Resilience training in the workplace: The role of trainee motivation, transfer climate and practise in the prevention of psychological injuries
Date
2016
Authors
Horan, Christopher
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Abstract
Chronic stress is a major problem in organisations and police are
at particular risk due
to regular exposure to traumatic stressors on the job. This
research was initiated by the New
South Wales Police Force (NSWPF) to address this problem. It
focuses on the development
and evaluation of resilience-training programs. Resilience
training aims to equip participants
with coping skills that can help them to “bounce back from
adversity” and be resilient. Key
research questions included: Can a brief training course enhance
the long-term resilience of
police recruits and prevent future psychological injuries? What
is the most appropriate
resilience training design? What factors are related to better
outcomes for resilience training?
Drawing on a broad literature review covering stress, policing,
coping, emotion
regulation, developmental psychopathology and occupational health
psychology, we
designed a resilience-training program that was universal (to be
provided to all officers),
preventative (designed to prevent future injuries), and targeted
to address transdiagnostic
factors that were related to the development of a range of
stress-related pathology (especially
PTSD and depression). The program was informed by an
understanding of risk and
protective mechanisms that shape the impact of stressors together
with the literature on stress
interventions. In order to reduce experiential avoidance and
promote coping flexibility, the
program incorporated content from Acceptance and Commitment
Therapy (ACT).
The research program involved three studies. Studies 1 and 2 were
conducted with
recruits at the NSWPF Academy while study 3 was conducted with
3rd year psychology
students. The program design was updated between the studies to
address issues that were
identified, and to explore study-specific hypotheses. In line
with the existing literature, in
study 1 we found that the targeted mechanisms of change accounted
for a large amount of
variance in the mental health outcome measures indicating that
the intervention was directed
at important factors that serve to build resilience. However,
findings of high levels of
attrition, poor training engagement and poor knowledge retention
demonstrated problems
with training transfer. Program changes were made to address
these problems in study 2,
with an emphasis on motivating practice through coaching calls
and a focus on stages of
change. Key findings were that participants who practised the
skills during the coaching
period experienced significant reductions in stress, t(14) =
3.25, p < .01, PTSD symptoms,
t(14) = 2.46, p < .05, and a significant increase in mindfulness,
t(14) = -3.05, p < .01.
Study 3 built on studies 1 and 2 with a particular focus on
homework, stages of
change and the replacement of coaching calls with performance
aids (in the form of both a
Smartphone App and traditional workbook). There were some
promising findings, with
improvements across time, including a reduction in experiential
avoidance, t(53) = -2.01, p =
.05, and increases in values progress, t(53) = 2.06, p < .05, and
instrumental support , t(53) =
2.09, p < .05. The participants’ change pathway was found to
significantly moderate the
impact of the training program on practice amount, F(2,49) =
7.17, p < .05, anxiety, F(2, 49)
= 4.04, p < .05, perceived stress, F(2,49) = 3.95, p < .05,
resilience, F(2,49) = 6.05, p < .01,
values progress, F(2,49) = 4.10, p < .05, with the biggest
improvements in wellbeing mainly
found for participants who were already in an action stage of
change for stress management,
followed by participants who moved into progress. While practice
method was not found to
impact on well-being scores, it was found to impact practice
quality, t(35.11) = -2.65, p < .05.
In conclusion, it appears as if a brief training course can have
positive outcomes but
more work needs to be done to investigate long-term resilience;
the resilience training design
needs to be focused on the core constructs of coping and emotion
regulation, protective
mechanisms and training transfer; and better outcomes are
achieved when the training
motivates participants to progress along the stages of change and
practice the skills. While
there is more work to be done the research outlined in this
thesis has contributed to moving
resilience training forward.
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Keywords
Resilience, resilience training, emotion regulation, coping, stress management, police stress, stress, depression, anxiety, PTSD, life satisfaction, wellbeing, acceptance and commitment therapy, CBT, values, mindfulness, experiential avoidance, social support, training transfer, training effectiveness, stages of change, motivation, personalisation, culture change, performance aids, e-mental health, risk mechanisms, protective mechanisms, prevention, public health, change pathway, practice
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Thesis (DPsych(Clinical))
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