Jones Chelsea, Smith-MacDonald Lorraine, Pike Ashley, Bright Katherine, Bremault-Phillips Suzette
Heroes in Mind, Advocacy and Research Consortium, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada.
Department of Psychiatry, Leiden University Medical Centre, Leiden, Netherlands.
JMIR Form Res. 2022 Apr 26;6(4):e34394. doi: 10.2196/34394.
Public safety personnel (PSP) impacted by operational stress injuries can find themselves needing both time off work and support reintegrating back into the workforce. Work reintegration programs have been introduced in PSP organizations to support those who aim to return to work. One such peer-led workplace reintegration program (RP) was created in 2009 by members of the Edmonton Police Service (EPS). The primary goal of the EPSRP is to assist PSP in returning to work as soon as possible following a critical incident, illness, or injury while diminishing the potential for long-term psychological injury. The EPSRP is delivered by peers through 3 interrelated components: (1) the Reintegration Program Facilitator Training (RPFT) Program; (2) a short-term Critical Incident RP; and (3) a long-term RP. There is a dire need for research that incorporates strong study designs to the determine long-term effectiveness of the program on increasing workplace reintegration, improving mental health knowledge, and creating culture change within PSP organizations. Simultaneously, the efficacy, effectiveness, and fidelity of the RPFT in providing the tools, mental health knowledge, and skills the RP peer facilitators will need for the RP must be evaluated.
The purpose of this quasi-experimental pre-post pilot cohort study is to evaluate the effectiveness of the EPSRPFT course on influencing mental health knowledge and attitudes of RPFT attendees who will be future RP peer facilitators.
This pre-post cohort study collected data via 2 questionnaires from RPFT participants (N=60) which included the Mental Health Knowledge Survey (MAKS) and the Open Minds Survey of Workplace Attitudes (OMSWA). Descriptive, parametric (sample t tests), and nonparametric (Wilcoxon signed rank tests) statistics were used to compare the pre- and post-RPFT results and to analyze results by gender and profession.
Statistically significant changes were observed in pre-post questionnaire scores in the domains of mental health attitudes and knowledge.
Although results are explorative, the RPFT may facilitate positive changes in workplace mental health attitudes and knowledge among PSP. It is hoped these findings will contribute to a broader evidence base that can inform changes to the program, practices, and policies, and inform decision-making regarding the EPSRP.
受到工作压力伤害影响的公共安全人员(PSP)可能会发现自己既需要休假,也需要在重新融入工作岗位方面获得支持。PSP组织已引入工作重新融入计划,以支持那些希望重返工作岗位的人员。2009年,埃德蒙顿警察局(EPS)的成员创建了一项由同伴主导的工作场所重新融入计划(RP)。EPSRP的主要目标是帮助PSP在经历重大事件、疾病或受伤后尽快重返工作岗位,同时降低长期心理伤害的可能性。EPSRP由同伴通过3个相互关联的部分实施:(1)重新融入计划促进者培训(RPFT)计划;(2)短期重大事件RP;(3)长期RP。迫切需要开展研究,采用强大的研究设计来确定该计划在提高工作场所重新融入、改善心理健康知识以及在PSP组织内创造文化变革方面的长期效果。同时,必须评估RPFT在提供RP同伴促进者在RP中所需的工具、心理健康知识和技能方面的功效、效果和保真度。
这项准实验性前后对照试点队列研究的目的是评估EPSRPFT课程对影响未来将成为RP同伴促进者的RPFT参与者的心理健康知识和态度的有效性。
这项前后对照队列研究通过两份问卷从RPFT参与者(N = 60)收集数据,这两份问卷包括心理健康知识调查(MAKS)和工作场所态度开放思维调查(OMSWA)。使用描述性、参数统计(样本t检验)和非参数统计(Wilcoxon符号秩检验)来比较RPFT前后的结果,并按性别和职业分析结果。
在心理健康态度和知识领域的问卷前后期得分中观察到具有统计学意义的变化。
尽管结果具有探索性,但RPFT可能有助于PSP在工作场所心理健康态度和知识方面产生积极变化。希望这些发现将有助于建立更广泛的证据基础,为该计划、实践和政策的变革提供信息,并为有关EPSRP的决策提供信息。