The purpose of this study is to demonstrate the feasibility of augmenting existing/traditional Navy military training with the manualized SIT Core Protocol (CP) utilizing the established augmentation procedure set as measured by feasibility, utility, and satisfaction metrics (CSQ-8) and to examine the relative effectiveness of the SIT-CP by comparison to standard military training in a controlled trial examining outcomes of stress tolerance, psychological health, resilience and occupational performance in Sailors undergoing DCA Firefighting Training (pre- to post-training), while collecting implementation data.
US Navy service members on Active Duty or Reserve status
be fluent in English.
be capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form and in this protocol.
have access to a SmartPhone, computer, or tablet to utilize and access the virtual classroom.
Active suicidal ideation as assessed by the Investigator at screening or as identified during the study.
Clinically significant history of psychotic disorder, bipolar spectrum disorder, or neurodegenerative disease/dementia as assessed by the Investigator.
Active severe substance abuse as assessed by the investigator in accordance with The Diagnostic and Statistical Manual of Mental Illnesses (DSM-5) Substance Abuse Disorder criteria, or presence of illicit substance abuse.
They are currently undergoing another form of treatment other than supportive therapy (>2 times per month).
Parallel
SIT
BehavioralParticipants will undergo 2 day (8 hours each) Stress Inoculation Training . This will be done in 3 steps: Step 1: focus on education about the human body and brain and shift to hands on skills practice to improve performance in stressful conditions and is designed to improve self-and-situational awareness and the ability to manipulate reactions and responses in the body on purpose to enhance performance Step 2: focuses on improving mental self-awareness and gaining skills in Mental Agility and Mental Flexibility Step 3: participants will have specific simulations and real-world opportunities to practice the skills learnt.
DCA-FF
BehavioralParticipants will undergo 8-week Standard Firefighting Training
Changes in perceived management of stress as assessed by the Perceived Stress Scale (PSS)
This is a 10 item questionnaire and each is scored a 5 -point likert scale from 0(never) to 4(very often) for a score range of 0 to 40, higher total scores indicate higher perceived stress.
Change in resilience as assessed by the Connor-Davidson Resilience Scale (CD-RISC)
This is a 25 item questionnaire and each is scored on a 5-point Likert scale ranging from 0 (Not true at all) to 4 (True nearly all the time) for a maximum score of 100 higher score indicating more resilience
Successful presentation of the element in the training module as assessed by the SIT Feasibility Rubric
This is a is a dichotomous measure (1-successful vs. 0-unsuccessful)
Successful presentation of the element in the training module as assessed by the SIT Feasibility Rubric
This is a is a dichotomous measure (1-successful vs. 0-unsuccessful)
level of confidence with delivering the training elements within the Module and the full Module as assessed by the SIT Feasibility Rubric
This is scored on a likert scale from 1(low) to 5(high)
level of confidence with delivering the training elements within the Module and the full Module as assessed by the SIT Feasibility Rubric
This is scored on a likert scale from 1(low) to 5(high)
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The University of Texas Health Science Center, Houston
Lead sponsor
Congressionally Directed Medical Research Programs
Collaborator
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