{
  "abstract": "Emergency medical service clinicians face significant mental health risk. This randomized controlled pilot trial examined 1) feasibility, acceptability, and adoptability of Self-Reflection Resilience-Recovery Activity Promotion Training (SRR-RAPT); 2) SRR-RAPT's effect on hypothesized mechanisms of action (HMAs: meaning made from stressors, adaptive self-reflection, recovery activities, recovery experiences); and 3) SRR-RAPT's impact on mental health outcomes (MHOs: PTSD, anxiety, depression). Participants were ≥18 years with ≥1 shift scheduled within 8 days. Overall, 83/126 workers were eligible and randomized to intervention (n = 37) or control (n = 46). Most were White (89%) and male (51%). Both groups completed 8 daily assessments monitoring HMAs/MHOs. Intervention participants received 10 additional reflection questions on stressors, lessons learned, and recovery strategies. We recruited >80% of respondents within 3-weeks; 70/83 submitted ≥1 complete assessment (M = 6.07, SD = 2.20); SRR-RAPT was rated helpful, useful, and acceptable. The intervention group reported more meaning made across assessments (b = 1.46, 95% CI = 0.17, 2.75, p = .027) and higher levels on each subsequent assessment (b = 0.35, 95% CI = 0.16, 0.53, p < .001). Higher adherence predicted more meaning made across assessments (b = 1.53, 95% CI = 0.03, 1.02, p = .039) and higher levels on each subsequent assessment (b = 0.13, 95% CI = 0.06, 0.20, p < .001). No significant differences were detected on other HMAs or MHOs. Results support the intervention's feasibility and acceptability, but refinement is necessary to detect expected differences on all HMAs/MHOs before definitive trials.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "name": "Bryce Hruska"
    },
    {
      "name": "Bernard Appiah"
    },
    {
      "name": "Collins Annor"
    },
    {
      "name": "maria pacella"
    },
    {
      "name": "Marley S. Barduhn"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/1wzskdwksgqb3.bib",
  "cited_by": 0,
  "doi": "10.31234/osf.io/qfndj_v2",
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  "id": "1wzskdwksgqb3",
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  "landing_url": "https://osf.io/preprints/psyarxiv/qfndj_v2/",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "bepress",
      "Clinical Psychology"
    ],
    [
      "bepress",
      "Health Psychology"
    ],
    [
      "bepress",
      "Industrial and Organizational Psychology"
    ],
    [
      "bepress",
      "Mental Disorders"
    ],
    [
      "bepress",
      "Mental Health"
    ],
    [
      "bepress",
      "Occupational Health"
    ],
    [
      "bepress",
      "Prevention"
    ],
    [
      "bepress",
      "Psychology, other"
    ],
    [
      "bepress",
      "Social and Behavioral Sciences"
    ],
    [
      "bepress",
      "Stress"
    ],
    [
      "bepress",
      "Trauma and Stress"
    ]
  ],
  "openalex": null,
  "pdf_url": "https://osf.io/qfndj/download",
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-09",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/1wzskdwksgqb3.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:25:30Z",
      "native_id": "qfndj",
      "source": "osf",
      "url": "https://osf.io/preprints/psyarxiv/qfndj_v2/"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "bepress:Clinical Psychology",
      "subfield": "psychiatry"
    }
  ],
  "title": "Self-Reflection Resilience-Recovery Activity Promotion Training for Emergency Medical Service Clinicians: A Randomized Controlled Pilot Trial of a Novel Digital Intervention",
  "title_text": "Self-Reflection Resilience-Recovery Activity Promotion Training for Emergency Medical Service Clinicians: A Randomized Controlled Pilot Trial of a Novel Digital Intervention",
  "type": "preprint",
  "updated_at": "2026-10-30T12:25:30Z",
  "url": "https://research.draconitic.com/paper/1wzskdwksgqb3",
  "venue": "PsyArXiv",
  "versions": [
    {
      "doi": "10.1037/str0000412",
      "pid": null,
      "relation": "published-as",
      "title": null,
      "venue": null
    }
  ]
}