Health Behavior
Conditions
Keywords
Behavioral Intervention, Healthcare provider burnout
Brief summary
Emory Spiritual Health has developed a Compassion-Centered Spiritual Health group-based intervention, called CCSH Interventions for Teams, and are enrolling staff and providers into the groups in this randomized study design. The groups will meet once every other week for 60 minutes for 8 weeks (4 sessions total). The investigators will evaluate the feasibility and acceptability of this novel team-based intervention that includes mindfulness and compassion-based approaches with mixed-role oncology teams. Employees (n = 80; nurses, advanced practice providers (APPs), physicians, staff) working at an NCI- designated Comprehensive Cancer Center will be randomized by team (8-12 employees/group) to Compassion Centered Spiritual Health Team Intervention (CCSH-TI) or TAU (Treatment as Usual) group. The research objective is to evaluate the feasibility and acceptability of CCSH-TI, and to develop and validate a novel, low-burden ambulatory assessment "toolkit" to improve the measurement of psychological safety and burnout.
Detailed description
Current interventions to reduce provider burnout are only minimally effective. To overcome the barriers to achieving success in burnout prevention interventions, the investigators propose Compassion Centered Spiritual Health Team Intervention (CCSH-TI), a 4-session intervention delivered by healthcare chaplains to mixed-role interprofessional teams that includes mindfulness and compassion-based approaches to bolster resilience, compassion for self and others, and psychological safety. The research team will conduct a mixed-method feasibility and acceptability study of CCSH-TI with mixed-role oncology teams. Employees (n = 80; nurses, advanced practice providers (APPs), physicians, staff) working at an NCI-designated Comprehensive Cancer Center will be randomized by team (8-12 employees/group) to CCSH-TI or to TAU (Treatment as Usual) group, who has access to all well-being resources and activities available to them as employees. Self-report surveys and focus group discussions will be used to evaluate the feasibility and acceptability of CCSH-TI. The investigators will also collect self-report surveys, ecological momentary assessments (EMA), and the electronically activated recorder (EAR) data at 3 timepoints (before CCSH-TI (T1), immediately after completion of CCSH-TI (T2), and 12-weeks after completion (LT), and characterize data completion to evaluate the feasibility of data collection methods for a future randomized control trial. Informed consent will be obtained from study participants in-person. The duration of the study will be 22-23 weeks (from consent to completion of data collection).
Interventions
BEHAVIORALCompassion Centered Spiritual Health Team Intervention (CCSH-TI)
Delivered to healthcare teams by spiritual health clinicians proficient in group facilitation. It is composed of 4 sessions delivered every other week and lasting 60 minutes each. CCSH-TI sessions teach participants to attune to their interpersonal relationships; acknowledge and allow difficult emotions; and access compassion. It also provides psychoeducation about skillful coping strategies. Each session consists of didactic material about team norms and safety, a feeling check-in, facilitated group discussions about social connection and professional team building, and meditations to promote mindfulness, to cultivate a feeling of being nurtured, and to access compassion for self and others. CCSH-TI is delivered to healthcare teams by spiritual health clinicians proficient in group facilitation.
BEHAVIORALTreatment as Usual
TAU refers to the current buffet of wellness and professional development activities that are available to employees at the Winship Cancer Institute.
Sponsors
Emory University
National Center for Complementary and Integrative Health (NCCIH)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
This is a longitudinal, randomized pilot study of 80 employees working in inter-professional oncologic teams. Employees will be randomized by team (using a random number generator in Microsoft Excel) to receive CCSH-TI or to a TAU "treatment as usual" (TAU) group.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Full-time employees working in oncology teams at Winship Cancer Institute; * Employees working in intensive care at Emory University St. Joseph hospital.
Exclusion criteria
* Less than 18 years old
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of eligible employees who enroll and are willing to be randomized | BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT) | Proportion of eligible employees (all, and according to license, sex/gender, race/ethnicity) who enroll and are willing to be randomized. |
| Number of participants that attended and completed the three assessment timepoints | BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT) | Number of participants that attended and completed the three assessment timepoints |
| Retention rates at three assessment timepoints | BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT) | Retention rates will be assessed at three assessment timepoints |
| Satisfaction score | Immediately post-intervention (T2), and 12-weeks post-intervention (LT) | The investigators will administer a satisfaction questionnaire that includes 5 questions. Total possible score ranges from 5-25. With higher score correlating with better study outcome. |
| Perceived credibility score | Immediately post-intervention (T2), and 12-weeks post-intervention (LT) | The investigators will assess perceived credibility with a questionnaire that includes 5 questions. Each question is scores from 1 to 8 with a total possible score range of 5-40. Higher score correlates with better study outcome. |
| Perceived intervention benefit | Immediately post-intervention (T2), and 12-weeks post-intervention (LT) | The investigators will assess perceived benefit with a questionnaire that includes 18 questions, to be answered with a 7-point scale. Total possible score ranges from 18 to 126. Higher score correlates with better study outcome. |
| Acceptability of wearing the Electronically Activated Recorder (EAR) | BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT) | After the T1, T2, and LT assessments, participants will complete the EAR Experiential Questionnaire, a self-report measure that assesses the acceptability of wearing the EAR. Questions focus on participants' comfort with wearing the EAR, whether the EAR impeded daily activities, whether the EAR changed their behaviors or others' behaviors, and how typical were the days that the EAR was worn. Each question is rated on a Likert scale (1 "not at all" - 5 "a great deal"). Higher score correlates with better outcome. |
| Number of EMA dropouts | BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT) | Number of EMA dropouts will be collected |
| Percentage (%) of items completed using EMA | BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT) | Percentage of items completed using EMA will be assessed. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Agency for Healthcare Research and Quality's TeamSTEPPS ® Teamwork Perceptions Questionnaire (T-TPQ) score | BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT) | Measures perceptions of team function with the administration of the Team Structure and Mutual Support subscales (14 items total). Total possible score ranges from 1-14 with higher scores indicating better outcome. |
| Change in Psychological safety scale score | BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT) | Includes subscales measuring psychological safety with leaders, peers, and within the team (19 items). Total possible score ranges from 1-19 with higher scores indicating better outcome. |
| Change in Professional Fulfillment Index Score | BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT) | Measures Professional fulfillment and burnout, and has demonstrated sensitivity to change in intervention studies (16 items). Total possible score ranges from 1-16 with higher scores indicating better outcome. |
| EMA (ecological momentary assessment) questionnaire score | BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT) | The 3-day ambulatory questionnaire asks participants whether the ecological momentary assessment (EMA) impeded daily activities or changed their behaviors, rated on a Likert scale (1 "not at all" - 5 "a great deal"). Higher score correlates with better outcome. |
Countries
United States
Contacts
CONTACTJennifer Mascaro, PhD
PRINCIPAL_INVESTIGATORJennifer Mascaro, PhD
Emory University
Outcome results
None listed