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CompletedNCT03589521ABCT_MilUpdated May 23, 2019

Adapting Alcohol Behavioral Couple Therapy for Service Members in Post-Deployment

An interventional study of ABCT_Military in Alcohol Abuse, sponsored by University of Massachusetts, Worcester. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-05-23.

Sponsored by University of Massachusetts, Worcester · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 3 years after the study started (first participant enrolled Jun 2015, registered Jun 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The specific aims of the ABCT_Military project are as follows: 1) To modify the existing, Alcohol Behavioral Couple Therapy (ABCT) model to treat service members in the reconstitution (post deployment, reintegration, or separation) stage of service, and develop optional psychoeducation modules to address relevant co-morbid problems and challenges in this population in a weekly, 15 session, stand-alone outpatient format. 2) To test feasibility and preliminary efficacy of the study intervention protocol in a successive cohort design for one cohort of 8 couples and one cohort of 22 couples, with iterative manual revision.

Read the detailed description

The study staff will screen potential participants over the phone, and arrange Baseline (BL) research interviews for appropriate couples. The couple will meet with the program interviewer for approximately 2 hours. After the BL interview, couples will be scheduled to attend therapy sessions. Couples will complete brief within treatment self-report assessments. Couples will complete a post treatment follow up interview four months after session 1.

02

Conditions studied

  • Alcohol Abuse

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Keywords

  • Veterans
  • Cognitive Therapy
  • Couple Therapy
03

In context

Alcoholism

1,606 studies on the registry are indexed under Alcoholism; 329 are open to participants now.

This study's enrollment of 60 is below the median of 87 across 1,371 interventional studies indexed under Alcoholism.

Browse Alcoholism studies →

Lead sponsor

University of Massachusetts, Worcester is the lead sponsor of 288 studies on the registry; 54 are open to participants now.

Of its 25 completed or terminated interventional studies of FDA-regulated products, 18 (72%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • Age 18 and older;
  • Married (or separated with efforts to reconcile) or in a committed relationship (cohabiting, or in an exclusive dating relationship), or significant other (SO) (first, second or third degree relative (including step relative or in-law) or close trusted friend not active in same military branch. The service member only must meet the following inclusion criteria:
  • Served or serving in the U.S. Military,
  • Current Alcohol Use Disorder diagnosis, or drink at high risk levels as defined by NIAAA (2010)

Exclusion Criteria:

  • Either individual is not fluent in the English language.

Exclusion criteria for the service member only:

  • Unstabilized Psychotic disorder in past six months

Exclusion criteria for both members of the couple if SO is spouse/romantic partner:

  • Either partner is fearful of participating in couple therapy OR either partner suffered severe physical abuse from partner when perpetrator not intoxicated, in past year
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    ABCT_Military

    ABCT_Military manual will address alcohol use, couple issues and military specific issues. Required interventions include: routine interventions, overview of treatment, reintegration issues, motivational techniques, patient-focused interventions for abstinence, partner-related interventions for abstinence, couple interventions, general coping skills, social skills and relapse prevention. In addition, to personalize each treatment plan, interventions from optional modules (e.g., intimate partner violence (IPV), depression, trauma, and traumatic brain injury (TBI)) will be integrated into each couple's treatment plan depending on clinical presentation.

    Behavioral: ABCT_Military

Interventions

  • BehavioralABCT_Military

    15 Weekly Couple Therapy Sessions

06

What researchers measure

Primary outcomes

  1. Percent Drinking Days (PDD)

    Derived from Timeline Followback (TLFB)

    Time frame: Change from baseline at 4 months post Session 1

  2. Percent Heavy Drinking Days

    Derived from Timeline Followback (TLFB)

    Time frame: Change from baseline at 4 months post Session 1

  3. Mean Drinks Per Drinking Day

    Derived from Timeline Followback (TLFB)

    Time frame: Change from baseline at 4 months post Session 1

  4. Couple Satisfaction Inventory 16

    16 item measure assessing satisfaction in couple relationship. Scores range from 0 to 81 and higher scores indicate higher levels of relationship satisfaction. Total score is calculated by summing all values.

    Time frame: Change from baseline at 4 months post Session 1

Secondary outcomes

  1. Coping Strategies Scale

    25-item brief measure assessing coping in alcohol-specific and non-alcohol situations. Scores range from 1-4 and higher scores indicate greater use of coping skills. Total score is calculated by averaging all values.

    Time frame: Change from baseline at 4 months post Session 1

  2. World Health Quality of Life Questionnaire - Bref

    26-item self report assessing quality of life across 4 domains/subscales: Physical health, Psychological, Social relationships, Environment. The first two items measure quality of life and overall health and are examined separately, with scores ranging from 1-5. The four domain scores are calculated by averaging values and scores range from 1-5. Higher scores indicate higher quality of life within each domain. Mean scores are then multiplied by 4 in order to make domain scores comparable with the scores used in the WHOQOL-100 (full scale measure).

    Time frame: Change from baseline at 4 months post Session 1

  3. Treatment Services Review

    Interview assessing quantity and type of services received (e.g., health, psychological) outside of study intervention. Total scores are calculated by summing the number of outside services used. Total scores have a minimum of 0 and no maximum value.

    Time frame: Weekly during treatment, for up to 16 weeks

  4. Working Alliance Inventory Short Form

    12-item self-report measure of the therapeutic alliance. Total scales are calculated by summing all values. Values range from 1-7 with total scores ranging from 12 to 84). Higher scores indicate greater alliance.

    Time frame: Baseline and through study completion, about 16 weeks

  5. Post-Traumatic Stress Disorder (PTSD)

    Percent of sample with a PTSD diagnosis as determined by scores on the Life Events Checklist (LEC-5) and the PTSD Checklist (PCL-5).

    Time frame: Baseline

  6. PTSD Checklist (PCL-5)

    20-item self-report questionnaires assessing current symptoms of PTSD, used to assess current (past 30 days) PTSD severity. Total scores are calculated by summing all values. Scores on the PCL-5 range from 0-80 and reflect a global PTSD severity score, with higher scores indicating greater severity.

    Time frame: Baseline and through study completion, about 16 weeks

  7. Use of Treatment Skills

    Self-report questionnaire assessing use of skills learned during treatment. Item scores range from 1-5 and a total score is calculated by summing all values. Higher scores indicate greater use of skills.

    Time frame: Baseline and through study completion, about 16 weeks

Other outcomes

  1. Beck Depression Inventory II (BDI-II)

    self-report questionnaire assessing depression symptoms over the prior two weeks (scores range 0-63) and higher scores indicate greater depression symptomatology. All item scores are summed to attain a total score.

    Time frame: Change from baseline at 4 months post Session 1

  2. Copello Coping Questionnaire

    30 item self-report assessing partner alcohol-related coping skill use. Total score is calculated by summing the values from each item and scores range from 0-90 with higher scored indicating greater use of coping strategies.

    Time frame: Change from baseline at 4 months post Session 1

  3. Intimate Partner Violence (IPV)

    Percent of sample with IPV as determined by scores on the Conflict Screener Form H.

    Time frame: Change from baseline at 4 months post Session 1

  4. Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES) Short Form

    19 item self-report questionnaire assessing client readiness for change. An additional item assesses the client's motivation for coming to therapy. There are three sub scales (Recognition, Ambivalence, and Taking Steps) which are derived from individual items. Higher scores indicate greater recognition, ambivalence and taking steps and scores range from 7 to 35, 4 to 20, and 8-40, respectively.

    Time frame: Change from baseline at 4 months post Session 1

  5. Traumatic Brain Injury (TBI)

    Percent of sample with a TBI as determined by scores on the TBI Checklist.

    Time frame: Baseline

  6. Traumatic Brain Injury (TBI) Checklist

    Severity of TBI as determined by total scores on the TBI Checklist. Scores are calculated by summing individual item scores with possible scores ranging from 8 to 88.

    Time frame: Change from baseline at 4 months post Session 1

  7. Partner Quantity Frequency Questionnaire

    Self-report questionnaire assessing frequency and quantity of current and lifetime substance use. Measure is used to provide descriptive data about partner substance use. Total scores are not used.

    Time frame: Change from baseline at 4 months post Session 1

  8. Medical History Questionnaire

    40 item self-report assessing presence of medical conditions currently and in the past. Scores are calculated by summing individual item scores with possible scores ranging from 0 to 40. Higher scores indicate greater number of medical problems.

    Time frame: Change from baseline at 4 months post Session 1

  9. End of Treatment Questionnaire

    Self-report questionnaire of helpfulness of therapy elements on a 7 point scale of -3 (greatly harmful), -2, -1, 0 (neutral), +1, +2, +3 (greatly helpful). Total scores are calculated by averaging scores across individual items.

    Time frame: 4 months post session 1

  10. Brief COPE

    28 item self-report assessing general coping skill use. Sub scale scores are calculated by summing individual items (2 items per sub scale) with possible scores of 2 to 8. The sub scales are: Self-distraction, Active coping, Denial, Substance use, Use of emotional support, Use of instrumental support, Behavioral disengagement, Venting, Positive reframing, Planning, Humor, Acceptance, Religion, and Self-blame. Higher scores reflect greater use of each category of coping skills.

    Time frame: Change from baseline at 4 months post Session 1

  11. Client Satisfaction Questionnaire

    8 item self-report assessing satisfaction with treatment. Individual item scores are averaged to calculate a total score with possible scores ranging from 0 to 4. Two additional items assessed the client's ideal number of sessions and length of treatment, with scores ranging from 1 to 24 sessions and 1-12 months.

    Time frame: 4 months post session 1

07

Study locations

1 site
  • University of Massachusetts Medical School
    Worcester, Massachusetts 01655, United States
08

References and documents

Individual participant data

Plan to share: No — Individual Participant Data will not be shared with investigators outside of the core study team.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 23, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03589521
Lead sponsor
University of Massachusetts, Worcester
Collaborators
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Responsible party
Elizabeth Epstein (Professor, University of Massachusetts, Worcester) — Principal investigator
First posted
Jul 18, 2018
Start date
Jun 1, 2015
Primary completion
Nov 28, 2018
Completion
Nov 28, 2018
Last update
May 23, 2019

Study contacts

Elizabeth Epstein, PhD
principal investigator · University of Massachusetts, Worcester

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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