Spouse READI (Resilience Education and Deployment Information): Randomized Clinical Trial Formerly Reintegration: The Role of Spouse Telephone BATTLEMIND Randomized Clinical Trial.

摘要

This randomized clinical trial of spouses coping with reintegration of the service member post deployment enrolled 228 spouses/significant others Active Duty/National Guard/Reserve service members who had served in Iraq or Afghanistan, approximately 76 in each study arm. For the main intervention arm, each telephone support group met 12 times during six months. For the attention control arm, online/telephone education webinars also met 12 times during six months. A Participant Workbook including comprehensive materials for all sessions and topics, other resources, and red flag resources was provided to these two groups. For the usual care arm, at the end of their participation, participants were offered a telephone workshop focusing on the components covered in the telephone groups and received the Participant Workbook. Outcomes included depression and anxiety symptoms, resilience, personal/family coping, and communication. Data were collected by telephone, at baseline, 6, and 12 months with outcomes only collected at 3 and 9 months. Participant satisfaction and benefit was measured with a qualitative project evaluation. Participants in all three study arms improved. These improvements occurred for participants who were dealing with care challenges for an injured service member, who had scores reflective of major depression or generalized anxiety disorder, who experienced more serious life events, or who reported not yet being adjusted to the service member s return in some way, regardless of time since deployment return. Participants in all study arms attributed benefit to improved self-efficacy. Support participants cited self-reflection, skills building, support of other group members, and resources available to them. Education participants ascribed benefit to self-reflection, skills building, and resources available. Without access to resources, skills building, or support of others, usual care participants highlighted how the assessment battery had made them qu