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Completed

NCT Number: NCT05451225

Survey of Correction Officers Before and After a Targeted Education Campaign

The investigators will implement a multifaceted Target Education Campaign (TEC) within the three jails about recognizing early psychotic symptoms and referring to the Correctional Health Services. This campaign will include print materials and targeted trainings for Correction Officers. To develop all aspects of the TEC, the investigators will convene a workgroup, meeting biweekly for the first 6 months, including the entire investigative team, as well as experts at the Center for Practice Innovations (CPI). Depending on the nature of agreed-upon educational materials, the investigators will use specific areas of expertise at CPI for development. Materials will provide specific, actionable, and persuasive messaging about: (1) how to identify select signs of psychosis, (2) how to refer to the Specialized Early Engagement Support Service (SEESS) (in year 2), and (3) the effectiveness of early treatment through coordinated specialty care for early psychosis. Messaging will be continuous in the three jails.

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Key information

Conditions

Work-Related Condition

Age range

21 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Columbia University

New York, 10027, United States

About this study

Because Correction Officers in the three jails of interest are critically positioned to influence pathways to care, print materials will be supplemented with professional outreach and education by the SEESS. Roll-call is the approved venue by which all ongoing education happens for Correction Officers. Roll-calls take place at the beginning of each shift (7am, 3pm, 11pm) every day of the week in the same location and last ~ 15 - 20 minutes; all staff starting that shift attend. During roll-call, brief messages (2-3 minutes) will be delivered by the Controlling Captains, which is the standard practice for communicating important information to Correction Officers. Both daytime and overnight shifts will receive the targeted training for the 24 months of the TEC.

The investigators will collect pre-TEC (baseline) and during-TEC (at 6 months and 12 months) data from Correction Officers through brief surveys, which will be used to test changes in mean scores for knowledge, behavioral expectations, and self-efficacy, which are three key constructs from Social Cognitive Theory.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Correction Officers;
  • over the age of 21

Exclusion criteria

  • children under the age of 21 years

Treatment and study plan

Targeted Educational Campaign

Behavioral

Correction Officers will be exposed to the Targeted Educational Campaign (TEC) with the aim to increase their knowledge about the early symptoms of psychosis, and how to make a referral to the Correction Health Services staff, their self-efficacy to detect symptoms of psychosis and make referrals, and their expectations about their ability to be successful in making that referral (and for referrals to result in beneficial outcomes).

Correction Officers will be approached and recruited during roll call and in the staff canteen where they take their meal breaks, or at a time/location agreed upon by the Department of Correction, to complete brief surveys at three different times; pre-exposure, after 6 months, and after 12 months from the beginning of the TEC.

Primary outcomes

  1. Correction Officers' Knowledge at Baseline

    Time frame: Baseline

    Survey-based scores on knowledge/skills at baseline.

    To measure behavioral capability (knowledge/skills), the investigators used the Correction Officers' Behavioral Capability Scale, which has a minimum value of 0 and maximum value of 10. Higher scores mean better knowledge about psychosis and therefore a better outcome.

  2. Correction Officers' Knowledge at 6 Months

    Time frame: 6 months

    Survey-based scores on knowledge/skills at 6-months.

    To measure behavioral capability (knowledge/skills), the investigators used the Correction Officers' Behavioral Capability Scale, which has a minimum value of 0 and maximum value of 10. Higher scores mean better knowledge about psychosis and therefore a better outcome.

  3. Correction Officers' Knowledge at 12 Months

    Time frame: 12 months

    Survey-based scores on knowledge/skills at 12-months.

    To measure behavioral capability (knowledge/skills), the investigators used the Correction Officers' Behavioral Capability Scale, which has a minimum value of 0 and maximum value of 10. Higher scores mean better knowledge about psychosis and therefore a better outcome.

  4. Correction Officers' Behavioral Expectations at Baseline

    Time frame: Baseline

    Survey-based scores on behavioral expectations at baseline.

    To measure expectation, the investigators used the Correction Officers' Expectations Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.

  5. Correction Officers' Behavioral Expectations at 6 Months

    Time frame: 6 months

    Survey-based scores on behavioral expectations at 6-months

    To measure expectation, the investigators used the Correction Officers' Expectations Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.

  6. Correction Officers' Behavioral Expectations at 12 Months

    Time frame: 12 months

    Survey-based scores on behavioral expectations at 12 months.

    To measure expectation, the investigators used the Correction Officers' Expectations Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.

  7. Correction Officers' Self-Efficacy at Baseline

    Time frame: Baseline

    Survey-based scores on self-efficacy at baseline.

    To measure self-efficacy, the investigators used the Correction Officers' Self-Efficacy Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.

  8. Correction Officers' Self-Efficacy at 6 Months

    Time frame: 6 months

    Survey-based scores on self-efficacy at 6-months.

    To measure self-efficacy, the investigators used the Correction Officers' Self-Efficacy Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.

  9. Correction Officers' Self-Efficacy at 12 Months

    Time frame: 12 months

    Survey-based scores on self-efficacy at 12-months.

    To measure self-efficacy, the investigators used the Correction Officers' Self-Efficacy Scale, which has a minimum value of 8 and a maximum value of 32. Higher scores mean a better outcome.

Sponsors and collaborators

Lead sponsor

Columbia University

Other

Collaborators

  • National Institute of Mental Health (NIMH)
  • University of Illinois at Chicago
  • University of South Florida
  • Vera Institute of Justice

Registry information

Official study title

Reducing Duration of Untreated Psychosis Through Early Detection in a Large Jail System - Surveys of Correction Officers

Acronym: COsurvey

Important dates

Study start
2020
Primary completion
2021
Study completion
2022
First posted
Jul 11, 2022
Registry last updated
Oct 25, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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