Burnout, Caregiver
Conditions
Brief summary
The study will address the following specific aims: (1) assess the impact of the BWCW program on teacher stress and physical activity, (2) Examine feasibility of collecting cortisol.
Interventions
BEHAVIORALBe Well Care Well
Be Well Care Well addresses teacher well-being through activities implemented in the classroom aimed at reducing teacher stress and improving physical activity. A subset of teachers involved in the program will complete classroom observations and cortisol testing to examine additional measures of stress.
Sponsors
University of Delaware
National Institutes of Health (NIH)
National Institute of General Medical Sciences (NIGMS)
Medical University of South Carolina
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Teachers that meet the following criteria will be included: 1. currently employed as a teacher or assistant teacher at a participating ECE center; 2. ages 18 or older; 3. men or women; 4. able to speak, read, and write English.
Exclusion criteria
None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Score of Child Worker Job Stress Inventory | Baseline and 1 year follow-up | The Child Worker Job Stress Inventory is a survey used to measure job stress via questionnaire that the childcare worker completes. This survey measure contains 22 items that range from 22 (low levels of stress) to 110 (High Levels of Stress). A higher score on each item represents higher child worker stress. The total score is utilized in this study with higher total score representing higher reported child worker job stress. |
| Change in Score on the Devereux Adult Resilience Survey | Baseline and 1-year follow-up | The Devereux Adult Resilience Survey (DARS) is a 23-item self-report measure assessing personal strengths and resilience. Each item is scored from 0 (Not Yet) to 2 (Almost Always), yielding a raw total score range of 0-46. In this study, subscale scores (e.g., relationships, internal beliefs, professional skills) may be combined or analyzed separately. If a composite score is used, the method of combination (e.g., summing across subscales) will be specified in the analysis plan. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change in Score on the Lifestyle Questionnaire | Baseline and 1-year follow-up | The lifestyle questionnaire measured health and functioning. The physical activity subscale was used in this study, which had 18 items and ranged from 0-4 with higher scores representing more physical activity. |
| Change in Score on the Early Childhood Job Satisfaction Survey | Baseline and 1-year follow-up | The Early Childhood Job Satisfaction Survey measures work satisfaction regarding co-worker relations, supervisor support, nature of the work itself, working conditions, and pay and promotion opportunities. The total score is used in this study and contains 55 items that range from 1-5. Higher scores on this scale represent higher job satisfaction. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Be Well Care Well Be Well Care Well: Be Well Care Well addresses teacher well-being through activities implemented in the classroom aimed at reducing teacher stress and improving physical activity. A subset of teachers involved in the program will complete classroom observations and cortisol testing to examine additional measures of stress. | 115 |
| Control Teacher well-being addressed as usual | 67 |
| Total | 182 |
Baseline characteristics
| Characteristic | Control | Total | Be Well Care Well |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 67 Participants | 182 Participants | 115 Participants |
| Age, Continuous | 40 years STANDARD_DEVIATION 13.2 | 38.75 years STANDARD_DEVIATION 13.1 | 37.5 years STANDARD_DEVIATION 13 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 51 Participants | 136 Participants | 85 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 16 Participants | 46 Participants | 30 Participants |
| Region of Enrollment United States | 67 Participants | 182 Participants | 115 Participants |
| Sex: Female, Male Female | 67 Participants | 182 Participants | 115 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 115 | 0 / 67 |
| other Total, other adverse events | 0 / 115 | 0 / 67 |
| serious Total, serious adverse events | 0 / 115 | 0 / 67 |
Outcome results
Primary
Change in Score of Child Worker Job Stress Inventory
The Child Worker Job Stress Inventory is a survey used to measure job stress via questionnaire that the childcare worker completes. This survey measure contains 22 items that range from 22 (low levels of stress) to 110 (High Levels of Stress). A higher score on each item represents higher child worker stress. The total score is utilized in this study with higher total score representing higher reported child worker job stress.
Time frame: Baseline and 1 year follow-up
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Be Well Care Well | Change in Score of Child Worker Job Stress Inventory | 25.1 units on a scale | Standard Deviation 13.4 |
| Control | Change in Score of Child Worker Job Stress Inventory | 32.8 units on a scale | Standard Deviation 21.4 |
Primary
Change in Score on the Devereux Adult Resilience Survey
The Devereux Adult Resilience Survey (DARS) is a 23-item self-report measure assessing personal strengths and resilience. Each item is scored from 0 (Not Yet) to 2 (Almost Always), yielding a raw total score range of 0-46. In this study, subscale scores (e.g., relationships, internal beliefs, professional skills) may be combined or analyzed separately. If a composite score is used, the method of combination (e.g., summing across subscales) will be specified in the analysis plan.
Time frame: Baseline and 1-year follow-up
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Be Well Care Well | Change in Score on the Devereux Adult Resilience Survey | 39.14 units on a scale | Standard Deviation 5.21 |
| Control | Change in Score on the Devereux Adult Resilience Survey | 41.51 units on a scale | Standard Deviation 3.69 |
Other Pre-specified
Change in Score on the Early Childhood Job Satisfaction Survey
The Early Childhood Job Satisfaction Survey measures work satisfaction regarding co-worker relations, supervisor support, nature of the work itself, working conditions, and pay and promotion opportunities. The total score is used in this study and contains 55 items that range from 1-5. Higher scores on this scale represent higher job satisfaction.
Time frame: Baseline and 1-year follow-up
Other Pre-specified
Change in Score on the Lifestyle Questionnaire
The lifestyle questionnaire measured health and functioning. The physical activity subscale was used in this study, which had 18 items and ranged from 0-4 with higher scores representing more physical activity.
Time frame: Baseline and 1-year follow-up