Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04261842
Other study ID # FDG20180009E
Secondary ID HU00011820041 N1
Status Completed
Phase
First received
Last updated
Start date April 7, 2020
Est. completion date December 31, 2021

Study information

Verified date March 2022
Source David Grant U.S. Air Force Medical Center
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The Military Identity Project is an exploration of military identity in Active Duty Service Members of the Army, Navy, Air Force & Marine Corps. The purpose of this project is to discover common identity attributes shared by active duty members across Service branches and to see if specific traits are related to levels of well-being and resilience.


Description:

Rationale: Psychological health (PH) disorders continue to be the highest consumer of inpatient bed days and are in the top 10 diagnoses for Active Duty Service Members (ADSM) lost duty days and appointment utilization. Cognitive therapies (CT) are the evidence-based choice for PH conditions. Little is known about the cognitive contents of Military Identity (MI) and the potential for identifying specific cognitive vulnerabilities and resources common in ADSMs. Understanding the role of MI in common military PH conditions can inform the development of new military-specific clinical strategies for CTs. Study Objective: To validate findings from a pilot Military Identity (MI) study utilizing a self-schema model to determine core cognitive contents of MI and to explore relationships between MI and psychological well-being (PWB). Specific Aims: Aim 1: Describe the core cognitive content of MI in active duty service members. Aim 2: Examine the effect of MI on information processing response times. Aim 3: Explore the relationship between MI and self-perceived psychological well-being scores. Design: A descriptive cross-sectional mixed methods content analysis and a four-group information processing paradigm will be utilized to investigate a stratified sample of ADSMs across Joint Services (25% sample from each Army, Navy, Air Force, Marine). Methods: Open-Ended and Closed-Ended Identity Attribute Tasks will be used to explore MI content as well as a 60 attribute response time task along with a demographic questionnaire, Inclusion of In-group in Self Scale, and Ryff's PWB Scales. All measures will be collected via computerized software program developed by Harvard's Project Implicit. Dissemination of Results: Results from the study will be disseminated through publications, poster and/or podium presentations at professional annual conferences such as the American Psychological Association (APA), Military Health Systems Research Symposium, Association of Military Surgeons United States (AMSUS), and Tri-Service Nursing Research Program (TSNRP). Manuscripts will be submitted for publication to appropriate journals such as Military Psychology, Military Behavioral Health, and Military Medicine.


Recruitment information / eligibility

Status Completed
Enrollment 115
Est. completion date December 31, 2021
Est. primary completion date February 19, 2021
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - An active duty member of the US Army, US Air Force, US Marine Corps, US Navy - Willing to complete the online identity tasks requiring approximately 45 minutes Exclusion Criteria: - Civilian - Guard or Reserve Service Members - U.S. Public Health Service Member - U.S. Coast Guard Service Member

Study Design


Related Conditions & MeSH terms


Locations

Country Name City State
United States David Grant USAF Medical Center Travis Air Force Base California

Sponsors (7)

Lead Sponsor Collaborator
David Grant U.S. Air Force Medical Center San Antonio Military Medical Center, Tripler Army Medical Center, Uniformed Services University of the Health Sciences, University of Rochester, Walter Reed National Military Medical Center, Womack Army Medical Center

Country where clinical trial is conducted

United States, 

References & Publications (66)

American Association of Nurse Practitioners. (2015). NP Facts. Www.Aanp.Org, 78711. Retrieved from https://www.aanp.org/images/documents/about-nps/npfacts.pdf

Andersen BL, Cyranowski JM, Espindle D. Men's sexual self-schema. J Pers Soc Psychol. 1999 Apr;76(4):645-61. — View Citation

Anderson NH. Likableness ratings of 555 personality-trait words. J Pers Soc Psychol. 1968 Jul;9(3):272-9. — View Citation

Armed Forces Health Surveillance Branch. Absolute and relative morbidity burdens attributable to various illnesses and injuries, active component, U.S. Armed Forces, 2016. MSMR. 2017 Apr;24(4):2-8. — View Citation

Baayen, H. R., & Milin, P. (2010). Analyzing reaction times. International Journal of Psychological Research, 3(2).

Beck AT. The evolution of the cognitive model of depression and its neurobiological correlates. Am J Psychiatry. 2008 Aug;165(8):969-77. doi: 10.1176/appi.ajp.2008.08050721. Epub 2008 Jul 15. Review. — View Citation

Berghaus, P. T., & Cartagena, N. L. (2013). Developing good soldiers: The problem of fragmentation within the Army. Journal of Military Ethics, 12(4), 287-303. http://doi.org/10.1080/15027570.2013.869389

Brewin CR, Garnett R, Andrews B. Trauma, identity and mental health in UK military veterans. Psychol Med. 2011 Aug;41(8):1733-40. doi: 10.1017/S003329171000231X. Epub 2010 Dec 14. — View Citation

Brewin CR. Understanding cognitive behaviour therapy: A retrieval competition account. Behav Res Ther. 2006 Jun;44(6):765-84. Epub 2006 Apr 18. Review. — View Citation

Corte C, Stein KF. Self-cognitions in antisocial alcohol dependence and recovery. West J Nurs Res. 2007 Feb;29(1):80-99. — View Citation

Cyranowski JM, Aarestad SL, Andersen BL. The role of sexual self-schema in a diathesis-stress model of sexual dysfunction. Appl Prev Psychol. 1999;8(3):217-228. — View Citation

Daley, J. G. (1999). Understanding the military as an ethnic identity. Social work practice in the military, 291-303.

Dalgleish T. Cognitive approaches to posttraumatic stress disorder: the evolution of multirepresentational theorizing. Psychol Bull. 2004 Mar;130(2):228-60. Review. — View Citation

Danish SJ, Antonides BJ. The challenges of reintegration for service members and their families. Am J Orthopsychiatry. 2013 Oct;83(4):550-8. doi: 10.1111/ajop.12054. — View Citation

Demers, A. (2011). When Veterans return: The role of community in reintegration. Journal of Loss and Trauma, 16(2), 160-179. http://doi.org/10.1080/15325024.2010.519281

Deployment Health Clinical Center. (2017). Mental health disorder prevalence among active duty service members in the Military Health System, Fiscal Years 2005 - 2016 prepared by the Deployment Health Clinical Center, (January).

Disner SG, Beevers CG, Haigh EA, Beck AT. Neural mechanisms of the cognitive model of depression. Nat Rev Neurosci. 2011 Jul 6;12(8):467-77. doi: 10.1038/nrn3027. Review. — View Citation

Dobson KS. The science of CBT: toward a metacognitive model of change? Behav Ther. 2013 Jun;44(2):224-7. doi: 10.1016/j.beth.2009.08.003. Epub 2011 Jun 6. — View Citation

Dozois DJ, Bieling PJ, Patelis-Siotis I, Hoar L, Chudzik S, McCabe K, Westra HA. Changes in self-schema structure in cognitive therapy for major depressive disorder: a randomized clinical trial. J Consult Clin Psychol. 2009 Dec;77(6):1078-88. doi: 10.1037/a0016886. — View Citation

Dozois DJ, Dobson KS. Information processing and cognitive organization in unipolar depression: specificity and comorbidity issues. J Abnorm Psychol. 2001 May;110(2):236-46. — View Citation

Dozois, D., & Dobson, K. (2003). The structure of the self-schema in clinical depression: Differences related to episode recurrence. Cognition & Emotion, 17(6), 933-941. http://doi.org/10.1080/02699930244000363

Evans, D., Dalgleish, T., Dudas, R. B., Denman, C., Howard, M., & Dunn, B. D. (2015). Examining the shared and unique features of self-concept content and structure in borderline personality disorder and depression. Cognitive Therapy and Research, 39(5), 613-626. http://doi.org/10.1007/s10608-015-9695-3

Foa EB, Gillihan SJ, Bryant RA. Challenges and Successes in Dissemination of Evidence-Based Treatments for Posttraumatic Stress: Lessons Learned From Prolonged Exposure Therapy for PTSD. Psychol Sci Public Interest. 2013 May;14(2):65-111. doi: 10.1177/1529100612468841. — View Citation

Franke, V. (1999). Preparing for Peace. Miltary Identity, Value Orientations, and Professional Military Education. Igarss 2014. http://doi.org/10.1007/s13398-014-0173-7.2

Ghosh VE, Gilboa A. What is a memory schema? A historical perspective on current neuroscience literature. Neuropsychologia. 2014 Jan;53:104-14. doi: 10.1016/j.neuropsychologia.2013.11.010. Epub 2013 Nov 23. Review. — View Citation

Gilboa A, Moscovitch M. Ventromedial prefrontal cortex generates pre-stimulus theta coherence desynchronization: A schema instantiation hypothesis. Cortex. 2017 Feb;87:16-30. doi: 10.1016/j.cortex.2016.10.008. Epub 2016 Oct 31. — View Citation

Gillihan, S. J., Conklin, P., & Foa, E. B. (2014). Dissemination and implementation of evidence-based treatments. The Wiley handbook of anxiety disorders, 1228-1241.

Government Accountability Office. (2016). Defense health care: DOD is meeting most mental health care access standards , but it needs a standard for follow- up appointments.

Green G, Emslie C, O'Neill D, Hunt K, Walker S. Exploring the ambiguities of masculinity in accounts of emotional distress in the military among young ex-servicemen. Soc Sci Med. 2010 Oct;71(8):1480-8. doi: 10.1016/j.socscimed.2010.07.015. Epub 2010 Aug 5. — View Citation

Griffith, J. (2011). Reserve identities: What are they? And do they matter? An empirical examination. Armed Forces & Society, 37(4), 619-635. http://doi.org/10.1177/0095327X10382213

Griffith, J., & Vaitkus, M. (2013). Perspectives on suicide in the Army National Guard. Armed Forces & Society, 39(4), 628-653. http://doi.org/10.1177/0095327X12471333

Harris, K., Gringart, E., & Drake, D. (2013). Military retirement: Reflections from former members of Special Operations Forces. Identity, 10(3), 97-112. Retrieved from http://www.army.gov.au/Our-future/LWSC/Our-publications/Australian-Army-Journal/~/media/Files/Our future/LWSC Publications/AAJ/2013Winter/AustralianArmyJournal_V10N3Winter_Identity-MilitaryRetirement.pdf

Jobson L, O'Kearney R. Cultural differences in personal identity in post-traumatic stress disorder. Br J Clin Psychol. 2008 Mar;47(Pt 1):95-109. — View Citation

Johansen, R. B., Laberg, J. C., & Martinussen, M. (2013). Military identity as predictor of perceived military competence and skills. Armed Forces & Society, (May). http://doi.org/10.1177/0095327X13478405

Kelley PW, Kenny D, Donley R. Experiences of vulnerability and uncertainty during the Iraq and Afghanistan wars: Stories of wounded service members and the nurses who cared for them. Nurs Outlook. 2017 Sep - Oct;65(5S):S71-S80. doi: 10.1016/j.outlook.2017.08.007. Epub 2017 Aug 12. — View Citation

Kendzierski D. Exercise self-schemata: cognitive and behavioral correlates. Health Psychol. 1990;9(1):69-82. — View Citation

Kendzierski, D. (1988). Self-schemata and exercise. Basic and Applied Social Psychology, 9(1), 45-59. http://doi.org/10.1207/s15324834basp0901_4

Kihlstrom, J. F., Beer, J. S., & Klein, S. B. (2013). Self and identity as memory. The Handbook of Self and Identity, 68-90.

Klein SB. Self, memory, and the self-reference effect: an examination of conceptual and methodological issues. Pers Soc Psychol Rev. 2012 Aug;16(3):283-300. doi: 10.1177/1088868311434214. Epub 2012 Jan 30. Review. — View Citation

Lancaster, S. L., & P. Hart, R. (2015). Military identity and psychological functioning: A pilot study. Military Behavioral Health, 3(1), 83-87. http://doi.org/10.1080/21635781.2014.995254

Markus, H. (1977). Self-schemata and processing information about the self. Journal of Personality and Social Psychology, 35(2), 63-78.

Markus, H., Crane, M., Bernstein, S., & Siladi, M. (1982). Self-schemas and gender. Journal of Personality and Social Psychology. http://doi.org/10.1037/0022-3514.42.1.38

Markus, H., Hamill, R., & Sentis, K. P. (1987). Thinking fat: Self-schemas for body weight and the processing of weight relevant information. Journal of Applied Social Psychology, 17(1), 50-71. http://doi.org/10.1111/j.1559-1816.1987.tb00292.x

Mayring, P. (2014). Qualitative content analysis. Theoretical foundation, basic procedures and software solution. Advances in Bioethics. http://doi.org/10.1016/S1479-3709(07)11003-7

McNally RJ, Lasko NB, Macklin ML, Pitman RK. Autobiographical memory disturbance in combat-related posttraumatic stress disorder. Behav Res Ther. 1995 Jul;33(6):619-30. — View Citation

Migliore, L. A., & Nathan, D. (2018) The Military Identity Project: Self-descriptive content and response time as indicators for presence of military self-schemas. Manuscript submitted for publication.

Migliore, L. A., & Pound, L. B. (2016). The Military Identity Project: A mixed method investigation of military self-schema content. Military Behavioral Health, 4(2), 183-192. http://doi.org/10.1080/21635781.2015.1133351

Noureddine S, Stein K. Healthy-eater self-schema and dietary intake. West J Nurs Res. 2009 Mar;31(2):201-18. doi: 10.1177/0193945908327157. Epub 2008 Dec 2. — View Citation

Oyserman, D., Smith, G. C., & Elmore, K. C. (2014). Identity-based motivation: Implications for health and health disparities. Journal of Social Issues, 70(2), 206-225. http://doi.org/10.1111/josi.12056

Rivers FM, Gordon S, Speraw S, Reese S. U.S. Army nurses' reintegration and homecoming experiences after Iraq and Afghanistan. Mil Med. 2013 Feb;178(2):166-73. — View Citation

Ryff CD, Keyes CL. The structure of psychological well-being revisited. J Pers Soc Psychol. 1995 Oct;69(4):719-27. — View Citation

Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57(6), 1069.

Scannell-Desch E, Doherty ME. Experiences of U.S. military nurses in the Iraq and Afghanistan wars, 2003-2009. J Nurs Scholarsh. 2010 Mar;42(1):3-12. doi: 10.1111/j.1547-5069.2009.01329.x. — View Citation

Schaefer SM, Morozink Boylan J, van Reekum CM, Lapate RC, Norris CJ, Ryff CD, Davidson RJ. Purpose in life predicts better emotional recovery from negative stimuli. PLoS One. 2013 Nov 13;8(11):e80329. doi: 10.1371/journal.pone.0080329. eCollection 2013. — View Citation

Smith, R., & True, G. (2014). Warring Identities: Identity conflict and the mental distress of American Veterans of the wars in Iraq and Afghanistan. Society and Mental Health. http://doi.org/10.1177/2156869313512212

Stein KF, Corte C, Chen DG, Nuliyalu U, Wing J. A randomized clinical trial of an identity intervention programme for women with eating disorders. Eur Eat Disord Rev. 2013 Mar;21(2):130-42. doi: 10.1002/erv.2195. Epub 2012 Sep 27. — View Citation

Stein KF, Corte C. Reconceptualizing causative factors and intervention strategies in the eating disorders: a shift from body image to self-concept impairments. Arch Psychiatr Nurs. 2003 Apr;17(2):57-66. — View Citation

Stein KF, Corte C. The identity impairment model: a longitudinal study of self-schemas as predictors of disordered eating behaviors. Nurs Res. 2008 May-Jun;57(3):182-90. doi: 10.1097/01.NNR.0000319494.21628.08. — View Citation

Stein KF, Keller C, Corte C. Creando Posibilidades: A Cognitive Model of Risk Behaviors in Mexican American Women. J Food Nutr Disord. 2014 Jun;3(3). pii: 144. doi: 10.4172/2324-9323.1000144. Epub 2014 Jun 13. — View Citation

Stein KF, Roeser R, Markus HR. Self-schemas and possible selves as predictors and outcomes of risky behaviors in adolescents. Nurs Res. 1998 Mar-Apr;47(2):96-106. — View Citation

Stein KF. The organizational properties of the self-concept and instability of affect. Res Nurs Health. 1995 Oct;18(5):405-15. — View Citation

Stein KF. The self-schema model: a theoretical approach to the self-concept in eating disorders. Arch Psychiatr Nurs. 1996 Apr;10(2):96-109. Review. — View Citation

Stein, K. (1994). Complexity of the self-schema and responses to disconfirming feedback. Cognitive Therapy and Research, 18(2), 161-178. http://doi.org/10.1007/BF02357222

Stein, K. F., & Nyquist, L. (2001). Disturbances in the self : A source of eating disorders. Eating Disorders Review, 12(1), 1-8.

Swann, W. B., & Bosson, J. K. (2010). Self and Identity. In Handbook of Social Psychology (pp. 589-628).

ZAJONC RB. The process of cognitive tuning in communication. J Abnorm Soc Psychol. 1960 Sep;61:159-67. — View Citation

* Note: There are 66 references in allClick here to view all references

Outcome

Type Measure Description Time frame Safety issue
Primary Open-ended Identity Attribute Task (Task 1) Participants will enter up to 9 attributes that represent how they think about themselves as a military member and using an 11-point scale rate each attribute according to: Self-descriptiveness (How much does this attribute really describe me?), Importance (How important is this attribute to who I am as a military member?) and, Valence (How positive or negative do I consider this attribute in myself?). 15 minutes
Primary Identity Attribute Response Time Task (Task 2) The Response Time task will involve participants striking specific keys on the keyboard to endorse or reject 70 pre-determined attributes (10 practice attributes; 60 randomized experimental attributes) as self-descriptive. 3 minutes
Primary Demographic Questions (Task 3) The participant will respond to six demographic items: gender, Service branch, rank, active duty service time, number of deployments, and whether raised in a military family. 2 minutes
Primary Inclusion of In-group in the Self Scale (Task 4) The Inclusion of In-group in the Self Scale (IIS) is a single-item measure that is adapted easily and administered quickly for studies involving membership in many different groups. The scale of 1 to 7 is represented by seven pairs of circles representing level of identification with the military; participants will be asked to choose the pair of circles that best represents their own level of identification with the military. The pair of circles labeled "1" (no overlap) represents the lowest level of identification with the military. The pair labeled "7" (almost complete overlap) represents the highest level of identification with the military. The score represents a self-report of a participant's level of identification with a group, and is not by itself indicative of a better or worse outcome. 1-2 minutes
Primary Closed-ended Identity Attribute Task (Task 5) The Closed-ended Identity Attribute Task (CIAT) provides a list of 60 attributes generated through methods established in the social psychological sciences. Using an 11-point scale, the participant must rate each attribute according to: Self-descriptiveness (How much does this attribute really describe me?), Importance (How important is this attribute to who I am as a military member?) and, Valence (How positive or negative do I consider this attribute in myself?). The CIAT uses the same 60 attributes presented as experimental stimuli in the Identity Attribute Response Time Task (Task 2). 10 minutes
Primary Ryff Scales of Psychological Well-being (Task 6) The Ryff Scales of Psychological Well-being (PWB) is comprised of six 9-item scales (54 total items) of psychological well-being constructed to measure the dimensions of autonomy, environmental mastery, personal growth, positive relations, purpose in life and self-acceptance. Participants will respond to statements using a scale of 1 (Strongly Disagree) to 6 (Strongly Agree). Scores from the 54 items are summed; the higher the total score = the higher the PWB. 10 minutes
See also
  Status Clinical Trial Phase
Recruiting NCT06011239 - Family Teams: A Study to Promote Team Collaboration in Family Medicine Clinics N/A
Completed NCT04340206 - Youth Compass Plus N/A
Not yet recruiting NCT05927805 - E-bibliotherapy for Informal Caregivers of People With Dementia N/A
Recruiting NCT05930535 - Family-Focused Adolescent & Lifelong Health Promotion N/A
Recruiting NCT05827692 - Impact of Forest Baths on Emotional Well-being in People With Sub-clinical Symptomatology of Anxiety and Depression N/A
Completed NCT05085847 - Effects of Mindfulness-based Intervention on Epigenetic Mechanisms, Cognition Function, Stress Response, and Well-being N/A
Not yet recruiting NCT05891925 - An Audiobook-based Intervention on Community-dwelling Older Adults N/A
Completed NCT05869006 - The Effect of Designed SIA Instrument Supported Interpersonal Relations-Based Group Practice on Psychological Well-Being and Creativity N/A
Not yet recruiting NCT05891691 - THE EFFECTS OF THE YOGA-BASED PROGRAM ON THE SOCIAL EMOTIONAL AND PSYCHOLOGICAL HEALTH OF CHILDREN, SOCIAL SKILLS AND QUALITY OF LIFE N/A
Recruiting NCT06102096 - Culturally Adapted iCBT for Arabic-speaking Refugee and Migrant Youth With Common Mental Health Problems N/A
Not yet recruiting NCT05682014 - The Effect of Web-Based Mindful Breastfeeding Program During Pregnancy on Postpartum Breastfeeding N/A
Active, not recruiting NCT04786483 - The Effect of Laughter Therapy on Students in the COVID-19 Pandemic N/A
Completed NCT06280261 - The Struggle That Is Phenylketonuria : What Do The Patients and Caregivers Suffer From
Recruiting NCT05956249 - Online Group Therapy for Mothers of Babies With Congenital Heart Disease N/A
Not yet recruiting NCT05800717 - Self-Management Program for AIS D SCI Phase 1/Phase 2
Recruiting NCT06064760 - Workshop on Strengths and Competences to Improve Psychological Wellbeing and Quality of Life of Grandparents N/A
Not yet recruiting NCT06282913 - The Effect of Mindfulness Meditation N/A
Not yet recruiting NCT06255405 - The Effects of Dyadic Parent-child Self-compassion Program on Children' Psychological Well-being: A Pilot Randomized Controlled Trial N/A
Recruiting NCT06352749 - Face-to-face vs Online Physical Exercise in Seniors Living in Nursing Homes (ExerMOT-NH) N/A
Recruiting NCT05905250 - mHealth for Young Adult Cancer Survivors N/A