[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT07247149":3,"trial-entities:NCT07247149":87,"trial-summary:NCT07247149":90},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":7,"overall_status":8,"completion_date":9,"status_verified_date":10,"last_update_date":11,"start_date":12,"sponsor_name":13,"lead_sponsor_class":14,"has_dmc":15,"brief_summary":16,"detailed_description":17,"conditions":18,"keywords":20,"study_type":21,"primary_purpose":22,"phases":23,"enrollment_info":25,"interventions":28,"primary_outcomes":38,"secondary_outcomes":43,"sex":60,"minimum_age":61,"maximum_age":17,"healthy_volunteers":62,"eligibility_criteria":63,"std_ages":71,"locations":74,"central_contacts":83,"overall_officials":84,"references":85,"see_also_links":86},"NCT07247149","2025-024-PAU","Testing a Novel Attention Based Training Prevention Strategy for First Responders: FirstFocus a Mobile App","Testing a Novel Attention Based Training Prevention Strategy for First Responders: FirstFocus a Mobile Appt","ENROLLING_BY_INVITATION","2026-12-01","2025-12","2025-12-05","2025-11-15","Palo Alto University","OTHER",false,"First responders are frequently exposed to high-stress and traumatic events, putting them at increased risk for mental health challenges such as posttraumatic stress disorder, anxiety, and depression. Access to traditional mental health services is often hindered by stigma, time constraints, and a lack of tailored resources. Mobile app-based interventions offer a promising solution due to their accessibility and potential to address mental health proactively and in a time sensitive way. Attention training has emerged as a simple way to prevent distress and the emergence of future mental health concerns. The proposed research will test a mobile app: FirstFocus which will leverage targeted attention training to prevent stress\u002Fdistress during shifts and enhance the wellbeing of rural first responders. The specific aims are to (1) test the feasibility and acceptability of FirstFocus as an intervention for rural first responders; (2) to test the short-term preventative efficacy of attention training on state stress\u002Fdistress and its longer-term efficacy for improving professional quality of life and reducing symptoms of anxiety and depression.",null,[19],"Wellbeing",[],"INTERVENTIONAL","TREATMENT",[24],"NA",{"count":26,"type":27},80,"ESTIMATED",[29],{"type":30,"name":31,"description":32,"armGroupLabels":33},"BEHAVIORAL","Attention Bias Modification","Attention training involves 80 training trials. The task uses words developed specifically for this study with fear words such as \"crash\" and \"car\" and neutral words such as \"couch\" and \"can\" that are balanced for length and frequency. Additionally, on every trial the location of the probe is the same as the location of the fear word. Participants press the button corresponding to the direction of the probe. The training takes approximately 5 minutes to complete.",[34,35,36,37],"Attention Training Baseline Start","Attention Training Week 1 Start","Attention Training Week 2 Start","Attention Training Week 3 Start",[39],{"measure":40,"description":41,"timeFrame":42},"Client Satisfaction Questionnaire","The Client Satisfaction Questionnaire - 8 item version (CSQ-8; Nguyen et al., 1983) will assess participant satisfaction with the FirstFocus app at the 60-day assessment. The CSQ-8 yields a total score ranging from 8 to 32, with higher scores indicating greater satisfaction.","From enrollment to the end of treatment at 8 weeks.",[44,47,51,54,57],{"measure":45,"description":46,"timeFrame":42},"Stress Reduction (visual analogue scale)","Current stress will be assessed using a Visual Analogue Scale for Stress, administered daily before and after each shift. Participants rate their stress on a 0-100 scale, where 0 = no stress and 100 = extreme stress. Higher scores indicate greater stress.",{"measure":48,"description":49,"timeFrame":50},"Professional Quality of Life","The Professional Quality of Life Scale, Version 5 (ProQOL-5) assesses compassion satisfaction, burnout, and secondary traumatic stress. Each subscale yields a score from 10 to 50, with higher Compassion Satisfaction scores reflecting better outcomes, and higher Burnout or Secondary Traumatic Stress scores reflecting worse outcomes. Administered weekly on login.","From enrollment to the end of treatment at 8 weeks",{"measure":52,"description":53,"timeFrame":50},"Symptoms of depression","The Patient Health Questionnaire-9 (PHQ-9; Kroenke et al., 2001) assesses depressive symptoms over the past week. Total scores range from 0 to 27, with higher scores indicating more severe depressive symptoms. Administered monthly on login.",{"measure":55,"description":56,"timeFrame":50},"Symptoms of anxiety","The Generalized Anxiety Disorder-7 (GAD-7; Spitzer et al., 2006) assesses anxiety symptoms over the past week. Total scores range from 0 to 21, with higher scores indicating more severe anxiety. Administered monthly on login.",{"measure":58,"description":59,"timeFrame":50},"Stress","The Perceived Stress Scale - 10 item version (PSS-10; Cohen et al., 1983) assesses perceived stress over the past week. Total scores range from 0 to 40, with higher scores indicating higher perceived stress levels. Administered monthly on login.","ALL","18 Years",true,{"inclusion":64,"exclusion":69,"raw_text":70},[65,66,67,68],"Age 18 or older","Employed as an Active First Responder","iPhone mobile device","Located in a rural part of the US",[],"Inclusion Criteria:\n\n* Age 18 or older\n* Employed as an Active First Responder\n* iPhone mobile device\n* Located in a rural part of the US\n\nExclusion Criteria:\n\n\\- Works less than 20 hours\u002Fweek on average",[72,73],"ADULT","OLDER_ADULT",[75],{"facility":13,"city":76,"state":77,"zip":78,"country":79,"geoPoint":80},"Palo Alto","California","94304","United States",{"lat":81,"lon":82},37.44188,-122.14302,[],[],[],[],{"nct_id":4,"conditions":88,"biomarkers":89},[19],[],{"nct_id":4,"found":15,"summary":17,"prompt_version":17}]