Improving Officer and Civilian Health
Improving Officer and Civilian Health Improving Officer and Civilian Health Through Macro-level Changes in North Texas: Phase 2: Intervention Pilot Testing
As a profession, law enforcement produces unique occupational health outcomes for officers and civilians. To date, most studies have focused on improving health outcomes related to law enforcement from a microlevel perspective, with particular attention to individual and behavioral factors. Such a focus misses the broader macro-level factors that perpetuate occupational harms. To address this gap, this study uses the PRECEDE-PROCEED model of intervention development to examine modifiable macro-level factors contributing to adverse occupational health outcomes for law enforcement and civilians. Using a mixed-method design and partnering with local law enforcement agencies, the investigators will implement and test an intervention to reduce occupational health harms related to law enforcement.
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
Detailní popis
The study examines the acceptability and feasibility of three intervention components aimed at improving officer well-being and civilian outcomes: 1) a novel conversational AI software that interacts with officers during civilian interactions; 2) digitization of cite and release paperwork; and 3) an alternate response unit for calls not needing officer response. The first two intervention components will be implemented and piloted, while the alternative response unit will be evaluated solely for acceptability and feasibility.
This mixed-methods, solutions-oriented prospective cohort study has the following aims: Aim 1a: Determine the acceptability and feasibility of using AI to reinforce officers' de-escalation training, avoid using force, increase cite and release when eligible, and refer civilians to behavioral health, public health, and social service organizations. Aim 1b: Assess the acceptability and feasibility of digitizing required paperwork to reduce arrests for low-level offenses where arrests are not statutorily required. Aim 1c: Determine the acceptability and feasibility of an alternate response unit for behavioral health 911 calls, emphasizing stakeholder inquiry to assess appropriateness and potential impact. Aim 2a: Pilot AI software and evaluate outcomes related to use of force, citations instead of arrests, and referrals to social, behavioral, and public health services, assessing how implementation processes influence effectiveness. Aim 2b: Pilot digitized cite & release paperwork, evaluating arrest and citation outcomes, with a focus on workflow adoption and officer behavior change. Aim 2c: Reduce officers' moral injury by empowering citation over arrest for eligible civilians, examining how the intervention and support processes affect individual well-being (job satisfaction, depression, and anxiety).
Typ studie
Typ studie
Zápis (Odhadovaný)
Zápis
Fáze
Fáze
- Nelze použít
Kontakty a umístění
Studijní kontakt
Studijní kontakt
- Jméno: Linda Fulmer, M.Ed.
- Telefonní číslo: 817-451-8740
- E-mail: lindafulmer@sbcglobal.net
Studijní záloha kontaktů
- Jméno: Nolan Kline, PhD, MPH, CPH
- Telefonní číslo: 407.266.1000
- E-mail: nolan.kline@ucf.edu
Studijní místa
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Texas
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Fort Worth, Texas, Spojené státy, 76103
- Nábor
- Healthy Tarrant County Collaboration
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Kontakt:
- Linda Fulmer, M.Ed.
- Telefonní číslo: 817-451-8740
- E-mail: lindafulmer@sbcglobal.net
-
Kontakt:
- Tamara Johnson, BS
- Telefonní číslo: 214-552-5456
- E-mail: tjohnson@ensoapothecary.com
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Vrchní vyšetřovatel:
- Linda Fulmer, M.Ed.
-
-
Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Popis
Inclusion Criteria:
- All Aims: Individuals who speak English.
- All Aims: Individuals who are at least 18 years or older.
- Aim 1a, Aim 2a, Aim 2b, Aim 2c: Law enforcement officers from the Tarrant County Sheriff's Department who have been in their role for six months or longer.
- Aim 1b: Staff members in the Tarrant County District Attorneys in office who have been in their role for one year or longer.
- Aim 1c: Hospital emergency department staff who have been in their position for at least one year.
- Aim 1c: Elected officials who have been in their position for at least one year.
- Aim 1c: 911 Dispatchers who have been in their position for at least one year.
- Aim 1c: Employees with the Tarrant County mental health authority
Exclusion Criteria:
- All Aims: Individuals who do not speak English.
- All Aims: Individuals under the age of 18.
- Aim 1a, Aim 2a, Aim 2b, Aim 2c: Individuals not currently employed by the Tarrant County Sheriff's Department or have not been employed for at least six months in the department.
- Aim 1b: District Attorneys outside of Tarrant County or have not been in their position for at least 6 months.
- Aim 1c: Elected officials who have not been in their position for one year or work outside of Tarrant County.
- Aim 1c: Hospital emergency department staff who have not been in their position for at least one year.
- Aim 1c: 911 Dispatchers who have been in their position for at least one year.
- Aim 1c: Employees with the Tarrant County mental health authority who have not been in their position for at least one year. -
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Prevence
- Přidělení: Nerandomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Žádné (otevřený štítek)
Počet zbraní
Zbraně a zásahy
Skupina účastníků / ArmSkupina účastníků / Arm |
Intervence / LéčbaIntervence / Léčba |
|---|---|
|
Aktivní komparátor: Use of AI
Use of an AI assistant by police to reduce use of force and traumatizing experiences. |
Software enabled analysis to identify heightened stress level in police indicating a need for additional support to facilitate their well-being leading to improved job performance. |
|
Aktivní komparátor: Digitizing Cite & Release Paperwork
Putting a paper form into digital format to increase ease of use of the citation over arrest process. |
Software enabled analysis to identify heightened stress level in police indicating a need for additional support to facilitate their well-being leading to improved job performance. |
|
Aktivní komparátor: Alternative Response Unit
Acceptability and feasibility study to determine local political willingness to pilot test a stand-alone alternate response unit to respond to behavioral health crisis calls. |
Software enabled analysis to identify heightened stress level in police indicating a need for additional support to facilitate their well-being leading to improved job performance. |
Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Number of Citation Eligible Offenses Resolved Via Citation versus Arrest
Časové okno: Through the study completion, approximately 3 years.
|
Count of citation-eligible misdemeanor offenses resolved through citation/cite-and-release versus arrest, as recorded in agency arrest/CAD data. |
Through the study completion, approximately 3 years.
|
|
Number of Use of Force Incidents
Časové okno: Through the study completion, approximately 3 years.
|
Total number of use-of-force incidents recorded in agency administrative data, reviewed retrospectively (pre-intervention) and prospectively throughout the intervention period. |
Through the study completion, approximately 3 years.
|
|
Generalized Anxiety and Depression Scale
Časové okno: Baseline and follow-up estimated at six months.
|
PHQ9 GAD7 - Generalized Anxiety and Depression Scale; Surveys will be adapted for the audience. |
Baseline and follow-up estimated at six months.
|
|
Moral Injury Events Scale for Law Enforcement (MIES-LE)
Časové okno: Baseline & follow-up estimated six months apart
|
Assesses law enforcement exposure to events that may create moral injury. Survey will be adapted to the audience. |
Baseline & follow-up estimated six months apart
|
|
The Operational Police Stress Questionnaire
Časové okno: Baseline with follow-up estimated at six months.
|
PSQ-OP - The Operational Police Stress Questionnaire. Surveys will be adapted for audience. |
Baseline with follow-up estimated at six months.
|
Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Vyšetřovatelé
Vyšetřovatelé
- Vrchní vyšetřovatel: Nolan Kline, PhD, MPH, CPH, University of Central Florida
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Začátek studia
Primární dokončení (Odhadovaný)
Primární dokončení
Dokončení studie (Odhadovaný)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Další relevantní podmínky MeSH
Další identifikační čísla studie
Další identifikační čísla studie
- STUDY00008634
- 3OT2OD035659-01S3 (Grant/smlouva NIH USA)
Plán pro data jednotlivých účastníků (IPD)
Plánujete sdílet data jednotlivých účastníků (IPD)?
Popis plánu IPD
All IPD collected throughout the trial shared with the research team members. No IPD will be shared in publication or outside the research team.
Časový rámec sdílení IPD
For approximately 3 years through the end of the study on September 19, 2028.
Kritéria přístupu pro sdílení IPD
The only identifiable data that will be collected are names, emails, phone numbers, and audio recordings for the purpose of scheduling surveys and interviews and for interviews. Interview recordings will be transcribed as close to verbatim as possible. The investigators will utilize Rev software to transcribe the interviews and then review the interviews for accuracy. All participants will be given pseudonyms. All study data will be stored in the password protected UCF OneDrive for 5 years after study closure, per Florida law. Information (or samples) that are collected as part of this research will not be used or distributed for future research studies, even if all identifiers are removed.
Typ podpůrných informací pro sdílení IPD
- PROTOKOL STUDY
- MÍZA
- ICF
- ANALYTIC_CODE
- CSR
Informace o lécích a zařízeních, studijní dokumenty
Studuje lékový produkt regulovaný americkým FDA
Studuje produkt zařízení regulovaný americkým úřadem FDA
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