Coaching for Advanced Practice Providers

NCT05938556 | Completed

• 1 other identifier: STUDY00005675
• Study Type: interventional
• Target: 319
• Locations: 1 country
• Sites: 4

Brief Summary

This study aims to determine if online coaching is feasible in advanced practice providers (APP) and can impact burnout. The study will recruit APPs from Children's Healthcare of Atlanta (CHOA), Emory, Colorado University (CU), and their affiliate hospitals through online consent sent via email. Interventions will include online video coaching, written coaching, and self-coaching through self-study material.

Conditions

Burnout, Professional

Keywords

Advanced Practice Providers; APPs; Coaching; Healthcare provider; Nurse burnout; Wellness

Outcome Measures

Primary Outcomes (6)

• Change in Burnout

  Burnout as defined by the Maslach Burnout Inventory (MBI). The Maslach burnout inventory (MBI) is a 22-item measurement of worker burnout that assesses emotional exhaustion (EE), depersonalization (DP), and personal fulfillment (PF) domains. Possible scores range from 0-6 on a Likert scale for each item. Scores of EE ≥ 27 points, DP ≥ 10, and PF \<33 would indicate a high degree of burnout. Scores of EE≤18 points, DP≤5 points, and PF≥40 points would indicate a low degree of burnout.

  Baseline, 4 months, 9 months

• Change in the percentage of participants that accept the program course

  Data collection will be at baseline, month 4, and month 9 for both groups.

  Baseline, 4 months, 9 months

• Percentage of participants who watch program calls

  Number of participants who watch program calls. Data collection will only be at the end of participation Group Coaching Program.

  4 month or 9 months

• Change in the percentage of participants that complete >50% of self-study worksheets

  Number of participants who complete \>50% of self-study worksheets. Data collection will only be at the end of participation Group Coaching Program.

  4 month or 9 months

• Change in the percentage of participants that use the Ask A Coach Forum at least once

  Percentage of participants that use the Ask A Coach Forum at least once. Data collection will only be at the end of participation Group Coaching Program.

  4 month or 9 months

• Change in the rate of participation in the program

  Percentage of participants that complete the outcome measures (pre/post surveys). Data collection will be at month 4 and month 9 for both groups.

  Baseline, 4 months, 9 months

Secondary Outcomes (7)

• Change in Trauma Symptoms of Discrimination Scale

  Baseline, 4 months, 9 months

• Change in Self-Compassion

  Baseline, 4 months, 9 months

• Change in Moral Injury

  Baseline, 4 months, 9 months

• Change in the Young's Imposter Syndrome Symptoms Scale

  Baseline, 4 months, 9 months

• Change in the intention to leave

  Baseline, 4 months, 9 months

Study Arms (2)

Group Coaching Program

EXPERIMENTAL

The study intervention is a hybrid asynchronous-synchronous group coaching treatment that will occur over four months. Participants will be given access to a members-only, web-based platform to access the intervention.

Behavioral: hybrid asynchronous-synchronous group coaching program

Usual Treatment

PLACEBO COMPARATOR

This group will participate in the study intervention following a 4-month waitlist/control group.

Other: treatment as usual group (TAU)

Interventions

hybrid asynchronous-synchronous group coaching program BEHAVIORAL

A hybrid asynchronous-synchronous program. The synchronous part has two weekly recorded live group coaching calls for four months. The asynchronous consist of 1) on-demand replies to recorded coaching calls, 2) Self-coaching through weekly self-study modules and worksheets, and 3) written Ask A Coach. Content modified per needs of APPs by a physician, a certified coach, and an APP who is also a Co-I. The curriculum has weekly themes that build. Month-1 consists of 1) Introduction to the Model, 2) How to Feel Better, 3) Defining Your Purpose, and 4) Living Your Purpose. Month-2 consists of 1) Growth Mindset, 2) Welcoming Feedback and Assessment Bias, 3) Feeling Valued and Belonging, and 4) How to Deal with Hidden Expectations. Month-3 consists of 1) Imposter Syndrome, 2) Perfectionism, 3) Approval Addiction, and 4) How to Change Your Thoughts. Month-4 consists of 1) How to deal with Ambiguity, 2) Confidence, 3) Self-Appreciation and Self-Compassion, and 4) Celebrate the New You.

Also known as: group coaching program

Group Coaching Program

treatment as usual group (TAU) OTHER

The treatment as usual group will consist of any structural or programmatic interventions, resources, lectures, curriculum, etc. offered at the participants' hospital of employment. Thus, this active control is designed to represent a best-case alternative to group coaching, making it a more rigorous form of control. Participants randomly assigned to TAU will also continue any structural or programmatic interventions or resources they were previously participating in.

Also known as: TAU

Usual Treatment

Eligibility Criteria

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

You may qualify if:

• Advanced Practice Providers (nurse practitioners, physician assistants, certified midwife nurses, certified registered nurse anesthetists, anesthesiology assistants, and clinical nurse specialists) at Children's Healthcare of Atlanta, Emory University, and CU and its affiliate hospitals.

You may not qualify if:

• adults unable to consent,
• individuals who are not adults,
• prisoners,
• cognitively impaired or individuals with impaired decision-making capacity and
• individuals who do not clearly understand English.

Sponsors & Collaborators

• Emory University: lead
• Children's Healthcare of Atlanta: collaborator
• University of Colorado, Denver: collaborator

Study Sites (4)

University of Colorado

Denver, Colorado, 80220, United States

Location

Children's Healthcare of Atlanta

Atlanta, Georgia, 30322, United States

Location

Emory Healthcare System

Atlanta, Georgia, 30322, United States

Location

Emory University

Atlanta, Georgia, 30329, United States

Location

MeSH Terms

Conditions

Burnout, Professional

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Occupational Stress; Occupational Diseases; Burnout, Psychological; Stress, Psychological; Behavioral Symptoms; Behavior

Study Officials

• Zahidee (Saidie) Rodriguez, MD

  Emory University

  PRINCIPAL INVESTIGATOR

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: Participants will be randomly assigned to receive either four months of group coaching or treatment as usual. After fourth months of the assigned treatment, the two arms will switch for another four months of either group coaching or treatment as usual.

Study Record Dates

• First Submitted: June 8, 2023
• First Posted: July 10, 2023
• Study Start: July 14, 2023
• Primary Completion: June 30, 2024
• Study Completion: June 30, 2024
• Last Updated: July 19, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: Beginning 3 months and ending 5 years following article publication.
• Access Criteria: Proposals should be directed to rodriguezz@kidsheart.com with a signed data access agreement, for up to 5 yrs (example 2 language)

Locations

US (4)