Trial reportJournal of medical Internet research2025
Evaluating a Mobile Health Intervention (GUIDE App) for First Responders, Military Personnel, and Veterans: Randomized Controlled Trial.
Trial report in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06336967 (A Randomized Controlled Trial of a Wellness App for First Responders, Military Personnel and Veterans), which is not on this map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Randomized Controlled Trial of a Wellness App for First Responders, Military Personnel and Veterans
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2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFirst responders, military personnel, and veterans face disproportionate risk for mental health and wellness issues. Stigma and confidentiality are common barriers to traditional services. Mobile health interventions offer anonymous, convenient, and cost-effective alternatives.
objectiveThis study aimed to evaluate the impact of GUIDE, a mobile health intervention, on wellness, emotional well-being, mental health, social connectedness, and personal growth in first responders, military personnel, and veterans.
methodsIn this unblinded, randomized, waitlist-controlled trial, 115 participants recruited online and offline were virtually enrolled and allocated into 3 groups: GUIDE with financial incentives (GUIDE+incentives, n=37), GUIDE-only (n=39), or waitlist control (n=39). Web-based surveys assessed baseline and posttrial wellness (PERMA [Positive Emotion, Engagement, Relationships, Meaning, Accomplishment] Overall, World Health Organization 5-item Well-being Index, Personal Well-being Score, and PERMA Health), emotional well-being (PERMA Positive Emotion, Negative Emotion, and Happiness; and Difficulties in Emotion Regulation Scale), mental health (Patient Health Questionnaire-8 [depression] and Generalized Anxiety Disorder-7 [anxiety]), social connectedness (PERMA Relationships and Loneliness), and personal growth (PERMA Accomplishment, Meaning, and Engagement). App engagement and technical merit were also evaluated.
resultsAmong the participants, 93.0% (107/115) completed the posttrial assessment and were included in the main analysis. In repeated measures ANOVAs, there were no significant group×time interactions for wellness (ηp
conclusionsGUIDE is a feasible and appropriate intervention with the potential to improve the mental health and well-being of first responders, veterans, and military personnel. Financial incentives increased engagement with peer-support features but did not lead to significant improvements over waitlist controls. Future research should assess whether improvements are sustained in the long term.
trial registrationClinicalTrials.gov NCT06336967; https://clinicaltrials.gov/study/NCT06336967.
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