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HUMAN BEHAVIOUR & HEALTH RESEARCH UNIT

The Flinders Program in Research

Vietnam Veterans - Real Partners in Health:

Does self management support improve your health?

A Trial of Evidence-Based Care and Self- Management for Vietnam Veterans with Alcohol-Related Disorders

Dr Jill Beattie, Research FellowDr Sarah Blunden to May 07

Jill Western, Research AssociateBarbara Oerman, Research Associate

Amanda Carne, Project Officer A/Prof Simon Eckermann, Health Economist

A/Prof Malcolm Battersby, Chief InvestigatorProf John Condon, InvestigatorDr Rene Pols, Investigator

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HUMAN BEHAVIOUR & HEALTH RESEARCH UNIT

Funded by the

Department of Veteran Affairs

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HUMAN BEHAVIOUR & HEALTH RESEARCH UNIT Vietnam veteran (VV) study

Aim: • To identify whether a system of focused and

coordinated self management and self management support can improve the health outcomes of VVs with alcohol-related chronic conditions.

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HUMAN BEHAVIOUR & HEALTH RESEARCH UNIT Vietnam Veteran Mental Health

Post Traumatic Stress Disorder

Partner Relationship Issues

Alcohol misuseDepression

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HUMAN BEHAVIOUR & HEALTH RESEARCH UNIT

Chronic Condition Self-Management& Self Management Support

Collaboration / Partnership

Participating Vietnam veteran

Partner / Family Health Professionals

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HUMAN BEHAVIOUR & HEALTH RESEARCH UNIT Participant inclusion criteria

• Not residing within the Northern Division of General Practice area or rural areas

• Vietnam veteran

• Chronic condition

• Alcohol Usage Disorders Identification Test (A.U.D.I.T.) Score of 8 or above

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HUMAN BEHAVIOUR & HEALTH RESEARCH UNIT Exclusion criteria

• Cognitive impairment or physical or psychiatric distress which would prohibit informed consent or inability to cooperate with the clinical and research process

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HUMAN BEHAVIOUR & HEALTH RESEARCH UNIT Methodology

• Randomised clinical trial

• 140 - 160 participants required

• Repeated outcome measures, ie at:– baseline– 3, 6, and 9 – 18 months

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HUMAN BEHAVIOUR & HEALTH RESEARCH UNIT

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HUMAN BEHAVIOUR & HEALTH RESEARCH UNIT

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HUMAN BEHAVIOUR & HEALTH RESEARCH UNIT Data collection

Flinders Program process tools• Partners In Health Scale (PIH)• Cue & Response interview (C&R)• Problems & Goals (P&Gs) assessment• Care planning process

Stanford program• Feedback from veteran participants • Partners of veterans

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HUMAN BEHAVIOUR & HEALTH RESEARCH UNIT

Data Collection

• AUDIT (Alcohol Use Disorders Identification Test) • PIH (Partners In Health)• AQoL (Assessment of Quality of Life)• ADAS (Abbreviated Dyadic Adjustment Scale -

relationships) • HADS (Hospital Anxiety & Depression Scale)• DARS (Dimensions of Anger Reactions Scale)• PSTD checklist (Post Traumatic Stress Disorder-military)• Health care utilisation data• DSM-IV – Psychiatrist• Clinical Global Impressions Scale

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HUMAN BEHAVIOUR & HEALTH RESEARCH UNIT