Partnered implementation of the veteran sponsorship initiative: protocol for a randomized hybrid type 2 effectiveness-implementation trial.
Joseph C Geraci, Erin P Finley, Emily R Edwards...
https://pubmed.ncbi.nlm.nih.gov/35804354/Actively Recruiting
Led by VA Office of Research and Development · Updated on 2026-01-14
630
Participants Needed
2
Research Sites
N/A
Total Duration
The trial focuses on the urgent issue of rising suicide rates among the youngest U.S. Veterans aged 18 to 34, particularly during their first year after leaving military service. Researchers are studying the Veteran Sponsorship Initiative, a community-based program designed to reduce reintegration difficulties, psychological distress, and suicidal thoughts by providing personalized support to transitioning servicemembers and Veterans TSMVs. The study aims to evaluate the initiatives effectiveness and how best to implement it in six Texas cities, with plans for future nationwide expansion. Participants are divided into two groups one receiving the Veteran Sponsorship Initiative, where each TSMV is paired with a certified volunteer sponsor starting about six months before discharge and continuing for six months after discharge, and a control group following usual transition processes. Sponsors assist TSMVs through regular contact and monthly meetings, helping set goals, develop reintegration plans, and encourage attendance at healthcare appointments. The initiative is supported by community integration coordinators who manage sponsors and facilitate local partnerships. Participants will be assessed at multiple points from baseline through 12 months post-discharge using surveys and interviews to measure reintegration difficulties, psychological health, connectedness, suicidal thoughts and behaviors, and healthcare use. Data will be collected from TSMVs and stakeholders to evaluate barriers and facilitators of the program. The study uses mixed methods, combining quantitative models with qualitative analysis, to guide future implementation and address the critical deadly gap period after military discharge.
CONDITIONS
National Sponsorship Program for Transitioning Service Members
J
Joseph C Geraci, PhD
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VA Office of Research and Development
Lead Sponsor
Central Texas Veterans Health Care System
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Veteran Sponsorship Initiative (VSI) | Transition as Usual |
|---|---|---|
| What is it? | Certified, volunteer sponsors are matched with transitioning service members about six months before leaving the military, helping to set reintegration goals and action plans, and connecting them to community and healthcare resources. | Participants transition out of military service following routine procedures, without assignment to a sponsor or additional structured reintegration support. |
| Role in this trial | Studied as the experimental approach for facilitating reintegration and reducing risk factors among transitioning service members. | Serves as the comparator reflecting current routine transition processes for service members leaving the military. |
| Primary use or intent | Intended to provide personalized support and planning to reduce reintegration difficulties, boost mental well-being, and connect service members with healthcare and resources. | Routine transition process, which may include available standard resources but lacks the structured assignment of sponsors or proactive support provided in VSI. |
| How is it provided or performed? | Eligible service members are matched with certified volunteer sponsors and participate in regular, structured meetings and check-ins, starting about six months before discharge. Sponsors are overseen by local coordinators, who manage training and assignments. | Participants undergo the usual military separation procedures and access standard available resources without being matched to a sponsor. |
| Evidence status | Currently being evaluated in a randomized hybrid effectiveness-implementation trial. At the time of reporting, no published outcome data are available. | Serves as a current-care comparison arm; represents standard practice as experienced by most transitioning service members. |
| Important limitations or considerations | Not all service members may benefit equally from sponsorship; program relies on volunteer availability, community engagement, and sponsor-participant matching quality. Real-world adoption may vary by location. | Usual transition support may be fragmented or lack consistent proactive guidance, potentially leading to unmet needs for some veterans. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 screening and enrollment visit (in-person or virtual)
Duration - Approximately 12 months starting about 6 months prior to discharge and continuing for 6 months post-discharge
Participants receive either the Veteran Sponsorship Initiative, which provides one-on-one certified volunteer sponsors to assist with reintegration tasks before and after military discharge, or transition as usual without intervention.
Regular contact with sponsors including monthly video or in-person sessions; study assessments at baseline, 4, 8, and 12 months
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
SEQUENTIAL
Primary Purpose
PREVENTION
Number of Arms
2
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Joseph C Geraci, Erin P Finley, Emily R Edwards...
https://pubmed.ncbi.nlm.nih.gov/35804354/VA Office of Research and Development
Lead Sponsor
Central Texas Veterans Health Care System
Collaborating Sponsor