Self-Reflective Resilience-Recovery Activity Promotion Training for Emergency Medical Service Personnel
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 83
- 试验地点
- 1
- 主要终点
- Time period required to achieve target sample size
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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.
排除标准
- •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.
研究组 & 干预措施
Self-Reflective Resilience-Recovery Activity Promotion Training (SRR-RAPT)
Receives Self-Reflective Resilience-Recovery Activity Promotion Training (SRR-RAPT)
干预措施: Self-Reflective Resilience-Recovery Activity Promotion Training (Behavioral)
Usual Care
Does not receive SRR-RAPT.
结局指标
主要结局
Time period required to achieve target sample size
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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.
次要结局
- 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)
研究者
Bryce Hruska
Associate Professor
Syracuse University