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.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
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).
Type d'étude
Inscription (Estimé)
Phase
- N'est pas applicable
Contacts et emplacements
Coordonnées de l'étude
- Nom: Linda Fulmer, M.Ed.
- Numéro de téléphone: 817-451-8740
- E-mail: lindafulmer@sbcglobal.net
Sauvegarde des contacts de l'étude
- Nom: Nolan Kline, PhD, MPH, CPH
- Numéro de téléphone: 407.266.1000
- E-mail: nolan.kline@ucf.edu
Lieux d'étude
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Texas
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Fort Worth, Texas, États-Unis, 76103
- Recrutement
- Healthy Tarrant County Collaboration
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Contact:
- Linda Fulmer, M.Ed.
- Numéro de téléphone: 817-451-8740
- E-mail: lindafulmer@sbcglobal.net
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Contact:
- Tamara Johnson, BS
- Numéro de téléphone: 214-552-5456
- E-mail: tjohnson@ensoapothecary.com
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Chercheur principal:
- Linda Fulmer, M.Ed.
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-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
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 d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: La prévention
- Répartition: Non randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Comparateur actif: 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. |
|
Comparateur actif: 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. |
|
Comparateur actif: 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. |
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Number of Citation Eligible Offenses Resolved Via Citation versus Arrest
Délai: 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
Délai: 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
Délai: 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)
Délai: 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
Délai: 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.
|
Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Chercheur principal: Nolan Kline, PhD, MPH, CPH, University of Central Florida
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- STUDY00008634
- 3OT2OD035659-01S3 (Subvention/contrat des NIH des États-Unis)
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Description du régime 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.
Délai de partage IPD
For approximately 3 years through the end of the study on September 19, 2028.
Critères d'accès au partage 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.
Type d'informations de prise en charge du partage d'IPD
- PROTOCOLE D'ÉTUDE
- SÈVE
- CIF
- ANALYTIC_CODE
- RSE
Informations sur les médicaments et les dispositifs, documents d'étude
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