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Feasibility and Acceptability of Mindfulness-based Resilience Training for Rural Law Enforcement Officers

Primary Purpose

Problem Drinking, Aggression, Stress, Psychological

Status
Recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Mindfulness-Based Resilience Training (MBRT)
Sponsored by
Pacific University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Problem Drinking

Eligibility Criteria

21 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: be 21-65 years old, demonstrate English fluency, be a sworn, full-time, active status law enforcement officer, and be willing to complete assessments at multiple time points and attend intervention groups Exclusion Criteria: previous participation in mindfulness-based stress reduction (MBSR), MBRT or a similar mindfulness course, endorse suicidal ideation, or unable or unwilling to give written informed consent

Sites / Locations

  • Pacific UniversityRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Mindfulness-Based Resilience Training (MBRT)

Arm Description

MBRT is an 2.5-day program combining training in standardized mindfulness practices targeting factors that facilitate resilience, cognitive-behavioral therapy (CBT), and psychoeducation. It contains experiential and didactic exercises including body scan, sitting and walking meditation, mindful movement and discussions.

Outcomes

Primary Outcome Measures

Change in Aggression
Buss-Perry Aggression Questionnaire-Short Form. Scores range from 1-5, with higher scores indicating greater aggression.
Change in Alcohol Use Negative Consequences
Patient Reported Outcome Measurement System (PROMIS) Alcohol Use Negative Consequences.Scores range from 39-77, with higher scores indicating greater alcohol use negative consequences.

Secondary Outcome Measures

Full Information

First Posted
November 16, 2022
Last Updated
July 31, 2023
Sponsor
Pacific University
Collaborators
National Institutes of Health (NIH), National Center for Complementary and Integrative Health (NCCIH)
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1. Study Identification

Unique Protocol Identification Number
NCT05629637
Brief Title
Feasibility and Acceptability of Mindfulness-based Resilience Training for Rural Law Enforcement Officers
Official Title
Feasibility and Acceptability of Mindfulness-based Resilience Training for Problematic Alcohol Use, Mental Health, and Aggression in Rural Law Enforcement Officers
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 1, 2023 (Actual)
Primary Completion Date
May 15, 2024 (Anticipated)
Study Completion Date
August 31, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pacific University
Collaborators
National Institutes of Health (NIH), National Center for Complementary and Integrative Health (NCCIH)

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Rural law enforcement officers (LEOs) are exposed to unique and significant stressors, yet have access to fewer resources, compared to urban counterparts, to mitigate harmful effects of stress. This elevates risk for maladaptive coping strategies such as problematic alcohol use, mental health consequences, and aggression and excessive use of force. The proposed supplement will assess feasibility and accessibility of Mindfulness-Based Resilience Training (MBRT), with added intervention components addressing alcohol use, in under-resourced rural LEOs to ensure success in a future multisite efficacy trial assessing effects of MBRT on mental health and behavioral outcomes.
Detailed Description
The stress inherent to policing affects both officer health as well as the safety of their respective communities. The investigators current and previous research has shown that Mindfulness-Based Resilience Training (MBRT) leads to improvement in law enforcement officer (LEO) mental health and behavioral outcomes, including alcohol use and aggression. In the investigators current multisite R01 feasibility trial of MBRT, they have successfully met key feasibility and acceptability benchmarks in urban and suburban LEO samples. What is lacking is exploration of feasibility and acceptability in rural LEOs, who face unique stressors and challenges, and an integration of evidence-based preventive intervention components to directly target problematic alcohol use. Individuals living in rural communities are recognized as a target population for health disparities research. Rural LEOs experience stressors specific to rural populations such as isolation and work-role overload, yet often have fewer resources, including less access to stress management trainings and mental health care, compared to their urban and suburban counterparts. The combination of high stress coupled with low resources supporting mental health and performance may lead to increased reliance on maladaptive behaviors, such as excessive alcohol use. Indeed, LEOs have disproportionately higher rates of alcohol use, not only affecting their own health and wellbeing but also exacerbating effects of stress on aggression and excessive force in critical incidents. Preliminary evidence suggests alcohol use may be more problematic among rural, relative to urban, LEOs. The proposed supplement would support collection of data on feasibility and acceptability of MBRT in under-resourced rural LEOs to inform further adaptations to better serve this community. Additionally, the investigators propose to integrate specific elements of an evidence-based mindfulness intervention for substance use disorders to explicitly address problematic alcohol use and associated consequences among rural LEOs, enhancing effects of MBRT on officer health, and in turn reducing aggression and excessive use of force in critical incidents. Completion of supplement aims will strengthen support for a multisite trial of an intervention that holds great potential to reduce aggression and increase health and wellbeing among urban, suburban and rural LEOs and the communities they serve.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Problem Drinking, Aggression, Stress, Psychological

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Mindfulness-Based Resilience Training (MBRT)
Arm Type
Experimental
Arm Description
MBRT is an 2.5-day program combining training in standardized mindfulness practices targeting factors that facilitate resilience, cognitive-behavioral therapy (CBT), and psychoeducation. It contains experiential and didactic exercises including body scan, sitting and walking meditation, mindful movement and discussions.
Intervention Type
Behavioral
Intervention Name(s)
Mindfulness-Based Resilience Training (MBRT)
Intervention Description
MBRT is designed to enhance resilience in the presence of acute and chronic LEO stressors. MBRT will be delivered in a hybrid format. An intensive, 22-hour in-person training will be offered, followed by 4 weekly 90-minute zoom classes. The in-person portion of the training will span 3 days: 4 hours day 1, 6 hours day 2, and 6 hours day 3. MBRT contains experiential and didactic exercises including body scan, sitting and walking meditation, mindful movement and discussions. MBRT is designed to address stressors inherent to police work, including critical incidents, job dissatisfaction, public scrutiny, and interpersonal, affective and behavioral challenges.
Primary Outcome Measure Information:
Title
Change in Aggression
Description
Buss-Perry Aggression Questionnaire-Short Form. Scores range from 1-5, with higher scores indicating greater aggression.
Time Frame
baseline, post-intervention (4 weeks), 3 month followup
Title
Change in Alcohol Use Negative Consequences
Description
Patient Reported Outcome Measurement System (PROMIS) Alcohol Use Negative Consequences.Scores range from 39-77, with higher scores indicating greater alcohol use negative consequences.
Time Frame
baseline, post-intervention (4 weeks), 3 month followup

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: be 21-65 years old, demonstrate English fluency, be a sworn, full-time, active status law enforcement officer, and be willing to complete assessments at multiple time points and attend intervention groups Exclusion Criteria: previous participation in mindfulness-based stress reduction (MBSR), MBRT or a similar mindfulness course, endorse suicidal ideation, or unable or unwilling to give written informed consent
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Michael Christopher
Phone
5033522498
Email
chri0756@pacificu.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael Christopher
Organizational Affiliation
Pacific University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Pacific University
City
Forest Grove
State/Province
Oregon
ZIP/Postal Code
97116
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Michael Christopher, Ph.D.
Phone
503-352-2498
Email
mchristopher@pacificu.edu
First Name & Middle Initial & Last Name & Degree
Sarah Bowen, Ph.D.
Phone
503-352-3000
Email
bowen@pacificu.edu
First Name & Middle Initial & Last Name & Degree
Michael Christopher, PhD
First Name & Middle Initial & Last Name & Degree
Sarah Bowen, PhD

12. IPD Sharing Statement

Plan to Share IPD
No

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Feasibility and Acceptability of Mindfulness-based Resilience Training for Rural Law Enforcement Officers

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