Safety & Health Improvement: Enhancing Law Enforcement Departments (SHIELD)
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Purpose
Researchers from Oregon Health & Science University have developed a science-based, team-centered, scripted peer-taught program for fire fighters improving diet and exercise behavior while reducing injury rates and costs. Those investigators are partnering with local law enforcement agencies in Oregon and SW Washington to adapt, apply and assess this work-based program among a new high risk group to improve the health and safety of law enforcement officers (LEOs). Fire fighters' work structure is a natural fit for a team-centered format, and teammates' social support appeared to partially mediate the intervention's positive outcomes. Although conducive to team formation, LEOs' work lacks the established team structure of fire fighters. This proposal will apply the team-centered intervention to LEOs and in the process, learn more about teams as vehicles of health behavior change, and their relationship with outcomes and other potential mediating variables in a multilevel ecological analytic framework.
| Condition | Intervention |
|---|---|
|
Physical Activity Nutrition Health Promotion Stress, Psychological Cardiovascular Diseases Cancer |
Behavioral: Behavioral: Team-based intervention |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | Safety & Health Improvement: Enhancing Law Enforcement Departments |
- BMI [ Time Frame: January 2011-Dec 2014 ] [ Designated as safety issue: No ]
- Fruit and Vegetable Intake [ Time Frame: January 2011-Dec 2014 ] [ Designated as safety issue: No ]
- Physical Activity [ Time Frame: January 2011-Dec 2014 ] [ Designated as safety issue: No ]
- Stress [ Time Frame: January 2011-Dec 2014 ] [ Designated as safety issue: No ]
- Sleep [ Time Frame: January 2011-Dec 2014 ] [ Designated as safety issue: No ]
- Alcohol Use [ Time Frame: January 2011-Dec 2014 ] [ Designated as safety issue: No ]
- Tobacco Use [ Time Frame: January 2011-Dec 2014 ] [ Designated as safety issue: No ]
- Blood Pressure [ Time Frame: January 2011-Dec 2014 ] [ Designated as safety issue: No ]
- Percent Body Fat [ Time Frame: January 2011-Dec 2014 ] [ Designated as safety issue: No ]
- Lipids and Lipoproteins [ Time Frame: January 2011-Dec 2014 ] [ Designated as safety issue: No ]
- Glucose [ Time Frame: January 2011-Dec 2014 ] [ Designated as safety issue: No ]
- Fasting Insulin [ Time Frame: January 2011-Dec 2014 ] [ Designated as safety issue: No ]
- Cost-Effective Analysis [ Time Frame: January 2011-Dec 2014 ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 470 |
| Study Start Date: | August 2010 |
| Estimated Study Completion Date: | July 2014 |
| Estimated Primary Completion Date: | July 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| No Intervention: Testing Only | |
| Experimental: Testing & Intervention |
Behavioral: Behavioral: Team-based intervention
The intervention involves a scripted peer-taught interactive curriculum, which is delivered as twelve, one-hour weekly sessions incorporated into a team's usual work time activities, with four follow-up booster sessions after twelve months.
|
Detailed Description:
Following a 3 month pilot study with four teams, we will enroll 14 precincts and 80 teams (approximately 470 participants) of LEO work groups for a prospective, clustered randomized 2-year assessment of the intervention (40 intervention and 40 testing-only, control-condition teams). Participants will be evaluated at baseline, 12, and 24. Primary study aims are; 1) Implement a randomized controlled efficacy trial of the SHIELD intervention, a peer-led, team-based occupational wellness program, and assess its behavioral and occupational outcomes, 2) Determine relations among variables in the chain from exposure of LEO subjects to specific intervention components to changes in mediating variables to behavior changes and occupational outcomes, and 3) Perform a cost analysis to determine the economic benefit of this LEO worksite health promotion program.
The intervention involves a scripted peer-taught interactive curriculum, which is delivered as twelve, one-hour weekly sessions incorporated into a team's usual work time activities, with four follow-up booster sessions after twelve months. The curriculum is designed to build understanding, healthy decision making skills and engender the social support of teammates; its content and scope reflects the core lifestyles activities used with fire fighters, along with adaptations for the needs of LEOs in domains of the team-building, family support and psychological health.
Participant assessments include established survey instruments, physiological measures and selected laboratory parameters of outcomes and potential mediating variables at the individual, interpersonal and organizational levels. Intervention delivery and fidelity will be assessed. Multilevel and latent growth modeling and mediation analyses will be used to assess outcomes and the relationships among variables. At proposal completion there will be an evidenced-based, exportable occupational safety and health program for LEOs. Its critical components will be defined, and its benefits clearly determined.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- member of a participating Law Enforcement Organization
Exclusion Criteria:
- none
Contacts and Locations| United States, Oregon | |
| Oregon Health and Science University | |
| Portland, Oregon, United States, 97239 | |
| Principal Investigator: | Kerry S Kuehl, MD, PhD | Oregon Health and Science University |
More Information
No publications provided
| Responsible Party: | Kerry Kuehl, Associate Professor of Medicine, Oregon Health and Science University |
| ClinicalTrials.gov Identifier: | NCT01279941 History of Changes |
| Other Study ID Numbers: | e6309 |
| Study First Received: | January 19, 2011 |
| Last Updated: | September 2, 2011 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Cardiovascular Diseases Stress, Psychological Behavioral Symptoms |
ClinicalTrials.gov processed this record on May 19, 2013