Clinical trial NCT03488875: Impact of Mindfulness Training on Stress-related Health Outcomes in Law Enforcement
Official title: The Impact of Mindfulness-Based Resilience Training on Stress-Related Biological, Behavioral, and Health-Related Outcomes in Law Enforcement Officers
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stress, Psychological
Sleep
Inflammation
Mental Health
Lead sponsor: University of Wisconsin, Madison
Sponsor class: OTHER
Collaborators: name: U.S. Department of Justice
First posted: 2018-04-05
Enrollment: 115
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Participants are randomized to an active treatment group and a waitlist control group.
Primary purpose: PREVENTION

Brief summary: In a sample of 120 officers from Dane County law enforcement agencies, the investigators are conducting a randomized controlled trial of an 8-week mindfulness-based training program for police officers, Madison Mindfulness-Based Resilience Training (mMBRT), and investigating the impact of this training on subjective responses to stress, stress-related psychological and physical health outcomes, and biological and behavioral correlates of perceived stress. While the benefits of mindfulness-based interventions have been documented in a variety of populations, this will be the largest and most comprehensive study of its kind of law enforcement personnel. In addition to self-report measures, this study assesses an array of objective biological and behavioral outcomes both in the laboratory and in the field that may speak to mechanisms of change involved in symptom reduction.

Detailed description: 120 police officers will be recruited from Dane County law enforcement agencies to take part in an 8-week, group-based, mindfulness-based training program called Madison Mindfulness-Based Resilience Training (mMBRT). Officers will be randomized to an active group, which will receive mMBRT immediately after baseline assessments, and a waitlist control group, which will receive mMBRT after a post-intervention assessment and a subsequent follow-up assessment. mMBRT is similar to and inspired by MBRT, and both of these programs are law enforcement-specific interventions based on Mindfulness-Based Stress Reduction (MBSR), a commonly used mindfulness program in many healthcare settings. mMBRT is structurally similar to MBSR, with 8 weekly 2-hour classes involving guided meditation practices, gentle movement, and group-based discussion (one of these classes, toward the end of the course, is approximately 4 hours and integrates many of the practices and teachings covered throughout the training program). Participants will be provided with weekly homework assignments and audio recordings that provide guided instruction in various meditation and yoga practices.

At three separate timepoints, officers will take part in a laboratory assessment that involves the following procedures:

* administration of computerized behavioral tasks
* completion of self-report questionnaires that assess trauma history and occupational stressors, perceived stress, sleep, physical and mental health
* collection of a small amount of blood via finger prick and/or venipuncture (to assess peripheral inflammatory markers)
* collection of a small amount of hair from the scalp (to assess hair cortisol concentration)
* measurement of height and weight for the assessment of body mass index, and for use with activity trackers data

In conjunction with these laboratory assessments, data will be collected from officers in the field over the course of approximately 1 week (coinciding with a regularly scheduled work week), including the following procedures:

* officers will wear an activity monitor (e.g., Fitbit) to allow for objective monitoring of sleep quality and resting heart rate throughout the study
* officers will collect saliva samples 4 times per day over 3 days for the assessment of salivary cortisol
* officers will complete daily logs of work hours, types of events encountered during work, perceived stress related to these events, and self-reported mood and affect ratings

These field data will be related to dispatch records, which will provide objective information regarding the types of incidents responded to, and the time and location of these incidents.

The laboratory and field assessments will be collected at baseline (prior to randomization); after the active mMBRT group completes the intervention; and at a follow-up visit (approximately 4 months after the end of the intervention), after which the wait-list group will be offered the intervention.

Eligibility criteria: Inclusion Criteria:

* At least 18 years of age
* Capable of giving informed consent
* Fluent in English
* Currently employed sworn law enforcement officer working in the Dane County Sheriff's Office, Madison Police Department, or University of Wisconsin-Madison Police Department.

Exclusion Criteria:

* Extensive prior experience in meditation practice, or previous completion of Mindfulness-Based Stress Reduction, Mindfulness-Based Resilience Training, or a substantively similar meditation training program
* A work schedule that precludes one from committing to regular participation in the 8-week training program
* Command staff working in a supervisory role

Primary outcomes:
measure: Change in perceived occupational stress
timeFrame: Baseline, post-intervention (3 months)
measure: Change in diurnal cortisol slope
timeFrame: Baseline, post-intervention (3 months)
Secondary outcomes:
measure: Change in cortisol awakening response
timeFrame: Baseline, post-intervention (3 months)
measure: Change in peripheral inflammatory markers
timeFrame: Baseline, post-intervention (3 months)
measure: Change in hyperarousal symptoms
timeFrame: Baseline, post-intervention (3 months), follow-up (6 months)
measure: Change in subjective sleep quality
timeFrame: Baseline, post-intervention (3 months)
measure: Change in perceived stress
timeFrame: Baseline, post-intervention (3 months)
Other outcomes:
measure: Change in hair cortisol concentration
timeFrame: Baseline, follow-up (6 months)
measure: Change in restful minutes of sleep
timeFrame: 5-7 nights of sleep will be monitored at baseline and post-intervention (3 months)
measure: Change in behavioral pattern separation ability
timeFrame: Baseline, post-intervention (3 months)
measure: Change in mood and anxiety symptoms
timeFrame: Baseline, post-intervention (3 months)
measure: Change in total PTSD symptoms
timeFrame: Baseline, post-intervention (3 months)
measure: Change in resting heart rate
timeFrame: Baseline, post-intervention (3 months)
measure: Change in pain interference
timeFrame: Baseline, post-intervention (3 months)
measure: Change in burnout
timeFrame: Baseline, post-intervention (3 months)
measure: Change in work productivity
timeFrame: Baseline, post-intervention (3 months)
measure: Change in good health practices
timeFrame: Baseline, post-intervention (3 months)
measure: Change in self-reported mindfulness
timeFrame: Baseline, post-intervention (3 months)
measure: Change in work-family spillover
timeFrame: Baseline, post-intervention (3 months)
Locations:
city: Madison
country: United States
facility: Center for Healthy Minds, University of Wisconsin-Madison
state: Wisconsin
Study officials:
affiliation: University of Wisconsin, Madison
name: Daniel W Grupe, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Grupe DW, Stoller JL, Alonso C, McGehee C, Smith C, Mumford JA, Rosenkranz MA, Davidson RJ. The Impact of Mindfulness Training on Police Officer Stress, Mental Health, and Salivary Cortisol Levels. Front Psychol. 2021 Sep 3;12:720753. doi: 10.3389/fpsyg.2021.720753. eCollection 2021.
citation: Chen S, Grupe DW. Trait Mindfulness Moderates the Association Between Stressor Exposure and Perceived Stress in Law Enforcement Officers. Mindfulness (N Y). 2021;12(9):2325-2338. doi: 10.1007/s12671-021-01707-4. Epub 2021 Aug 5.