Data for: Barriers and Facilitators to Implementation of Mindfulness in Motion for Firefighters and Emergency Medical Service Providers

Project Overview This project focused on identification and enhanced understanding of the specific needs and potential barriers and facilitators for successful implementation of mindfulness-based programming for firefighters and emergency medical service providers through qualitative study design of semi-structured interviews. This research was funded by the Ohio Occupational Safety and Health Research Program of the Ohio Bureau of Workers’ Compensation (OBWC), project # WSIC23-220513-011.
Data and Data Collection Overview A phenomenological qualitative study design with semi-structured interviews of 45-60 minutes was used to gain insights into the lived experiences of firefighters and emergency medical service providers and to elicit their perceptions regarding barriers and facilitators for engaging in mindfulness activities. Eleven career firefighters and emergency medical providers (EMS) of different ranks, ranging from front-line firefighters to fire chiefs, were recruited based on their ability to take part in an in-depth interview to discuss stress points related to their work as first responders from fire stations across the state of Ohio. The interview guide questions were designed to specifically consider the unique context of the workplace environments, where the uncertainty of an emergency call can limit how trainings or interventions are planned and delivered. Informed consent was obtained from all subjects involved in the study and no records of personal information were kept. This study protocol was approved by The Ohio State University Institutional Review Board (Project Number #2022B0254, Date of approval: September 8, 2022). The respondents offered their thoughts and feedback related to mindfulness training, mindfulness practices, and the use of a stress reduction smartphone application that would incorporate mindfulness activities during work. The Consolidated Framework for Implementation Research (CFIR) was used to guide the analysis and categorize themes relative to barriers and facilitators of implementation success and sustainability. Data analysis consisted of two coding phases applied to the interview transcripts. The first phase entailed open coding completed by two study team members who independently coded each interview using NVivo R1 (2020) software to identify general concepts, patterns, or potential phenomena identified through transcript review. The second phase entailed two coders working together to deductively code the data from the transcripts related to the domains in the CFIR that included intervention characteristics, outer setting, inner setting, characteristics of the involved individuals, and the implementation process. Upon completion of the two coding phases, the results were discussed as a team to support a comprehensive thematic analysis. Conflicting perspectives and results were resolved through iterative discussions with the final thematic structure and presentation of results representing a consensus across the entire research team.
Selection and Organization of Shared Data The data files shared here encompass the 11 de-identified interview transcripts with firefighters. The file names contain a number which represents the order in which a participant entered the study. The initial set of participants recruited also contained police officers, but the researchers determined that the workflows, work practices, and department protocols between these agencies differ in ways that made a unified project infeasible. Subsequently, the researchers focused on firefighters/EMS as they worked more as a team and the fire departments were ready and willing to support the study intervention. The skipped numbers in the file sequence represent the few interviews conducted with police officers and not included in this deposit. The project also included an online survey, which only dealt with the intervention part of the study, not the initial qualitative information gathering of which the manuscript is focused on and hence not shared to QDR as part of this deposit either. The documentation files shared consist of the original informed consent used, the interview questionnaire, the NVivo codebook developed during analysis, this Data Narrative and an administrative README file.

项目概览：本项研究聚焦于通过半结构化访谈的定性研究设计，识别并深入理解消防员及紧急医疗服务提供者实施正念编程的特定需求、潜在障碍及促进因素。该研究由俄亥俄州职业安全与健康研究计划（Ohio Occupational Safety and Health Research Program）资助，资助机构为俄亥俄州劳动者赔偿局（Ohio Bureau of Workers’ Compensation），项目编号为WSIC23-220513-011。

数据与数据收集概述：本研究采用现象学定性研究设计，通过45-60分钟的半结构化访谈，旨在深入了解消防员及紧急医疗服务提供者的生活体验，并收集他们对参与正念活动的障碍与促进因素的看法。根据其参与深入访谈的能力，招募了11名不同职级的职业消防员及紧急医疗服务提供者（包括一线消防员至消防局长），他们来自俄亥俄州各消防站。访谈指南问题旨在特别考虑工作场所的独特环境背景，紧急呼叫的不确定性可能限制了培训或干预措施的计划与实施。所有参与研究的受试者均获得了知情同意，且未保留任何个人信息记录。本研究方案已获得俄亥俄州立大学机构审查委员会（Project Number #2022B0254，批准日期：2022年9月8日）的批准。受访者提供了有关正念培训、正念实践以及在工作期间融入正念活动的减压智能手机应用程序的思考和反馈。采用综合实施研究框架（Consolidated Framework for Implementation Research，CFIR）指导分析并分类与实施成功及可持续性相关的主题。数据分析包括对访谈记录的两个编码阶段。第一阶段涉及开放式编码，由两名研究团队成员独立使用NVivo R1（2020）软件对每个访谈进行编码，以识别通过转录审查确定的一般概念、模式或潜在现象。第二阶段涉及两名编码者共同对转录数据中的CFIR领域进行演绎性编码，包括干预特征、外部环境、内部环境、参与者的特征以及实施过程。完成两个编码阶段后，研究团队对结果进行了讨论，以支持全面的主题分析。通过迭代讨论解决不同观点和结果，最终的主题结构和结果展示代表了整个研究团队的一致意见。

共享数据的选择与组织：共享的数据文件包括11份去标识化的消防员访谈转录本。文件名中的数字代表参与者进入研究时的顺序。最初招募的参与者中也包含警官，但研究人员认为，这些机构之间的工作流程、工作实践和部门协议存在差异，使得统一的项目不可行。随后，研究人员将重点放在消防员/EMS上，因为他们更像一个团队工作，消防部门也愿意支持研究干预。文件序列中跳过的数字代表与警官进行的少量访谈，并未包含在本存档中。项目还包括一项在线调查，但仅涉及研究的干预部分，而非本论文关注的初始定性信息收集，因此也未作为本存档的一部分共享。共享的文档文件包括使用的原始知情同意书、访谈问卷、分析期间开发的NVivo代码簿、本数据叙述以及管理README文件。