Eric R Pedersen, Jordan P Davis, Justin F Hummer, Keegan D Buch, Kathryn Bouskill, Ireland M Shute, Reagan E Fitzke, Denise D Tran, Seth Houghton, Clayton Neighbors, Shaddy K Saba
{"title":"一个简短的在线干预的随机对照试验，以减少酒精滥用和促进退伍军人开始治疗。","authors":"Eric R Pedersen, Jordan P Davis, Justin F Hummer, Keegan D Buch, Kathryn Bouskill, Ireland M Shute, Reagan E Fitzke, Denise D Tran, Seth Houghton, Clayton Neighbors, Shaddy K Saba","doi":"10.1037/ccp0001023","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Post-9/11 U.S. veterans exhibit elevated rates of hazardous drinking, alcohol use disorder, and co-occurring mental health conditions, yet many do not access behavioral health treatment. We evaluated BRAVE, a single-session, mobile phone-delivered intervention integrating personalized normative feedback, motivational interviewing, and values-based strategies to reduce alcohol use and promote treatment engagement.</p><p><strong>Method: </strong>Post-9/11 young adult veterans aged 18-40 who screened positive for hazardous drinking and were not engaged in behavioral health care (<i>N</i> = 748) were recruited via targeted social media ads and randomized to BRAVE or an interactive resources-only control condition. Participants completed baseline and 3-, 6-, 9-, and 12-month follow-up surveys assessing alcohol use, alcohol-related consequences, mental health symptoms, treatment receipt, and readiness for care.</p><p><strong>Results: </strong>Compared with control, BRAVE produced a significant sustained reduction in alcohol-related consequences over 12 months (<i>B</i> = -0.07). Post hoc analyses showed significant decreases in physical and interpersonal consequences from drinking. Though outcomes of drinking frequency, drinking quantity, binge drinking frequency, readiness to seek care, and behavioral health treatment receipt favored BRAVE, none of these treatment effects were significant, and effect sizes were very small in magnitude. In post hoc analyses restricted to veterans screening positive at baseline for alcohol use disorder, anxiety, depression, or posttraumatic stress disorder, we observed that among veterans screening positive for anxiety disorders, BRAVE participants were notably 15% more likely to receive treatment during follow-up.</p><p><strong>Conclusions: </strong>Findings indicate that this brief, mobile intervention can yield meaningful reductions in alcohol-related harm. Broader dissemination and exploration of multisession or peer-supported enhancements may strengthen long-term impacts. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":" ","pages":"456-469"},"PeriodicalIF":6.0000,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13504739/pdf/","citationCount":"0","resultStr":"{\"title\":\"A randomized controlled trial of a brief online intervention to reduce alcohol misuse and promote treatment initiation among veterans.\",\"authors\":\"Eric R Pedersen, Jordan P Davis, Justin F Hummer, Keegan D Buch, Kathryn Bouskill, Ireland M Shute, Reagan E Fitzke, Denise D Tran, Seth Houghton, Clayton Neighbors, Shaddy K Saba\",\"doi\":\"10.1037/ccp0001023\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Post-9/11 U.S. veterans exhibit elevated rates of hazardous drinking, alcohol use disorder, and co-occurring mental health conditions, yet many do not access behavioral health treatment. We evaluated BRAVE, a single-session, mobile phone-delivered intervention integrating personalized normative feedback, motivational interviewing, and values-based strategies to reduce alcohol use and promote treatment engagement.</p><p><strong>Method: </strong>Post-9/11 young adult veterans aged 18-40 who screened positive for hazardous drinking and were not engaged in behavioral health care (<i>N</i> = 748) were recruited via targeted social media ads and randomized to BRAVE or an interactive resources-only control condition. Participants completed baseline and 3-, 6-, 9-, and 12-month follow-up surveys assessing alcohol use, alcohol-related consequences, mental health symptoms, treatment receipt, and readiness for care.</p><p><strong>Results: </strong>Compared with control, BRAVE produced a significant sustained reduction in alcohol-related consequences over 12 months (<i>B</i> = -0.07). Post hoc analyses showed significant decreases in physical and interpersonal consequences from drinking. Though outcomes of drinking frequency, drinking quantity, binge drinking frequency, readiness to seek care, and behavioral health treatment receipt favored BRAVE, none of these treatment effects were significant, and effect sizes were very small in magnitude. In post hoc analyses restricted to veterans screening positive at baseline for alcohol use disorder, anxiety, depression, or posttraumatic stress disorder, we observed that among veterans screening positive for anxiety disorders, BRAVE participants were notably 15% more likely to receive treatment during follow-up.</p><p><strong>Conclusions: </strong>Findings indicate that this brief, mobile intervention can yield meaningful reductions in alcohol-related harm. Broader dissemination and exploration of multisession or peer-supported enhancements may strengthen long-term impacts. 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A randomized controlled trial of a brief online intervention to reduce alcohol misuse and promote treatment initiation among veterans.
Objective: Post-9/11 U.S. veterans exhibit elevated rates of hazardous drinking, alcohol use disorder, and co-occurring mental health conditions, yet many do not access behavioral health treatment. We evaluated BRAVE, a single-session, mobile phone-delivered intervention integrating personalized normative feedback, motivational interviewing, and values-based strategies to reduce alcohol use and promote treatment engagement.
Method: Post-9/11 young adult veterans aged 18-40 who screened positive for hazardous drinking and were not engaged in behavioral health care (N = 748) were recruited via targeted social media ads and randomized to BRAVE or an interactive resources-only control condition. Participants completed baseline and 3-, 6-, 9-, and 12-month follow-up surveys assessing alcohol use, alcohol-related consequences, mental health symptoms, treatment receipt, and readiness for care.
Results: Compared with control, BRAVE produced a significant sustained reduction in alcohol-related consequences over 12 months (B = -0.07). Post hoc analyses showed significant decreases in physical and interpersonal consequences from drinking. Though outcomes of drinking frequency, drinking quantity, binge drinking frequency, readiness to seek care, and behavioral health treatment receipt favored BRAVE, none of these treatment effects were significant, and effect sizes were very small in magnitude. In post hoc analyses restricted to veterans screening positive at baseline for alcohol use disorder, anxiety, depression, or posttraumatic stress disorder, we observed that among veterans screening positive for anxiety disorders, BRAVE participants were notably 15% more likely to receive treatment during follow-up.
Conclusions: Findings indicate that this brief, mobile intervention can yield meaningful reductions in alcohol-related harm. Broader dissemination and exploration of multisession or peer-supported enhancements may strengthen long-term impacts. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
期刊介绍：
The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.
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