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.
調査の概要
詳細な説明
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).
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Linda Fulmer, M.Ed.
- 電話番号：817-451-8740
- メール：lindafulmer@sbcglobal.net
研究連絡先のバックアップ
- 名前：Nolan Kline, PhD, MPH, CPH
- 電話番号：407.266.1000
- メール：nolan.kline@ucf.edu
研究場所
-
-
Texas
-
Fort Worth、Texas、アメリカ、76103
- 募集
- Healthy Tarrant County Collaboration
-
コンタクト：
- Linda Fulmer, M.Ed.
- 電話番号：817-451-8740
- メール：lindafulmer@sbcglobal.net
-
コンタクト：
- Tamara Johnson, BS
- 電話番号：214-552-5456
- メール：tjohnson@ensoapothecary.com
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主任研究者：
- Linda Fulmer, M.Ed.
-
-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
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. -
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：防止
- 割り当て：非ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
アクティブコンパレータ：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. |
|
アクティブコンパレータ：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. |
|
アクティブコンパレータ：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. |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Number of Citation Eligible Offenses Resolved Via Citation versus Arrest
時間枠：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
時間枠：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
時間枠：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)
時間枠：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
時間枠：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.
|
協力者と研究者
捜査官
- 主任研究者：Nolan Kline, PhD, MPH, CPH、University of Central Florida
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- STUDY00008634
- 3OT2OD035659-01S3 (米国 NIH グラント/契約)
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
All IPD collected throughout the trial shared with the research team members. No IPD will be shared in publication or outside the research team.
IPD 共有時間枠
For approximately 3 years through the end of the study on September 19, 2028.
IPD 共有アクセス基準
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.
IPD 共有サポート情報タイプ
- STUDY_PROTOCOL
- SAP
- ICF
- ANALYTIC_CODE
- CSR
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。