Imagery-Based Trauma-Resiliency Training for Urban Police

城市警察基于图像的创伤复原力培训

基本信息

批准号：
8075482
负责人：
Bengt Birger Arnetz
金额：
$ 14.74万
依托单位：
WAYNE STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-08-17 至 2013-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8075482
关键词：
Adherence Adjustment Disorders Aftercare American Anxiety Applications Grants Arousal Attenuated Behavioral Cities Clinical Clinical Trials Cognitive Collaborations Communities Coupled Data Data Analyses Development Development Plans Diagnosis Disease Educational Intervention Emergency Situation Emotional Employee Environment Event Exposure to Feedback Financial cost Funding Future Goals Health Health Professional Health behavior Human Resources Imagery Incidence Intervention Intervention Studies Interview Manuals Measures Mediator of activation protein Mental Depression Mental Health Mental disorders Methods Modeling Occupational Occupations Outcome Outcome Assessment Participant Performance Performance at work Personal Satisfaction Persons Phase Physiological Police Police officer Post-Traumatic Stress Disorders Preparation Prevention Prevention program Preventive Intervention Primary Prevention Problem behavior Procedures Process Program Effectiveness Protocols documentation Psyche structure Public Health Qualitative Evaluations Questionnaires Randomized Clinical Trials Reaction Recommendation Recruitment Activity Research Risk Risk Factors Self Efficacy Soldier Stigmata Stress Structure Study Section Supervision Symptoms Techniques Testing Thinking Time Training Training Programs Trauma Treatment outcome United States Work acute traumatic stress disorder base cost effectiveness design efficacy testing evidence base experience follow-up high risk improved innovation instrument intervention effect intervention program novel physical conditioning post intervention prevent programs psychologic resilience response skills skills training social social stigma stress related disorder stress resilience stressor tool

项目摘要

DESCRIPTION (provided by applicant): There is a dearth of research on primary prevention interventions to prepare professionals in occupations at high risk for repeated trauma exposures to respond adaptively to these exposures. Such interventions are needed to protect people, such as police officers, from developing work-induced post-trauma adjustment disorders. Empirically-supported prevention programs have the potential to increase resilience, promote successful adjustment, improve occupational performance, and reduce the health, social and financial costs of traumatic events. However, primary prevention programs must first be developed and found to be feasible, acceptable, and transferable within the police community. The overall objective of this R34 application is to adapt an innovative imagery training program, which we developed and found to be effective in attenuating trauma- and stress-related disorders in Swedish police, to the realities of police work in a major urban American city, Detroit, which has high rates of potentially traumatic exposures for officers. We will adapt this intervention program to U.S. conditions and determine the acceptability and feasibility among Detroit police. Furthermore, pilot testing is expected to demonstrate program effectiveness in improving trauma-related self efficacy and appraisal and decrease catastrophic thinking - mechanisms believed to be involved in adjustment disorders. The specific aims will be accomplished in four phases. First, we will adapt and modify our original Swedish manual and intervention protocol, in collaboration with the Detroit police, to create a protocol that is relevant to the current, U.S. urban context. Second, we will conduct initial qualitative evaluation and refinement of the intervention protocol using a small group of rookie police officers, one experienced police trainer, and a mental health therapist. Third, we will execute an uncontrolled clinical trial of the imagery-based intervention on 48 police officer participants, and follow them 6 months after the intervention. This phase will allow us to evaluate the feasibility and acceptability of the intervention and to evaluate our assessment strategy and tools, specifically targeting the sensitivity of instruments used to identify adjustment disorders among police (compared to formal, structured clinical interviews), and the feasibility of obtaining objective performance data. We also will obtain information on attrition, adherence, therapist training and supervision, intervention fidelity, and on post-treatment outcomes in order to estimate effect sizes. Finally, in the fourth phase, we will analyze the data and prepare an R01 grant application to seek funding to conduct a large-scale randomized clinical trial of the intervention. The long-term goal of this research is to develop an evidence-based prevention program to enhance mental health and professional performance in police and other high-risk personnel. The relevance of this project is that it will inform the development and conduct of future controlled intervention research on the primary prevention in professions of high risk for trauma exposure. The project, if successful, will have public health implications by offering a U.S. police-culture-appropriate primary prevention model that can be evaluated in subsequent clinical trials for its cost-effectiveness by involving police departments that are eager to implement innovative training and increase their employees' psychological resilience and long-term well- being. This intervention also holds great promise for reducing the incidence of trauma-induced mental disorders among high-risk professionals. Police are exposed to a number of job stressors that dramatically increase their risk of developing trauma-related disorders, work difficulties, and other behavioral and emotional problems. Although interventions have been developed that attempt to prevent trauma-related problems from emerging after police are exposed to stress, or to treat existing trauma disorders, these approaches are of limited efficacy, underutilized, or stigmatized. There is a great need for research on feasible, acceptable, and efficacious prevention methods that help prepare officers to respond more adaptively when they encounter stressful experiences in their work. This proposed research seeks to adapt an innovative imagery-based training prevention program, which we have shown to be effective in attenuating trauma-related mental health consequences among Swedish police, to the harsh realities facing Detroit police officers. The project will: adapt the program to urban United States conditions and police personnel, systematically assess the program's feasibility and acceptability among new officers, pilot test key measures of trauma and health, and estimate the intervention's effect size in an uncontrolled trial. This developmental research is a necessary step prior to a formal efficacy testing in a large-scale randomized clinical trial. The proposed research has important public health significance because-if the current adaptation of the program and a subsequent clinical trial are successful-it offers a valid and feasible primary prevention program for trauma-related disorders among police officers via enhancement of stress resilience.

描述（由申请人提供）：缺乏关于初级预防干预措施的研究，以帮助从事重复创伤暴露高风险职业的专业人员对这些暴露做出适应性反应。需要采取此类干预措施来保护人们（例如警察）免受工作引起的创伤后适应障碍的影响。经验支持的预防计划有可能提高复原力，促进成功调整，提高职业绩效，并减少创伤事件的健康、社会和财务成本。然而，必须首先制定初级预防计划，并证明其在警察界是可行的、可接受的和可转移的。该 R34 应用程序的总体目标是适应创新的图像培训计划，我们开发了该计划，并发现该计划可有效减轻瑞典警察的创伤和压力相关疾病，以适应美国主要城市警察工作的现实，底特律，警察遭受潜在创伤的比例很高。我们将根据美国国情调整这一干预计划，并确定底特律警方的可接受性和可行性。此外，试点测试预计将证明该计划在提高与创伤相关的自我效能和评估方面的有效性，并减少灾难性思维（据信与适应障碍有关的机制）。具体目标将分四个阶段实现。首先，我们将与底特律警方合作，调整和修改我们原来的瑞典手册和干预协议，以创建与当前美国城市环境相关的协议。其次，我们将使用一小群新手警官、一名经验丰富的警察培训师和一名心理健康治疗师对干预方案进行初步定性评估和完善。第三，我们将对 48 名警官参与者进行基于图像干预的非对照临床试验，并在干预后 6 个月对他们进行跟踪。这一阶段将使我们能够评估干预措施的可行性和可接受性，并评估我们的评估策略和工具，特别是针对用于识别警察适应障碍的工具的敏感性（与正式的、结构化的临床访谈相比），以及获得客观的绩效数据。我们还将获得有关自然减员、依从性、治疗师培训和监督、干预保真度以及治疗后结果的信息，以估计效果大小。最后，在第四阶段，我们将分析数据并准备 R01 拨款申请，以寻求资金来进行干预的大规模随机临床试验。这项研究的长期目标是制定基于证据的预防计划，以提高警察和其他高危人员的心理健康和专业表现。该项目的相关性在于，它将为未来创伤暴露高风险职业的一级预防的受控干预研究的发展和开展提供信息。该项目如果成功，将通过提供适合美国警察文化的一级预防模型来产生公共卫生影响，该模型可以在随后的临床试验中通过让渴望实施创新培训并提高警力的警察部门参与来评估其成本效益。员工的心理弹性和长期福祉。这种干预措施还有望减少高危专业人员中创伤引起的精神障碍的发生率。警察面临许多工作压力，这些压力极大地增加了他们患创伤相关疾病、工作困难以及其他行为和情感问题的风险。尽管已经制定了干预措施，试图防止警察承受压力后出现与创伤相关的问题，或治疗现有的创伤性疾病，但这些方法的功效有限、未得到充分利用或受到污名化。非常需要研究可行、可接受和有效的预防方法，帮助官员在工作中遇到压力经历时做出更适应性的反应。这项拟议的研究旨在调整基于图像的创新培训预防计划，我们已经证明该计划可以有效减轻瑞典警察与创伤相关的心理健康后果，以适应底特律警察面临的严酷现实。该项目将：使该计划适应美国城市的条件和警察人员，系统评估该计划的可行性和新警官的可接受性，试点测试创伤和健康的关键措施，并在非对照试验中估计干预措施的效果大小。这项开发研究是在大规模随机临床试验中进行正式功效测试之前的必要步骤。拟议的研究具有重要的公共卫生意义，因为如果该计划目前的调整和随后的临床试验取得成功，它将通过增强压力恢复能力为警官的创伤相关疾病提供有效且可行的初级预防计划。

项目成果

期刊论文数量（5）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Longitudinal determinants of energy levels in knowledge workers.

知识工作者能量水平的纵向决定因素。

DOI：
发表时间：
2014-01
期刊：
影响因子：
3.2
作者：
Arnetz, Bengt B;Broadbridge, Carissa L;Ghosh, Samiran
通讯作者：
Ghosh, Samiran

Obstructive sleep apnea, posttraumatic stress disorder, and health in immigrants.

阻塞性睡眠呼吸暂停、创伤后应激障碍和移民的健康。

DOI：
发表时间：
2012-10
期刊：
影响因子：
3.3
作者：
Arnetz, Bengt B;Templin, Thomas;Saudi, Waleed;Jamil, Hikmet
通讯作者：
Jamil, Hikmet

Acculturation and post-migration psychological symptoms among Iraqi refugees: A path analysis.

伊拉克难民的文化适应和移民后心理症状：路径分析。

DOI：
发表时间：
2018
期刊：
影响因子：
0
作者：
LeMaster, Joseph W;Broadbridge, Carissa L;Lumley, Mark A;Arnetz, Judith E;Arfken, Cynthia;Fetters, Michael D;Jamil, Hikmet;Pole, Nnamdi;Arnetz, Bengt B
通讯作者：
Arnetz, Bengt B

Assessment of a prevention program for work-related stress among urban police officers.

城市警察工作压力预防计划的评估。