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| Name | Class |
|---|---|
| Congressionally Directed Medical Research Programs | FED |
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The purpose of this study is to demonstrate the feasibility of augmenting existing/traditional Navy military training with the manualized SIT Core Protocol (CP) utilizing the established augmentation procedure set as measured by feasibility, utility, and satisfaction metrics (CSQ-8) and to examine the relative effectiveness of the SIT-CP by comparison to standard military training in a controlled trial examining outcomes of stress tolerance, psychological health, resilience and occupational performance in Sailors undergoing DCA Firefighting Training (pre- to post-training), while collecting implementation data.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SIT + Damage Control Assessment & Firefighting (DCA-FF) | Experimental |
| |
| DCA-FF | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SIT | Behavioral | Participants will undergo 2 day (8 hours each) Stress Inoculation Training . This will be done in 3 steps: Step 1: focus on education about the human body and brain and shift to hands on skills practice to improve performance in stressful conditions and is designed to improve self-and-situational awareness and the ability to manipulate reactions and responses in the body on purpose to enhance performance Step 2: focuses on improving mental self-awareness and gaining skills in Mental Agility and Mental Flexibility Step 3: participants will have specific simulations and real-world opportunities to practice the skills learnt. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in perceived management of stress as assessed by the Perceived Stress Scale (PSS) | This is a 10 item questionnaire and each is scored a 5 -point likert scale from 0(never) to 4(very often) for a score range of 0 to 40, higher total scores indicate higher perceived stress. | Baseline, about 3 weeks from baseline, about 6 weeks form baseline, about 11 weeks form baseline, end of study (an average of 19 weeks form baseline) |
| Change in resilience as assessed by the Connor-Davidson Resilience Scale (CD-RISC) | This is a 25 item questionnaire and each is scored on a 5-point Likert scale ranging from 0 (Not true at all) to 4 (True nearly all the time) for a maximum score of 100 higher score indicating more resilience | Baseline, about 3 weeks from baseline, about 6 weeks form baseline, about 11 weeks form baseline, end of study (an average of 19 weeks form baseline) |
| Measure | Description | Time Frame |
|---|---|---|
| Successful presentation of the element in the training module as assessed by the SIT Feasibility Rubric | This is a is a dichotomous measure (1-successful vs. 0-unsuccessful) | week 2 |
| Successful presentation of the element in the training module as assessed by the SIT Feasibility Rubric |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sarah Jackson, MFT, PhD | Contact | (713) 486-2700 | Sarah.E.Jackson@uth.tmc.edu | |
| Ronald Acierno | Contact | (713) 486-2863 | Ronald.Acierno@uth.tmc.edu |
| Name | Affiliation | Role |
|---|---|---|
| Sarah Jackson, MFT, PhD | The University of Texas Health Science Center, Houston | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Texas Health Science Center at Houston | Houston | Texas | 77030 | United States |
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|
| DCA-FF | Behavioral | Participants will undergo 8-week Standard Firefighting Training |
|
This is a is a dichotomous measure (1-successful vs. 0-unsuccessful) |
| week 4 |
| level of confidence with delivering the training elements within the Module and the full Module as assessed by the SIT Feasibility Rubric | This is scored on a likert scale from 1(low) to 5(high) | week 2 |
| level of confidence with delivering the training elements within the Module and the full Module as assessed by the SIT Feasibility Rubric | This is scored on a likert scale from 1(low) to 5(high) | week 4 |
| Utility as assessed by the standardized self-assessment tool | high utility is when greater than 80% of novice SIT Trainers reporting an average of >80% on standardized self-assessment rubrics of protocol Module delivery. | week 2 |
| Utility as assessed by the standardized self-assessment tool | high utility is when greater than 80% of novice SIT Trainers reporting an average of >80% on standardized self-assessment rubrics of protocol Module delivery. | week 4 |
| Satisfaction as assessed by the Client Satisfaction Questionnaire-8 (CSQ-8) | This is an 8 item questionnaire and each is scored on a 4-point Likert scale ranging from 1 (lowest satisfaction) to 4 (highest satisfaction) for a score range of 8 to 32, higher score indicating more satisfaction | week 2 |
| Satisfaction as assessed by the Client Satisfaction Questionnaire-8 (CSQ-8) | This is an 8 item questionnaire and each is scored on a 4-point Likert scale ranging from 1 (lowest satisfaction) to 4 (highest satisfaction) for a score range of 8 to 32, higher score indicating more satisfaction | week 3 |
| Satisfaction as assessed by the Client Satisfaction Questionnaire-8 (CSQ-8) | This is an 8 item questionnaire and each is scored on a 4-point Likert scale ranging from 1 (lowest satisfaction) to 4 (highest satisfaction) for a score range of 8 to 32, higher score indicating more satisfaction | week 11(end of study) |
| Firefighting Observational Rubrics | These are observational rubrics, utilized by the firefighting instructors to evaluate occupational performance of the participants on specific firefighting task | week 6 |
| Change in adaptation to stress as assessed by the Situational Adaptation to Stress Scale for Human Performance (SASS-HP) | The premeasurement scale is a 9 item questionnaire and each is scored on a likert scale from 1(totally disagree) -5(totally agree), higher score indicates better outcome | Baseline, about 3 weeks from baseline, about 6 weeks form baseline |
| Change in adaptation to stress as assessed by the Situational Adaptation to Stress Scale for Human Performance (SASS-HP) | The post measurement scale is a 18 item questionnaire and each is scored on a likert scale from 1(totally disagree) -5(totally agree), higher score indicates better outcome | about 11 weeks form baseline, end of study (about 19 weeks form baseline) |
| Change in mental skills as assessed by the Test of Performance Strategies (TOPS) | This is a 68 item questionnaire and each is scored on a 5-point Likert scale from 1(never) to 5(always) for a maximum score of 340 , higher score indicating better outcome | Baseline, about 6 weeks form baseline, about week 11, end of study (19 weeks form baseline) |
| Change in achievement score as assessed by the 10-Minute Heart Rate Variability Biofeedback assessment Assessment | Achievement score is based on an algorithm that uses variability in heart rate over time and heart beats per minute. It indicates percentage of time participant is able to relax.The score range is 0-500+. Higher score means better outcome | Baseline, week 11 |
| Change in average coherence as assessed by the 10-Minute Heart Rate Variability Biofeedback assessment Assessment | Coherence score is based on an algorithm that uses variability in heart rate over time and heart beats per minute. It indicates percentage of time participant is able to relax.The score range is 0-500+. Higher score means better outcome | Baseline, week 11 |
| Change in average heart beats per minute as assessed by the 10-Minute Heart Rate Variability Biofeedback assessment | Lower heart beats is better outcome | Baseline, week 11 |
| ID | Term |
|---|---|
| D013315 | Stress, Psychological |
| D000092862 | Psychological Well-Being |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D010549 | Personal Satisfaction |
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