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Improving Officer and Civilian Health

2. oktober 2026 oppdatert av: 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.

Studieoversikt

Status

Rekruttering

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

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).

Studietype

Intervensjonell

Registrering (Antatt)

108

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studer Kontakt Backup

Studiesteder

  • Forente stater
    • Texas
      • Fort Worth, Texas, Forente stater, 76103
        • Rekruttering
        • Healthy Tarrant County Collaboration
        • Ta kontakt med:
        • Ta kontakt med:
        • Hovedetterforsker:
          • Linda Fulmer, M.Ed.

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

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. -

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Forebygging
  • Tildeling: Ikke-randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Aktiv komparator: Use of AI

Use of an AI assistant by police to reduce use of force and traumatizing experiences.
Atferdsmessig: 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.
Aktiv komparator: Digitizing Cite & Release Paperwork

Putting a paper form into digital format to increase ease of use of the citation over arrest process.
Atferdsmessig: 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.
Aktiv komparator: 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.
Atferdsmessig: 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.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Number of Citation Eligible Offenses Resolved Via Citation versus Arrest
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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)
Tidsramme: 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
Tidsramme: 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.

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Healthy Tarrant County Collaboration

Etterforskere

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

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

1. juli 2026

Primær fullføring (Antatt)

19. september 2028

Studiet fullført (Antatt)

19. september 2028

Datoer for studieregistrering

Først innsendt

13. mai 2026

Først innsendt som oppfylte QC-kriteriene

2. oktober 2026

Først lagt ut (Faktiske)

6. oktober 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

6. oktober 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

2. oktober 2026

Sist bekreftet

1. september 2026

Mer informasjon

Begreper knyttet til denne studien

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • STUDY00008634
  • 3OT2OD035659-01S3 (U.S. NIH-stipend/kontrakt)

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

JA

IPD-planbeskrivelse

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-delingstidsramme

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

Tilgangskriterier for IPD-deling

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-deling Støtteinformasjonstype

  • STUDY_PROTOCOL
  • SEVJE
  • ICF
  • ANALYTIC_CODE
  • CSR

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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