Certified Nursing Assistants' Wellbeing

NCT03720652 | Completed Results DMC

• 2 other identifiers: 18-20121R21AG058133-01A1
• Study Type: interventional
• Target: 39
• Locations: 1 country
• Sites: 1

Brief Summary

Certified nursing assistants (CNAs), who provide the majority of care to persons with chronic disease and/or cognitive impairment from Alzheimer's disease and related dementias, face tremendous job and home stress, and as a result absenteeism and job turnover are high. This is a preliminary study that will tailor Mindful Self-Compassion (MSC) - a promising new program designed to cultivate greater self-care, and strengthen resilience and coping skills - for the CNA population and study its effectiveness. If results are favorable, MSC could be incorporated into CNA training programs, thereby helping contribute to a more effective and stable long-term care workforce.

Conditions

Stress and Burnout

Keywords

Mindfulness; Certified Nursing Assistants; Long-Term Care; Staff Turnover; Mindful Self-Compassion

Outcome Measures

Primary Outcomes (1)

• Study Participant's Self-Rating of Likelihood to Leave Job in the Coming Year Over Time

  The researchers will assess intent to leave job by asking "How likely is it that you will leave this job in the next year? "Would you say... 1 is Not at All Likely, 2 is Somewhat Likely, 3 is Very Likely." Minimum = 1 (best value), maximum = 3 (worst value). For the primary outcome analysis, intent will be evaluated by totaling the count of participants who responded "Somewhat Likely", "Very likely", or "Not at all likely." This was collected over the course of four time frames: Baseline, End-of Intervention interview, 3-Month Follow Up Interview, and 6-Month Follow Up Interview.

  Participants will be followed for the duration of the intervention and 6 additional months after the intervention ends, an expected average of 8 months

Secondary Outcomes (20)

• Change in Mean Score Over Time on Job Satisfaction Scale (JSS)

  Participants will be followed for the duration of the intervention and 6 additional months after the intervention ends, an expected average of 8 months

• Change in Mean Score Over Time on Approach to Dementia Questionnaire (ADQ) - Recognition of Personhood Subscale

  Participants will be followed for the duration of the intervention and 6 additional months after the intervention ends, an expected average of 8 months

• Change in Mean Score Over Time on Perceived Stress Scale (PSS)

  Participants will be followed for the duration of the intervention and 6 additional months after the intervention ends, an expected average of 8 months

• Change in Mean Score Over Time on PROMIS Depression Scale

  Participants were followed for the duration of the intervention and 6 additional months after the intervention ends, an expected average of 8 months

• Change in Mean Score Over Time on Maslach Burnout Inventory (MBI) - Depersonalization Subscale

  Participants were followed for the duration of the intervention and 6 additional months after the intervention ends, an expected average of 8 months

Study Arms (2)

8-Week Mindful Self-Compassion (MSC)

EXPERIMENTAL

CNAs in Aim 1 will participate in the standardized, 8-week Mindful Self-Compassion course. Each 8-week session will last for 2.5 hours. Also included is a half day retreat, that CNAs may attend if they are able.

Behavioral: 8-Week Mindful Self-Compassion (MSC)

6-Week Mindful Self Compassion (MSC)

EXPERIMENTAL

CNAs from both nursing homes in Aim 2 will participate in the 6-week Mindful Self-Compassion course, that was shortened and customized to fit the needs of health care staff. Each 6-week session will last for 1 hour.

Behavioral: 6-Week Mindful Self-Compassion (MSC)

Interventions

8-Week Mindful Self-Compassion (MSC) BEHAVIORAL

The 8-week MSC is a course of eight 2.5 hour weekly sessions that is based off self-compassion, a construct closely related to mindfulness. Self-compassion (SC) has three main interrelated components: self-kindness, common humanity, and mindfulness. MSC is an 8-session program that integrates SC and mindfulness. It includes the following components: * Discovering Mindful Self-Compassion * Practicing Mindfulness * Practicing Lovingkindness * Discovering your Compassionate Voice * Living Deeply * Meeting Difficult Emotions * Exploring Challenging Relationships * Embracing Your Life

8-Week Mindful Self-Compassion (MSC)

6-Week Mindful Self-Compassion (MSC) BEHAVIORAL

The 6-week MSC is a course of six 1 hour weekly sessions that is based off self-compassion, a construct closely related to mindfulness. Self-compassion (SC) has three main interrelated components: self-kindness, common humanity, and mindfulness. MSC is an 6-session program that integrates SC and mindfulness. It includes the following components: * What is Self-Compassion * Practicing Self-Compassion * Discovering your Compassionate Voice * Self-Compassion and Resilience * Self-Compassion and Burnout * Going Forward This program is a shortened version of the 8-week program, specifically created for the needs of health care staff.

6-Week Mindful Self Compassion (MSC)

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Certified Nursing Assistant employed by one of 3 study Nursing Homes
• Aged 18 and over
• Speak English
• Work at least 20 hours as a CNA at one of our proposed Nursing Homes
• Expect to attend at least 75% of the intervention classes
• Expect to stay at least the course of the intervention on the job
• Score in the top 50% on the PSS-10 (Perceived Stress Scale) (if more than 20 participants interested)

You may not qualify if:

• Younger than 18
• Working fewer than 20 hours a week
• Unable to attend at least 75% of the intervention classes
• Expect to leave their position during the intervention

Sponsors & Collaborators

• University of North Carolina, Chapel Hill: lead
• National Institute on Aging (NIA): collaborator

Study Sites (1)

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, 27599, United States

Location

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Related Links

• Nursing Home Compare
• Unscheduled Absence Survey: CCH Survey Finds Unscheduled Absenteeism Up in U.S. Workplaces.

MeSH Terms

Conditions

Burnout, Psychological

Condition Hierarchy (Ancestors)

Stress, Psychological; Behavioral Symptoms; Behavior

Results Point of Contact

• Title: Philip D. Sloane, MD, MPH
• Organization: University of North Carolina at Chapel Hill

philip_sloane@med.unc.edu

+1 (919) 966-4439

Study Officials

• Philip D Sloane, MD, MPH

  University of North Carolina, Chapel Hill

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: In Aim 1, the 8-week MSC program was conducted with nursing assistants from 1 nursing home to test for feasibility and practicality. After receiving feedback from participants of Aim 1, in Aim 2, the MSC program will be conducted in 2 nursing homes. Both nursing homes in Aim 2 will receive a shortened 6-week, 1 hour version specific to health care staff, in order to test the feasibility and practicality.

Study Record Dates

• First Submitted: October 24, 2018
• First Posted: October 25, 2018
• Study Start: March 27, 2019
• Primary Completion: June 2, 2020
• Study Completion: June 23, 2020
• Last Updated: April 29, 2021
• Results First Posted: April 29, 2021

Record last verified: 2021-03

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: The data will be shared beginning 9 to 36 months following publication, and will be available for up to 7 years post publication.
• Access Criteria: To access, interested parties will have to email Drs. Christine Lathren, lathren@email.unc.edu, and Philip D. Sloane, philip\ sloane@med.unc.edu, or contact the study team through the Cecil G. Sheps Center for Health Services Research at (919) 966-5011.

Locations

US (1)