Advancing Peer Support Programming to Address PTSD and Trauma Among Canadian Public Safety Personnel and Veterans
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 950
- 试验地点
- 3
- 主要终点
- Accessing peer support via phone or text via the PeerOnCall app (Frequency count)
研究概览
简要总结
A prospective cohort study design will be implemented across four sectors and multiple organizations sites to evaluate implementation and impact of the apps. Pre/post impact data will be collected over a six-month implementation period to assess whether the apps lead to increased Public Safety Personnel outreach to peer support (primary outcome), and to increased mental health literacy, and decreased mental distress (secondary outcomes). Recruitment will take place at three levels; 1) organizations (including knowledge users/organization champions), 2) peer support providers, and 3) public safety personnel employed within each participating organization. Sources of implementation and impact data for the six-month trial will include: 1) app utilization data, 2) knowledge user/organization champion interviews, 3) surveys with public safety personnel, 4) focus groups with peer support providers, and 5) implementation costs. Analysis will focus on both implementation and effectiveness to address the research questions related to the impact of the apps, as well as how the process and context of implementation shapes effectiveness.
详细描述
PeerOnCall was developed to support frontline PSP and includes features such as anonymous calling or messaging to a choice of peer support providers, access to self-screening tools, a personal wellness toolbox, and "tips to cope" resources. PeerOnCall Support is designed for peer support providers to provide a secure, private platform for providing support to peers who reach out via text or telephone through the PeerOnCall app.
This study will explicitly scale implementation and evaluation of these apps in the context of day-to-day work within a range of PSP organizations across four different service sectors (corrections, emergency communicators, fire services and paramedic services).
The implementation period for the app is six-months. Prior to the end of the six-month implementation period, the sector lead will meet with each organization to review app utilization data and to discuss options for continued usage of the app within the organization.
The Consolidated Framework for Implementation Research (CFIR) will inform exploration, not only of whether the apps 'work', but also about how the apps are adopted, and the individual and organizational forces that shape adoption.
The study will deploy the apps to a purposive sample of approximately 24 organizations across four sectors: 1) correctional workers; 2) emergency communicators (e.g., 911 call takers, dispatchers); 3) fire services; and 4) paramedic services. All participating organizations must have an established internal peer support service (with procedures for vetting, training, and ongoing support of the peer support providers), an organization champion who will liaise between the research team and employees, and support from leadership to participate in the study. The process of recruitment will be facilitated by sector leads and knowledge users who have extensive networks within the sectors. The number of organizations recruited across each sector will be different, recognizing differences in how services are provided, and the need for understanding breadth versus depth of implementation in key stakeholder groups.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Public Safety Personnel working in fire services, paramedic services, emergency communications and correctional services
- •Employed (full or part-time) by the participating organizations
- •Agree to download the PeerOnCall app on their mobile phone (Android or Apple)
排除标准
- •Not able to access the app on their mobile health device
结局指标
主要结局
Accessing peer support via phone or text via the PeerOnCall app (Frequency count)
时间窗: Monthly intervals from 1 to 6 months.
Number of times PeerOnCall users within an organization create a connection with peer support providers via the app platform (Software analytics)
次要结局
- Change in symptoms of trauma (PTSD Checklist, PCL-5 short version)(Baseline, 3 months, 6 months)
- Impact on work(Baseline, 3 months, 6 months)
- Change in Mental Health Literacy (6 items, 7-point Likert scale rating)(Baseline, 3 months, 6 months)
- Change in current mental health challenges(Baseline, 3 months, 6 months)
- Change in perceptions of workplace psychological health and safety climate(Baseline, 3 months, 6 months)
- Change in symptoms of depression (PHQ-9 screening tool)(Baseline, 3 months, 6 months)
- Change in help-seeking behaviour(Baseline, 3 months, 6 months)
- Perceived value of the app(3 months, 6 months)
- Change in perceived level of stress(Baseline, 3 months, 6 months)
- Changes in symptoms of anxiety (GAD-7 screening tool)(Baseline, 3 months, 6 months)