Anxiety Disorders Clinical Trial
Official title:
Delivering Online Cognitive Behavioural Therapy (iCBT) to Address Mental Health Challenges in Correctional Officers and Other Public Safety Personnel
Public safety personnel (PSP) have regular and often intense exposure to potentially traumatic events at work and are at higher risk for developing mental health problems such as posttraumatic stress disorder (PTSD). Studies have shown up to 4 times higher suicidal ideation, attempt and death among this population compared to the general population. Despite the high rate of mental health problems among PSPs, their willingness to receive mental healthcare support is fairly low, mainly due to the stigma attached to these disorders. Those who are willing to seek help face unique barriers including their irregular shift hours, limiting their access to resources otherwise available to the public. Given these challenges and the critical contribution of PSPs to public safety, developing innovative solutions to address their mental health must be a healthcare priority. This proposal aims to study the efficacy of using an innovative approach in delivering mental health online, to address mental health problems among correctional workers (CW), who are especially prone to mental health problems given the high rate of workplace violence. It is hypothesized that using an online platform to deliver cognitive behavioural therapy (CBT), would lower the stigma of receiving care in a secure and confidential environment, easing CW's concerns about stigma from co-workers. The content is delivered through interactive and engaging therapy modules, designed for specific groups of CWs and customized by situational examples to make therapy more relatable. These online modules would provide CWs with 24/7 access to therapy content, solving the irregular work hour problem. The online CBT modules developed in this study would provide high quality and clinically validated resources to address mental health problems of CWs all across Canada. Knowledge acquired through this project could also be beneficial to using iCBT in general for addressing mental health challenges among other PSPs.
Status | Recruiting |
Enrollment | 100 |
Est. completion date | December 30, 2024 |
Est. primary completion date | July 30, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 55 Years |
Eligibility | Inclusion Criteria: - Correctional worker or public safety personnel - Diagnosis of either Major Depressive Disorder, Generalized Anxiety Disorder, or Post-Traumatic Stress Disorder - Competence to provide informed consent and participate - Speak and read English - Consistent and reliable access to the internet Exclusion Criteria: - Diagnosis of hypomanic/manic episodes - Psychosis - Severe alcohol or substance abuse disorder - Active suicidal or homicidal ideation |
Country | Name | City | State |
---|---|---|---|
Canada | Hotel Dieu Hospital | Kingston | Ontario |
Lead Sponsor | Collaborator |
---|---|
Dr. Nazanin Alavi | Online PsychoTherapy Clinic |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in Symptoms (Depression and Anxiety Scale - DASS 42 Item) | Questionnaire for symptomlogy changes. Scale of 0-3, 3 is worse. | Baseline, week 2, 4, 6, 8, 10, 12, 6-month follow-up, 12-month follow-up | |
Primary | Change in Symptoms (Quality of Life Enjoyment and Satisfaction - Q-LES-Q) | Questionnaire for symptomlogy changes. Scale of 0-5, 5 is best | Baseline, week 2, 4, 6, 8, 10, 12, 6-month follow-up, 12-month follow-up | |
Primary | Change in Symptoms (Quick Inventory of Depressive Symptoms Self Report - QIDS-SR 16 Item) | Questionnaire for symptomlogy changes. Scale of 0-3, 3 is worse. | Baseline, week 2, 4, 6, 8, 10, 12, 6-month follow-up, 12-month follow-up | |
Primary | Change in Symptoms (Patient Health Questionnaire - PHQ 9 Item) | Questionnaire for symptomlogy changes. Scale of 0-3. 3 is worse. | Baseline, week 2, 4, 6, 8, 10, 12, 6-month follow-up, 12-month follow-up | |
Primary | Change in Symptoms (Generalized Anxiety Disorder - GAD 7) | Questionnaire for symptomlogy changes. Scale of 0-3, 3 is worse. | Baseline, week 2, 4, 6, 8, 10, 12, 6-month follow-up, 12-month follow-up | |
Primary | Change in Symptoms (PTSD Checklist - PCL-5) | Questionnaire for symptomlogy changes. Scale of 0-4, 4 is worse. | Baseline, week 2, 4, 6, 8, 10, 12, 6-month follow-up, 12-month follow-up |
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