[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-210862-en":3,"doc-seo-210862-105":30,"detail-sidebar-cat-0-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":20,"is_downloadable":20,"audit_status":20,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":14,"update_tm":28,"read_time":29},210862,1099514067415,"Rowan","https://ap-avatar.wpscdn.com/avatar/100002539d78ffe74a7?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779092875211072502",7,"Healthcare","Effectiveness of “Finnish Sisu Training” - Informed Consent","Informed consent for a prospective randomized controlled pilot study evaluating the effectiveness of “Finnish Sisu Training,” a pre-emptive resilience coaching program for prehospital personnel. The training is based on iPREP and includes stress-response education, energy management and fueling guidance, mental focus and visualization training, and biofeedback-assisted controlled breathing. Participants in the intervention arm receive 16 hours of coaching, then complete three full-scale simulation scenarios with self-observation forms, observer-rated performance, camera recording, and Firstbeat measurements of HR and HRV. A mandatory debriefing follows each simulation.","Effectiveness of “Finnish Sisu Training”, a pre-emptive resilience coaching program to enhance work performance of prehospital personnel: a prospective randomized controlled pilot study  \nInformed consent to participate in the study  \nBackground  \n“Finnish Sisu Training” pre-emptive resilience coaching program is based on iPREP (International Performance, Resilience and Efficiency Program) . Core components of the training included: (a) education about the physiology of the stress response system, energy management, and fuelling for peak performance; (b) group instructions on how to use mental focus and visualization to enhance sensory perception and situational awareness in performance and non-performance settings; (c) instruction and use of biofeedback to practice engaging in controlled breathing exercises that have been shown to enhance central nervous system control during stress. Finnish Sisu Training is designed to improve work performance by improving situational awareness and decision-making skills.  \nWhat will be asked of you to participate in this study?  \nIn this study half of the study participants will be randomly selected to receive 16 hours of a preemptive resilience coaching program called “Finnish Sisu Training”. After this, all study participants will take part in three full scale simulation scenarios in subsequent days. These scenarios may be stressful, but nothing will happen that could not be encountered during normal daily work. During these simulation scenarios you are asked to fill out before and after each simulation scenario a self-observation form. Additionally, an designated observer will be making marks of your performance for study purpose. Camera recording is used for observational aid for these outside observers. You will be asked to wear a Firstbeat device, which will measure your maximum heart rate and heart rate variability (HRV) .  \nAfter each simulation scenario, you will join a mandatory defusing session with a certified defusing councellor.  \nWho can participate?  \nTo be eligble for this study, you should be 18 years old or older, a paramedic with three years of working experience or a prehospital physician with at least 1 year of field experience, no alcohol consumption 24 hours before the study. Exclusion criterias are need of cortisone medication at least two weeks prior the study simulation scenarios, previous “Finnish Sisu Training” or iPREP training and pregnancy.  \nEthical approval  \nThis study has an ethical approval from HUS Medical Research Ethics Committee, Finland (HUS/3235/2023) .  \nApproval of the Päijät-Häme Central Hospital Committee  \nThis study has approval from Päijät-Häme wellbeing service county and Päijät-Häme Central Hospital Committee (HA/2657/[13.00.00.00/2023).](13.00.00.00/2023).)  \nYou may at any time end your participation in this study if, you wish so. However, we will use the so far collected data for the study.  \nAfter the study, you will receive a certificate of attendance of “Finnish Sisu Training”.  \nI have been informed and I have read the information concerning the study “Effectiveness of“Finnish Sisu Training”, a pre-emptive resilience coaching program to enhance work performance of prehospital personnel: a prospective randomized controlled pilot study. I consent in participation in this study.  \nDate and time:   \nStudy participant signature:  Lead researcher signature:   \nFor more information please contact: Hanna Vihonen MD, PhD. Keskussairaalankatu 7, 15850 Lahti, Finland. Tel +358444403731, [hanna.vihonen@paijatha.fi](hanna.vihonen@paijatha.fi).","cbCaismxYXoCEP4J","https://ap.wps.com/l/cbCaismxYXoCEP4J","pdf",107394,1,2,"English","en",105,"# Background\n## Study participation and procedures\n## Eligibility and exclusion criteria\n## Ethical and committee approvals\n## Consent statement and contact information","[{\"question\":\"What is “Finnish Sisu Training” in this study?\",\"answer\":\"It is a pre-emptive resilience coaching program designed to enhance work performance of prehospital personnel. The core components include education on stress physiology, mental focus and visualization, and biofeedback-based controlled breathing exercises.\"},{\"question\":\"What will participants do during the study?\",\"answer\":\"Half of participants receive 16 hours of the coaching program, and all participants complete three simulation scenarios. Before and after each scenario, participants complete self-observation forms, a designated observer rates performance, and camera recording is used for observational aid. Participants also wear a Firstbeat device to measure maximum heart rate and HRV.\"},{\"question\":\"Who can participate and what are the key exclusion criteria?\",\"answer\":\"Participants must be at least 18 years old and either be a paramedic with three years of experience or a prehospital physician with at least one year of field experience, with no alcohol consumption 24 hours before the study. Exclusion criteria include need for cortisone medication at least two weeks prior, prior “Finnish Sisu Training” or iPREP training, and pregnancy.\"}]","Effectiveness of “Finnish Sisu Training” - Informed Consent | PDF",1788675732,5,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":13,"keywords":34,"description":14,"schema_data":35,"social_meta":86,"head_meta":88,"extra_data":90,"updated_unix":28},"effectiveness-of-finnish-sisu-training-informed-consent","",{"@graph":36,"@context":85},[37,53,68],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,47,50],{"item":41,"name":42,"@type":43,"position":20},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":21},"https://docshare.wps.com/document/","Document",{"item":48,"name":12,"@type":43,"position":49},"https://docshare.wps.com/document/healthcare/",3,{"item":51,"name":13,"@type":43,"position":52},"https://docshare.wps.com/document/effectiveness-of-finnish-sisu-training-informed-consent/210862/",4,{"url":51,"name":13,"@type":54,"author":55,"headline":13,"publisher":57,"fileFormat":60,"inLanguage":23,"description":14,"dateModified":61,"datePublished":62,"encodingFormat":60,"isAccessibleForFree":63,"interactionStatistic":64},"DigitalDocument",{"name":9,"@type":56},"Person",{"url":41,"name":58,"@type":59},"DocShare","Organization","application/pdf","2026-09-11","2026-09-06",true,{"@type":65,"interactionType":66,"userInteractionCount":20},"InteractionCounter",{"@type":67},"ViewAction",{"@type":69,"mainEntity":70},"FAQPage",[71,77,81],{"name":72,"@type":73,"acceptedAnswer":74},"What is “Finnish Sisu Training” in this study?","Question",{"text":75,"@type":76},"It is a pre-emptive resilience coaching program designed to enhance work performance of prehospital personnel. The core components include education on stress physiology, mental focus and visualization, and biofeedback-based controlled breathing exercises.","Answer",{"name":78,"@type":73,"acceptedAnswer":79},"What will participants do during the study?",{"text":80,"@type":76},"Half of participants receive 16 hours of the coaching program, and all participants complete three simulation scenarios. Before and after each scenario, participants complete self-observation forms, a designated observer rates performance, and camera recording is used for observational aid. Participants also wear a Firstbeat device to measure maximum heart rate and HRV.",{"name":82,"@type":73,"acceptedAnswer":83},"Who can participate and what are the key exclusion criteria?",{"text":84,"@type":76},"Participants must be at least 18 years old and either be a paramedic with three years of experience or a prehospital physician with at least one year of field experience, with no alcohol consumption 24 hours before the study. Exclusion criteria include need for cortisone medication at least two weeks prior, prior “Finnish Sisu Training” or iPREP training, and pregnancy.","https://schema.org",{"og:url":51,"og:type":87,"og:title":13,"og:site_name":58,"og:description":14},"article",{"robots":89,"canonical":51},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":92},[93,97,101,105,109,114,117,122,127,130,134],{"id":20,"doc_module":4,"doc_module_name":46,"category_name":94,"show_sort_weight":95,"slug":96},"Story & Novel",90,"story-novel",{"id":21,"doc_module":4,"doc_module_name":46,"category_name":98,"show_sort_weight":99,"slug":100},"Literature",80,"literature",{"id":52,"doc_module":4,"doc_module_name":46,"category_name":102,"show_sort_weight":103,"slug":104},"Exam",70,"exam",{"id":29,"doc_module":4,"doc_module_name":46,"category_name":106,"show_sort_weight":107,"slug":108},"Comic",60,"comic",{"id":110,"doc_module":4,"doc_module_name":46,"category_name":111,"show_sort_weight":112,"slug":113},6,"Technology",50,"technology",{"id":11,"doc_module":4,"doc_module_name":46,"category_name":12,"show_sort_weight":115,"slug":116},40,"healthcare",{"id":118,"doc_module":4,"doc_module_name":46,"category_name":119,"show_sort_weight":120,"slug":121},8,"Research & Report",30,"research-report",{"id":123,"doc_module":4,"doc_module_name":46,"category_name":124,"show_sort_weight":125,"slug":126},9,"Religion & Spirituality",20,"religion-spirituality",{"id":125,"doc_module":4,"doc_module_name":46,"category_name":128,"show_sort_weight":125,"slug":129},"World Cup","world-cup",{"id":131,"doc_module":4,"doc_module_name":46,"category_name":132,"show_sort_weight":131,"slug":133},10,"Lifestyle","lifestyle",{"id":135,"doc_module":4,"doc_module_name":46,"category_name":136,"show_sort_weight":29,"slug":137},19,"General","general"]