TY - JOUR
T1 - Supporting Servicemembers and Veterans During Their Transition to Civilian Life Using Certified Sponsors
T2 - A Three-Arm Randomized Controlled Trial
AU - Geraci, Joseph C.
AU - Dichiara, Ariana
AU - Greene, Ashley
AU - Gromatsky, Molly
AU - Finley, Erin P.
AU - Kilby, Daniel
AU - Frankfurt, Sheila
AU - Edwards, Emily R.
AU - Kurz, A. Solomon
AU - Sokol, Yosef
AU - Sullivan, Sarah R.
AU - Mobbs, Meaghan
AU - Seim, Richard W.
AU - Goodman, Marianne
N1 - Publisher Copyright:
© (2023), (American Psychological Association). All Rights Reserved.
PY - 2023/6/29
Y1 - 2023/6/29
N2 - Transitioning servicemembers and veterans (TSMVs) face difficulties throughout their reintegration to civilian life, including challenges with employment, poor social connection, and elevated risk for suicide. To meet the needs of this high-risk population, national initiatives have leveraged community-based interventions. Authors conducted a three-arm randomized controlled trial (n = 200) to evaluate two community-based interventions. The first, Team Red, White, and Blue (RWB), connects TSMVs to their community through physical/social activities. The second, Expiration Term of Service Sponsorship Program (ETS-SP) provides one-on-one certified sponsors to TSMVs who provide support during the reintegration process. TSMVs were assessed at baseline, 3, 6, and 12 months. The primary hypothesis was not supported as reintegration difficulties and social support were not significantly different for participants randomly assigned to the two community-based interventions (Arm-2/RWB and Arm-3/RWB + ETS-SP), when the data from the separate arms were collapsed and combined, compared to the waitlist. The results did support the secondary hypothesis as Arm-3/RWB + ETS-SP had less reintegration difficulties over 12 months and initially had more social support compared to Arm-2/RWB, which suggest that augmenting interventions with sponsors outperforms participation in community-based interventions alone. Overall, the results show some limitations of the studied community-based interventions, as implemented and researched within this study. The authors identified factors that may have contributed to the null findings for the primary hypothesis, which can be addressed in future studies, such as addressing the unique needs of TSMVs, enrolling TSMVs into interventions prior to military discharge, measuring and improving participation levels, and providing stepped-care interventions based on risk levels.
AB - Transitioning servicemembers and veterans (TSMVs) face difficulties throughout their reintegration to civilian life, including challenges with employment, poor social connection, and elevated risk for suicide. To meet the needs of this high-risk population, national initiatives have leveraged community-based interventions. Authors conducted a three-arm randomized controlled trial (n = 200) to evaluate two community-based interventions. The first, Team Red, White, and Blue (RWB), connects TSMVs to their community through physical/social activities. The second, Expiration Term of Service Sponsorship Program (ETS-SP) provides one-on-one certified sponsors to TSMVs who provide support during the reintegration process. TSMVs were assessed at baseline, 3, 6, and 12 months. The primary hypothesis was not supported as reintegration difficulties and social support were not significantly different for participants randomly assigned to the two community-based interventions (Arm-2/RWB and Arm-3/RWB + ETS-SP), when the data from the separate arms were collapsed and combined, compared to the waitlist. The results did support the secondary hypothesis as Arm-3/RWB + ETS-SP had less reintegration difficulties over 12 months and initially had more social support compared to Arm-2/RWB, which suggest that augmenting interventions with sponsors outperforms participation in community-based interventions alone. Overall, the results show some limitations of the studied community-based interventions, as implemented and researched within this study. The authors identified factors that may have contributed to the null findings for the primary hypothesis, which can be addressed in future studies, such as addressing the unique needs of TSMVs, enrolling TSMVs into interventions prior to military discharge, measuring and improving participation levels, and providing stepped-care interventions based on risk levels.
KW - community interventions
KW - reintegration difficulties
KW - sponsors
KW - transitioning servicemembers and Veterans
UR - http://www.scopus.com/inward/record.url?scp=85164942497&partnerID=8YFLogxK
U2 - 10.1037/ser0000764
DO - 10.1037/ser0000764
M3 - Article
AN - SCOPUS:85164942497
SN - 1541-1559
VL - 20
SP - 248
EP - 259
JO - Psychological Services
JF - Psychological Services
ER -