Occupational HealthNCT07149155
Adaptation of SFA for HRW
A study testing Stress First Aid for Harm Reduction Workers in people with Occupational Health, run by Suzannah Creech at 1 site in United States.
Trial summary
The aim of this study is to pilot and test the feasibility, acceptability, and effectiveness of a Stress First Aid (SFA) intervention adapted for Harm Reduction Workers (HRWs) serving Persons Who Use Drugs. The intervention consists of a training and learning collaboratives used to reinforce the SFA principles Read more about this study
- Who is it for?
- Ages 18 to 100 years
- Conditions the study is for
- Occupational Health
- What is being tested?
- Stress First Aid for Harm Reduction Workers
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 35 participants
- Where
- 1 siteUnited States
- Study dates
- 24 Sep 2024to 18 Feb 2025
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 to 100 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Legal age of majority (18 +),
- Ability to read and speak conversational English, and
- Work as an HRW in substance misuse.
Who cannot join
- Inability to provide consent.
Trial locations and contacts
1 site in 1 country.
United States1 site
The University of Texas at Austin
Austin, Texas, 78712
About this study
Official title: Adapting Stress First Aid (SFA) to the Needs of Harm Reduction Workers (HRWs) Serving Persons Who Use Drugs (PWUD) - Training and Pilot Testing Phase (Aim 2 and Aim 3)
The aim of this study is to pilot and test the feasibility, acceptability, and effectiveness of a Stress First Aid (SFA) intervention adapted for Harm Reduction Workers (HRWs) serving Persons Who Use Drugs. The intervention consists of a training and learning collaboratives used to reinforce the SFA principles
- Conditions
- Occupational Health
- Being tested
- Stress First Aid for Harm Reduction Workers
- Keywords
- Stress First Aid, Harm Reduction Workers, Persons who use drugs, overdose prevention, community outreach workers, peer workers
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Stress First Aid for Harm Reduction WorkersBehavioural
Also called SFA/HRW
The intervention was a 2-hour, in-person SFA/HRW training followed by 30-minute monthly learning collaboratives to address occupational stress of harm reduction workers.
| Study group | Role | What they receive |
|---|---|---|
| Stress First Aid | Experimental | Harm Reduction Workers received Stress First Aid training and learning collaboratives Receives: Behavioral: Stress First Aid for Harm Reduction Workers |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Knowledge of Stress First Aid (SFA) Assessed by Stress First Aid Knowledge, Confidence, and Beliefs - Knowledge Sub-Scale at 4 Months
A 3-item, 5-point Likert type sub-scale of Stress First Knowledge, Confidence, and Beliefs Scale, developed by the developers of Stress First Aid (SFA), with a minimum score 1 "Does not describe me at all", maximum score 5 "Describes me very well", where a higher score is a better outcome.
Measured: Assessed from enrollment to the end of the intervention at 4 months, 4 months reported
Mean Confidence in Stress First Aid (SFA) Assessed by Stress First Aid Knowledge, Confidence, and Beliefs - Confidence Sub-Scale at 4 Months
A 6-item, 5-point Likert type sub-scale of Stress First Knowledge, Confidence, and Beliefs Scale, developed by the developers of Stress First Aid (SFA), with a minimum score 1 "Does not describe me at all", maximum score 5 "Describes me very well", where a higher score is a better outcome.
Measured: Assessed from enrollment to the end of the intervention at 4 months, 4 months reported
Mean Beliefs in Stress First Aid (SFA) Assessed by Stress First Aid Knowledge, Confidence, and Beliefs - Beliefs Sub-Scale at 4 Months
A 5-item, 5-point Likert type sub-scale of Stress First Knowledge, Confidence, and Beliefs Scale, developed by the developers of Stress First Aid (SFA), with a minimum score 1 "Does not describe me at all", maximum score 5 "Describes me very well", where a higher score is a better outcome.
Measured: Assessed from enrollment to the end of the intervention at 4 months, 4 months reported
Mean Acceptability of SFA Assessed by Acceptability of Intervention Measure (AIM)
A 4-item, 5-point Likert-type scale from Weiner et al., 2017, with a minimum score 1 "Completely disagree", maximum score 5 "Completely agree", where a higher score is a better outcome.
Measured: Immediately after the 2-hour, in-person training.
Mean Appropriateness of SFA Assessed by Intervention Appropriateness Measure (IAM)
A 4-item, 5-point Likert-type scale from Weiner et al., 2017, with a minimum score 1 "Completely disagree", maximum score 5 "Completely agree", where a higher score is a better outcome.
Measured: Immediately after the 2-hour, in-person training.
Mean Feasibility of SFA Assessed by Feasibility of Intervention Measure (FIM)
A 4-item, 5-point Likert-type scale from Weiner et al., 2017, with a minimum score 1 "Completely disagree", maximum score 5 "Completely agree", where a higher score is a better outcome.
Measured: Immediately after the 2-hour, in-person training.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Aug 2025
- Study start24 Sep 2024
- Primary completion18 Feb 2025
- Study completion18 Feb 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Occupational HealthStudies 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
- Not applicable
- Intervention model
- Single group
- Model description
- Pilot test
- Masking
- None (open label)
- Enrolment
- 35 participants (actual)
Sponsor and investigators
- Lead sponsor
- Suzannah Creech
- Sponsor type
- University, hospital or other
- Collaborators
- National Institute on Drug Abuse (NIDA)
- Responsible party
- Sponsor-investigator, Suzannah Creech, University of Texas at Austin
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07149155
- Sponsor's protocol ID
- STUDY00006228
- Other IDs
- R61DA059887
- Status last verified
- Aug 2025
- First submitted
- 18 Aug 2025
- Last updated
- 24 Jun 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Desai A, Rau J, Samora J, McCormick KA, Rochani H, Chang P, Westphal RJ, Watson PJ, Benzer JK, Claborn KR, Creech SK. Stress first aid for the harm reduction workforce: pilot test results of an occupational stress intervention. BMC Public Health. 2026 Apr 16;26(1):1725. doi: 10.1186/s12889-026-27343-y.
PubMed 41992234
Study at a glance
From the registry record, last updated by the sponsor on 24 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Adapting Stress First Aid (SFA) to the Needs of Harm Reduction Workers (HRWs) Serving Persons Who Use Drugs (PWUD) - Training and Pilot Testing Phase (Aim 2 and Aim 3)
- ClinicalTrials.gov ID
- NCT07149155
- Acronym / sponsor ID
- STUDY00006228
- Conditions
- Occupational Health
- Keywords
- Stress First Aid, Harm Reduction Workers, Persons who use drugs, overdose prevention, community outreach workers, peer workers
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 35 participants (actual)
- Lead sponsor
- Suzannah CreechUniversity, hospital or other
- Collaborators
- National Institute on Drug Abuse (NIDA)
- Study start
- 24 Sep 2024 (actual)
- Primary completion
- 18 Feb 2025 (actual)
- Study completion
- 18 Feb 2025 (actual)
- First posted
- 29 Aug 2025 (actual)
- Results
- Posted 14 Oct 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of this study is to pilot and test the feasibility, acceptability, and effectiveness of a Stress First Aid (SFA) intervention adapted for Harm Reduction Workers (HRWs) serving Persons Who Use Drugs. The intervention consists of a training and learning collaboratives used to reinforce the SFA principles
Study design
- Primary purpose
- Prevention
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- Pilot test
| Arm | Type | Receives |
|---|---|---|
| Stress First Aid | Experimental | Behavioral: Stress First Aid for Harm Reduction WorkersHarm Reduction Workers received Stress First Aid training and learning collaboratives |
Who may qualify
- Ages
- 18 to 100 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Legal age of majority (18 +),
- Ability to read and speak conversational English, and
- Work as an HRW in substance misuse.
Key exclusion criteria (1 listed)
- Inability to provide consent.
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 |
|---|---|---|
| Stress First Aid for Harm Reduction WorkersAlso: SFA/HRWThe intervention was a 2-hour, in-person SFA/HRW training followed by 30-minute monthly learning collaboratives to address occupational stress of harm reduction workers. | Behavioural | Stress First Aid |
Primary outcome
Mean Knowledge of Stress First Aid (SFA) Assessed by Stress First Aid Knowledge, Confidence, and Beliefs - Knowledge Sub-Scale at 4 Months
Time frame: Assessed from enrollment to the end of the intervention at 4 months, 4 months reported
A 3-item, 5-point Likert type sub-scale of Stress First Knowledge, Confidence, and Beliefs Scale, developed by the developers of Stress First Aid (SFA), with a minimum score 1 "Does not describe me at all", maximum score 5 "Describes me very well", where a higher score is a better outcome.
Mean Confidence in Stress First Aid (SFA) Assessed by Stress First Aid Knowledge, Confidence, and Beliefs - Confidence Sub-Scale at 4 Months
Time frame: Assessed from enrollment to the end of the intervention at 4 months, 4 months reported
A 6-item, 5-point Likert type sub-scale of Stress First Knowledge, Confidence, and Beliefs Scale, developed by the developers of Stress First Aid (SFA), with a minimum score 1 "Does not describe me at all", maximum score 5 "Describes me very well", where a higher score is a better outcome.
Mean Beliefs in Stress First Aid (SFA) Assessed by Stress First Aid Knowledge, Confidence, and Beliefs - Beliefs Sub-Scale at 4 Months
Time frame: Assessed from enrollment to the end of the intervention at 4 months, 4 months reported
A 5-item, 5-point Likert type sub-scale of Stress First Knowledge, Confidence, and Beliefs Scale, developed by the developers of Stress First Aid (SFA), with a minimum score 1 "Does not describe me at all", maximum score 5 "Describes me very well", where a higher score is a better outcome.
Mean Acceptability of SFA Assessed by Acceptability of Intervention Measure (AIM)
Time frame: Immediately after the 2-hour, in-person training.
A 4-item, 5-point Likert-type scale from Weiner et al., 2017, with a minimum score 1 "Completely disagree", maximum score 5 "Completely agree", where a higher score is a better outcome.
Mean Appropriateness of SFA Assessed by Intervention Appropriateness Measure (IAM)
Time frame: Immediately after the 2-hour, in-person training.
A 4-item, 5-point Likert-type scale from Weiner et al., 2017, with a minimum score 1 "Completely disagree", maximum score 5 "Completely agree", where a higher score is a better outcome.
Mean Feasibility of SFA Assessed by Feasibility of Intervention Measure (FIM)
Time frame: Immediately after the 2-hour, in-person training.
A 4-item, 5-point Likert-type scale from Weiner et al., 2017, with a minimum score 1 "Completely disagree", maximum score 5 "Completely agree", where a higher score is a better outcome.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Jun 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41992234Desai A, Rau J, Samora J, McCormick KA, Rochani H, Chang P, Westphal RJ, Watson PJ, Benzer JK, Claborn KR, Creech SK. Stress first aid for the harm reduction workforce: pilot test results of an occupational stress intervention. BMC Public Health. 2026 Apr 16;26(1):1725. doi: 10.1186/s12889-026-27343-y.
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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. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Stress First Aid for Harm Reduction Workers in people with Occupational Health, run by Suzannah Creech 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 3 inclusion and 1 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: finished, as of the sponsor's last update on 24 Jun 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?
Yes. Results are posted in the registry (first posted 14 Oct 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Mean Knowledge of Stress First Aid (SFA) Assessed by Stress First Aid Knowledge, Confidence, and Beliefs - Knowledge Sub-Scale at 4 Months (time frame: Assessed from enrollment to the end of the intervention at 4 months, 4 months reported). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07149155, which also lists 1 linked publication.
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 24 Jun 2026.