Weltman Gershon, Lamon Jonathan, Freedy Elan, Chartrand Donald
Perceptronics Solutions, Inc, Sherman Oaks, California (Dr Weltman), United States.
Perceptronics Solutions, Inc, Sherman Oaks, California (Mr Lamon), United States.
Glob Adv Health Med. 2014 Mar;3(2):72-9. doi: 10.7453/gahmj.2014.015.
The objective of this case study was to test the impact in law enforcement personnel of an innovative self-regulation and resilience building program delivered via an iPad (Apple Inc, Cupertino, California) app and personal mentoring. The Stress Resilience Training System (SRTS) app includes training on stress and its effects, HRV coherence biofeedback, a series of HeartMath self-regulation techniques (The Institute of HeartMath, Boulder Creek, California), and HRV-controlled games. The stressful nature of law enforcement work is well established, and the need for meaningful and effective stress resilience training programs is becoming better understood, as it has been in the military. Law enforcement and military service share many stress-related features including psychological stressors connected with the mission, extended duty cycles, and exposure to horrific scenes of death and injury. San Diego (California) Police Department personnel who participated in the study were 12 sworn officers and 2 dispatchers, 10 men and 4 women. The SRTS intervention comprised an introductory 2-hour training session, 6 weeks of individualized learning and practice with the SRTS app, and four 1-hour telephone mentoring sessions by experienced HeartMath mentors spread over a four week period. Outcome measures were the Personal and Organizational Quality Assessment (POQA) survey, the mentors' reports of their observations, and records of participants' comments from the mentoring sessions. The POQA results were overwhelmingly positive: All four main scales showed improvement; Emotional Vitality improved by 25% (P=.05) and Physical Stress improved by 24% (P=.01). Eight of the nine subscales showed improvement, with the Stress subscale, perhaps the key measure of the study, improving by approximately 40% (P=.06). Participant responses were also uniformly positive and enthusiastic. Individual participants praised the program and related improvements in both on-the-job performance and personal and familial situations. The results support the efficacy of the program to achieve its goal of building stress resilience and improving officer wellness by providing practical self-regulation skills for better management of emotional energy. We conclude that the SRTS program for building resilience and improving psychological wellness can be as effective for law enforcement as it is for military personnel.
本案例研究的目的是测试通过一款iPad（苹果公司，加利福尼亚州库比蒂诺）应用程序及个人指导开展的创新型自我调节与恢复力建设项目对执法人员的影响。压力恢复力训练系统（SRTS）应用程序包括关于压力及其影响的培训、心率变异性（HRV）相干生物反馈、一系列心数（加利福尼亚州博尔德溪心数研究所）自我调节技术，以及HRV控制游戏。执法工作的压力性质是公认的，而且正如在军队中一样，对有意义且有效的压力恢复力训练项目的需求也越来越被理解。执法工作和军事服务有许多与压力相关的共同特征，包括与任务相关的心理压力源、延长的工作周期，以及接触死亡和受伤的恐怖场景。参与该研究的圣地亚哥（加利福尼亚州）警察局人员包括12名宣誓就职的警官和2名调度员，10名男性和4名女性。SRTS干预包括一次2小时的入门培训课程、为期6周使用SRTS应用程序的个性化学习和实践，以及由经验丰富的心数指导人员在四周内进行的四次1小时电话指导课程。结果测量指标包括个人与组织质量评估（POQA）调查、指导人员的观察报告，以及参与者在指导课程中的评论记录。POQA结果总体呈积极：所有四个主要量表均显示有所改善；情绪活力提高了25%（P = 0.05），身体压力降低了24%（P = 0.01）。九个子量表中有八个显示有所改善，其中压力子量表（可能是该研究的关键测量指标）提高了约40%（P = 0.06）。参与者的反馈也一致积极且热情。个别参与者称赞了该项目以及在工作表现、个人和家庭状况方面的相关改善。结果支持了该项目通过提供实用的自我调节技能以更好地管理情绪能量来实现其建立压力恢复力和改善警员健康状况目标的有效性。我们得出结论，用于建立恢复力和改善心理健康状况SRTS项目对执法人员的效果与对军事人员的效果一样显著。
