Study Results
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Basic Information
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COMPLETED
NA
196 participants
INTERVENTIONAL
2019-05-07
2019-09-26
Brief Summary
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The present study was a pilot randomized controlled trial (RCT) investigating the effectiveness of The Together Webinar Programme (TTP-Webinar) in reducing psychological distress and secondary trauma symptoms and improving quality of life among partners of veterans with PTSD and other mental health difficulties. The pilot RCT compared the TTP-Webinar intervention to a waitlist condition. The primary aim was to assess the acceptability and feasibility of offering web-based support to military partners and to investigate the efficacy of the remote-access support.
It was hypothesized that, compared to the waitlist condition, the TTP-Webinar would result in significant reductions in psychological distress and secondary symptoms, and improvements in overall quality of life.
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Detailed Description
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Despite an interest and need for mental health support among military partners, many face a range of barriers that prevent accessing and engaging in support. Such barriers include stigma around help seeking behaviors, difficulties in travelling to support venues, and work or childcare responsibilities that may limit their availability to engage with support. As such, there remains a need to make mental health support for military partners more accessible.
The Together Webinar Programme (TTP-Webinar) is a six-week online intervention developed to increase the accessibility of mental health support for military partners. TTP-Webinar was adapted from a five-week community-based TTP programme that was piloted across nine UK locations. Despite the community-based TTP programme demonstrating promising effects on mental health difficulties among military partners, the pilot revealed that many partners were unable to engage with support because of issues traveling to and from community centres around balancing other commitments.
The present study was a pilot randomized controlled trial (RCT) aimed at investigating the utility of TTP-Webinar as an online intervention to increase the accessibility of support. 60 partners of veterans with PTSD and other mental health difficulties were randomised to either the TTP-Webinar intervention (n = 30) or waitlist condition (n = 30). Measures of general psychological distress, secondary trauma symptoms and quality of life were administered at baseline, end of treatment, and one-month follow-up.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
SINGLE
Study Groups
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The Together Webinar Programme (TTP-Webinar)
Participants receive the six weekly session TTP-Webinar intervention.
The Together Webinar Programme
The TTP-Webinar consists of six hour-long sessions. Each session focuses on psychoeducation and self-management strategies for supporting veteran mental health difficulties as well as self-management tools to enhance partners' own wellbeing.
The TTP-Webinar treatment protocol incorporates a range of techniques used in Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Compassion Focused Therapy (CFT), and Acceptance and Commitment Therapy (ACT).
Waitlist condition
Participants do not receive any intervention as part of waitlist condition. Note: Following the collection of measures at the follow-up time point, participants assigned to the waitlist condition were offered four TTP-Webinar groups to sign up to.
No interventions assigned to this group
Interventions
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The Together Webinar Programme
The TTP-Webinar consists of six hour-long sessions. Each session focuses on psychoeducation and self-management strategies for supporting veteran mental health difficulties as well as self-management tools to enhance partners' own wellbeing.
The TTP-Webinar treatment protocol incorporates a range of techniques used in Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Compassion Focused Therapy (CFT), and Acceptance and Commitment Therapy (ACT).
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Live in the UK
* Currently be in relationship with a veteran
* Provide written consent
Exclusion Criteria
18 Years
ALL
Yes
Sponsors
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Royal British Legion
UNKNOWN
Combat Stress
OTHER
Responsible Party
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Prof. Dominic Murphy
Head of research department
Principal Investigators
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Dominic Murphy
Role: PRINCIPAL_INVESTIGATOR
Combat Stress
Locations
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Combat Stress
Leatherhead, Surrey, United Kingdom
Countries
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References
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Thandi G, Oram S, Verey A, Greenberg N, Fear NT. Informal caregiving and intimate relationships: the experiences of spouses of UK military personnel. J R Army Med Corps. 2017 Aug;163(4):266-272. doi: 10.1136/jramc-2016-000679. Epub 2016 Dec 1.
Yambo T, Johnson M. An integrative review of the mental health of partners of veterans with combat-related posttraumatic stress disorder. J Am Psychiatr Nurses Assoc. 2014 Jan-Feb;20(1):31-41. doi: 10.1177/1078390313516998. Epub 2014 Jan 17.
Ray SL, Vanstone M. The impact of PTSD on veterans' family relationships: an interpretative phenomenological inquiry. Int J Nurs Stud. 2009 Jun;46(6):838-47. doi: 10.1016/j.ijnurstu.2009.01.002. Epub 2009 Feb 7.
Sayers SL, Farrow VA, Ross J, Oslin DW. Family problems among recently returned military veterans referred for a mental health evaluation. J Clin Psychiatry. 2009 Feb;70(2):163-70. doi: 10.4088/jcp.07m03863. Epub 2009 Feb 10.
Murphy D, Palmer E, Busuttil W. Mental Health Difficulties and Help-Seeking Beliefs within a Sample of Female Partners of UK Veterans Diagnosed with Post-Traumatic Stress Disorder. J Clin Med. 2016 Aug 1;5(8):68. doi: 10.3390/jcm5080068.
Murphy D, Spencer-Harper L, Turgoose D. Exploring the feasibility of supporting UK partners living alongside veterans with PTSD: A pilot study of the Together Programme (TTP). Journal of Family Medicine. 2019; 1(2): 30-41.
Hendrikx LJ, Murphy D. Supporting the Mental Health Needs of Military Partners Through the Together Webinar Program: Pilot Randomized Controlled Trial. JMIR Ment Health. 2021 Oct 12;8(10):e25622. doi: 10.2196/25622.
Other Identifiers
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EGR17Q4\100016
Identifier Type: -
Identifier Source: org_study_id
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