500 Participants Needed

Stress Management and Resilience Training for Stress in Air Force Personnel

Recruiting at 4 trial locations
SH
YZ
Overseen ByYiliang Zhu, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of New Mexico
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 1 JurisdictionThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines the effectiveness of the SMART program in helping U.S. Air Force personnel manage stress and build resilience. The program includes practices like gratitude and mindfulness and can be delivered in-person, via video calls, or through computer-based training. The study aims to find out which delivery method is most effective. The SMART program has been previously tested in various settings, including healthcare workers and employees at a medical center, showing significant improvements in stress, resilience, and mindfulness.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications. It is best to discuss this with the trial coordinators or your healthcare provider.

Is Stress Management and Resilience Training (SMART) safe for humans?

The available research does not provide specific safety data for the Stress Management and Resilience Training (SMART) program, but it has been used in various settings, such as with physicians and military personnel, without reported safety concerns.12345

How is the Stress Management and Resilience Training (SMART) treatment different from other treatments for stress in Air Force personnel?

The SMART treatment is unique because it focuses on building resilience and stress regulation skills, which helps individuals handle stress more effectively. Unlike some treatments that require in-person sessions, SMART can be delivered through self-directed written materials, making it more accessible.13467

What data supports the effectiveness of the treatment Stress Management and Resilience Training (SMART) for stress in Air Force personnel?

Research shows that the SMART program has been effective in building resilience and reducing stress and anxiety in academic physicians and healthcare personnel, suggesting it could be beneficial for Air Force personnel as well.13489

Who Is on the Research Team?

SH

Stephen Hernandez, PhD

Principal Investigator

University of New Mexico

Are You a Good Fit for This Trial?

This trial is for active U.S. Air Force personnel at specific bases who are over 18 years old and can give informed consent. It's not open to those on temporary duty, civilians at the base, trainees in basic military training, prisoners, or anyone under 18.

Inclusion Criteria

Active Component Air Force personnel assigned or attached to specific medical wings and groups at various Air Force bases
Able to provide informed consent

Exclusion Criteria

Personnel at the specified locations who are not Active Component Air Force personnel (e.g. individuals on temporary duty [TDY] at the location or civilian personnel)
Unable to provide informed consent
Basic Military Trainees (BMTs)
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Pre-intervention

Participants complete a pre-intervention survey to collect demographic information and baseline measurements of resilience, stress, anxiety, and quality of life

1 week
1 visit (virtual)

Treatment

Participants complete the assigned modality of SMART (in-person/VTC or CBT)

6-8 weeks
Multiple sessions (in-person/VTC or online)

Follow-up

Participants are monitored for changes in resilience, stress, anxiety, and quality of life at 12, 24, and 36 weeks post-intervention

36 weeks
3 follow-up surveys (virtual)

What Are the Treatments Tested in This Trial?

Interventions

  • Stress Management and Resilience Training
Trial Overview The trial tests Stress Management and Resilience Training (SMART) delivered either in-person/video-teleconference or via Computer-Based Training to see if it boosts resilience and reduces stress among participants over time up to 36 weeks post-training.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: RandomizationExperimental Treatment1 Intervention
Group II: Self-selectionActive Control1 Intervention

Stress Management and Resilience Training is already approved in United States for the following indications:

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Approved in United States as SMART for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of New Mexico

Lead Sponsor

Trials
393
Recruited
3,526,000+

Wright-Patterson Air Force Base

Collaborator

Trials
1
Recruited
500+

Joint Base San Antonio-Lackland

Collaborator

Trials
1
Recruited
500+

Johns Hopkins University

Collaborator

Trials
2,366
Recruited
15,160,000+

University of Nevada, Las Vegas

Collaborator

Trials
81
Recruited
14,700+

Nellis Air Force Base

Collaborator

Trials
1
Recruited
500+

Joint Base Andrews

Collaborator

Trials
1
Recruited
500+

TriService Nursing Research Program (Funder)

Collaborator

Trials
1
Recruited
500+

Published Research Related to This Trial

The Stress Management and Resilience Training (SMART) program significantly improved resilience and reduced perceived stress among 49 Air Force healthcare personnel, with notable increases in resilience scores and decreases in stress scores observed at 12, 18, and 24 weeks post-training.
Participants showed a 14% to 21% increase in resilience and a 22% to 35% decrease in perceived stress, indicating that SMART can be an effective intervention for enhancing mental well-being in military personnel.
Improving Resiliency in U.S. Air Force Healthcare Personnel: A Randomized Preventive Trial.Hernandez, SHA., Killian, J., Parshall, MB., et al.[2023]
The SMART program, designed to enhance resilience in physicians, did not show statistically significant improvements in resilience, happiness, stress, or anxiety at 3 and 6 months, based on a study of 40 academic physicians.
Despite the lack of statistical significance, the intervention group reported clinically relevant improvements in resilience, stress, and anxiety, suggesting potential benefits that warrant further investigation in larger trials.
The impact of Stress Management and Resailience Training (SMART) on academic physicians during the implementation of a new Health Information System: An exploratory randomized controlled trial.Spilg, EG., Kuk, H., Ananny, L., et al.[2022]
A self-directed Stress Management and Resiliency Training (SMART) program using only written materials was effective in improving stress, resilience, mindfulness, anxiety, and quality of life among 37 employees over a 12-week period.
Out of the 37 participants, 34 completed the study, showing that the program can be successfully implemented without in-person training, making it accessible for wider use.
Bibliotherapy to decrease stress and anxiety and increase resilience and mindfulness: a pilot trial.Sharma, V., Sood, A., Prasad, K., et al.[2014]

Citations

Improving Resiliency in U.S. Air Force Healthcare Personnel: A Randomized Preventive Trial. [2023]
The impact of Stress Management and Resailience Training (SMART) on academic physicians during the implementation of a new Health Information System: An exploratory randomized controlled trial. [2022]
Bibliotherapy to decrease stress and anxiety and increase resilience and mindfulness: a pilot trial. [2014]
Resiliency training for medical professionals. [2010]
Adaptation and Evaluation of Military Resilience Skills Training for Pediatric Residents. [2022]
Critical incident stress intervention following fatal aircraft mishaps. [2004]
Economic evaluation of CISM--a pilot study. [2019]
Building resilience with the Stress Resilience Training System: Design validation and applications. [2019]
Enhancing Resilience in Active Duty Military Personnel. [2017]
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