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Improving Officer and Civilian Health

2 ottobre 2026 aggiornato da: 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.

Panoramica dello studio

Descrizione dettagliata

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 di studio

Interventistico

Iscrizione (Stimato)

108

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Contatto studio

Backup dei contatti dello studio

Luoghi di studio

    • Texas
      • Fort Worth, Texas, Stati Uniti, 76103
        • Reclutamento
        • Healthy Tarrant County Collaboration
        • Contatto:
        • Contatto:
        • Investigatore principale:
          • Linda Fulmer, M.Ed.

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

18 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

  1. All Aims: Individuals who speak English.
  2. All Aims: Individuals who are at least 18 years or older.
  3. 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.
  4. Aim 1b: Staff members in the Tarrant County District Attorneys in office who have been in their role for one year or longer.
  5. Aim 1c: Hospital emergency department staff who have been in their position for at least one year.
  6. Aim 1c: Elected officials who have been in their position for at least one year.
  7. Aim 1c: 911 Dispatchers who have been in their position for at least one year.
  8. Aim 1c: Employees with the Tarrant County mental health authority

Exclusion Criteria:

  1. All Aims: Individuals who do not speak English.
  2. All Aims: Individuals under the age of 18.
  3. 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.
  4. Aim 1b: District Attorneys outside of Tarrant County or have not been in their position for at least 6 months.
  5. Aim 1c: Elected officials who have not been in their position for one year or work outside of Tarrant County.
  6. Aim 1c: Hospital emergency department staff who have not been in their position for at least one year.
  7. Aim 1c: 911 Dispatchers who have been in their position for at least one year.
  8. Aim 1c: Employees with the Tarrant County mental health authority who have not been in their position for at least one year. -

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Prevenzione
  • Assegnazione: Non randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Comparatore attivo: 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.

Comparatore attivo: 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.

Comparatore attivo: 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.

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Number of Citation Eligible Offenses Resolved Via Citation versus Arrest
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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
Lasso di tempo: 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.

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Investigatori

  • Investigatore principale: Nolan Kline, PhD, MPH, CPH, University of Central Florida

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

1 luglio 2026

Completamento primario (Stimato)

19 settembre 2028

Completamento dello studio (Stimato)

19 settembre 2028

Date di iscrizione allo studio

Primo inviato

13 maggio 2026

Primo inviato che soddisfa i criteri di controllo qualità

2 ottobre 2026

Primo Inserito (Effettivo)

6 ottobre 2026

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

6 ottobre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

2 ottobre 2026

Ultimo verificato

1 settembre 2026

Maggiori informazioni

Termini relativi a questo studio

Termini MeSH pertinenti aggiuntivi

Altri numeri di identificazione dello studio

  • STUDY00008634
  • 3OT2OD035659-01S3 (Sovvenzione/contratto NIH degli Stati Uniti)

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

SÌ

Descrizione del piano 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.

Periodo di condivisione IPD

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

Criteri di accesso alla condivisione 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 di informazioni di supporto alla condivisione IPD

  • STUDIO_PROTOCOLLO
  • LINFA
  • ICF
  • CODICE_ANALITICO
  • RSI

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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