Print

Purpose

The project is a pragmatic, quasi-experimental hybrid type II effectiveness-implementation trial of a structural HIV prevention intervention to address police behavior (arrests and referrals) and ultimately improve health among people who use drugs. The study involves a novel implementation strategy that engages behavioral health workers as "local champions" in the delivery of an evidence-based police education program (SHIELD training intervention). In addition to examining implementation outcomes, primary outcomes focus on assessing effectiveness of the intervention among police (specifically in reducing drug-related arrests and promoting referrals to Medications for Opioid Use Disorder (MOUD) treatment. The investigator's overarching effectiveness hypothesis is that after law enforcement organizations receive the SHIELD training intervention, they will be more likely to refer people who use drugs to MOUD treatment and other health and social services, rather than arresting them for low level possession offenses. The study will be conducted across different counties in Appalachian Kentucky.

Conditions

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • An adult over the age of 18 years old - Currently employed in a law enforcement agency in one of the nine counties participating in the trial

Exclusion Criteria

  • Only adult participants over the age of 18 will be recruited into the study, and we will not restrict eligibility based on gender, race, or any other socio-demographic characteristics.

Study Design

Phase
N/A
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Primary Purpose
Other
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
SHIELD 2.0 		SHIELD is an evidence-based police education training program. Participants in this study are law enforcement officers who will receive the SHIELD training modules.
  • Behavioral: SHIELD 2.0
    SHIELD is an evidence-based police education training program that has been demonstrated to change police behavior (arrest and referrals) and improve outcomes among police and people who use drugs in NIH-funded and other research studies. The original intervention delivery relied on academic teams, limiting sustainability and scalability. Our novel "SHIELD 2.0" implementation strategy aims to address these limitations by capacitating the local behavioral health workforce to implement the steps of the SHIELD process, specifically to complete the delivery of the SHIELD intervention to local police officers.

Recruiting Locations

UK Center for Clinical and Translational Science and nearby locations

University of Kentucky
Lexington, Kentucky 40506
Contact:
Carol White, MPH
859-562-2684
crwhit3@uky.edu

More Details

NCT ID
NCT07804121
Status
Recruiting
Sponsor
Johns Hopkins Bloomberg School of Public Health

Study Contact

Zach R Salazar, MPH
8132307741
zachrsalazar@jhu.edu

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.