Assessing the Implementation and Feasibility of the SMART-MR

NCT05122910 | Completed

• 1 other identifier: 20210559-01H
• Study Type: interventional
• Target: 98
• Locations: 1 country
• Sites: 1

Brief Summary

The objective of the proposed pilot study is to assess the feasibility and implementation of the SMART-MR program, an integration of stress management, general resilience, and moral resilience skills, with frontline staff who provide direct patient care at The Ottawa Hospital (TOH).

Conditions

Moral Injury

Keywords

Moral Distress; Moral Resilience; Healthcare workers; COVID-19

Outcome Measures

Primary Outcomes (2)

• Change in the Measure of Moral Distress-Health Professionals (MMD-HP)

  27-item scale that measures healthcare professionals' current levels of moral distress. Respondents rate each item on two Likert scales to indicate: how often a situation occurs during their practice (frequency: 0 = never, 4= very frequent) and how distressing it is when it occurs (distressing: 0= none, 4= very distressing). The frequency score (f) is multiplied by the distress score (d) to receive a composite score ("fxd", range 0-16). These scores are summed to create the overall MMD-HP score (ranging from 0-432), with higher scores indicative of higher moral distress.

  Baseline, 12 weeks follow-up

• Change in the Rushton Moral Resilience Scale (RMRS)

  17-item scale assessing moral resilience in healthcare workers. Respondents rate their level of agreement with each item on a Likert scale from 1 ("disagree") to 4 ("agree"). The items form 4 factors: 1) response to moral adversity; 2) personal integrity; 3) relational integrity; and 4) moral efficacy and a total summative score is calculated.

  Baseline, 12 weeks follow-up

Secondary Outcomes (3)

• Change in the Maslach Burnout Inventory-2 item version (MBI-2 item)

  Baseline, 12 weeks follow-up

• Change in the Perceived Stress Scale-10 item (PSS-10)

  Baseline, 12 weeks follow-up

• Change in the Generalized Anxiety Disorder 7-item (GAD-7) scale

  Baseline, 12 weeks follow-up

Study Arms (1)

SMART-MR Program

EXPERIMENTAL

Participants will participate in the Stress Management and Resilience Training - Moral Resilience (SMART-MR) program.

Behavioral: Stress Management and Resilience Training - Moral Resilience (SMART-MR) program

Interventions

Stress Management and Resilience Training - Moral Resilience (SMART-MR) program BEHAVIORAL

All participants will attend an initial 2.5 hour workshop and a 1-hour follow-up workshop. The workshop will include general resilience strategies with a focus on the moral/ethical dimensions of clinical practice to offer participants specific skills to address ethical challenges. In addition to the workshops, there will be follow-up supplemental resources.

SMART-MR Program

Eligibility Criteria

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

You may qualify if:

• full-time or part-time TOH staff who provide direct patient care, including: attending physicians, nurses, allied health, social workers and spiritual care providers

You may not qualify if:

• TOH staff members who do not provide direct patient care

Sponsors & Collaborators

• University of Ottawa: lead

Study Sites (1)

The Ottawa Hospital

Ottawa, Ontario, Canada

Location

MeSH Terms

Conditions

Stress Disorders, Post-Traumatic; COVID-19

Condition Hierarchy (Ancestors)

Stress Disorders, Traumatic; Trauma and Stressor Related Disorders; Mental Disorders; Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases

Study Officials

• Edward Spilg, MBChB

  University of Ottawa

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: October 22, 2021
• First Posted: November 17, 2021
• Study Start: July 15, 2022
• Primary Completion: December 15, 2022
• Study Completion: December 15, 2022
• Last Updated: January 12, 2023

Record last verified: 2023-01

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)