A Digital Resilience Intervention for Emergency Medical Service Workers

NCT ID: NCT06861400

Last Updated: 2025-03-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

83 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-28

Study Completion Date

2023-12-20

Brief Summary

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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.

Detailed Description

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Conditions

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Feasibility Acceptability Adoptability Meaning Made Adaptive Self-reflection Recovery Activities Recovery Experiences Post Traumatic Stress Disorder PTSD Anxiety Depression

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Self-Reflective Resilience-Recovery Activity Promotion Training (SRR-RAPT)

Receives Self-Reflective Resilience-Recovery Activity Promotion Training (SRR-RAPT)

Group Type EXPERIMENTAL

Self-Reflective Resilience-Recovery Activity Promotion Training

Intervention Type BEHAVIORAL

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. SRR-RAPT is administered daily for 8 consecutive days.

Usual Care

Does not receive SRR-RAPT.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Self-Reflective Resilience-Recovery Activity Promotion Training

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. SRR-RAPT is administered daily for 8 consecutive days.

Intervention Type BEHAVIORAL

Eligibility Criteria

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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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Syracuse University

OTHER

Sponsor Role lead

Responsible Party

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Bryce Hruska

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Syracuse University

Syracuse, New York, United States

Site Status

Countries

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United States

References

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Cella D, Choi SW, Condon DM, Schalet B, Hays RD, Rothrock NE, Yount S, Cook KF, Gershon RC, Amtmann D, DeWalt DA, Pilkonis PA, Stone AA, Weinfurt K, Reeve BB. PROMIS(R) Adult Health Profiles: Efficient Short-Form Measures of Seven Health Domains. Value Health. 2019 May;22(5):537-544. doi: 10.1016/j.jval.2019.02.004.

Reference Type BACKGROUND
PMID: 31104731 (View on PubMed)

Zuromski KL, Ustun B, Hwang I, Keane TM, Marx BP, Stein MB, Ursano RJ, Kessler RC. Developing an optimal short-form of the PTSD Checklist for DSM-5 (PCL-5). Depress Anxiety. 2019 Sep;36(9):790-800. doi: 10.1002/da.22942. Epub 2019 Jul 29.

Reference Type BACKGROUND
PMID: 31356709 (View on PubMed)

Sonnentag S, Fritz C. The Recovery Experience Questionnaire: development and validation of a measure for assessing recuperation and unwinding from work. J Occup Health Psychol. 2007 Jul;12(3):204-21. doi: 10.1037/1076-8998.12.3.204.

Reference Type BACKGROUND
PMID: 17638488 (View on PubMed)

Pressman SD, Matthews KA, Cohen S, Martire LM, Scheier M, Baum A, Schulz R. Association of enjoyable leisure activities with psychological and physical well-being. Psychosom Med. 2009 Sep;71(7):725-32. doi: 10.1097/PSY.0b013e3181ad7978. Epub 2009 Jul 10.

Reference Type BACKGROUND
PMID: 19592515 (View on PubMed)

Cooper C, Katona C, Livingston G. Validity and reliability of the brief COPE in carers of people with dementia: the LASER-AD Study. J Nerv Ment Dis. 2008 Nov;196(11):838-43. doi: 10.1097/NMD.0b013e31818b504c.

Reference Type BACKGROUND
PMID: 19008735 (View on PubMed)

Carver CS. You want to measure coping but your protocol's too long: consider the brief COPE. Int J Behav Med. 1997;4(1):92-100. doi: 10.1207/s15327558ijbm0401_6.

Reference Type BACKGROUND
PMID: 16250744 (View on PubMed)

Other Identifiers

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11-3278-2022

Identifier Type: -

Identifier Source: org_study_id

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