Compassion-Centered Spiritual Health for Faculty and Staff

NCT04060901 | Completed

• 1 other identifier: IRB00112957
• Study Type: interventional
• Target: 58
• Locations: 1 country
• Sites: 1

Brief Summary

Compassion-Centered Spiritual Health (CCSH) at Emory University was launched as a joint creation by Spiritual Health and the Center for Contemplative Science and Compassion-Based Ethics in 2018. The program enhances the practice of spiritual health through CCSH Interventions, which are a Cognitively-Based Compassion Training (CBCT)-based approach to support the practices of spiritual health clinicians. CBCT is a research-based contemplative program developed at Emory University in 2004. CCSH Interventions are provided by spiritual health clinicians across Emory's inpatient and outpatient facilities and beyond, and offer a method to alleviate distress in patients and families and to mitigate burnout in healthcare professionals. While the intervention will be required for some staff and provider populations, Spiritual Health proposes to pilot a voluntary systematic implementation of CCSH Interventions for Teams (CCSH-TI) to clinical research teams at Winship Cancer Institute. Clinical Research Coordinators (CRCs) experience significant emotional and spiritual burden through exposure to patients living with cancer and undergoing clinical trials for cancer treatment. As individuals and teams, CRCs face multiple work-related challenges known to cause distress, including experiences of secondary trauma, exposure to emotional and spiritual suffering of patients and families, and experiences of loss of patients. The researchers of this study hope that offering CCSH Interventions for Teams to CRCs will increase their resilience, wellbeing and compassion toward self and others, with a secondary benefit that burnout will be reduced. By conducting this pilot project, the researchers hope to gain a better understanding of how to optimally implement CCSH for CRC teams at the Winship Cancer Institute.

Conditions

Health Behavior

Keywords

Spiritual health clinician

Outcome Measures

Primary Outcomes (3)

• Change in Professional Quality of Life (ProQOL) Score

  The Professional Quality of Life Scale (ProQOL) is a 30-item inventory and is the most commonly used measure of the negative and positive effects of helping others who experience suffering. It has sub-scales for compassion satisfaction, burnout, and compassion fatigue. The sub-scales are summed and converted to t-scores with a mean of 50 and standard deviation of 10. Scores higher than 57 indicate professional satisfaction while scores below 40 indicate possible problems with feeling satisfied professionally.

  Baseline, Week 5, Week 24, Week 29

• Staff Retention

  Staff retention (number of employees not resigning) will be compared between the teams completing the intervention and those who have not yet participated.

  Up to Week 29

• Staff Absenteeism

  Staff absenteeism (number of missed work days) will be compared between the teams completing the intervention and those who have not yet participated.

  Up to Week 29

Secondary Outcomes (7)

• Change in Depression Anxiety and Stress Scale (DASS) Short Form Score

  Baseline, Week 5, Week 24, Week 29

• Change in Revised University of California, Los Angeles (UCLA) Loneliness Scale (R-UCLA) Score

  Baseline, Week 5, Week 24, Week 29

• Change in Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance Short Form Score

  Baseline, Week 5, Week 24, Week 29

• Change in Connor-Davidson Resilience Scale 25 (CD-RISC-25) Score

  Baseline, Week 5, Week 24, Week 29

• Change in Nursing Incivility Scale (General, Nurse, and Patient subscales)

  Baseline, Week 5, Week 24, Week 29

Study Arms (2)

CCSH Interventions for Teams in Cohort 1

EXPERIMENTAL

Participants in the first cohort will receive the CCSH Interventions for Teams during the fall session (first intervention period).

Behavioral: CCSH Intervention for Teams

CCSH Interventions for Teams in Cohort 2

EXPERIMENTAL

Participants in the second cohort will receive the CCSH Interventions for Teams during the spring session (second intervention period).

Behavioral: CCSH Intervention for Teams

Interventions

CCSH Intervention for Teams BEHAVIORAL

CCSH Interventions for Teams will be a six session intervention. The groups meet once per week for 60 minutes for 4 weeks, coupled with 2 booster sessions over the following 2 months. Participants will receive the CCSH interventional approach, adapted for a group setting, which follows four stages: 1) Preparing the care responder; 2) Attuning to the Relationship; 3) Accessing Compassion, and 4) Entrusting the Careseeker. The CCSH approach will be used to assess group dynamics, individual member sources of distress, as well as existing resources for resilience and compassion. Through the intervention, resources will then be identified and accessed in order to respond to team (and individual) sources of distress with greater resilience and increased compassion toward self and others. CCSH clinicians will utilize group process skills to encourage team communication about work-related challenges, enhance team cohesion, and enable interpersonal support among members of the team.

CCSH Interventions for Teams in Cohort 1; CCSH Interventions for Teams in Cohort 2

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Emory staff, clinical research coordinators

You may not qualify if:

• None

Sponsors & Collaborators

• Emory University: lead

Study Sites (1)

Emory University, Winship Cancer Institute

Atlanta, Georgia, 30322, United States

Location

Related Publications (1)

• Mascaro JS, Palmer PK, Ash MJ, Peacock C, Sharma A, Escoffery C, Raison C. Feasibility, Acceptability, and Preliminary Effectiveness of a Compassion-Centered Team Intervention to Improve Clinical Research Coordinator Resilience and Well-Being. JCO Oncol Pract. 2021 Jul;17(7):e936-e946. doi: 10.1200/OP.21.00120. Epub 2021 Jun 21.

  PMID: 34152835 DERIVED

MeSH Terms

Conditions

Health Behavior

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Jennifer Mascaro, PhD

  Emory University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: CRC teams will be randomized to one of two cohorts; the first cohort will receive the intervention during the first period while the second cohort waits to receive the intervention during the second period.

Study Record Dates

• First Submitted: August 16, 2019
• First Posted: August 19, 2019
• Study Start: August 23, 2019
• Primary Completion: February 7, 2020
• Study Completion: February 7, 2020
• Last Updated: May 14, 2020

Record last verified: 2020-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)