Eye Movement Desensitization and Reprocessing (EMDR) for Stress, Psychological Trauma and Suicidal Ideation in Police Personnel: A Feasibility Randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 80
- 试验地点
- 2
- 主要终点
- Feasibility of Retention
研究概览
简要总结
Objectives:
- To examine the feasibility of Eye Movement Desensitization and Reprocessing (EMDR) as an intervention to reduce psychological trauma and stress amongst police officers in Pakistan.
- To test whether reducing stress and psychological trauma reduces suicidal ideation in police officers.
- To explore participants' experiences with EMDR Intervention.
Study design and setting:
The study will be a mixed-method feasibility randomized controlled trial of EMDR as an intervention in treating symptoms such as stress, trauma and suicidal ideation in police officers. The study will be conducted in five major cities in Pakistan: Rawalpindi, Karachi, Peshawar, Quetta, and Lahore.
Sample size:
A total of N=80 eligible police officers will be recruited and randomized in the study.
详细描述
EMDR intervention is an evidence-based psychological intervention that has been proven effective for stress and trauma, however, research evidence on feasibility of EMDR in forensic settings in Pakistan is limited. The current study aims to establish the feasibility and acceptability of EMDR intervention for management of stress, psychological trauma and suicidal ideation amongst police officers in Pakistan. The study will recruit a total of 80 police officers from police stations in the participating study sites, and prospective participants will be screened against eligibility criteria. Eligible consented participants will be enrolled in the study. An independent statistician will randomize participants to one of the two study arms: 1) EMDR (Intervention); or 2) waiting list control arm. Each participant in the intervention arm will receive 8 individual, weekly EMDR sessions over 8 weeks. Each session will take approximately 60-90 minutes. The sessions will be delivered at a place convenient to the participants. Trained EMDR therapists will deliver the intervention. The waiting list control arm will receive their routine care as usual, As part of the safety protocol, the details of any services each participant receives in the control group will be obtained. EMDR treatment will be offered to the control group (waiting control group) after the active intervention is complete. Assessment measures will be administered before and after the intervention at 8th week. All assessments will be rater blind. After post-assessments at 8th week, a purposefully selected subset (stratified by age & gender) of participants will be invited for qualitative interviews to explore their experiences and satisfaction with the intervention. Participants will be interviewed within 1 week of their post-intervention by a trained qualitative researcher exploring their experience with EMDR, the barriers and facilitators to engagement, and perceived benefits or negative experiences with the intervention. A sample of up to 15 interviews would be enough to achieve category saturation. On average, interviews will last for 60 minutes. The interview will be face-to-face or through telephone as an alternative to a face-to-face meeting to reduce the number of in-person meetings given the current context of COVID-19.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Having suicidal ideation measured as a score > 2 on Beck scale of suicidal ideation
- •Aged 18 years - 60 years' old
- •Police officer with psychological trauma measured with the International Trauma Questionnaire and stress measured with stress subscale of Depression, Anxiety and Stress scale
排除标准
- •Less than 12 months' experience in the police officer.
- •Participants reporting active suicidal ideation measured as a score of 2 on item no 4 of BSSI will be excluded and referred to a psychiatric service.
- •With current history of use of hard/psychoactive substances (excluding tobacco and caffeine).
- •Unable to provide consent due to severe mental or physical illness.
- •Unlikely to be available for the entire duration of the study.
结局指标
主要结局
Feasibility of Retention
时间窗: From baseline to 8th week (at the end of intervention)
The feasibility of retention will be determined by collecting data on retention rates. The success criterion of feasibility of retention will be to retain \> 50% participants.
Feasibility of recruitment
时间窗: From baseline to 8th week (at the end of intervention)
The feasibility will be determined by collecting data on recruitment rates. The success criterion of feasibility will be to recruit \> 50% of eligible participants.
Acceptability measure
时间窗: From baseline to 8th week (at the end of intervention)
Intervention acceptability will be assessed using data on intervention attendance. The criterion for acceptability is the intervention attendance rate of \> 5 sessions.
次要结局
- Depression Anxiety and Stress Scale(Change in problem scores from baseline to 8th week)
- Sleep Quality Questionnaire(Change in problem scores from baseline to 8th week)
- Coping Resource Inventory(Change in coping resources scores from baseline to 8th week)
- Beck Scale for Suicide Ideation(Change in problem scores from baseline to 8th week)
- Beck Hopelessness Scale(Change in problem scores from baseline to 8th week)
- The International Trauma Questionnaire(Change in problem scores from baseline to 8th week)