Evidence map›Paper›PMID 42323672›Full record

ArticleTrials2026

Impact and implementation evaluation of Stress First Aid for the Substance Use Outreach Workforce (SFA/SUOW): protocol of a hybrid type I cluster randomized control trial.

Anmol Desai, Katie A McCormick, Juliette Rau, Haresh Rochani, Patrick Chang, Richard J Westphal, Patricia J Watson, Kasey R Claborn, Justin K Benzer, Suzannah K Creech

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07177014 (Impact of Stress First Aid for Workers in Substance Misuse Settings), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT07177014 narecruitingnot on this map

Impact of Stress First Aid for Workers in Substance Misuse Settings

TypeinterventionalSponsorUniversity of Texas at AustinRan2025 to 2029Enrolled500ConditionsOccupational HealthArmsStress First Aid (SFA)
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Anmol DesaiDell Medical School, The University of Texas at Austin, Austin, TX, USA. anmol.desai@austin.utexas.edu.ORCID https://orcid.org/0000-0002-3952-1896
Katie A McCormickSchool of Social Work, The University of Texas at Austin, Austin, TX, USA.
Juliette RauDell Medical School, The University of Texas at Austin, Austin, TX, USA.
Haresh RochaniBiomedical Data Science Hub, The University of Texas at Austin, Austin, TX, USA.
Patrick ChangBiomedical Data Science Hub, The University of Texas at Austin, Austin, TX, USA.
Richard J WestphalSchool of Nursing, University of Virginia, Charlottesville, VA, USA.
Patricia J WatsonNational Center for PTSD, Dartmouth College, White River Junction, VA, USA.
Kasey R ClabornSchool of Social Work, The University of Texas at Austin, Austin, TX, USA.
Justin K BenzerDepartment of Management, Policy, and Community Health, School of Public Health, UTHealth Houston, Austin, TX, USA.
Suzannah K CreechDell Medical School, The University of Texas at Austin, Austin, TX, USA.

Funding

Testing an occupational stress intervention for harm reduction workers in substance misuse settingsR33DA059887 · NIDA · UNIVERSITY OF TEXAS AT AUSTIN · PI SUZANNAH K CREECH · 2026 to 2026
$721k
NIDA NIH HHS R33 DA059887
6 · The paper itself

Abstract

backgroundStress First Aid (SFA), an evidence-informed peer support intervention to address occupational stress, has been adapted to the needs of the substance use outreach workforce (SUOW) (SFA/SUOW) and pilot tested with initial positive outcomes. The goal of this study is to test and evaluate the effectiveness, implementation and sustainability of SFA/SUOW compared to a no treatment control condition in a hybrid-type I cluster-randomized controlled trial (RCT).

methodsApproximately 500 substance use outreach workers (SUOWs) and leaders from approximately 90 substance use outreach (SUO) organizations, Community Health Worker programs, and peer support programs arranged in 10 regions based on geographic co-location across Texas, Louisiana, Arkansas, Oklahoma, New Mexico, and tribal areas will be 50:50 randomized to the intervention group or the control group. Treatment will consist of a 2-hour virtual SFA training and up to six virtual 30-minute monthly learning collaboratives. All participants will be asked to complete a baseline assessment prior to randomization, and 2 follow-up assessments at 2-month and 6-month to assess occupational stress primary outcomes: 1) supervisor and coworker social support and 2) burnout. We will also assess use of SFA, job-related affective well-being, secondary traumatic stress, use of coping strategies, general self-efficacy, work engagement, turnover intention, and moral injury symptoms. Additionally, we will conduct interviews and focus groups with RCT participants, RCT non-participants, and addiction professional staff to evaluate the reach, effectiveness, adoption, implementation, and maintenance of SFA/SUOW. DISCUSSION: This RCT provides a robust trial of SFA/SUOW that has not been done before. The aim of the study will result in a national implementation plan to improve SUOWs well-being and subsequently improve quality care for persons who use drugs.

trial registrationThe study NCT07177014 is registered on clinicaltrials.gov https://clinicaltrials.gov/study/NCT07177014 . Registered on September 09, 2025.

Indexed as

Community Health WorkersOccupational StressSubstance-Related DisordersCoping SkillsHumansPeer GroupRandomized Controlled Trials as TopicSocial SupportTime FactorsBurnoutEffectiveness trialImplementation scienceOccupational stress interventionSocial supportSubstance use outreach workforce

Identifiers

PMID42323672
PMCPMC13531861

What OpenQuestion holds

Textmetadata
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.