Safety & Health Improvement: Enhancing Law Enforcement Departments
| Status: | Completed |
|---|---|
| Conditions: | Cancer, Cancer, Food Studies, Healthy Studies, Peripheral Vascular Disease, Psychiatric |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Oncology, Pharmacology / Toxicology, Psychiatry / Psychology, Other |
| Healthy: | No |
| Age Range: | 18 - 70 |
| Updated: | 4/21/2016 |
| Start Date: | August 2010 |
| End Date: | August 2015 |
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.
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.
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.
(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.
Inclusion Criteria:
- member of a participating Law Enforcement Organization
Exclusion Criteria:
We found this trial at
1
site
3181 Southwest Sam Jackson Park Road
Portland, Oregon 97239
Portland, Oregon 97239
503 494-8311
Oregon Health and Science University In 1887, the inaugural class of the University of Oregon...
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