{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T05:59:59Z","timestamp":1790747999346,"version":"4.1.0"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Traumatic Stress"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    First responders experience frequent potentially traumatic events and are at elevated risk for mental health difficulties. However, formal mental health service engagement remains low. Peer support programs may be a promising way to support first responders posttrauma, but empirical research examining the implementation of evidence\u2010based peer support programs is limited. The present study evaluated the feasibility and acceptability of\n                    <jats:italic>trauma risk management<\/jats:italic>\n                    (TRiM) training within a fire service department. Participants were first responders with prior peer support experience who completed a 3\u2010day TRiM training. Self\u2010report surveys were administered at baseline (pretraining), after each training day, posttraining, and 2\u2010month and 6\u2010month follow\u2010ups. Feasibility was evaluated descriptively using several metrics (registration, initiation, attendance, completion, noninitiation reasons, organizational\/logistical considerations). Acceptability was assessed using daily ratings of training helpfulness, relevance, and anticipated influence on peer support approach. In total, 27 individuals registered, 22 initiated training, and 21 completed training. Across training days, 90.0%\u201394.4% of participants rated the training as highly relevant and 78.9%\u201385.7% as highly helpful, whereas 47.1%\u201361.1% anticipated substantial changes to their peer support approach. Significant pre\u2013post improvements in perceived capability, knowledge of the referral process, ability to evaluate level of risk, and clarity regarding professional boundaries were observed,\n                    <jats:italic>d<\/jats:italic>\n                    s\n                    <jats:italic>\u00a0=\u00a0<\/jats:italic>\n                    0.60\u20131.37. Formal TRiM procedure use was minimal at both follow\u2010ups, indicating limited posttraining implementation. Findings suggest TRiM is both feasible and acceptable and is associated with short\u2010term improvements in knowledge, confidence, and peer support skills. Limited long\u2010term use of TRiM practices highlights the importance of implementation supports.\n                  <\/jats:p>","DOI":"10.1002\/jts.70130","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T05:35:06Z","timestamp":1790746506000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing the feasibility and acceptability of training first responder peer supporters in trauma risk management (TRiM)"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6212-2658","authenticated-orcid":false,"given":"Margaret","family":"Canady","sequence":"first","affiliation":[{"name":"Department of Psychology University of California, Irvine  Irvine California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3554-8723","authenticated-orcid":false,"given":"Ghazal","family":"Naderi","sequence":"additional","affiliation":[{"name":"Department of Psychology University of California, Irvine  Irvine California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1729-1068","authenticated-orcid":false,"given":"Kristen","family":"Wheldon","sequence":"additional","affiliation":[{"name":"Fire Service Psychology Association  South Pasadena California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Buren","sequence":"additional","affiliation":[{"name":"San Francisco Fire Department  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5159-8431","authenticated-orcid":false,"given":"Alyson K.","family":"Zalta","sequence":"additional","affiliation":[{"name":"Department of Psychology University of California, Irvine  Irvine California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749\u20105978(91)90020\u2010T"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2196\/37414"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.21685"},{"key":"e_1_2_9_5_1","volume-title":"Mental health services utilization and health insurance status among firefighters [Doctoral study","author":"Evans Y.","year":"2025"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20538"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1078390317695266"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1078390319871997"},{"key":"e_1_2_9_9_1","unstructured":"Peace officers: peer support.A.B 1117 2019\u20132020 Regular Session (CA. (2019).).https:\/\/legiscan.com\/CA\/text\/AB1117\/id\/2056537"},{"key":"e_1_2_9_10_1","volume-title":"Mandatory critical incident stress debriefing and treatment\u2010seeking attitude in the fire service","author":"Sirianni N. E.","year":"2024"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102288\u201010\u20101"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(02)09897\u20105"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/str0000071"},{"key":"e_1_2_9_14_1","unstructured":"Wheldon K. &Avsec R.(2023).Trauma risk management: A data\u2010driven solution to the post traumatic stress problem in the United States fire service?[White paper]. Fire Service Psychology Association.https:\/\/firepsychology.org\/wp\u2010content\/uploads\/2023\/07\/FIRE_TraumaRiskManagement\u20101.pdf"},{"key":"e_1_2_9_15_1","volume-title":"Understanding mass fatality preparedness in the fire service through knowledge management [Doctoral dissertation","author":"Wilmoth J. M.","year":"2019"}],"container-title":["Journal of Traumatic Stress"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jts.70130","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jts.70130","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jts.70130","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T05:35:08Z","timestamp":1790746508000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jts.70130"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,29]]},"references-count":14,"alternative-id":["10.1002\/jts.70130"],"URL":"https:\/\/doi.org\/10.1002\/jts.70130","archive":["Portico"],"relation":{},"ISSN":["0894-9867","1573-6598"],"issn-type":[{"value":"0894-9867","type":"print"},{"value":"1573-6598","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,29]]},"assertion":[{"value":"2026-04-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jts.70130"}}