Implementation of Strength at Home for Military Couples

NCT ID: NCT04517994

Last Updated: 2022-04-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-01

Study Completion Date

2021-09-30

Brief Summary

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The Strength at Home Couples program is designed to enhance intimate relationships and prevent intimate partner violence (IPV) among service members and their partners in light of the unique stressors and experiences of this population.

Detailed Description

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A Hybrid Type-I Implementation-effectiveness research design will allow the research team, comprising investigators with expertise in treatment development, efficacy and effectiveness research, and implementation science, to simultaneously investigate the effectiveness of SAH-C in a military population while identifying any barriers to implementation that would need to be addressed before SAH-C could be successfully implemented on a larger scale.

SAH-C derives from a unique fusion of interventions for trauma and IPA, integrating elements of cognitive processing therapy for PTSD,39 couples therapy for PTSD,40 and a cognitive behavioral intervention for IPA.41 SAH-C consists of 10 two-hour weekly sessions, co-led by two therapists. This was the minimum length deemed necessary to incorporate components addressing the proposed IPA mechanisms and is consistent with the briefest IPA interventions.42 During each session, couples are provided assignments to practice skills together and to assist with the consolidation of material. A group couples format is used because group cohesion among clients appears to be associated with IPA prevention.43 Group interventions also use less time and resources than individual-based interventions.

Conditions

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Intimate Partner Violence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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Supportive Treatment

Broadly based on the principles and techniques of client centered (Rogerian) therapy, and the fundamental principles and practices for experiential group psychotherapy as specified by Yalom. The group also draws upon the work of Murphy's Supportive Therapy protocol specifically for group intervention with domestic abuse perpetrators.

Group Type ACTIVE_COMPARATOR

Supportive Treatment

Intervention Type BEHAVIORAL

See arm description.

Active Treatment

The intervention includes components from empirically validated interventions for intimate relationship difficulties and PTSD. This includes core themes of trust, self-esteem, power and control, conflict-management skills, and communication skills training.

Group Type EXPERIMENTAL

Active Treatment

Intervention Type BEHAVIORAL

See arm description.

Interventions

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Active Treatment

See arm description.

Intervention Type BEHAVIORAL

Supportive Treatment

See arm description.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Couples must be in an intimate relationship
* Must be over the age of 18
* Both members of the couple report no occurrence of physical IPA in the past 3 months and no severe aggression in the past 12
* At least one member reports at or below a score of 100 on the Dyadic Adjustment Scale
* Both members must provide research consent

Exclusion Criteria

* Will be excluded on the basis of reading difficulties that preclude valid completion of the assessment instruments
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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United States Department of Defense

FED

Sponsor Role collaborator

Boston VA Research Institute, Inc.

OTHER

Sponsor Role lead

Responsible Party

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Casey Taft

Psychologist, Behavioral Sciences Division, National Center for PTSD; Assoc. Professor of Psychiatry

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Joint Base Lewis McChord

Tacoma, Washington, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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CDMRP-PT140092

Identifier Type: -

Identifier Source: org_study_id

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