Survey of Correction Officers Before and After a Targeted Education Campaign

Work-Related Condition Clinical Trial

— COsurvey  

Official title:

Reducing Duration of Untreated Psychosis Through Early Detection in a Large Jail System - Surveys of Correction Officers

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05451225
• Other study ID #: NYSPI 7771 - 251050
• Secondary ID: R34MH117766
• Status: Completed
• Phase: N/A
• Start date: January 8, 2020
• Est. completion date: March 5, 2022

Study information

• Verified date: October 2022
• Source: Columbia University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The investigators will implement a multifaceted Target Education Campaign (TEC) within the three jails about recognizing early psychotic symptoms and referring to the Correctional Health Services. This campaign will include print materials and targeted trainings for Correction Officers. To develop all aspects of the TEC, the investigators will convene a workgroup, meeting biweekly for the first 6 months, including the entire investigative team, as well as experts at the Center for Practice Innovations (CPI). Depending on the nature of agreed-upon educational materials, the investigators will use specific areas of expertise at CPI for development. Materials will provide specific, actionable, and persuasive messaging about: (1) how to identify select signs of psychosis, (2) how to refer to the Specialized Early Engagement Support Service (SEESS) (in year 2), and (3) the effectiveness of early treatment through coordinated specialty care for early psychosis. Messaging will be continuous in the three jails.

Description:

Because Correction Officers in the three jails of interest are critically positioned to influence pathways to care, print materials will be supplemented with professional outreach and education by the SEESS. Roll-call is the approved venue by which all ongoing education happens for Correction Officers. Roll-calls take place at the beginning of each shift (7am, 3pm, 11pm) every day of the week in the same location and last ~ 15 - 20 minutes; all staff starting that shift attend. During roll-call, brief messages (2-3 minutes) will be delivered by the Controlling Captains, which is the standard practice for communicating important information to Correction Officers. Both daytime and overnight shifts will receive the targeted training for the 24 months of the TEC.

The investigators will collect pre-TEC (baseline) and during-TEC (at 6 months and 12 months) data from Correction Officers through brief surveys, which will be used to test changes in mean scores for knowledge, behavioral expectations, and self-efficacy, which are three key constructs from Social Cognitive Theory.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 451
• Est. completion date: March 5, 2022
• Est. primary completion date: March 5, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 21 Years and older

Eligibility

Inclusion Criteria:

• Correction Officers;

• over the age of 21

Exclusion Criteria:

• children under the age of 21 years

Related Conditions & MeSH terms

• Work-Related Condition

Intervention

Behavioral:
• Targeted Educational Campaign
Correction Officers will be exposed to the Targeted Educational Campaign (TEC) with the aim to increase their knowledge about the early symptoms of psychosis, and how to make a referral to the Correction Health Services staff, their self-efficacy to detect symptoms of psychosis and make referrals, and their expectations about their ability to be successful in making that referral (and for referrals to result in beneficial outcomes). Correction Officers will be approached and recruited during roll call and in the staff canteen where they take their meal breaks, or at a time/location agreed upon by the Department of Correction, to complete brief surveys at three different times; pre-exposure, after 6 months, and after 12 months from the beginning of the TEC.

Locations

Country	Name	City	State
United States	Columbia University	New York	New York

Sponsors (5)

Lead Sponsor	Collaborator
Columbia University	National Institute of Mental Health (NIMH), University of Illinois at Chicago, University of South Florida, Vera Institute of Justice

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Correction Officers' Knowledge at Baseline	Survey-based scores on knowledge/skills at baseline.; To measure behavioral capability (knowledge/skills), the investigators used the Correction Officers' Behavioral Capability Scale, which has a minimum value of 0 and maximum value of 10. Higher scores mean better knowledge about psychosis and therefore a better outcome.	Baseline
Primary	Correction Officers' Knowledge at 6 Months	Survey-based scores on knowledge/skills at 6-months.; To measure behavioral capability (knowledge/skills), the investigators used the Correction Officers' Behavioral Capability Scale, which has a minimum value of 0 and maximum value of 10. Higher scores mean better knowledge about psychosis and therefore a better outcome.	6 months
Primary	Correction Officers' Knowledge at 12 Months	Survey-based scores on knowledge/skills at 12-months.; To measure behavioral capability (knowledge/skills), the investigators used the Correction Officers' Behavioral Capability Scale, which has a minimum value of 0 and maximum value of 10. Higher scores mean better knowledge about psychosis and therefore a better outcome.	12 months
Primary	Correction Officers' Behavioral Expectations at Baseline	Survey-based scores on behavioral expectations at baseline.; To measure expectation, the investigators used the Correction Officers' Expectations Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.	Baseline
Primary	Correction Officers' Behavioral Expectations at 6 Months	Survey-based scores on behavioral expectations at 6-months; To measure expectation, the investigators used the Correction Officers' Expectations Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.	6 months
Primary	Correction Officers' Behavioral Expectations at 12 Months	Survey-based scores on behavioral expectations at 12 months.; To measure expectation, the investigators used the Correction Officers' Expectations Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.	12 months
Primary	Correction Officers' Self-Efficacy at Baseline	Survey-based scores on self-efficacy at baseline.; To measure self-efficacy, the investigators used the Correction Officers' Self-Efficacy Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.	Baseline
Primary	Correction Officers' Self-Efficacy at 6 Months	Survey-based scores on self-efficacy at 6-months.; To measure self-efficacy, the investigators used the Correction Officers' Self-Efficacy Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.	6 months
Primary	Correction Officers' Self-Efficacy at 12 Months	Survey-based scores on self-efficacy at 12-months.; To measure self-efficacy, the investigators used the Correction Officers' Self-Efficacy Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.	12 months