Opioids and Police Safety Study

NCT05008523 | Unknown

• 1 other identifier: IRB-FY2019-3315
• Study Type: interventional
• Target: 333
• Locations: 1 country
• Sites: 1

Brief Summary

Overdose deaths are currently the largest cause of accidental death in the US and opioid-related overdose deaths constitute the overwhelming majority of these deaths. Demands for a knowledge-base for effective law enforcement interventions is growing. This proposed study is designed to provide a knowledge base regarding key obstacles and facilitators of the willingness and preparedness of police to administer naloxone and related risk reduction practices and evaluate the efficacy of a web-based opioid-related occupational safety and risk reduction curriculum. Findings from this study will be applied to the development and implementation of effective interventions for police officers aimed at harmonizing law enforcement practices with public health goals.

Conditions

Opioid Overdose

Outcome Measures

Primary Outcomes (6)

• Change in Naloxone Behavioral Outcomes in Policing Procedure

  Number of days during the past 30 days in which participants had naloxone available and carried naloxone while at work.

  Time frame for all above items: the past 30 days at the time the survey is being administered; [Data collected: Baseline, Post Intervention: 90 days, 180 days, 270 days, 360 days]

• Change in Naloxone Behavioral Outcomes in Policing Procedure

  Number of days during the past 30 days in which participants had naloxone available and carried naloxone outside of work hours.

  Time frame for all above items: the past 30 days at the time the survey is being administered; [Data collected: Baseline, Post Intervention: 90 days, 180 days, 270 days, 360 days]

• Change in Naloxone Behavioral Outcomes in Policing Procedure

  Number of days during the past 30 days in which participants responded to an OD event, attempted to intervene, and/or administered naloxone.

  Time frame for all above items: the past 30 days at the time the survey is being administered; [Data collected: Baseline, Post Intervention: 90 days, 180 days, 270 days, 360 days]

• Change in Referral Behavioral Outcomes in Policing Procedure

  Number of referrals to evidence-based or other drug treatment or social services made during the past 30 days.

  Time frame: the past 30 days at the time the survey is being administered; [Data collected: Baseline, Post Intervention: 90 days, 180 days, 270 days, 360 days]

• Change in Confiscation Behavioral Outcomes in Policing Procedure

  Number of episodes involving syringe confiscation in the past 30 days (with/without proper technique).

  Time frame for all above items: the past 30 days at the time the survey is being administered; [Data collected: Baseline, Post Intervention: 90 days, 180 days, 270 days, 360 days]

• Change in Confiscation Behavioral Outcomes in Policing Procedure

  Number of episodes in the past 30 days involving drug confiscation (with/without proper technique).

  Time frame for all above items: the past 30 days at the time the survey is being administered; [Data collected: Baseline, Post Intervention: 90 days, 180 days, 270 days, 360 days]

Secondary Outcomes (10)

• Change in participant knowledge about needle stick injury and treatment

  [Data collected: Baseline, Post Intervention: 90 days, 180 days, 270 days, 360 days]

• Change in participant knowledge about needle stick injury and treatment

  [Data collected: Baseline, Post Intervention: 90 days, 180 days, 270 days, 360 days]

• Change in participant knowledge about needle stick injury and treatment

  [Data collected: Baseline, Post Intervention: 90 days, 180 days, 270 days, 360 days]

• Change in participant knowledge about needle stick injury and treatment

  [Data collected: Baseline, Post Intervention: 90 days, 180 days, 270 days, 360 days]

• Change in participant knowledge about needle stick injury and treatment

  [Data collected: Baseline, Post Intervention: 90 days, 180 days, 270 days, 360 days]

Other Outcomes (10)

• Degree of participant familiarity with fentanyl-class substances

  [Data collected: Baseline, Post Intervention: 90 days, 180 days, 270 days, 360 days]

• Degree of participant familiarity with best-practices related to policing PWUO and PWID who may be carrying heroin contaminated with fentanyl-class substances

  [Data collected: Baseline, Post Intervention: 90 days, 180 days, 270 days, 360 days]

• Opioid-Related OD knowledge

  [Data collected: Baseline, Post Intervention: 90 days, 180 days, 270 days, 360 days]

Study Arms (2)

Opioids and Police Safety Occupational Risk Reduction Training

EXPERIMENTAL

Provides occupational risk reduction training for police in 49 slides including 8 filmed videos (police officers, MDs, SSP staff, a person in recovery). The training is delivered online with secure access only for enrolled study participants.

Behavioral: Opioids and Police Safety Occupational Risk Reduction Training (OPS)

COVID Occupational Risk Reduction Training

ACTIVE COMPARATOR

The COVID-19 and Police Safety training (Control only) includes 22 slides, also narrated by a professional voice narrator.

Behavioral: Opioids and Police Safety Occupational Risk Reduction Training (COVID)

Interventions

Opioids and Police Safety Occupational Risk Reduction Training (OPS) BEHAVIORAL

Potential participants are provided with a flyer with directions to enroll online. Groups are randomized by zip code (all participants with the same zip code receive the same training to avoid contamination by precinct) Both the experimental and control groups first take the online GetNaloxoneNow.org First Responder training; then the experimental group takes the online OPS training and the control group takes the online COVID training. Both groups take a pre-survey prior to both trainings and a post-survey after they complete both trainings. Both groups also receive (via email) a resource list with information that was provided in their respective trainings plus additional resources re: occupational risk reduction appropriate to each training. Every quarter for one year, participants are emailed a reminder to get back online to take the survey again.

Also known as: OPS

Opioids and Police Safety Occupational Risk Reduction Training

Opioids and Police Safety Occupational Risk Reduction Training (COVID) BEHAVIORAL

Potential participants are provided with a flyer with directions to enroll online. Groups are randomized by zip code (all participants with the same zip code receive the same training to avoid contamination by precinct) Both the experimental and control groups first take the online GetNaloxoneNow.org First Responder training; then the experimental group takes the online OPS training and the control group takes the online COVID training. Both groups take a pre-survey prior to both trainings and a post-survey after they complete both trainings. Both groups also receive (via email) a resource list with information that was provided in their respective trainings plus additional resources re: occupational risk reduction appropriate to each training. Every quarter for one year, participants are emailed a reminder to get back online to take the survey again.

Also known as: COVID

COVID Occupational Risk Reduction Training

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Active duty Police Officer

You may not qualify if:

• Desk only- not active duty

Sponsors & Collaborators

• New York University: lead
• Centers for Disease Control and Prevention: collaborator

Study Sites (1)

New York University

New York, New York, 10010, United States

Location

Related Publications (1)

• Simmons J, Elliott L, Bennett AS, Beletsky L, Rajan S, Anders B, Dastparvardeh N. Evaluation of an Experimental Web-based Educational Module on Opioid-related Occupational Safety Among Police Officers: Protocol for a Randomized Pragmatic Trial to Minimize Barriers to Overdose Response. JMIR Res Protoc. 2022 Feb 25;11(2):e33451. doi: 10.2196/33451.

  PMID: 35212639 DERIVED

MeSH Terms

Conditions

Opiate Overdose

Interventions

Analgesics, Opioid

Condition Hierarchy (Ancestors)

Drug Overdose; Prescription Drug Misuse; Drug Misuse; Substance-Related Disorders; Chemically-Induced Disorders; Opioid-Related Disorders; Narcotic-Related Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Narcotics; Central Nervous System Depressants; Physiological Effects of Drugs; Pharmacologic Actions; Chemical Actions and Uses; Analgesics; Sensory System Agents; Peripheral Nervous System Agents; Central Nervous System Agents; Therapeutic Uses

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Participants are randomized to the experimental or the control arm for occupational risk reduction trainings. Trainings are not designated as experimental or control. CHANGE TO PROTOCOL: Control dropped to enable recruitment. Outcome measures are the same.
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The Opioids and Police Safety Study employed a pragmatic trial design evaluated in a simultaneous embedded mixed-method approach.

Study Record Dates

• First Submitted: June 21, 2021
• First Posted: August 17, 2021
• Study Start: January 22, 2021
• Primary Completion: February 10, 2023
• Study Completion: March 1, 2024
• Last Updated: December 7, 2023

Record last verified: 2023-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)