Wellbeing of the ECE Workforce in Low-resourced Locations

NCT05416216 | Active Not Recruiting

• 1 other identifier: 21-4662
• Study Type: interventional
• Target: 360
• Locations: 1 country
• Sites: 5

Brief Summary

The WELL program is a multi-strategy early childhood education (ECE) center-based intervention focused on ensuring that formal ECE providers prioritize their own self-care and well-being and have access to resources and supports that improve their skills to have stable and responsive relationships with young children in their care. The overarching goals of this proposed project include:

• To utilize Head Start-University partnerships to investigate constructs within the National Institute of Occupational Safety and Health (NIOSH) Worker Wellbeing framework (e.g., Workplace Physical Environment and Safety Climate, Workplace Policies and Culture) among Head Start staff (n=360 Head Start staff) that are most associated with overall well-being.
• To adapt and refine the WELL program to target specific constructs that are most significantly related to overall well-being among the ECE workforce identified in Aim 1 and then to test the effectiveness of WELL (n=36 Head Start centers; n=360 Head Start staff).
• To collect data to inform the implementation and dissemination of the WELL project research findings and products and initiate translation activities to achieve large-scale adoption.

Conditions

Burnout, Caregiver; Stress; Mental Health Wellness

Outcome Measures

Primary Outcomes (1)

• Early care and Education Worker Wellbeing

  Measured as a latent construct via a 68-item National Institute of Occupational Safety and Health Worker Wellbeing Questionnaire that encompasses 5 domains (work evaluation and experience, work safety and physical climate, work policies and culture, health status, and home community and society). The scale total ranges from 0-68 with higher scores indicating higher well-being

  Pre-Post Years 1-5

Secondary Outcomes (2)

• Burnout

  Pre-Post Years 1-5

• Turnover Intent

  Pre-Post Years 1-5

Study Arms (2)

Control

NO INTERVENTION

In the stepped wedge design, ECE centers start the trial at the same point in time and act as controls with no intervention until they are randomized to crossover from control to intervention conditions.

WELL intervention

EXPERIMENTAL

'WELL intervention' is when implementation of the one-year, three-strategy WELL intervention begins (see description).

Behavioral: WELL

Interventions

WELL BEHAVIORAL

The WELL intervention is a multi-level, three-strategy program to promote the wellbeing of the ECE workforce.

WELL intervention

Eligibility Criteria

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

You may qualify if:

• Early childcare education providers employed in one of five Head Start-funded ECE centers in Colorado who are providing care for children ages 0-5
• Aged 18 years or older

You may not qualify if:

• N/A

Sponsors & Collaborators

• Colorado School of Public Health: lead

Study Sites (5)

Adams County Head Start

Brighton, Colorado, 80601, United States

Location

Denver Great Kids Head Start

Denver, Colorado, 80202, United States

Location

Otero Junior College Head Start

La Junta, Colorado, 81050, United States

Location

Jefferson County Head Start

Lakewood, Colorado, 80002, United States

Location

Lakewood Head Start

Lakewood, Colorado, 80228, United States

Location

MeSH Terms

Conditions

Caregiver Burden

Condition Hierarchy (Ancestors)

Stress, Psychological; Behavioral Symptoms; Behavior

Study Design

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

Model Details: Stepped Wedge Cluster Randomized Trial. To evaluate the effectiveness of the WELL intervention the researchers will implement a stepped wedge cluster randomized trial. In this design, ECE centers (steps 1-3) start the trial at the same point in time and act as controls until they are randomized to crossover from control to intervention conditions. This design has been used for pragmatic public health trials conducted as part of routine practice where phased implementation is preferable for feasibility and when the interventions are expected to provide more good than harm.

Study Record Dates

• First Submitted: June 6, 2022
• First Posted: June 13, 2022
• Study Start: November 1, 2021
• Primary Completion (Estimated): September 30, 2026
• Study Completion (Estimated): September 30, 2026
• Last Updated: February 7, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (5)