Self-Reflective Resilience-Recovery Activity Promotion Training for Emergency Medical Service Personnel
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Syracuse University
- Enrollment
- 83
- Locations
- 1
- Primary Endpoint
- Time period required to achieve target sample size
Study Overview
Brief Summary
Emergency medical service (EMS) workers (i.e., ambulance service providers) experience triple the risk for anxiety, depression, and posttraumatic stress disorder (PTSD) compared to the general U.S. population. These mental disorders impact health and well-being across the life course. Thus, there is a critical need for interventions targeting key risk factors that can reduce EMS workers' mental health risk. Chronic stress represents such a risk factor and is a routine feature of the EMS profession due to the demands of providing emergency medical care. Self-Reflective Resilience-Recovery Activity Promotion Training (SRR-RAPT) promotes finding positive meaning in stressors by building self-awareness of the coping and regulatory responses used to manage them; evaluating those responses; adapting them based upon their perceived effectiveness; and developing a plan for managing similar stressors in the future based on what can be learned from the current situation. In addition to prompting self-monitoring and active reflection on stressors and coping responses, SRR-RAPT encourages practicing recovery activities that permit a person's stressor induced strain level to return to baseline. The primary objective of the current study is to evaluate the feasibility, acceptability, and adoptability of SRR-RAPT among EMS personnel. A secondary objective was to examine the intervention's effect on hypothesized mechanisms of action predicted to vary in response to the intervention, as well as consider the intervention's ability to reduce mental health symptoms. It is hypothesized that the intervention will be associated with more positive meaning made, adaptive self-reflection, recovery activities, and recovery experiences, as well as lower levels of mental health symptoms.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Crossover
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Full-time or part-time employee at an emergency medical service agency
- •≥ 18 years of age
- •≥ 1 emergency medical service shift scheduled in the next 8 days from recruitment date.
Exclusion Criteria
- •Not a full-time or part-time employee at an emergency medical service agency
- •< 18 years of age
- •< 1 emergency medical service shift scheduled in the next 8 days from recruitment date.
Arms & Interventions
Self-Reflective Resilience-Recovery Activity Promotion Training (SRR-RAPT)
Receives Self-Reflective Resilience-Recovery Activity Promotion Training (SRR-RAPT)
Intervention: Self-Reflective Resilience-Recovery Activity Promotion Training (Behavioral)
Usual Care
Does not receive SRR-RAPT.
Outcomes
Primary Outcomes
Time period required to achieve target sample size
Time Frame: From study initiation until at least 80 participants are recruited, up to 12 months
The number of months it takes to recruit the number of participants necessary to reach the target sample size.
Number of participants recruited and randomized each week of the study
Time Frame: From study initiation until at least 80 participants are recruited, up to 12 months
A count of the number of participants who are recruited and randomized each week that the study is taking place.
Acceptability
Time Frame: Day 8 of the intervention
Assessed with 3 items asking about respondents' perceptions that the intervention was helpful ("I found that answering the questions about managing stressful experiences and practicing recovery behaviors was helpful"); useful ("I found that answering the questions about managing stressful experiences and practicing recovery behaviors was useful"); and not burdensome ("I found that answering the questions about managing stressful experiences and practicing recovery behaviors was not too burdensome"). Respondents rated each item on a scale ranging from 1 ("Strongly Disagree") to 5 ("Strongly Agree"). Ratings are summed to yield a total daily score.
Adoptability
Time Frame: Day 8 of the intervention
Assessed with 3 items asking about respondents intention to use what they had learned from the intervention in the future ("I will keep using these questions to help manage stressful experiences and practice recovery activities in the future." "I will try to use these questions in the future when managing stressful experiences and trying to practice recovery activities." "I plan to use some of the approaches that I came up with in my responses to the questions about managing stressful experiences and practicing recovery behaviors in the future"). Respondents rate each item on a scale ranging from 1 ("Strongly Disagree") to 5 ("Strongly Agree"). Ratings are summed to yield a total daily score.
Secondary Outcomes
- Adaptive Self-Reflection(Days 1 to 8 of the intervention)
- Meaning Made(Days 1 to 8 of the intervention)
- Recovery Experiences(Days 1 to 8 of the intervention)
- PTSD Symptom Severity(Days 1 to 8 of the intervention)
- Recovery Activities(Days 1 to 8 of the intervention)
- Depression Symptom Severity(Days 1 to 8 of the intervention)
- Anxiety Symptom Severity(Days 1 to 8 of the intervention)
Investigators
Bryce Hruska
Associate Professor
Syracuse University