Health Protection & Promotion for Oregon Correctional Officers (DOC HEALTH)

This study is ongoing, but not recruiting participants.
Sponsor:
Collaborators:
Oregon Healthy Workforce Center
Information provided by (Responsible Party):
Kerry Kuehl, Oregon Health and Science University
ClinicalTrials.gov Identifier:
NCT02098603
First received: October 7, 2013
Last updated: April 2, 2014
Last verified: April 2014
  Purpose

More than 530,000 individuals work as US Correctional Officers (COs) responsible for overseeing the approximately 1.6 million offenders who are incarcerated at any given time in the United States. Prison work is regarded as one of the most difficult occupations with CO's having one of the highest nonfatal injury rates of all U.S. occupations. The few studies done on CO's show high levels of stress, cardiovascular disease, high job burnout, increased sick leave rates and absenteeism, and decreased quality of life leading to premature illness/injury and high employer healthcare costs. Many of these conditions could be prevented by specific training activities and healthier lifestyles. The investigators wish to test a worksite-based, health promotion curriculum in COs with the overall hypothesis that the program will improve health and decrease injuries. The program proposed would be the first occupational intervention to improve the safety, and emotional and physical health of those who are charged with the complex task of prison work protecting the investigators communities. If successful, this proposal would result in an exportable, practical occupational safety and health program applicable for use by local, state, and federal correctional facilities.


Condition Intervention
Physical Activity
Nutrition
Health Promotion
Stress, Psychological
Metabolic Syndrome
Behavioral: Testing & Intervention

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Health Protection & Promotion for Oregon Correctional Officers

Resource links provided by NLM:


Further study details as provided by Oregon Health and Science University:

Primary Outcome Measures:
  • Change from baseline in BMI at 6 and 12 months [ Time Frame: Baseline, 6 months, 12 months ] [ Designated as safety issue: No ]
    calculation of direct measurement of height and weight

  • Change from baseline in Fruit and Vegetable Intake at 6 and 12 months [ Time Frame: Baseline, 6 months, 12 months ] [ Designated as safety issue: No ]
    questionnaire, NCI fruit/vegetables (Thompson et al., 2002)

  • Change from baseline in Physical Activity at 6 and 12 months [ Time Frame: Baseline, 6 months, 12 months ] [ Designated as safety issue: No ]
    questionnaire; Elliot et al., 2007

  • Change from baseline in Stress at 6 and 12 months [ Time Frame: Baseline, 6 months, 12 months ] [ Designated as safety issue: No ]
    questionnaire; Netemeyer RG et al, 1996; Cohen et al., 1983; Stanton et al, 2001

  • Change from baseline in Sleep at 6 and 12 months [ Time Frame: Baseline, 6 months, 12 months ] [ Designated as safety issue: No ]
    questionnaire; Sorenson et al., 2011; Buysee et al., 1989; Buxton et al.; Rajaratnam et al., 2011

  • Change from baseline in Alcohol Use at 6 and 12 months [ Time Frame: Baseline, 6 months, 12 months ] [ Designated as safety issue: No ]
    questionnaire

  • Change from baseline in Tobacco Use at 6 and 12 months [ Time Frame: Baseline, 6 months, 12 months ] [ Designated as safety issue: No ]
    questionnaire; study specific development


Secondary Outcome Measures:
  • Change from baseline in Blood Pressure at 6 and 12 months [ Time Frame: Baseline, 6 months, 12 months ] [ Designated as safety issue: No ]
    direct measurement

  • Change from baseline in Percent Body Fat at 6 and 12 months [ Time Frame: Baseline, 6 months, 12 months ] [ Designated as safety issue: No ]
    direct measurement via Bioelectric Impedance Analysis scale

  • Change from baseline in Lipids and Lipoproteins at 6 and 12 months [ Time Frame: Baseline, 6 months, 12 months ] [ Designated as safety issue: No ]
    direct measurement via Cholestech LDX analyzer

  • Change from baseline in Glucose at 6 and 12 months [ Time Frame: Baseline, 6 months, 12 months ] [ Designated as safety issue: No ]
    direct measurement via Cholestech LDX analyzer

  • Cost-Effective Analysis [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    analysis of departmental aggregate data of injury rates and workers compensation claims


Enrollment: 86
Study Start Date: January 2013
Estimated Study Completion Date: July 2014
Estimated Primary Completion Date: May 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Testing Only
Experimental: Testing & Intervention Behavioral: Testing & Intervention
Intervention involves a scripted peer-taught interactive curriculum, which is delivered as twelve, 30 minute weekly sessions incorporated into a team's usual work time or overtime activities.

Detailed Description:

Investigators will enroll up to 100 Correctional Officers from four Oregon Department of Corrections facilities for a randomized controlled 1-year assessment of the intervention. Participants will be evaluated at baseline, 6, and 12 months.

Primary study aims are; 1) Implement a randomized controlled efficacy trial of the Team-centered health promotion intervention, and assess its behavioral and occupational outcomes among COs, 2) Perform a cost analysis to determine the potential economic impact of this CO worksite health promotion program on illness/injury rates and disability claims, and 3) Determine relationships among specific intervention components with changes to behavior and occupational outcomes and assess by mediation analysis.

The intervention involves a scripted peer-taught interactive curriculum, which is delivered as twelve, 30 minute weekly sessions incorporated into a team's usual work time activities. The curriculum is designed to build understanding, healthy decision making skills and engender the social support of teammates; its content and scope reflects the core lifestyles activities used with fire fighters and law enforcement, along with adaptations for the needs of Correctional Officers in domains of the team-building, family support and psychological health.

Participant assessments include established survey instruments, physiological measures and selected laboratory parameters of outcomes and potential mediating variables at the individual, interpersonal and organizational levels. Intervention delivery and fidelity will be assessed. Multilevel and latent growth modeling and mediation analyses will be used to assess outcomes and the relationships among variables. At proposal completion there will be an evidenced-based, exportable occupational safety and health program for COs. Its critical components will be defined, and its benefits clearly determined.

  Eligibility

Ages Eligible for Study:   18 Years to 70 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • security employee of a participating facility in the Oregon Department of Corrections

Exclusion Criteria:

  • none
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02098603

Locations
United States, Oregon
Oregon Health and Science University
Portland, Oregon, United States, 97239
Sponsors and Collaborators
Oregon Health and Science University
Oregon Healthy Workforce Center
Investigators
Principal Investigator: Kerry S Kuehl, MD, DrPH Oregon Health and Science University
  More Information

No publications provided

Responsible Party: Kerry Kuehl, Professor of Medicine, Oregon Health and Science University
ClinicalTrials.gov Identifier: NCT02098603     History of Changes
Other Study ID Numbers: e7925, U19OH010154
Study First Received: October 7, 2013
Last Updated: April 2, 2014
Health Authority: United States: Institutional Review Board

Additional relevant MeSH terms:
Metabolic Syndrome X
Stress, Psychological
Insulin Resistance
Hyperinsulinism
Glucose Metabolism Disorders
Metabolic Diseases
Behavioral Symptoms

ClinicalTrials.gov processed this record on September 18, 2014