Behavior and Behavior MechanismsNCT07860164
Improving Officer and Civilian Health
A study testing Software enabled assistance in people with Behavior and Behavior Mechanisms and Social Sciences, run by Healthy Tarrant County Collaboration at 1 site in United States.
Trial summary
As a profession, law enforcement produces unique occupational health outcomes for officers and civilians. To date, most studies have focused on improving health outcomes related to law enforcement from a microlevel perspective, with particular attention to individual and behavioral factors. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Behavior and Behavior Mechanisms, Social Sciences, Human Activities
- What is being tested?
- Software enabled assistance
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 108 participants
- Where
- 1 siteUnited States
- Study dates
- 1 Jul 2026to 19 Sep 2028
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- All Aims: Individuals who speak English.
- All Aims: Individuals who are at least 18 years or older.
- Aim 1a, Aim 2a, Aim 2b, Aim 2c: Law enforcement officers from the Tarrant County Sheriff's Department who have been in their role for six months or longer.
- Aim 1b: Staff members in the Tarrant County District Attorneys in office who have been in their role for one year or longer.
- Aim 1c: Hospital emergency department staff who have been in their position for at least one year.
- Aim 1c: Elected officials who have been in their position for at least one year.
- Aim 1c: 911 Dispatchers who have been in their position for at least one year.
- Aim 1c: Employees with the Tarrant County mental health authority
Who cannot join
- All Aims: Individuals who do not speak English.
- All Aims: Individuals under the age of 18.
- Aim 1a, Aim 2a, Aim 2b, Aim 2c: Individuals not currently employed by the Tarrant County Sheriff's Department or have not been employed for at least six months in the department.
- Aim 1b: District Attorneys outside of Tarrant County or have not been in their position for at least 6 months.
- Aim 1c: Elected officials who have not been in their position for one year or work outside of Tarrant County.
- Aim 1c: Hospital emergency department staff who have not been in their position for at least one year.
- Aim 1c: 911 Dispatchers who have been in their position for at least one year.
- Aim 1c: Employees with the Tarrant County mental health authority who have not been in their position for at least one year. -
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United States1 site, 1 recruiting
- Recruiting
Healthy Tarrant County Collaboration
Fort Worth, Texas, 76103
Linda Fulmer, M.Ed., 817-451-8740, lindafulmer@sbcglobal.net
Tamara Johnson, BS, 214-552-5456, tjohnson@ensoapothecary.com
About this study
Official title: Improving Officer and Civilian Health Improving Officer and Civilian Health Through Macro-level Changes in North Texas: Phase 2: Intervention Pilot Testing
As a profession, law enforcement produces unique occupational health outcomes for officers and civilians. To date, most studies have focused on improving health outcomes related to law enforcement from a microlevel perspective, with particular attention to individual and behavioral factors. Such a focus misses the broader macro-level factors that perpetuate occupational harms. To address this gap, this study uses the PRECEDE-PROCEED model of intervention development to examine modifiable macro-level factors contributing to adverse occupational health outcomes for law enforcement and civilians. Using a mixed-method design and partnering with local law enforcement agencies, the investigators will implement and test an intervention to reduce occupational health harms related to law enforcement.
Read the detailed description
The study examines the acceptability and feasibility of three intervention components aimed at improving officer well-being and civilian outcomes: 1) a novel conversational AI software that interacts with officers during civilian interactions; 2) digitization of cite and release paperwork; and 3) an alternate response unit for calls not needing officer response. The first two intervention components will be implemented and piloted, while the alternative response unit will be evaluated solely for acceptability and feasibility.
This mixed-methods, solutions-oriented prospective cohort study has the following aims: Aim 1a: Determine the acceptability and feasibility of using AI to reinforce officers' de-escalation training, avoid using force, increase cite and release when eligible, and refer civilians to behavioral health, public health, and social service organizations. Aim 1b: Assess the acceptability and feasibility of digitizing required paperwork to reduce arrests for low-level offenses where arrests are not statutorily required. Aim 1c: Determine the acceptability and feasibility of an alternate response unit for behavioral health 911 calls, emphasizing stakeholder inquiry to assess appropriateness and potential impact. Aim 2a: Pilot AI software and evaluate outcomes related to use of force, citations instead of arrests, and referrals to social, behavioral, and public health services, assessing how implementation processes influence effectiveness. Aim 2b: Pilot digitized cite \& release paperwork, evaluating arrest and citation outcomes, with a focus on workflow adoption and officer behavior change. Aim 2c: Reduce officers' moral injury by empowering citation over arrest for eligible civilians, examining how the intervention and support processes affect individual well-being (job satisfaction, depression, and anxiety).
- Being tested
- Software enabled assistance
- Medical subject headings
- Behavior
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Software enabled assistanceBehavioural
Software enabled analysis to identify heightened stress level in police indicating a need for additional support to facilitate their well-being leading to improved job performance.
| Study group | Role | What they receive |
|---|---|---|
| Use of AI | Active comparator | Use of an AI assistant by police to reduce use of force and traumatizing experiences. Receives: Behavioral: Software enabled assistance |
| Digitizing Cite & Release Paperwork | Active comparator | Putting a paper form into digital format to increase ease of use of the citation over arrest process. Receives: Behavioral: Software enabled assistance |
| Alternative Response Unit | Active comparator | Acceptability and feasibility study to determine local political willingness to pilot test a stand-alone alternate response unit to respond to behavioral health crisis calls. Receives: Behavioral: Software enabled assistance |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Citation Eligible Offenses Resolved Via Citation versus Arrest
Count of citation-eligible misdemeanor offenses resolved through citation/cite-and-release versus arrest, as recorded in agency arrest/CAD data.
Measured: Through the study completion, approximately 3 years.
Number of Use of Force Incidents
Total number of use-of-force incidents recorded in agency administrative data, reviewed retrospectively (pre-intervention) and prospectively throughout the intervention period.
Measured: Through the study completion, approximately 3 years.
Generalized Anxiety and Depression Scale
PHQ9 GAD7 - Generalized Anxiety and Depression Scale; Surveys will be adapted for the audience.
Measured: Baseline and follow-up estimated at six months.
Moral Injury Events Scale for Law Enforcement (MIES-LE)
Assesses law enforcement exposure to events that may create moral injury. Survey will be adapted to the audience.
Measured: Baseline & follow-up estimated six months apart
The Operational Police Stress Questionnaire
PSQ-OP - The Operational Police Stress Questionnaire. Surveys will be adapted for audience.
Measured: Baseline with follow-up estimated at six months.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Oct 2026
- Study start1 Jul 2026
- Primary completion19 Sep 2028 (estimated)
- Study completion19 Sep 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Behavior and Behavior MechanismsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 108 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Healthy Tarrant County Collaboration
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Nolan Kline, PhD, MPH, CPH, Principal investigator, University of Central Florida
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07860164
- Sponsor's protocol ID
- STUDY00008634
- Other IDs
- 3OT2OD035659-01S3
- Status last verified
- Sep 2026
- First submitted
- 13 May 2026
- Last updated
- 6 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: All IPD collected throughout the trial shared with the research team members. No IPD will be shared in publication or outside the research team.
Study at a glance
From the registry record, last updated by the sponsor on 6 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Improving Officer and Civilian Health Improving Officer and Civilian Health Through Macro-level Changes in North Texas: Phase 2: Intervention Pilot Testing
- ClinicalTrials.gov ID
- NCT07860164
- Acronym / sponsor ID
- STUDY00008634
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 108 participants (estimated)
- Lead sponsor
- Healthy Tarrant County CollaborationUniversity, hospital or other
- Study start
- 1 Jul 2026 (actual)
- Primary completion
- 19 Sep 2028 (estimated)
- Study completion
- 19 Sep 2028 (estimated)
- First posted
- 6 Oct 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
As a profession, law enforcement produces unique occupational health outcomes for officers and civilians. To date, most studies have focused on improving health outcomes related to law enforcement from a microlevel perspective, with particular attention to individual and behavioral factors. Such a focus misses the broader macro-level factors that perpetuate occupational harms. To address this gap, this study uses the PRECEDE-PROCEED model of intervention development to examine modifiable macro-level factors contributing to adverse occupational health outcomes for law enforcement and civilians. Using a mixed-method design and partnering with local law enforcement agencies, the investigators will implement and test an intervention to reduce occupational health harms related to law enforcement.
Detailed description
The study examines the acceptability and feasibility of three intervention components aimed at improving officer well-being and civilian outcomes: 1) a novel conversational AI software that interacts with officers during civilian interactions; 2) digitization of cite and release paperwork; and 3) an alternate response unit for calls not needing officer response. The first two intervention components will be implemented and piloted, while the alternative response unit will be evaluated solely for acceptability and feasibility.
This mixed-methods, solutions-oriented prospective cohort study has the following aims: Aim 1a: Determine the acceptability and feasibility of using AI to reinforce officers' de-escalation training, avoid using force, increase cite and release when eligible, and refer civilians to behavioral health, public health, and social service organizations. Aim 1b: Assess the acceptability and feasibility of digitizing required paperwork to reduce arrests for low-level offenses where arrests are not statutorily required. Aim 1c: Determine the acceptability and feasibility of an alternate response unit for behavioral health 911 calls, emphasizing stakeholder inquiry to assess appropriateness and potential impact. Aim 2a: Pilot AI software and evaluate outcomes related to use of force, citations instead of arrests, and referrals to social, behavioral, and public health services, assessing how implementation processes influence effectiveness. Aim 2b: Pilot digitized cite \& release paperwork, evaluating arrest and citation outcomes, with a focus on workflow adoption and officer behavior change. Aim 2c: Reduce officers' moral injury by empowering citation over arrest for eligible civilians, examining how the intervention and support processes affect individual well-being (job satisfaction, depression, and anxiety).
Study design
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Use of AI | Active comparator | Behavioral: Software enabled assistanceUse of an AI assistant by police to reduce use of force and traumatizing experiences. |
| Digitizing Cite & Release Paperwork | Active comparator | Behavioral: Software enabled assistancePutting a paper form into digital format to increase ease of use of the citation over arrest process. |
| Alternative Response Unit | Active comparator | Behavioral: Software enabled assistanceAcceptability and feasibility study to determine local political willingness to pilot test a stand-alone alternate response unit to respond to behavioral health crisis calls. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- All Aims: Individuals who speak English.
- All Aims: Individuals who are at least 18 years or older.
- Aim 1a, Aim 2a, Aim 2b, Aim 2c: Law enforcement officers from the Tarrant County Sheriff's Department who have been in their role for six months or longer.
- Aim 1b: Staff members in the Tarrant County District Attorneys in office who have been in their role for one year or longer.
- Aim 1c: Hospital emergency department staff who have been in their position for at least one year.
Key exclusion criteria (8 listed)
- All Aims: Individuals who do not speak English.
- All Aims: Individuals under the age of 18.
- Aim 1a, Aim 2a, Aim 2b, Aim 2c: Individuals not currently employed by the Tarrant County Sheriff's Department or have not been employed for at least six months in the department.
- Aim 1b: District Attorneys outside of Tarrant County or have not been in their position for at least 6 months.
- Aim 1c: Elected officials who have not been in their position for one year or work outside of Tarrant County.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Software enabled assistanceSoftware enabled analysis to identify heightened stress level in police indicating a need for additional support to facilitate their well-being leading to improved job performance. | Behavioural | Alternative Response Unit, Digitizing Cite & Release Paperwork, Use of AI |
Primary outcome
Number of Citation Eligible Offenses Resolved Via Citation versus Arrest
Time frame: Through the study completion, approximately 3 years.
Count of citation-eligible misdemeanor offenses resolved through citation/cite-and-release versus arrest, as recorded in agency arrest/CAD data.
Number of Use of Force Incidents
Time frame: Through the study completion, approximately 3 years.
Total number of use-of-force incidents recorded in agency administrative data, reviewed retrospectively (pre-intervention) and prospectively throughout the intervention period.
Generalized Anxiety and Depression Scale
Time frame: Baseline and follow-up estimated at six months.
PHQ9 GAD7 - Generalized Anxiety and Depression Scale; Surveys will be adapted for the audience.
Moral Injury Events Scale for Law Enforcement (MIES-LE)
Time frame: Baseline & follow-up estimated six months apart
Assesses law enforcement exposure to events that may create moral injury. Survey will be adapted to the audience.
The Operational Police Stress Questionnaire
Time frame: Baseline with follow-up estimated at six months.
PSQ-OP - The Operational Police Stress Questionnaire. Surveys will be adapted for audience.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Oct 2026.
- Individual participant dataSharing planned: Yes. All IPD collected throughout the trial shared with the research team members. No IPD will be shared in publication or outside the research team.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Nolan Kline, PhD, MPH, CPH principal investigator
University of Central Florida
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Software enabled assistance in people with Behavior and Behavior Mechanisms and Social Sciences, run by Healthy Tarrant County Collaboration at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 6 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Linda Fulmer, M.Ed. (817-451-8740, lindafulmer@sbcglobal.net), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Citation Eligible Offenses Resolved Via Citation versus Arrest (time frame: Through the study completion, approximately 3 years.). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Oct 2026.