Alcohol Use Disorder, Anxiety, Depression, PTSD
Conditions
Brief summary
The goal of this clinical trial is to determine if a peer-delivered emotion regulation training (Brief-Unified Protocol) workshop is effective for preventing posttraumatic stress and other psychological health symptoms in firefighter trainees. The main questions it aims to answer are: * Do firefighter recruits who receive peer-delivered Brief-Unified Protocol report lower PTSD symptom severity over time compared to those who receive psychoeducation? * Do firefighter recruits who receive peer-delivered Brief-Unified Protocol report lower AUD, depression, anxiety, and functional impairment symptom severity over time compared to those who receive psychoeducation? * Do changes in neuroticism or emotion regulation mediate the effect of receiving the Brief-Unified Protocol on the treatment outcomes? Participants will: * Participate in a Brief-Unified Protocol workshop or psychoeducation workshop during fire academy training. * Complete a questionnaire prior to the workshop. * Complete a questionnaire immediately following the workshop and follow up questionnaires at 6, 12, 18, and 24 months after completing the fire academy. Researchers will compare firefighters who receive a peer-delivered Brief-Unified Protocol workshop to firefighters who receive peer-delivered psychoeducation to see if the Brief-Unified Protocol is effective for preventing posttraumatic stress and other psychological health symptoms.
Interventions
BEHAVIORALBrief Unified Protocol
The Brief Transdiagnostic Treatment of Emotional Disorders Unified Protocol.
BEHAVIORALPsychoeducation
Psychoeducation regarding mental health challenges in fire service.
Sponsors
Baylor Research Institute
University of Pittsburgh
Boston University
Texas A&M University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* 21 years of age or older * English speaking * Able to sign an informed consent form * Able to complete the self-report assessment * Willing to be contacted to complete post and follow-up assessments
Exclusion criteria
* Pregnant * Have plans to relocate within two months of protocol initiation * Report psychotic symptoms or suicidal behavior within the past 2 weeks * Are currently dependent on substances other than tobacco or caffeine
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PTSD Symptoms | 6, 12, 18, and 24 months | PTSD Checklist-5 (PCL-5). Score Range: 0-80. Higher scores indicate greater severity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Alcohol Use Disorder symptoms | 6, 12, 18, and 24 months | Alcohol Use Disorders Identification Test (AUDIT). Score Range: 0-40. Higher scores indicate a higher likelihood of alcohol dependence. |
| Depression symptoms | 6, 12, 18, and 24 months | Patient Health Questionnaire (PHQ-9). Score Range: 0-27. Higher scores indicate greater severity. |
| Anxiety symptoms | 6, 12, 18, and 24 months | Generalized Anxiety Disorder (GAD-7). Score Range: 0-21. Higher scores indicate greater severity. |
| Functional Impairment | 6, 12, 18, and 24 months | Work and Social Adjustment Scale (WSAS). Score Range: 0-40. Higher scores indicate greater functional impairment. |
Countries
United States
Outcome results
None listed