Behavioral Economics Intervention to Increase Treatment Seeking in the National Guard

Overview

The study is a randomized controlled trial of a single-session behavioral economics (research combining the areas of economics, social psychology, and cognitive psychology) intervention (i.e., BEAST) is a"warrior-culture" consistent (i.e., focusing on positive soldier traits, solving practical problems), highly scalable, and extremely brief (10-minute) intervention to encourage treatment seeking among MS National Guard problems for various life stressors. Participants will be 112 National Guard members. It is hypothesized that BEAST will lead to more self-reported motivation to seek treatment and more actual treatment seeking behavior.

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: Single (Participant)
  • Study Primary Completion Date: December 2020

Interventions

  • Behavioral: BEAST
    • See Arm Description
  • Behavioral: Descriptive Feedback
    • See Arm Description

Arms, Groups and Cohorts

  • Experimental: BEAST
    • There are 3 parts to BEAST. Part 1 involves the Behavioral Nudge technique using previously collected injunctive and descriptive norms from a National Guard sample. Soldiers will be given a customized feedback form that shows norms relevant to the target behavior they selected. The soldier will be given a chance to ask any follow-up questions. Part 2 of the intervention focuses on the principle of targeting others, considering how a change would impact those closest to them. Part 3 will utilize the Reciprocal Concessions procedure combined with the Reducing Barriers technique.
  • Active Comparator: Descriptive Feedback
    • This condition will involve a presentation of descriptive data based on the soldiers’ tests scores and an opportunity to ask any follow-up questions. This process is a component of some behavioral change interventions (e.g., motivational interviewing); therefore this should be a more useful control condition (mirroring parts 1 and 2 of the active condition) versus a more passive or waitlist control condition. Participants in the control condition will also be given standard referral information to the USM Psychology Clinic (mirroring part 3 of the active condition).

Clinical Trial Outcome Measures

Primary Measures

  • Psychosocial Treatments Interview-Revised
    • Time Frame: 1 month post intervention
    • Measure changes in treatment seeking behavior
  • University of Rhode Island Change Assessment
    • Time Frame: 1 month post intervention
    • Measure motivation to change the target behavior

Secondary Measures

  • Psychosocial Treatments Interview-Revised
    • Time Frame: 3 month post intervention
    • Measure changes in treatment seeking behavior
  • University of Rhode Island Change Assessment
    • Time Frame: 3 month post intervention
    • Measure motivation to change the target behavior

Participating in This Clinical Trial

Inclusion Criteria

  • National Guard active
  • > 17 ACSS-FAD

Exclusion Criteria

  • those determined by military or study personnel to be actively psychotic, manic, or who are imminently suicidal and in need of emergency services.

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: 65 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • University of Southern Mississippi
  • Collaborator
    • Military Suicide Research Consortium
  • Provider of Information About this Clinical Study
    • Sponsor

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