Evidence map›Paper›PMID 40751599›Full record

ArticleStress and health : journal of the International Society for the Investigation of Stress2025

A Qualitative Evaluation of the Before Operational Stress Program: A Pan-Canadian Study of Mental Health Training for Frontline Public Safety Personnel and Healthcare Providers.

Gabriela Ioachim, Lindsay Allen, Michelle Redekop, Asma Khan, Juliana M B Khoury, Kirby Maguire, R Nicholas Carleton

Abstract read
In one paragraph

Article in Stress and health : journal of the International Society for the Investigation of Stress, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

7 authors.

Gabriela IoachimCanadian Institute for Public Safety Research and Treatment-Institut Canadien de Recherche et de Traitement en Sécurité Publique (CIPSRT-ICRTSP), University of Regina/Université de Regina, Regina, Canada.ORCID https://orcid.org/0000-0003-1750-2341
Lindsay AllenCanadian Institute for Public Safety Research and Treatment-Institut Canadien de Recherche et de Traitement en Sécurité Publique (CIPSRT-ICRTSP), University of Regina/Université de Regina, Regina, Canada.
Michelle RedekopCanadian Institute for Public Safety Research and Treatment-Institut Canadien de Recherche et de Traitement en Sécurité Publique (CIPSRT-ICRTSP), University of Regina/Université de Regina, Regina, Canada.
Asma KhanCanadian Institute for Public Safety Research and Treatment-Institut Canadien de Recherche et de Traitement en Sécurité Publique (CIPSRT-ICRTSP), University of Regina/Université de Regina, Regina, Canada.
Juliana M B KhouryCanadian Institute for Public Safety Research and Treatment-Institut Canadien de Recherche et de Traitement en Sécurité Publique (CIPSRT-ICRTSP), University of Regina/Université de Regina, Regina, Canada.ORCID https://orcid.org/0000-0002-1833-2869
Kirby MaguireCanadian Institute for Public Safety Research and Treatment-Institut Canadien de Recherche et de Traitement en Sécurité Publique (CIPSRT-ICRTSP), University of Regina/Université de Regina, Regina, Canada.
R Nicholas CarletonCanadian Institute for Public Safety Research and Treatment-Institut Canadien de Recherche et de Traitement en Sécurité Publique (CIPSRT-ICRTSP), University of Regina/Université de Regina, Regina, Canada.

Funding

Public Health Agency of Canada 2122-HQ-000405
6 · The paper itself

Abstract

Public safety personnel (PSP) and healthcare providers (HCP) are routinely exposed to potentially psychologically traumatic events and are at increased risk of developing mental disorder symptoms and posttraumatic stress injuries (PTSI). The Before Operational Stress program (BOS) is an evidence-informed mental health and resiliency training programme designed to mitigate the effects of PTSI. We conducted 41 in-depth semi-structured interviews with PSP and HCP who had completed the BOS program to investigate whether and how the programme benefits mental health, and how the content can integrate with their personal and professional lives. Data were analysed using team-based template analysis. The four overarching themes that emerged were: (1) health journeys; (2) the ripple effect of helping; (3) the destabilising effect of organizational pressures; and (4) context matters to how the programme was received. Each main theme was developed and supported by multiple subthemes explored herein. The results indicated BOS was well-received and helpful to participants at various career stages while furthering the discourse on mental health in PSP and HCP workplaces; however, difficulties were reported related to persistent stigma around mental health injuries. Organizational policies and systemic strains appear to be key contextual determinants and barriers.

Indexed as

Health PersonnelMental HealthOccupational StressStress Disorders, Post-TraumaticAdultCanadaFemaleHumansMaleMiddle AgedProgram EvaluationQualitative ResearchResilience, Psychologicalbefore operational stresshealthcaremental healthpublic safety personnelqualitativeresiliencetemplate analysis

Identifiers

PMID40751599
PMCPMC12317665

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.