Clinical trial NCT05608889: Corrections Work's Adverse Effects and a Total Worker Health Program to Enhance Well-being
Official title: Corrections Work's Adverse Effects and a Total Worker Health Program to Enhance Well-being
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Occupational Stress
Health Behavior
Safety Issues
Mental Health Wellness 1
Keywords: Health Promotion
Mindfulness
Occupational Health
Total Worker Health
Safety
Lead sponsor: Oregon Health and Science University
Sponsor class: OTHER
First posted: 2022-11-08
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: This study will use a quasi-experimental pre-post design to compare values of outcome measures at the three times points: baseline, immediately post-intervention (3 months after baseline), and follow-up (9 months after baseline). Randomization of the intervention is not feasible at the individual level due to contamination effects within a site and no appropriate control condition. Furthermore, as each of the sites is unique, a randomized cluster design would not be able to account for confounders since there are only three sites, each with institutional differences. An advantage of the pre-post design is that each participant will act as their own control, increasing the power of the study.
Primary purpose: PREVENTION

Brief summary: Conduct a quasi-experimental pre-post study of a mindfulness-enhanced, web/app-enabled, scalable Total Worker Health (TWH) program among higher stress Corrections Professionals. The primary outcomes relate to behaviors promoted by the program: being mindful/reduced stress/improved mood; healthier eating; more physical activity; greater restorative sleep; improved work-life balance and greater positive feelings about the organization.

Detailed description: This proposed project will assess an innovative, scalable total worker health and wellness intervention among high stress Corrections Professionals. As stated in the proposal request, organizational and interpersonal factors have been associated with significant stress among Corrections Professionals, but there is limited assessment of effective and feasible interventions to mitigate these stress factors. Our current research has established robust constructs for characteristics of the organization and work environment, noting significant relationships with perceived stress. This critical understanding along with corresponding adverse mental and physical effects informs our proposed intervention to reduce potential stressors, enhance wellbeing, improve work performance, and reduce health care costs. This project will include a prospective interrupted time-series effectiveness trial of a mindfulness-enhanced, website/application-based, scalable Total Worker Health (TWH) program among higher risk corrections personnel working in restrictive housing units. Quantitative outcomes will include process measures; validated self-report indices of primary and secondary outcomes, and proximal potentially mediating factors; anthropometrics; laboratory studies of inflammation, vascular reactivity, and cellular aging; measures of job performance and health care costs. Qualitative measures will provide a deeper understanding of the quantitative findings. At program conclusion, there will be a cost effective easy to use work based health and wellness program tailored to corrections departments ready for dissemination. The robust dissemination plan includes coordinating the website and digital materials with the American Correctional Association marketing and media campaign site along with presentations at national corrections conferences making this freely available to all law enforcement and corrections personnel and agencies.

Eligibility criteria: Inclusion Criteria:

- Currently employed as a corrections professional at participating Oregon Department of Corrections facilities (Coffee Creek Correctional Facility and Oregon State Correctional Institution) for at least one month

Exclusion Criteria:

- Those who are not employed with participating Oregon Department of Corrections facilities listed above.

Primary outcomes:
measure: Change in Perceived stress
timeFrame: Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion
measure: Change in Mood
timeFrame: Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion
measure: Change in Eating Habits
timeFrame: Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion
measure: Change in Physical Activity
timeFrame: Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion
measure: Change in Sleep
timeFrame: Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion
measure: Change in Work-life balance
timeFrame: Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion
measure: Change in Feelings about organization
timeFrame: Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion
Secondary outcomes:
measure: Change in Life Satisfaction
timeFrame: Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion
measure: Change in Body Mass Index
timeFrame: Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion
measure: Change in Blood Pressure
timeFrame: Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion
measure: Change in Vascular Reactivity
timeFrame: Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion
measure: Change in C-reactive Protein
timeFrame: Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion
measure: Change in Cytokine Interleukin IL-6
timeFrame: Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion
measure: Change in Tumour Necrosis Factor alpha
timeFrame: Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion
measure: Change in telomere length
timeFrame: Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion
measure: Change in Worker's Compensation Claims
timeFrame: Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion
measure: Change in Days Injured
timeFrame: Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion
Other outcomes:
Locations:
city: Salem
country: United States
facility: Oregon State Correctional Institute
state: Oregon
city: Wilsonville
country: United States
facility: Coffee Creek Correctional Facility
state: Oregon
Study officials:
affiliation: Oregon Health and Science University
name: Kerry S. Kuehl, MD, DrPH
role: PRINCIPAL_INVESTIGATOR
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