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      Workplace Reintegration Facilitator Training Program for Mental Health Literacy and Workplace Attitudes of Public Safety Personnel: Pre-Post Pilot Cohort Study

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          Abstract

          Background

          Public safety personnel (PSP) impacted by operational stress injuries can find themselves needing both time off work and support reintegrating back into the workforce. Work reintegration programs have been introduced in PSP organizations to support those who aim to return to work. One such peer-led workplace reintegration program (RP) was created in 2009 by members of the Edmonton Police Service (EPS). The primary goal of the EPSRP is to assist PSP in returning to work as soon as possible following a critical incident, illness, or injury while diminishing the potential for long-term psychological injury. The EPSRP is delivered by peers through 3 interrelated components: (1) the Reintegration Program Facilitator Training (RPFT) Program; (2) a short-term Critical Incident RP; and (3) a long-term RP. There is a dire need for research that incorporates strong study designs to the determine long-term effectiveness of the program on increasing workplace reintegration, improving mental health knowledge, and creating culture change within PSP organizations. Simultaneously, the efficacy, effectiveness, and fidelity of the RPFT in providing the tools, mental health knowledge, and skills the RP peer facilitators will need for the RP must be evaluated.

          Objective

          The purpose of this quasi-experimental pre-post pilot cohort study is to evaluate the effectiveness of the EPSRPFT course on influencing mental health knowledge and attitudes of RPFT attendees who will be future RP peer facilitators.

          Methods

          This pre-post cohort study collected data via 2 questionnaires from RPFT participants (N=60) which included the Mental Health Knowledge Survey (MAKS) and the Open Minds Survey of Workplace Attitudes (OMSWA). Descriptive, parametric (sample t tests), and nonparametric (Wilcoxon signed rank tests) statistics were used to compare the pre- and post-RPFT results and to analyze results by gender and profession.

          Results

          Statistically significant changes were observed in pre-post questionnaire scores in the domains of mental health attitudes and knowledge.

          Conclusions

          Although results are explorative, the RPFT may facilitate positive changes in workplace mental health attitudes and knowledge among PSP. It is hoped these findings will contribute to a broader evidence base that can inform changes to the program, practices, and policies, and inform decision-making regarding the EPSRP.

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          Most cited references35

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          Designing and conducting mixed methods research

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            How to Construct a Mixed Methods Research Design

            This article provides researchers with knowledge of how to design a high quality mixed methods research study. To design a mixed study, researchers must understand and carefully consider each of the dimensions of mixed methods design, and always keep an eye on the issue of validity. We explain the seven major design dimensions: purpose, theoretical drive, timing (simultaneity and dependency), point of integration, typological versus interactive design approaches, planned versus emergent design, and design complexity. There also are multiple secondary dimensions that need to be considered during the design process. We explain ten secondary dimensions of design to be considered for each research study. We also provide two case studies showing how the mixed designs were constructed.
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              Theories of behaviour and behaviour change across the social and behavioural sciences: a scoping review

              Interventions to change health-related behaviours typically have modest effects and may be more effective if grounded in appropriate theory. Most theories applied to public health interventions tend to emphasise individual capabilities and motivation, with limited reference to context and social factors. Intervention effectiveness may be increased by drawing on a wider range of theories incorporating social, cultural and economic factors that influence behaviour. The primary aim of this paper is to identify theories of behaviour and behaviour change of potential relevance to public health interventions across four scientific disciplines: psychology, sociology, anthropology and economics. We report in detail the methodology of our scoping review used to identify these theories including which involved a systematic search of electronic databases, consultation with a multidisciplinary advisory group, web searching, searching of reference lists and hand searching of key behavioural science journals. Of secondary interest we developed a list of agreed criteria for judging the quality of the theories. We identified 82 theories and 9 criteria for assessing theory quality. The potential relevance of this wide-ranging number of theories to public health interventions and the ease and usefulness of evaluating the theories in terms of the quality criteria are however yet to be determined.
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                Author and article information

                Contributors
                Journal
                JMIR Form Res
                JMIR Form Res
                JFR
                JMIR Formative Research
                JMIR Publications (Toronto, Canada )
                2561-326X
                April 2022
                26 April 2022
                : 6
                : 4
                : e34394
                Affiliations
                [1 ] Heroes in Mind, Advocacy and Research Consortium Faculty of Rehabilitation Medicine University of Alberta Edmonton, AB Canada
                [2 ] Department of Psychiatry Leiden University Medical Centre Leiden Netherlands
                [3 ] Alberta Health Services Edmonton, AB Canada
                [4 ] Department of Occupational Therapy Faculty of Rehabilitation Medicine University of Alberta Edmonton, AB Canada
                Author notes
                Corresponding Author: Chelsea Jones cweiman@ 123456ualberta.ca
                Author information
                https://orcid.org/0000-0001-7713-4099
                https://orcid.org/0000-0003-3712-0674
                https://orcid.org/0000-0003-3132-4676
                https://orcid.org/0000-0002-6607-7655
                https://orcid.org/0000-0003-4167-1815
                Article
                v6i4e34394
                10.2196/34394
                9092236
                35471413
                44b1b020-f260-4f90-a21f-912d5cf30618
                ©Chelsea Jones, Lorraine Smith-MacDonald, Ashley Pike, Katherine Bright, Suzette Bremault-Phillips. Originally published in JMIR Formative Research (https://formative.jmir.org), 26.04.2022.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on https://formative.jmir.org, as well as this copyright and license information must be included.

                History
                : 20 October 2021
                : 26 February 2022
                : 9 March 2022
                : 25 March 2022
                Categories
                Original Paper
                Original Paper

                public safety personnel,mental health,return to work,reintegration,first responders

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