Evidence map›Paper›PMID 37223981›Full record

ArticleJMIR research protocols2023

A Biological Approach to Building Resilience and Wellness Capacity Among Police Exposed to Posttraumatic Stress Injuries: Protocol for a Randomized Controlled Trial.

Judith Pizarro Andersen, Paula Maria Di Nota, Nazanin Alavi, Gregory Anderson, Craig Bennell, Carolyn McGregor, Rosemary Ricciardelli, Sarah Caroline Scott, Peter Shipley, Michelle Lise Vincent

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JMIR research protocols, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05521360 (Autonomic Modulation Training), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05521360 naunknown statusnot on this map

Autonomic Modulation Training: A Biological Approach to Building Resilience and Wellness Capacity Among Police Exposed to Post-Traumatic Stress Injuries (PTSI)

TypeinterventionalSponsorUniversity of TorontoRan2023 to 2026Enrolled250ConditionsStress, Physiological, Stress, PsychologicalArmsAutonomic Modulation Training
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 2 countries.

Judith Pizarro AndersenDepartment of Psychology, University of Toronto Mississauga, Mississauga, ON, Canada.ORCID https://orcid.org/0000-0001-8477-1432
Paula Maria Di NotaDepartment of Psychology, University of Toronto Mississauga, Mississauga, ON, Canada.ORCID https://orcid.org/0000-0003-4282-6129
Nazanin AlaviDepartment of Psychiatry, Queen's University, Kingston, ON, Canada.ORCID https://orcid.org/0000-0001-8710-6067
Gregory AndersonFaculty of Science, Thompson Rivers University, Kamloops, BC, Canada.ORCID https://orcid.org/0000-0002-1307-1719
Craig BennellDepartment of Psychology, Carleton University, Ottawa, ON, Canada.ORCID https://orcid.org/0000-0002-7676-5232
Carolyn McGregorFaculty of Business and Information Technology, Ontario Tech University, Oshawa, ON, Canada.ORCID https://orcid.org/0000-0002-0491-4403
Rosemary RicciardelliSchool of Maritime Studies, Memorial University of Newfoundland, St. John's, NL, Canada.ORCID https://orcid.org/0000-0002-0905-8968
Sarah Caroline ScottDepartment of Psychology, University of Toronto Mississauga, Mississauga, ON, Canada.ORCID https://orcid.org/0000-0001-5145-6102
Peter ShipleyCampus Safety Special Constable Service, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-4268-9582
Michelle Lise VincentThe Haven Mental Health Treatment Centre, Port Carling, ON, Canada.ORCID https://orcid.org/0000-0001-8264-232X
University of Toronto · CACarleton University · CAMemorial University of Newfoundland · CAQueen's University · CAThompson Rivers University · CAUniversity of Technology Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaw enforcement officers are routinely exposed to hazardous, disturbing events that can impose severe stress and long-term psychological trauma. As a result, police and other public safety personnel (PSP) are at increased risk of developing posttraumatic stress injuries (PTSIs) and disruptions to the autonomic nervous system (ANS). ANS functioning can be objectively and noninvasively measured by heart rate (HR), heart rate variability (HRV), and respiratory sinus arrhythmia (RSA). Traditional interventions aimed at building resilience among PSP have not adequately addressed the physiological ANS dysregulations that lead to mental and physical health conditions, as well as burnout and fatigue following potential psychological trauma.

objectiveIn this study, we will investigate the efficacy of a web-based Autonomic Modulation Training (AMT) intervention on the following outcomes: (1) reducing self-reported symptoms of PTSI, (2) strengthening ANS physiological resilience and wellness capacity, and (3) exploring how sex and gender are related to baseline differences in psychological and biological PTSI symptoms and response to the AMT intervention.

methodsThe study is comprised of 2 phases. Phase 1 involves the development of the web-based AMT intervention, which includes 1 session of baseline survey measures, 6 weekly sessions that integrate HRV biofeedback (HRVBF) training with meta-cognitive skill practice, and 1 session of follow-up survey measures. Phase 2 will use a cluster randomized control design to test the effectiveness of AMT on the following prepost outcomes: (1) self-report symptoms of PTSI and other wellness measures; (2) physiological indicators of health and resilience including resting HR, HRV, and RSA; and (3) the influence of sex and gender on other outcomes. Participants will be recruited for an 8-week study across Canada in rolling cohorts.

resultsThe study received grant funding in March 2020 and ethics approval in February 2021. Due to delays related to COVID-19, phase 1 was completed in December 2022, and phase 2 pilot testing began in February 2023. Cohorts of 10 participants in the experimental (AMT) and control (prepost assessment only) groups will continue until a total of 250 participants are tested. Data collection from all phases is expected to conclude in December 2025 but may be extended until the intended sample size is reached. Quantitative analyses of psychological and physiological data will be conducted in conjunction with expert coinvestigators.

conclusionsThere is an urgent need to provide police and PSP with effective training that improves physical and psychological functioning. Given that help-seeking for PTSI is reduced among these occupational groups, AMT is a promising intervention that can be completed in the privacy of one's home. Importantly, AMT is a novel program that uniquely addresses the underlying physiological mechanisms that support resilience and wellness promotion and is tailored to the occupational demands of PSP.

trial registrationClinicalTrials.gov NCT05521360; https://clinicaltrials.gov/ct2/show/NCT05521360. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/33492.

Indexed as

autonomic modulation trainingheart rate variabilityheart rate variability biofeedbackpoliceposttraumatic stress injuriespublic safety personnelresiliencerespiratory sinus arrhythmiawellness promotion

Identifiers

PMID37223981
PMCPMC10248782
OpenAlexW4367593877

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.