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A police education programme to integrate occupational safety and HIV prevention: protocol for a modified stepped-wedge study design with parallel prospective cohorts to assess behavioural outcomes.

Strathdee SA, Arredondo J, Rocha T, Abramovitz D, Rolon ML, Patiño Mandujano E, Rangel MG, Olivarria HO, Gaines T, Patterson TL, Beletsky L - BMJ Open (2015)

Bottom Line: PEPs incorporating HIV prevention (including harm reduction programmes like syringe exchange) have been successfully piloted in several countries but were limited to brief pre-post assessments; the impact of PEPs on policing behaviours and occupational safety is unknown.Findings will be disseminated through open access to protocol materials through the Law Enforcement and HIV Network.NCT02444403.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, University of California San Diego, La Jolla, California, USA.

No MeSH data available.


Related in: MedlinePlus

Study design of Project ESCUDO (SHIELD).
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BMJOPEN2015008958F2: Study design of Project ESCUDO (SHIELD).

Mentions: ESCUDO was initially conceived as a modified stepped-wedge randomised controlled trial involving a staggered roll-out of the PEP where participants are randomly selected to transition from the control to intervention in classes of equal numbers over a 2-year period. However, since randomly assigning officers to PEP classes would interfere with the department's programmatic priorities, we modified the design to integrate the PEP into regularly scheduled refresher training classes that were being held for other purposes (eg, basic police tactics). The design we adopted maintains core features of a stepped wedge design, whereby the preintervention period for each officer is treated as the control. On a weekly basis, one cluster (ie, class of 20–50 officers from different ranks and precincts undergoing a regularly scheduled refresher training) will ‘step up’ and cross over from the control to the intervention condition by receiving PEP training, until the entire force of 1200 street-level officers is trained. As shown in figure 2, the incidence of NSIs (primary outcome, aim 1) and incidence of arrests near SEPs and drug treatment programmes (secondary outcome, aim 2) will be assessed for the entire police department based on de-identified data.


A police education programme to integrate occupational safety and HIV prevention: protocol for a modified stepped-wedge study design with parallel prospective cohorts to assess behavioural outcomes.

Strathdee SA, Arredondo J, Rocha T, Abramovitz D, Rolon ML, Patiño Mandujano E, Rangel MG, Olivarria HO, Gaines T, Patterson TL, Beletsky L - BMJ Open (2015)

Study design of Project ESCUDO (SHIELD).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4538275&req=5

BMJOPEN2015008958F2: Study design of Project ESCUDO (SHIELD).
Mentions: ESCUDO was initially conceived as a modified stepped-wedge randomised controlled trial involving a staggered roll-out of the PEP where participants are randomly selected to transition from the control to intervention in classes of equal numbers over a 2-year period. However, since randomly assigning officers to PEP classes would interfere with the department's programmatic priorities, we modified the design to integrate the PEP into regularly scheduled refresher training classes that were being held for other purposes (eg, basic police tactics). The design we adopted maintains core features of a stepped wedge design, whereby the preintervention period for each officer is treated as the control. On a weekly basis, one cluster (ie, class of 20–50 officers from different ranks and precincts undergoing a regularly scheduled refresher training) will ‘step up’ and cross over from the control to the intervention condition by receiving PEP training, until the entire force of 1200 street-level officers is trained. As shown in figure 2, the incidence of NSIs (primary outcome, aim 1) and incidence of arrests near SEPs and drug treatment programmes (secondary outcome, aim 2) will be assessed for the entire police department based on de-identified data.

Bottom Line: PEPs incorporating HIV prevention (including harm reduction programmes like syringe exchange) have been successfully piloted in several countries but were limited to brief pre-post assessments; the impact of PEPs on policing behaviours and occupational safety is unknown.Findings will be disseminated through open access to protocol materials through the Law Enforcement and HIV Network.NCT02444403.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, University of California San Diego, La Jolla, California, USA.

No MeSH data available.


Related in: MedlinePlus