The Primary Prevention of PTSD in Firefighters: Preliminary Results of an RCT with 12-Month Follow-Up
Open accessAbstract
AIM: To develop and evaluate an evidence-based and theory driven program for the primary prevention of Post-traumatic Stress Disorder (PTSD). DESIGN: A pre-intervention / post-intervention / follow up control group design with clustered random allocation of participants to groups was used. The "control" group received "Training as Usual" (TAU). METHOD: Participants were 45 career recruits within the recruit school at the Department of Fire and Emergency Services (DFES) in Western Australia. The intervention group received a four-hour resilience training intervention (Mental Agility and Psychological Strength training) as part of their recruit training school curriculum. Data was collected at baseline and at 6- and 12-months post intervention. RESULTS: We found no evidence that the intervention was effective in the primary prevention of mental health issues, nor did we find any significant impact of MAPS training on social support or coping strategies. A significant difference across conditions in trauma knowledge is indicative of some impact of the MAPS program. CONCLUSION: While the key hypotheses were not supported, this study is the first randomised control trial investigating the primary prevention of PTSD. Practical barriers around the implementation of this program, including constraints within the recruit school, may inform the design and implementation of similar programs in the future. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12615001362583.
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Other intervention-based studies exist but are not specific to full-time firefighters but rather recruit firefighters or first responders.
“Other intervention-based studies do exist; however, they are not specific to full-time firefighters but rather recruit firefighters (individuals employed by fire departments prior to becoming a full-time firefighter) or first responders (police, firefighters, EMS) [124,125,126].”
From The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review (2024) · cites this paper as [124]
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Sleep Latency and Post-Traumatic Stress Disorder Among Retired Career Florida Firefighters
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Firefighter Stressors: A Systematic Review on Individual, Occupational, and Environmental Stressors
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From research to the implementation of methods for the treatment and prevention of PTSD
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- Authors
- Skeffington, P. M., Rees, C. S., Mazzucchelli, T. G., & Kane, R. T.
- Affiliations
- Curtin University (AU)
- Corresponding author
- Skeffington, Petra M.
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2016-07-06
- Volume
- 11
- Issue
- 7
- Pages
- e0155873
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4934826
- OpenAlex
- W2461752678
- Cited by
- 84
- References
- 60
- Citations by year
- 2026: 1 · 2025: 10 · 2024: 8 · 2023: 5 · 2022: 11 · 2021: 20 · 2020: 12 · 2019: 7 · 2018: 5 · 2017: 5
- FWCI
- 7.59
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Murdoch University Research Portal (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- eSpace (Curtin University) (submittedVersion, cc-by)
- Figshare (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Performance
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- post-traumatic stress disorder, primary prevention, firefighters, resilience training, recruit training, trauma knowledge, social support, coping strategies, workplace mental health, fire and emergency services
- MeSH terms
- Adult, Female, Follow-Up Studies, Humans, Male, Primary Prevention, Research Design, Social Support, Stress Disorders, Post-Traumatic, Western Australia, Cluster Analysis, Evidence-Based Medicine, Firefighters
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