The goal of this clinical trial is to determine if a peer-delivered emotion regulation training (Brief-Unified Protocol) workshop is effective for preventing posttraumatic stress and other psychological health symptoms in firefighter trainees. The main questions it aims to answer are: * Do firefighter recruits who receive peer-delivered Brief-Unified Protocol report lower PTSD symptom severity over time compared to those who receive psychoeducation? * Do firefighter recruits who receive peer-delivered Brief-Unified Protocol report lower AUD, depression, anxiety, and functional impairment symptom severity over time compared to those who receive psychoeducation? * Do changes in neuroticism or emotion regulation mediate the effect of receiving the Brief-Unified Protocol on the treatment outcomes? Participants will: * Participate in a Brief-Unified Protocol workshop or psychoeducation workshop during fire academy training. * Complete a questionnaire prior to the workshop. * Complete a questionnaire immediately following the workshop and follow up questionnaires at 6, 12, 18, and 24 months after completing the fire academy. Researchers will compare firefighters who receive a peer-delivered Brief-Unified Protocol workshop to firefighters who receive peer-delivered psychoeducation to see if the Brief-Unified Protocol is effective for preventing posttraumatic stress and other psychological health symptoms.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
480
The Brief Transdiagnostic Treatment of Emotional Disorders Unified Protocol.
Psychoeducation regarding mental health challenges in fire service.
MacArthur Clinic
Waco, Texas, United States
PTSD Symptoms
PTSD Checklist-5 (PCL-5). Score Range: 0-80. Higher scores indicate greater severity.
Time frame: 6, 12, 18, and 24 months
Alcohol Use Disorder symptoms
Alcohol Use Disorders Identification Test (AUDIT). Score Range: 0-40. Higher scores indicate a higher likelihood of alcohol dependence.
Time frame: 6, 12, 18, and 24 months
Depression symptoms
Patient Health Questionnaire (PHQ-9). Score Range: 0-27. Higher scores indicate greater severity.
Time frame: 6, 12, 18, and 24 months
Anxiety symptoms
Generalized Anxiety Disorder (GAD-7). Score Range: 0-21. Higher scores indicate greater severity.
Time frame: 6, 12, 18, and 24 months
Functional Impairment
Work and Social Adjustment Scale (WSAS). Score Range: 0-40. Higher scores indicate greater functional impairment.
Time frame: 6, 12, 18, and 24 months
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