FOREST (Fostering Optimal Regulation of Emotion for prevention of Secondary Trauma): Implementation and evaluation of a burnout prevention program for staff in gun violence prevention programs.

森林（促进最佳情绪调节以预防继发性创伤）：为枪支暴力预防计划中的工作人员实施和评估职业倦怠预防计划。

• 批准号: 10399176
• 负责人: JUDITH T MOSKOWITZ
• 金额: $ 40.7万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-17 至 2023-09-16
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10399176
• 关键词: Adoption; Adult; Anxiety; Chicago; Chronic stress; Client; Cognitive Therapy; Collaborations; Communities; Competence; Effectiveness; Evaluation; Evidence based intervention; Exploration, Preparation, Implementation, and Sustainment; Exposure to; Fostering; Foundations; Goals; Gun injury; Homicide; Individual; Interruption; Intervention; Interview; Job Satisfaction; Leadership; Left; Logic; Maintenance; Manuals; Measures; Mental Depression; Mental Health; Modeling; Monitor; Neighborhoods; Occupations; Outcome; Pain; Patient Self-Report; Personal Satisfaction; Persons; Phase; Population; Poverty; Preparation; Prevention program; Procedures; Process; Protocols documentation; Provider; Psychosocial Assessment and Care; Public Health; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Research; Resources; Risk; Secondary Prevention; Services; Site; Stress; Surveys; System; Testing; Training; Trauma; Unemployment; Violence; Well in self; Work; base; burnout; community engaged research; contextual factors; coping; design; effectiveness evaluation; effectiveness implementation study; effectiveness outcome; emotion regulation; evidence base; experience; forest; gun violence; high risk; implementation framework; implementation outcomes; implementation process; implementation research; implementation science; implementation strategy; implementation study; implementation trial; improved; innovation; mortality; outreach; physical conditioning; positive emotional state; post-traumatic stress; prevent; programs; prospective; randomized trial; resilience; response; scale up; skills; skills training; stress resilience; success; sustainability framework; tool; violence exposure; violence prevention

Project Summary READI Chicago is an innovative program designed to reduce gun violence by providing community-based outreach, psychosocial support, and job skills training to adults living in Chicago neighborhoods with some of the highest rates of unemployment, poverty, and firearm injury and mortality. The success of programs like READI is dependent on skilled, resilient staff who are able to sustain a supportive connection with their clients, yet exposure to chronic stress and trauma places front-line staff at risk of poorer psychological and physical health and burnout. Our team at Northwestern has developed a program that teaches skills for increasing positive emotions, even in the midst of stress. We have shown that these positive emotion skills can improve well-being, for example, by decreasing depression, anxiety, and pain. Related research suggests the program might also prevent burnout and job turnover, which is a concern for sustaining the intensive programs at READI Chicago. Building on this work and in collaboration with READI Chicago, we developed and pilot tested the FOREST (Fostering Optimal Regulation of Emotion to prevent Secondary Trauma) program to help front-line staff maintain well-being and reduce burnout. In the proposed R21, we will adapt FOREST to be delivered by trained staff from the three READI sites in Chicago and develop implementation and evaluation plans to lay the foundation for the R33. In the proposed R33, using a pilot implementation trial, we will study the delivery of FOREST by trained READI staff (the positive emotion ambassadors). Guided by the Exploration, Preparation, Implementation and Sustainment (EPIS) framework and integrating the Dynamic Adaptation Process (DAP), our overall goal is to develop, implement, and manualize the FOREST program and build capacity for READI Chicago to sustainably enhance resilience, prevent burnout, reduce turnover, and increase emotional well-being, job satisfaction and effectiveness among front-line providers and to set the foundation to sustain and disseminate the FOREST program to other gun violence prevention programs in Chicago and nationwide.

项目总结