Corrections Work's Adverse Effects and a Total Worker Health Program to Enhance Well-being

NCT05608889 | Unknown

• 1 other identifier: 2020-R2-CX-0006
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 2

Brief Summary

Conduct a quasi-experimental pre-post study of a mindfulness-enhanced, web/app-enabled, scalable Total Worker Health (TWH) program among higher stress Corrections Professionals. The primary outcomes relate to behaviors promoted by the program: being mindful/reduced stress/improved mood; healthier eating; more physical activity; greater restorative sleep; improved work-life balance and greater positive feelings about the organization.

Conditions

Occupational Stress; Health Behavior; Safety Issues; Mental Health Wellness 1

Keywords

Health Promotion; Mindfulness; Occupational Health; Total Worker Health; Safety

Outcome Measures

Primary Outcomes (7)

• Change in Perceived stress

  Perceived Stress Scale Short Form (PSS-4)

  Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion

• Change in Mood

  The Positive and Negative Affect Schedule (PANAS); Profile of Mood States Short Form (POMS-SF)

  Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion

• Change in Eating Habits

  Relevant excerpts from the National Cancer Institute's fruit and vegetable all day screener and Diet History Questionnaire (DHQ), percent calories from fat, and health dietary behaviors (Elliot et al., 2007; Kuehl et al., 2014)

  Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion

• Change in Physical Activity

  Change in physical activity will be assessed using this survey question: "How many days per week did you exercise or take part in moderate physical activities that increased your breathing a bit for a total of at least 30 minutes during the day (such as brisk walking or bicycling)?". This is measured in days per week (with a scale of 0-7 days). Relevant excerpts from previous research on physical activity behaviors (Elliot et al., 2007).

  Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion

• Change in Sleep

  Change in sleep will be assessed using this survey question: "In the past seven days, I had trouble sleeping" measures in a scale of 1-5 (1=very good, 2=good, 3=fair, 4=poor, 5=very poor). Short Form from the National Institutes of Health's Patient-Reported Outcomes Information System's Sleep Disturbance (PROMIS-SD-SF); Pittsburgh Sleep Quality Index (PSQI)

  Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion

• Change in Work-life balance

  Change in work-life balance will be assessed using this survey question: "In the past month, how often have you felt that you were able to control the important things in your life?" measured in a scale of 1-5 (1=none of the time, 2=a little of the time, 3=some of the time, 4=most of the time, 5=all of the time). Ballin et al., 2021.

  Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion

• Change in Feelings about organization

  Change in feelings about organization will be assessed using this survey question: "The Department of Corrections has processes in place that improve my work environment" measured with a scale from 1-5 (1=strongly disagree, 2=disagree, 3=neither disagree or agree, 4=agree, 5=strongly agree). Ballin et al., 2021.

  Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion

Secondary Outcomes (10)

• Change in Life Satisfaction

  Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion

• Change in Body Mass Index

  Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion

• Change in Blood Pressure

  Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion

• Change in Vascular Reactivity

  Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion

• Change in C-reactive Protein

  Change between timepoints: Before intervention implementation, 3 months after the intervention completion, and 9 months after intervention completion

Study Arms (1)

Mindfulness Enhanced Web App-enabled Total Worker Health Program

EXPERIMENTAL

The Total Worker Health Mindful Program will include 12, 45-minute sessions completed each week at participant's workplace. Sessions will be guided by written curriculum and focus on healthy eating, exercise, sleep and stress reducing behaviors enhanced by mindfulness activities. Participants will be provided with free enrollment codes to use the Headspace® application (app).

Behavioral: Total Worker Health Mindfulness Enhanced Program

Interventions

Total Worker Health Mindfulness Enhanced Program BEHAVIORAL

The intervention will be delivered during 12, 45-minute weekly meetings of Correctional Professionals while on shift. Those sessions will be a combination of a video, mindfulness activity, and a group learning activity. It will conclude with members stating personal goals that will be followed up at the next meeting. Sessions will be scripted to make them easy to implement with high fidelity, and include tasks, learning activities, and wrap-up with practice instructions for each week. Coworkers will be responsible for running the sessions, which promotes shared norms and social support.

Mindfulness Enhanced Web App-enabled Total Worker Health Program

Eligibility Criteria

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

You may qualify if:

• \- Currently employed as a corrections professional at participating Oregon Department of Corrections facilities (Coffee Creek Correctional Facility and Oregon State Correctional Institution) for at least one month

You may not qualify if:

• \- Those who are not employed with participating Oregon Department of Corrections facilities listed above.

Sponsors & Collaborators

• Kerry Kuehl: lead

Study Sites (2)

Oregon State Correctional Institute

Salem, Oregon, 97310, United States

RECRUITING

Coffee Creek Correctional Facility

Wilsonville, Oregon, 97070, United States

RECRUITING

Related Publications (15)

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  PMID: 17293760 BACKGROUND

• Kuehl KS, Elliot DL, Goldberg L, MacKinnon DP, Vila BJ, Smith J, Miocevic M, O'Rourke HP, Valente MJ, DeFrancesco C, Sleigh A, McGinnis W. The safety and health improvement: enhancing law enforcement departments study: feasibility and findings. Front Public Health. 2014 May 8;2:38. doi: 10.3389/fpubh.2014.00038. eCollection 2014.

  PMID: 24847475 BACKGROUND

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  PMID: 26542616 BACKGROUND

• Creswell JD. Mindfulness Interventions. Annu Rev Psychol. 2017 Jan 3;68:491-516. doi: 10.1146/annurev-psych-042716-051139. Epub 2016 Sep 28.

  PMID: 27687118 BACKGROUND

• Elliot DL, Mackinnon DP, Mabry L, Kisbu-Sakarya Y, Defrancesco CA, Coxe SJ, Kuehl KS, Moe EL, Goldberg L, Favorite KC. Worksite wellness program implementation: a model of translational effectiveness. Transl Behav Med. 2012 Jun;2(2):228-35. doi: 10.1007/s13142-012-0121-z.

  PMID: 24073114 BACKGROUND

• Hammer LB, Ernst Kossek E, Bodner T, Crain T. Measurement development and validation of the Family Supportive Supervisor Behavior Short-Form (FSSB-SF). J Occup Health Psychol. 2013 Jul;18(3):285-96. doi: 10.1037/a0032612. Epub 2013 Jun 3.

  PMID: 23730803 BACKGROUND

• Hammer LB, Truxillo DM, Bodner T, Rineer J, Pytlovany AC, Richman A. Effects of a Workplace Intervention Targeting Psychosocial Risk Factors on Safety and Health Outcomes. Biomed Res Int. 2015;2015:836967. doi: 10.1155/2015/836967. Epub 2015 Oct 18.

  PMID: 26557703 BACKGROUND

• MacKinnon DP, Elliot DL, Thoemmes F, Kuehl KS, Moe EL, Goldberg L, Burrell GL, Ranby KW. Long-term effects of a worksite health promotion program for firefighters. Am J Health Behav. 2010 Nov-Dec;34(6):695-706. doi: 10.5993/ajhb.34.6.6.

  PMID: 20604695 BACKGROUND

• Olson R, Wipfli B, Thompson SV, Elliot DL, Anger WK, Bodner T, Hammer LB, Perrin NA. Weight Control Intervention for Truck Drivers: The SHIFT Randomized Controlled Trial, United States. Am J Public Health. 2016 Sep;106(9):1698-706. doi: 10.2105/AJPH.2016.303262. Epub 2016 Jul 27.

  PMID: 27463067 BACKGROUND

• Rohlman DS, Parish M, Elliot DL, Hanson G, Perrin N. Addressing Younger Workers' Needs: The Promoting U through Safety and Health (PUSH) Trial Outcomes. Healthcare (Basel). 2016 Aug 10;4(3):55. doi: 10.3390/healthcare4030055.

  PMID: 27517968 BACKGROUND

• Tang YY, Yang L, Leve LD, Harold GT. Improving Executive Function and its Neurobiological Mechanisms through a Mindfulness-Based Intervention: Advances within the Field of Developmental Neuroscience. Child Dev Perspect. 2012 Dec;6(4):361-366. doi: 10.1111/j.1750-8606.2012.00250.x.

  PMID: 25419230 BACKGROUND

• Uegaki K, de Bruijne MC, van der Beek AJ, van Mechelen W, van Tulder MW. Economic evaluations of occupational health interventions from a company's perspective: a systematic review of methods to estimate the cost of health-related productivity loss. J Occup Rehabil. 2011 Mar;21(1):90-9. doi: 10.1007/s10926-010-9258-0.

  PMID: 20668923 BACKGROUND

• von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. Int J Surg. 2014 Dec;12(12):1495-9. doi: 10.1016/j.ijsu.2014.07.013. Epub 2014 Jul 18.

  PMID: 25046131 BACKGROUND

• Zweber ZM, Henning RA, Magley VJ. A practical scale for Multi-Faceted Organizational Health Climate Assessment. J Occup Health Psychol. 2016 Apr;21(2):250-9. doi: 10.1037/a0039895. Epub 2015 Nov 16.

  PMID: 26569133 BACKGROUND

• Elliot D, Kuehl K, DeFrancesco C, McGinnis W, Ek S, Van Horne A, Kempany KG. Technology-Enabled Intervention to Enhance Mindfulness, Safety, and Health Promotion Among Corrections Professionals: Protocol for a Prospective Quasi-Experimental Trial. JMIR Res Protoc. 2023 Sep 22;12:e45535. doi: 10.2196/45535.

  PMID: 36602914 DERIVED

Related Links

• Ballin, J. , Niederhausen, M. , Kuehl, K. , Elliot, D. , McGinnis, W. and DeFrancesco, C. (2021) Defining Stress among Corrections Professionals. Open Journal of Preventive Medicine, 11, 237-250. doi: 10.4236/ojpm.2021.116019.

MeSH Terms

Conditions

Occupational Stress; Health Behavior

Condition Hierarchy (Ancestors)

Occupational Diseases; Stress, Psychological; Behavioral Symptoms; Behavior

Study Officials

• Kerry S. Kuehl, MD, DrPH

  Oregon Health and Science University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Kerry S. Kuehl, MD, Dr.PH

CONTACT

503-494-5991; kuehlk@ohsu.edu

Carol Defrancesco, MALS, RDN, LD

CONTACT

503-310-5036; defrance@ohsu.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Professor of Medicine, Section Chief, and Director of Human Performance Laboratory

Model Details: This study will use a quasi-experimental pre-post design to compare values of outcome measures at the three times points: baseline, immediately post-intervention (3 months after baseline), and follow-up (9 months after baseline). Randomization of the intervention is not feasible at the individual level due to contamination effects within a site and no appropriate control condition. Furthermore, as each of the sites is unique, a randomized cluster design would not be able to account for confounders since there are only three sites, each with institutional differences. An advantage of the pre-post design is that each participant will act as their own control, increasing the power of the study.

Study Record Dates

• First Submitted: October 25, 2022
• First Posted: November 8, 2022
• Study Start: November 9, 2022
• Primary Completion: September 30, 2023
• Study Completion: December 31, 2023
• Last Updated: February 14, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)