Esta página se tradujo automáticamente y no se garantiza la precisión de la traducción. por favor refiérase a versión inglesa para un texto fuente.

Improving Officer and Civilian Health

2 de octubre de 2026 actualizado por: Healthy Tarrant County Collaboration

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.

Descripción general del estudio

Estado

Reclutamiento

Condiciones

Intervención / Tratamiento

Conductual: Software enabled assistance

Descripción detallada

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).

Tipo de estudio

Intervencionista

Inscripción (Estimado)

108

Fase

No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

Nombre: Linda Fulmer, M.Ed.
Número de teléfono: 817-451-8740
Correo electrónico: lindafulmer@sbcglobal.net

Copia de seguridad de contactos de estudio

Nombre: Nolan Kline, PhD, MPH, CPH
Número de teléfono: 407.266.1000
Correo electrónico: nolan.kline@ucf.edu

Ubicaciones de estudio

Estados Unidos
- Texas
  - Fort Worth, Texas, Estados Unidos, 76103
    - Reclutamiento
    - Healthy Tarrant County Collaboration
    - Contacto:
      
      Linda Fulmer, M.Ed.
      
      Número de teléfono: 817-451-8740
      
      Correo electrónico: lindafulmer@sbcglobal.net
    - Contacto:
      
      Tamara Johnson, BS
      
      Número de teléfono: 214-552-5456
      
      Correo electrónico: tjohnson@ensoapothecary.com
    - Investigador principal:
      
      Linda Fulmer, M.Ed.

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años y mayores (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

Géneros elegibles para el estudio

Todos

Descripción

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. -

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

Propósito principal: Prevención
Asignación: No aleatorizado
Modelo Intervencionista: Asignación paralela
Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo Grupo de participantes/brazo Un grupo o subgrupo de participantes en un ensayo clínico que recibe una intervención/tratamiento específico, o ninguna intervención, según el protocolo del ensayo.	Intervención / Tratamiento Intervención / Tratamiento Un proceso o acción que es el foco de un estudio clínico. Las intervenciones incluyen medicamentos, dispositivos médicos, procedimientos, vacunas y otros productos que están en fase de investigación o que ya están disponibles. Las intervenciones también pueden incluir enfoques no invasivos, como la educación o la modificación de la dieta y el ejercicio.
Comparador activo: Use of AI Use of an AI assistant by police to reduce use of force and traumatizing experiences.	Conductual: Software enabled assistance 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.
Comparador activo: Digitizing Cite & Release Paperwork Putting a paper form into digital format to increase ease of use of the citation over arrest process.	Conductual: Software enabled assistance 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.
Comparador activo: 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.	Conductual: Software enabled assistance 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.

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado	Medida Descripción	Periodo de tiempo
Number of Citation Eligible Offenses Resolved Via Citation versus Arrest Periodo de tiempo: 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 Periodo de tiempo: 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 Periodo de tiempo: 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) Periodo de tiempo: 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 Periodo de tiempo: 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.

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Healthy Tarrant County Collaboration

Investigadores

Investigador principal: Nolan Kline, PhD, MPH, CPH, University of Central Florida

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

1 de julio de 2026

Finalización primaria (Estimado)

19 de septiembre de 2028

Finalización del estudio (Estimado)

19 de septiembre de 2028

Fechas de registro del estudio

Enviado por primera vez

13 de mayo de 2026

Primero enviado que cumplió con los criterios de control de calidad

2 de octubre de 2026

Publicado por primera vez (Actual)

6 de octubre de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

6 de octubre de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

2 de octubre de 2026

Última verificación

1 de septiembre de 2026

Más información

Términos relacionados con este estudio

Términos MeSH relevantes adicionales

Comportamiento

Otros números de identificación del estudio

STUDY00008634
3OT2OD035659-01S3 (Subvención/contrato del NIH de EE. UU.)

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

SÍ

Descripción del plan 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.

Marco de tiempo para compartir IPD

For approximately 3 years through the end of the study on September 19, 2028.

Criterios de acceso compartido de 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.

Tipo de información de apoyo para compartir IPD

PROTOCOLO DE ESTUDIO
SAVIA
CIF
CÓDIGO_ANALÍTICO
RSC

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

Improving Officer and Civilian Health