Feasibility Trial of a Mindfulness-basedmHealth Intervention to Mitigate the Effects of Chronic Workplace Stress among Juvenile Justice Officers

少年司法官员（JJO）-负责每年在美国逮捕的100多万青年-脸 异常高的长期工作压力。这种压力与一系列不良后果有关 由情绪失调所支撑：抑郁、焦虑和工作倦怠。重要的是，JJO员工 由黑人/非裔美国人和拉丁裔雇员组成，这些群体面临着不平等， 与其他种族/民族背景的同龄人相比，心理健康症状和倦怠。干预措施 解决JJO长期工作压力的影响，从而产生有意义的公共健康 同时帮助解决健康差距。基于正念的干预措施（MBI）改善情绪 调节和减少抑郁，焦虑和倦怠。JJO对MBIs表现出浓厚的兴趣，这可能是 通过移动的健康（mHealth）技术在工作日为员工量身定制并提供。这个项目 将根据企业支持的适应目标，调整MBI智能手机应用程序，以交付给JJO， 将进行可行性临床试验。它将建立在并行程序和技术上， NIH奖，以适应和测试MBI应用程序被捕的青年，提供一个独特的，高效的，具有成本效益的 机会这项研究将在美国第二大少年司法系统芝加哥库克县进行， 在那里，研究小组已经进行了18年的NIH资助的研究。指导适应和实施 该团队将进行基于理论驱动的实施科学的关键线人访谈 框架.面试将在个人（JJO）和组织（领导）两个层面进行。球队 我将与专业程序员合作，将采访结果翻译成一个安全的应用程序， 现有的源代码。对于可行性临床试验，JJO（n=50）将被单独随机分配使用 适应MBI应用程序或同等强度的控制应用程序，每天30天。应用内分析将捕捉客观使用情况 每个app的特点将采用适应性干预设计来吸引这两个应用程序的非用户， 由此指示未使用的分析数据将触发增强的参与策略的递送（例如，文本 鼓励使用）。将在基线时评估JJO的心理健康症状和倦怠， 1个月，6个月，通过自我报告。JJO还将完成为期1周的生态瞬时评估“突发事件” (EMA)在基线和1个月时的客观背景和情感状态，以捕获 目标（即，情绪失调）在工作场所。1个月后，JJO和领导层将报告 可接受性和可行性，通过深入的，混合的方法设计。这项研究的完成将有助于建立 块的高影响力，大规模的试验，正式评估适应MBI应用程序。使用理论上- 驱动的实施科学原则加上mHealth技术将定位MBI应用程序， 在不同的少年司法系统中可持续和可扩展， 一线工人。

Juvenile justice officers (JJOs)—responsible for the over 1 million youth arrested each year in the U.S.—face exceptionally high chronic workplace stress. This stress is implicated in a constellation of adverse outcomes underpinned by emotion dysregulation: depression, anxiety, and workplace burnout. Importantly, JJO workforces are comprised heavily of Black/African American and Latinx employees, and these same groups face disparities in mental health symptoms and burnout compared with peers from other racial/ethnic backgrounds. Interventions that address the effects of chronic workplace stress among JJOs thus stand to yield meaningful public health benefit while helping redress health disparities. Mindfulness-based interventions (MBIs) improve emotion regulation and reduce depression, anxiety, and burnout. JJOs express strong interest in MBIs, which can be tailored and delivered to employees during their workdays via mobile health (mHealth) technology. This project will adapt an MBI smartphone app for delivery to JJOs based on empirically-supported adaptation targets, and will conduct a feasibility clinical trial. It will build on parallel procedures and technology developed through a prior NIH award to adapt and test an MBI app for arrested youth, offering a unique, efficient, and cost-effective opportunity. The study will take place in Chicago Cook County, the 2nd largest juvenile justice system in the U.S., where the study team has conducted NIH-funded research for 18 years. To guide adaptation and implementation of the app, the team will conduct key informant interviews rooted in a theoretically-driven implementation science framework. Interviews will be held on both the individual (JJO) and organizational (leadership) levels. The team will work with professional programmers to translate the interview findings into a secure app adapted from existing source code. For the feasibility clinical trial, JJOs (n=50) will be individually randomized to use the adapted MBI app or an equally intensive control app daily for 30 days. In-app analytics will capture objective use of each app feature. An adaptive intervention design will be employed to engage non-users of both apps, whereby analytics data indicating non-use will trigger delivery of an enhanced engagement strategy (e.g., text messages encouraging use). Mental health symptoms and burnout among JJOs will be assessed at baseline, 1, and 6 months via self-report. JJOs will also complete 1-week “bursts” of ecological momentary assessment (EMA) of their objective contexts and affective states at baseline and 1 month in order to capture the mechanistic target (i.e., emotion dysregulation) in the workplace. At 1 month, both JJOs and leadership will report on acceptability and feasibility via an in-depth, mixed-methods design. Completion of this study will develop building blocks for high-impact, large-scale trials that formally evaluate the adapted MBI app. The use of theoretically- driven implementation science principles coupled with mHealth technology will position the MBI app to be sustainable and scalable across diverse juvenile justice systems, improving the health trajectories of their frontline workers.