dental Group (Joint Base San Antonio-Lackland, TX [JBSA-L]) - 316th Medical Group (Joint Base Andrews, MD [JBA]) - 99th Medical Group (Nellis AFB, NV) - 711th Human Performance Wing (HPW), including the U.S. Air Force School of Aerospace Medicine (USAFSAM), and the 88th Medical Group (MDG) at Wright-Patterson Air Force Base, OH (WPAFB) - Able to provide informed consent - = 18 years of age Exclusion Criteria: - Personnel at the above locations who are not Active Component Air Force personnel (e.g. individuals on temporary duty [TDY] at the location or civilian personnel): - Unable to provide informed consent - Basic Military Trainees (BMTs) - < 18 years of age - Prisoners |
Country | Name | City | State |
---|---|---|---|
United States | Johns Hopkins University, School of Nursing (Joint Base Andrews) | Baltimore | Maryland |
United States | Wright-Patterson Air Force Base | Dayton | Ohio |
United States | University of Nevada Las Vegas, School of Nursing (Nellis Air Force Base) | Las Vegas | Nevada |
United States | Joint Base San Antonio-Lackland | San Antonio | Texas |
Lead Sponsor | Collaborator |
---|---|
University of New Mexico | Johns Hopkins University, University of Nevada, Las Vegas |
United States,
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* Note: There are 15 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Changes in Connor-Davidson 10-Item Scale (CD-10) | Resilience will be measured using the CD-10, a 10-item scale derived from the original, 25-item Connor Davidson Resilience Scale. Respondents can answer each item using a five-point rating ranging from not true at all (0) to true nearly all the time (4). A total CD-RISC score is calculated by summing the score of all 10 items for a total possible score of 40, with a higher score reflecting a greater level of resilience. The CD-10 has a reported Cronbach's alpha of .85 and has demonstrated construct validity. | Changes in self-reported CD-10 from Baseline at 12, 24, and 36 weeks post-SMART completion | |
Secondary | Changes in Perceived Stress Scale (PSS) | The PSS was developed to provide both a global measure and a measure for current levels of perceived stress. The PSS is a 14-item instrument, and respondents answer each item on a four-point scale ranging from never (0) to very often (4). An individual's score is calculated by reverse scoring seven items and then summing all item scores, resulting in a score range of 0-56. | Changes in self-reported PSS from Baseline at 12, 24, and 36 weeks post-SMART completion | |
Secondary | Changes in Generalized Anxiety Disorder Scale (GAD-7) | Anxiety was measured with the GAD-7. Respondents can answer each item using a four-point scale ranging from not at all (0) nearly every day (3). A total score is calculated by summing the scores of the seven items with possible scores ranging from 0-21. Scores between 5-9 are indicative of mild anxiety, and score between 15-21 are indicative of severe anxiety. | Changes in self-reported GAD-7 from Baseline at 12, 24, and 36 weeks post-SMART completion | |
Secondary | Changes in Quality of Life (QOL) | A Linear Analogue Self-Assessment (LASA) QoL measure was used to measure overall quality of life for this study. Participants responded to each item using an 11-pointLikert scale ranging from as bad as it can be (0) to as good as it can be (10). | Changes in self-reported QOL scores from Baseline at 12, 24, and 36 weeks post-SMART completion |
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