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Improving Officer and Civilian Health

2 oktober 2026 uppdaterad 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.

Studieöversikt

Status

Rekrytering

Betingelser

Intervention / Behandling

Detaljerad beskrivning

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).

Studietyp

Interventionell

Inskrivning (Beräknad)

108

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studera Kontakt Backup

Studieorter

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Förebyggande
  • Tilldelning: Icke-randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Aktiv komparator: Use of AI

Use of an AI assistant by police to reduce use of force and traumatizing experiences.
Beteende: 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.
Beteende: 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.
Beteende: 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.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Number of Citation Eligible Offenses Resolved Via Citation versus Arrest
Tidsram: 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
Tidsram: 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
Tidsram: 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)
Tidsram: 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
Tidsram: 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.

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Healthy Tarrant County Collaboration

Utredare

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

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

1 juli 2026

Primärt slutförande (Beräknad)

19 september 2028

Avslutad studie (Beräknad)

19 september 2028

Studieregistreringsdatum

Först inskickad

13 maj 2026

Först inskickad som uppfyllde QC-kriterierna

2 oktober 2026

Första postat (Faktisk)

6 oktober 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

6 oktober 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

2 oktober 2026

Senast verifierad

1 september 2026

Mer information

Termer relaterade till denna studie

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

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

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

JA

IPD-planbeskrivning

All IPD collected throughout the trial shared with the research team members. No IPD will be shared in publication or outside the research team.

Tidsram för IPD-delning

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

Kriterier för IPD Sharing Access

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-delning som stöder informationstyp

  • STUDY_PROTOCOL
  • SAV
  • ICF
  • ANALYTIC_CODE
  • CSR

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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