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Deployment Health in Regular Military Women (DHRMS)

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ClinicalTrials.gov Identifier: NCT01692067
Recruitment Status : Completed
First Posted : September 25, 2012
Last Update Posted : January 2, 2018
Sponsor:
Collaborators:
United States Department of Defense
VA Office of Research and Development
Information provided by (Responsible Party):
Anne G SAdler, Iowa City Veterans Affairs Medical Center

July 28, 2011
September 25, 2012
January 2, 2018
April 2009
January 2013   (Final data collection date for primary outcome measure)
Organizational, situational, and individual risk factors for physical and sexual assault in women who have or currently serving in active duty Regular Military in OIF/OEF by deployment status. [ Time Frame: Months 28-42 of grant ]
Same as current
Complete list of historical versions of study NCT01692067 on ClinicalTrials.gov Archive Site
  • Traumatic brain injury [ Time Frame: Months 28-42 of grant ]
  • Current internal (e.g. PTSD) and external barriers (e.g. access to care factors)to health services [ Time Frame: Months 28-42 of grant ]
  • Identification and description of differences between Regular Military and Reserve/National Guard service women for each of these aims (building on currently funded grant). [ Time Frame: Months 28-42 of grant ]
  • PTSD [ Time Frame: Months 28-42 of Grant ]
  • Current medical health, including reproductive health [ Time Frame: Months 28-42 of grant ]
  • Deployment factors associated with risk of violence/health [ Time Frame: Months 28-42 of grant ]
Same as current
Not Provided
Not Provided
 
Deployment Health in Regular Military Women
Combat, Sexual Assault and Post-Traumatic Stress in OIF/OEF Military Women
The purpose of this study is to determine potential risk factors for physical and sexual assault in regular military women (as opposed to Reserve and National Guard). In addition, this study seeks to determine associations between service women's violence exposures and: current physical and mental health status (e.g. PTSD), and access to and use of DoD, DVA and civilian healthcare.

Background: The proposed study of Regular Military service women builds on and extends a funded VA HSR&D grant currently investigating similar objectives in Reserves and National Guard (R/NG) service women. This proposed study addresses the radically changing DoD and DVA health care delivery needs of two priority populations: women exposed to combat, and women sexually assaulted during military. There is a limited understanding of the complex relationship between these traumatic exposures and women's health outcomes, such as post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI) and with their subsequent health service use or barriers to care.

Objectives: The objectives are: 1) To identify and describe organizational, situational, and individual risk factors for physical and sexual assault (i.e., victimization) in women who have served or are currently serving in the Regular Military in Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) by deployment status (those who are deployed to combat related regions once, those deployed more than once, those serving in non-combat related areas outside of the continental United States (US), or those serving within the continental US. 2) To determine associations between PTSD, TBI, and physical and sexual assault during OEF/OIF with current physical and mental health status and health risk behaviors by deployment status. 3) To identify current internal and external barriers to DoD, DVA, and civilian health services in relationship to women's deployment and victimization status and the association between PTSD and TBI; 4) To identify and describe differences between Regular Military and R/NG populations for each of these objectives.

Methods: We propose a cross sectional study design with two sequential phases. Phase 1 would include focus groups to refine the current study interview specific to Regular Military populations. Phase 2 would involve the identification and successful interviewing of 669 Regular Military service women, using random sampling with stratification by deployment status, state of service accession, and service branch. Building on our current study, women will be selected from five states: Iowa, Illinois, Kansas, Missouri, and Nebraska. Potential study participants will be mailed an information summary and asked to take part in a study assessing the deployment health of military women. 1058 women will be contacted to obtain the target of 669 completed interviews. Consenting participants (167 per deployment group) will complete a telephone interview that assesses socio-demographic variables, trauma exposures, health history, current health status, military environmental factors (organizational and situational factors), military and DVA health care and barriers to this care, and self reported service use. Descriptive analysis and multiple logistic regression analysis will be used.

Implications: It is unclear if the needs of military women are met by current combat-associated PTSD treatments originally based on male populations. It is anticipated that our findings will improve understanding of the health risks and outcomes of deployed Regular Military service women in contrast to women serving in the R/NG (with PTSD and TBI as key outcome variables). Our results consequently will have implications for DoD and DVA evidence based interventions for both primary prevention and care.

Observational
Observational Model: Case-Control
Time Perspective: Cross-Sectional
Not Provided
Not Provided
Non-Probability Sample
Women and Men who have or are currently serving in the USA regular military.
  • Military Physical and Sexual Trauma
  • Combat Trauma
  • PTSD
  • TBI
Not Provided
  • D0
    Not deployed
  • D1
    Deployed to combat-related regions once
  • D2
    Deployed to combat related regions more than once
  • D3
    Deployed outside of the continental US but not to combat related regions
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
871
754
January 2013
January 2013   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Focus Group:

    • Men or women who have or are currently active duty regular military (RM) of OIF/OEF service eras (10/7/01- present)
  • Interview phase:

    • Women, who have or are currently serving active duty RM during OIF/OEF service eras

Exclusion Criteria:

  • Focus Group:

    • Disabilities that render incapable of hearing
    • Comprehending
    • Communicating in a group or inhibit travel to focus group
  • Interview phase:

    • Disabilities that render incapable of hearing
    • Comprehending
    • Communicating independently with interviewers by telephone
    • Not having telephone and unable to access a nearby VA or other possible resource to contact toll free number.
Sexes Eligible for Study: All
18 Years to 60 Years   (Adult)
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
 
NCT01692067
PT075819
GRANT00341283 (USAMRMC)
DHI08-136 (DVA)
Yes
Not Provided
Not Provided
Anne G SAdler, Iowa City Veterans Affairs Medical Center
Iowa City Veterans Affairs Medical Center
  • United States Department of Defense
  • VA Office of Research and Development
Principal Investigator: Anne G Sadler, Ph.D. US Department of Veterans Affairs
Iowa City Veterans Affairs Medical Center
December 2017