Advanced Practice Provider Intervention Study to Promote Wellness

NCT05743205 | Completed

• 1 other identifier: 1537818
• Study Type: interventional
• Target: 312
• Locations: 1 country
• Sites: 1

Brief Summary

This exploratory pilot study is designed as interventional study to examine the efficacy of a wellness initiative that involves use of a licensed clinical professional counselor (LCPC) to assist in the development of diverse coping strategies such as management of stressors, self-care, time management, and any other goals, problems or concerns that APPs would like assistance with during the intervention period.

Conditions

Job Stress; Professional Burnout

Keywords

Resilience; Burnout; Work engagement

Outcome Measures

Primary Outcomes (4)

• Holmes-Rahe Life Stress Inventory; The Social Readjustment Rating Scale

  The Holmes-Rahe Scale is used to life changes that may impact stress. Minimum values =150 pts or less; maximum values = 300 pts. or more; higher scores indicate higher susceptibility to stress-induced health problems.

  change from baseline stress measure at 1 year and 2 years.

• The Brief Resilience Scale

  The Brief Resilience Scale developed by Smith et al. (2008) is used to measure resilience. Minimum value =6 and maximum value = 30; mean value is used to determine scoring with higher value indicating more resilience.

  change from baseline in resilience measure at 6 months, 1 year and 2 years.

• The Work and Well-being Survey (UWES)© Engagement Scale

  Work engagement is measured using the Utrecht Work and Well-being Survey Engagement instrument (UWES). The minimum value =0 and the maximum value = 54. Mean is used to determine scoring. Higher value indicates greater work engagement.

  change from baseline engagement measure at 6 months, 1 year and 2 years.

• Advanced Practice Provider Well-being Index

  measures the increased probability of distress risk for personal or professional consequences. Minimum value =0 and maximum value =7. Mean and standard deviation is computed and compared to normative data.

  change from baseline well-being measure at 6 months, 1 year and 2 years.

Study Arms (1)

Educational Intervention

EXPERIMENTAL

Educational intervention

Behavioral: voluntary consultative wellness session

Interventions

voluntary consultative wellness session BEHAVIORAL

Professional wellness counseling sessions provided to health care professionals through voluntary enrollment. Consultative sessions will conducted throughout the course of 1 year and number of subsequent sessions will be determined by the participant.

Educational Intervention

Eligibility Criteria

• Age: 18 Years - 68 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• employment within non-profit health care setting as a health care professional
• working at least 50% of time in direct patient care
• availability and interest in initial and follow-up wellness visits

You may not qualify if:

• actively participating in formalized counseling sessions through other services at time of recruitment into the study

Sponsors & Collaborators

• Colleen J Klein: lead

Study Sites (1)

OSF HealthCare System

Peoria, Illinois, 61602, United States

Location

Related Publications (8)

• Klein CJ, Weinzimmer LG, Cooling M, Lizer S, Pierce L, Dalstrom M. Exploring burnout and job stressors among advanced practice providers. Nurs Outlook. 2020 Mar-Apr;68(2):145-154. doi: 10.1016/j.outlook.2019.09.005. Epub 2019 Nov 8.

  PMID: 31708107 BACKGROUND

• Klein CJ, Dalstrom M, Lizer S, Cooling M, Pierce L, Weinzimmer LG. Advanced Practice Provider Perspectives on Organizational Strategies for Work Stress Reduction. West J Nurs Res. 2020 Sep;42(9):708-717. doi: 10.1177/0193945919896606. Epub 2019 Dec 22.

  PMID: 31868125 BACKGROUND

• Klein CJ, Dalstrom MD, Weinzimmer LG, Cooling M, Pierce L, Lizer S. Strategies of Advanced Practice Providers to Reduce Stress at Work. Workplace Health Saf. 2020 Sep;68(9):432-442. doi: 10.1177/2165079920924060. Epub 2020 Jun 3.

  PMID: 32491978 BACKGROUND

• Klein CJ, Weinzimmer LG, Dalstrom M, Lizer S, Cooling M, Pierce L. Investigating practice-level and individual factors of advanced practice registered nurses and physician assistants and their relationship to resilience. J Am Assoc Nurse Pract. 2021 Jul 29;34(2):310-321. doi: 10.1097/JXX.0000000000000639.

  PMID: 34334766 BACKGROUND

• Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J. The brief resilience scale: assessing the ability to bounce back. Int J Behav Med. 2008;15(3):194-200. doi: 10.1080/10705500802222972.

  PMID: 18696313 BACKGROUND

• Dyrbye LN, Johnson PO, Johnson LM, Halasy MP, Gossard AA, Satele D, Shanafelt T. Efficacy of the Well-Being Index to identify distress and stratify well-being in nurse practitioners and physician assistants. J Am Assoc Nurse Pract. 2019 Jul;31(7):403-412. doi: 10.1097/JXX.0000000000000179.

  PMID: 30829967 RESULT

• Klein CJ, Riggenbach-Hays JJ, Sollenberger LM, Harney DM, McGarvey JS. Quality of Life and Compassion Satisfaction in Clinicians: A Pilot Intervention Study for Reducing Compassion Fatigue. Am J Hosp Palliat Care. 2018 Jun;35(6):882-888. doi: 10.1177/1049909117740848. Epub 2017 Nov 23.

  PMID: 29169248 RESULT

• Klein CJ, Pierce LM, Cooling M, Stoecker B, Weinzimmer LG. Investigating and supporting wellness of advanced practice nurses and physician associates: Associated challenges before, during, and after the Covid-19 pandemic. J Am Assoc Nurse Pract. 2026 Mar 18. doi: 10.1097/JXX.0000000000001270. Online ahead of print.

  PMID: 41848432 DERIVED

MeSH Terms

Conditions

Occupational Stress; Burnout, Professional; Burnout, Psychological

Condition Hierarchy (Ancestors)

Occupational Diseases; Stress, Psychological; Behavioral Symptoms; Behavior

Study Officials

• Colleen Klein, PhD, RN

  OSF Healthcare System

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Education and Research Scientist

Study Record Dates

• First Submitted: February 14, 2023
• First Posted: February 24, 2023
• Study Start: December 21, 2022
• Primary Completion: December 22, 2025
• Study Completion: December 22, 2025
• Last Updated: February 27, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)