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.
Visão geral do estudo
Status
Status
Condições
Condições
Intervenção / Tratamento
Intervenção / Tratamento
Descrição detalhada
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 estudo
Tipo de estudo
Inscrição (Estimado)
Inscrição
Estágio
Estágio
- Não aplicável
Contactos e Locais
Contato de estudo
Contato de estudo
- Nome: Linda Fulmer, M.Ed.
- Número de telefone: 817-451-8740
- E-mail: lindafulmer@sbcglobal.net
Estude backup de contato
- Nome: Nolan Kline, PhD, MPH, CPH
- Número de telefone: 407.266.1000
- E-mail: nolan.kline@ucf.edu
Locais de estudo
-
-
Texas
-
Fort Worth, Texas, Estados Unidos, 76103
- Recrutamento
- Healthy Tarrant County Collaboration
-
Contato:
- Linda Fulmer, M.Ed.
- Número de telefone: 817-451-8740
- E-mail: lindafulmer@sbcglobal.net
-
Contato:
- Tamara Johnson, BS
- Número de telefone: 214-552-5456
- E-mail: tjohnson@ensoapothecary.com
-
Investigador principal:
- Linda Fulmer, M.Ed.
-
-
Critérios de participação
Critérios de elegibilidade
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
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. -
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Prevenção
- Alocação: Não randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Nenhum (rótulo aberto)
Número de braços
Armas e Intervenções
Grupo de Participantes / BraçoGrupo de Participantes / Braço |
Intervenção / TratamentoIntervenção / Tratamento |
|---|---|
|
Comparador Ativo: 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. |
|
Comparador Ativo: 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. |
|
Comparador Ativo: 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. |
O que o estudo está medindo?
Medidas de resultados primários
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Number of Citation Eligible Offenses Resolved Via Citation versus Arrest
Prazo: 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
Prazo: 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
Prazo: 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)
Prazo: 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
Prazo: 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
Patrocinador
Patrocinador
Investigadores
Investigadores
- Investigador principal: Nolan Kline, PhD, MPH, CPH, University of Central Florida
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Início do estudo
Conclusão Primária (Estimado)
Conclusão Primária
Conclusão do estudo (Estimado)
Conclusão do estudo
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Primeira postagem
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última Atualização Postada
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Última verificação
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
Outros números de identificação do estudo
- STUDY00008634
- 3OT2OD035659-01S3 (Concessão/Contrato do NIH dos EUA)
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Descrição do plano 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.
Prazo de Compartilhamento de IPD
For approximately 3 years through the end of the study on September 19, 2028.
Critérios de acesso de compartilhamento 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 informação de suporte de compartilhamento de IPD
- PROTOCOLO DE ESTUDO
- SEIVA
- CIF
- ANALYTIC_CODE
- CSR
Informações sobre medicamentos e dispositivos, documentos de estudo
Estuda um medicamento regulamentado pela FDA dos EUA
Estuda um produto de dispositivo regulamentado pela FDA dos EUA
Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .