Feasibility and acceptability of mindfulness-based resilience training for problematic alcohol use, mental health, and aggression in rural law enforcement officers

维持治安所固有的压力既影响警官的健康，也影响他们各自的安全。 社区.我们目前和以前的研究表明，基于正念的复原力 培训（MBRT）导致执法人员（LEO）心理健康和 行为结果，包括饮酒和攻击。在我们当前的多站点R01中 MBRT的可行性试验，我们成功地达到了关键的可行性和可接受性基准 在城市和郊区的低地球轨道样本中。缺乏的是可行性的探索， 接受农村低收入国家，谁面临独特的压力和挑战，以及整合 以证据为基础的预防性干预组成部分，直接针对有问题的酒精使用。 生活在农村社区的个人被视为健康差距的目标人群 research.农村低收入国家经历着农村人口特有的压力因素，如孤立和 工作角色超负荷，但往往有较少的资源，包括较少的压力 管理培训和精神卫生保健，与城市和郊区相比， 同行高压力加上低资源支持的心理组合 健康和表现可能导致对适应不良行为的依赖增加，例如 过度饮酒事实上，低收入人群的饮酒率不成比例地高， 不仅影响他们自己的健康和福祉，而且还加剧了压力对他们的影响。 在重大事件中的侵略和过度使用武力。初步证据显示 相对于城市而言，在农村低地球轨道卫星中可能更成问题。拟议补编 支持在资源不足的国家收集关于MBRT可行性和可接受性的数据。 农村LEO为进一步适应提供信息，以更好地服务于这一社区。另外我们 建议整合基于证据的正念干预的具体要素， 物质使用障碍，以明确解决有问题的酒精使用和相关的 农村LEO之间的后果，增强MBRT对军官健康的影响，反过来， 减少侵略和在重大事件中过度使用武力。完成补充 aims将加强对一项干预措施的多地点试验的支持， 减少攻击，提高城市、郊区和农村低收入者的健康和福祉 以及他们所服务的社区。

The stress inherent to policing affects both officer health as well as the safety of their respective communities. Our current and previous research has shown that Mindfulness-Based Resilience Training (MBRT) leads to improvement in law enforcement officer (LEO) mental health and behavioral outcomes, including alcohol use and aggression. In our current multisite R01 feasibility trial of MBRT, we have successfully met key feasibility and acceptability benchmarks in urban and suburban LEO samples. What is lacking is exploration of feasibility and acceptability in rural LEOs, who face unique stressors and challenges, and an integration of evidence-based preventive intervention components to directly target problematic alcohol use. Individuals living in rural communities are recognized as a target population for health disparities research. Rural LEOs experience stressors specific to rural populations such as isolation and work-role overload, yet often have fewer resources, including less access to stress management trainings and mental health care, compared to their urban and suburban counterparts. The combination of high stress coupled with low resources supporting mental health and performance may lead to increased reliance on maladaptive behaviors, such as excessive alcohol use. Indeed, LEOs have disproportionately higher rates of alcohol use, not only affecting their own health and wellbeing but also exacerbating effects of stress on aggression and excessive force in critical incidents. Preliminary evidence suggests alcohol use may be more problematic among rural, relative to urban, LEOs. The proposed supplement would support collection of data on feasibility and acceptability of MBRT in under-resourced rural LEOs to inform further adaptations to better serve this community. Additionally, we propose to integrate specific elements of an evidence-based mindfulness intervention for substance use disorders to explicitly address problematic alcohol use and associated consequences among rural LEOs, enhancing effects of MBRT on officer health, and in turn reducing aggression and excessive use of force in critical incidents. Completion of supplement aims will strengthen support for a multisite trial of an intervention that holds great potential to reduce aggression and increase health and wellbeing among urban, suburban and rural LEOs and the communities they serve.