Clinical trial NCT06861400: A Digital Resilience Intervention for Emergency Medical Service Workers
Official title: Self-Reflective Resilience-Recovery Activity Promotion Training for Emergency Medical Service Personnel
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Feasibility
Acceptability
Adoptability
Meaning Made
Adaptive Self-reflection
Recovery Activities
Recovery Experiences
Post Traumatic Stress Disorder PTSD
Anxiety
Depression
Keywords: Emergency Medical Service Personnel
Psychological Resilience
Lead sponsor: Syracuse University
Sponsor class: OTHER
First posted: 2025-03-06
Enrollment: 83
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: PREVENTION

Brief summary: 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.


Eligibility criteria: 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.

Primary outcomes:
measure: Time period required to achieve target sample size
timeFrame: From study initiation until at least 80 participants are recruited, up to 12 months
measure: Number of participants recruited and randomized each week of the study
timeFrame: From study initiation until at least 80 participants are recruited, up to 12 months
measure: Acceptability
timeFrame: Day 8 of the intervention
measure: Adoptability
timeFrame: Day 8 of the intervention
Secondary outcomes:
measure: Meaning Made
timeFrame: Days 1 to 8 of the intervention
measure: Adaptive Self-Reflection
timeFrame: Days 1 to 8 of the intervention
measure: Recovery Activities
timeFrame: Days 1 to 8 of the intervention
measure: Recovery Experiences
timeFrame: Days 1 to 8 of the intervention
measure: PTSD Symptom Severity
timeFrame: Days 1 to 8 of the intervention
measure: Depression Symptom Severity
timeFrame: Days 1 to 8 of the intervention
measure: Anxiety Symptom Severity
timeFrame: Days 1 to 8 of the intervention
Other outcomes:
Locations:
city: Syracuse
country: United States
facility: Syracuse University
state: New York
Study officials:
References:
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