Study protocol for a sequential multiple assignment randomized trial to reduce risky drinking among service members and their partners.
Karen Chan Osilla, Kristie L Gore, Eric R Pedersen...
https://pubmed.ncbi.nlm.nih.gov/37652360/Actively Recruiting
Led by Stanford University · Updated on 2026-04-27
744
Participants Needed
1
Research Sites
N/A
Total Duration
Researchers are evaluating the effectiveness of an adaptive web-based intervention called Partners Connect to address drinking behaviors in military spouses and encourage help-seeking among service members. The study aims to find out for whom this intervention works best and which drinking behaviors and mechanisms are affected. It compares the web-based intervention with other resources and phone-based or workbook-guided Community Reinforcement and Family Training CRAFT methods. Participants are assigned to different groups some receive the CRAFT web-based intervention focused on mental health, relationship communication, and positive reinforcement others use self-guided resources from a website if a dyad member does not respond, they may be randomized to phone-based CRAFT sessions or guided by a CRAFT workbook. The interventions include digital storytelling, exercises, and clinician sessions to support behavior change and communication. During the study, participants are monitored from the start through six months, with measures of partner drinking days, drinks per episode, and service member help-seeking. The study tracks mental health symptoms and collects data through surveys and reminders to assess website use. Participants are expected to engage with the interventions and complete follow-up assessments to help researchers evaluate the impact of these approaches on drinking and help-seeking behaviors.
CONDITIONS
A SMART Evaluation of an Adaptive Web-based AUD Treatment for Service Members and Their Partners
K
Kat Nameth, BS
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Stanford University
Lead Sponsor
University of Southern California
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 | CRAFT Web‑Based Intervention | Phone‑Based CRAFT | CRAFT Workbook / Gottman Self‑Guided Resources |
|---|---|---|---|
| What it is | A web‑based Community Reinforcement and Family Training program delivered via digital storytelling, audio, video, text and interactive exercises across four sessions | A six‑session phone‑based CRAFT intervention led by a clinician focusing on skills like communication, positive reinforcement of non‑drinking behavior, self‑care and encouraging help‑seeking | Self‑directed options including a CRAFT workbook and guided use of Gottman online resources matched for time spent reviewing materials |
| Role in trial | Primary investigational intervention | Active comparator involving clinician‑led CRAFT sessions | Self‑help comparator arm using workbook or standard online resources |
| Primary purpose | Support concerned partners in reducing their own drinking and encouraging service member help‑seeking | Augment web‑based skills with clinician‑led sessions to increase help‑seeking behaviors | Provide time‑matched self‑guided support without clinician interaction |
| How it is delivered | Delivered online over four digital storytelling sessions with mixed media and exercises | Delivered in six individual phone sessions by a trained clinician | Self‑administered via workbook or website with weekly reminders |
| Broader evidence for CRAFT methods | CRAFT delivered via internet shows promise for improving concerned others’ outcomes and promoting help‑seeking | Clinician‑delivered CRAFT increases engagement of individuals with alcohol use problems into treatment more than self‑help approaches | Self‑directed CRAFT yields lower engagement rates compared to clinician‑delivered CRAFT |
| Important risks | No specific safety risks identified in trial registry | No safety concerns reported | No specific risks indicated |
| Important limitations | Efficacy via web‑based delivery is supported by limited early trials, not yet established in military partner populations | Evidence from clinician‑delivered CRAFT may not generalize directly to service member partners | Self‑help formats may be less effective than therapist‑guided formats |
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 visit (in-person or remote)
Duration - 4 weeks
Participants receive one of several behavioral interventions to address alcohol use disorder, including a web-based intervention, phone-based sessions, self-directed workbook, or self-guided online resources.
Weekly visits or sessions depending on intervention assignment
Duration - 6 months
Participants are followed for 6 months after treatment to assess drinking behaviors, mental health symptoms, and help-seeking outcomes.
Periodic follow-up surveys and assessments during this period
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
4
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Karen Chan Osilla, Kristie L Gore, Eric R Pedersen...
https://pubmed.ncbi.nlm.nih.gov/37652360/Stanford University
Lead Sponsor
University of Southern California
Collaborating Sponsor