Recruiting

Observational Study

Sponsor:

Centre de Recherche de l'Institut Universitaire en santé Mentale de Montréal

Code:

NCT04202042

Conditions

Stress Disorders, Post-Traumatic

Acute Stress Disorder

Anxiety Disorders

Depressive Disorder

Substance Abuse

Eligibility Criteria

Sex: All

Age: 18 - 65

Healthy Volunteers: Accepted

Interventions

Psychological first aid

Usual organisational intervention

Study Details

Brief summary:

As part of their work, emergency first responders, such as paramedics and emergency medical dispatchers are exposed daily to traumatic events. These traumatic events can have many impacts on mental health, such as acute stress disorder and post-traumatic stress disorder. Research has shown that intervening early after exposure to a traumatic event helps to identify people at risk and to prevent post-traumatic stress disorder. The Psychological First Aid approach originally developed for mass traumas, is an intervention advocated by international experts today following a traumatic event. However, this approach is still very little studied, especially when it is part of an organization of emergency first responders. It therefore still lacks scientific validity. The main objective of this research will be to assess whether the Psychological First Aid program provided by peer-support workers helps to reduce the initial distress caused by traumatic events and to foster short- and long-term adaptive functioning and coping.

Conditions

Stress Disorders, Post-Traumatic

Acute Stress Disorder

Anxiety Disorders

Depressive Disorder

Substance Abuse

Study ID

NCT04202042

Start date

Oct 21, 2019

Status verified date

Dec, 2019

Completion date

Nov, 2020

Anticipated

Primary completion date

Jul, 2020

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18 - 65

Healthy Volunteers: Accepted

Inclusion Criteria:

  • Actively working at Urgence-Santé organization as paramedics or emergency medical dispatchers
  • Exposed to a traumatic event at work (after the baseline)

Exclusion Criteria:

- at high risk of suicidal behaviour

Study Design

Enrollment

70 participants

Anticipated

Allocation

Randomized

Intervention Model

Factorial

Primary purpose

Supportive Care

Interventions and Outcome Measures

Arms

experimental: Psychological first aid

PFA responders are trained to deliver 8 core actions in the aftermath of traumatic event (: contact and engagement, safety and comfort, stabilization, information gathering, practical assistance, connection with social supports, information on coping, and linkage with collaborative services (within the first 24 hours)

active comparator: Usual organisational intervention

One phone call by workplace psychologist (within the first 48 hours) and reference to employee aid program

Interventions

Psychological first aid

PFA responders (peer support workers) are trained to deliver 8 core actions: contact and engagement, safety and comfort, stabilization, information gathering, practical assistance, connection with social supports, information on coping, and linkage with collaborative services

Usual organisational intervention

Emergency intervention by workplace psychologist and limited therapeutic sessions with employee aid program

Primary outcome measure

  • Change in acute stress symptoms [ Time Frame: 2 times after exposure to the traumatic event; 48-72 hours (T1), 7 to 9 days (T2) ]
  • Change in post-traumatic stress symptoms [ Time Frame: Baseline (T0) + 2 times after exposure to the traumatic event; 30 to 32 days (T3), 90 to 95 days (T4) ]
  • Change in depressive symptoms [ Time Frame: 4 times after exposure to the traumatic event; 48-72 hours (T1), 7 to 9 days (T2), 30 to 32 days (T3), 90 to 95 days (T4) ]
  • Change in anxiety symptoms [ Time Frame: 4 times after exposure to the traumatic event; 48-72 hours (T1), 7 to 9 days (T2), 30 to 32 days (T3), 90 to 95 days (T4) ]
  • Change in substance abuse : alcohol [ Time Frame: 4 times after exposure to the traumatic event; 48-72 hours (T1), 7 to 9 days (T2), 30 to 32 days (T3), 90 to 95 days (T4) ]
  • Change in substance abuse : drug [ Time Frame: 4 times after exposure to the traumatic event; 48-72 hours (T1), 7 to 9 days (T2), 30 to 32 days (T3), 90 to 95 days (T4) ]

Central Contacts and Locations

Locations

Urgences-santé

Recruiting

Montréal, Quebec, Canada, H1P 0A4

Contacts

More Information

Sponsor

Centre de Recherche de l'Institut Universitaire en santé Mentale de Montréal

Last update posted

Dec 17, 2019

Last verified

Dec, 2019

Keywords

  • PFA
  • PTSD
  • Public safety personnel

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Centre de Recherche de l'Institut Universitaire en santé Mentale de Montréal on 2019-12-17.