Emory Spiritual Health has developed a Compassion-Centered Spiritual Health group-based intervention, called CCSH Interventions for Teams, and are enrolling staff and providers into the groups in this randomized study design. The groups will meet once every other week for 60 minutes for 8 weeks (4 sessions total). The investigators will evaluate the feasibility and acceptability of this novel team-based intervention that includes mindfulness and compassion-based approaches with mixed-role oncology teams. Employees (n = 80; nurses, advanced practice providers (APPs), physicians, staff) working at an NCI- designated Comprehensive Cancer Center will be randomized by team (8-12 employees/group) to Compassion Centered Spiritual Health Team Intervention (CCSH-TI) or TAU (Treatment as Usual) group. The research objective is to evaluate the feasibility and acceptability of CCSH-TI, and to develop and validate a novel, low-burden ambulatory assessment "toolkit" to improve the measurement of psychological safety and burnout.
Current interventions to reduce provider burnout are only minimally effective. To overcome the barriers to achieving success in burnout prevention interventions, the investigators propose Compassion Centered Spiritual Health Team Intervention (CCSH-TI), a 4-session intervention delivered by healthcare chaplains to mixed-role interprofessional teams that includes mindfulness and compassion-based approaches to bolster resilience, compassion for self and others, and psychological safety. The research team will conduct a mixed-method feasibility and acceptability study of CCSH-TI with mixed-role oncology teams. Employees (n = 80; nurses, advanced practice providers (APPs), physicians, staff) working at an NCI-designated Comprehensive Cancer Center will be randomized by team (8-12 employees/group) to CCSH-TI or to TAU (Treatment as Usual) group, who has access to all well-being resources and activities available to them as employees. Self-report surveys and focus group discussions will be used to evaluate the feasibility and acceptability of CCSH-TI. The investigators will also collect self-report surveys, ecological momentary assessments (EMA), and the electronically activated recorder (EAR) data at 3 timepoints (before CCSH-TI (T1), immediately after completion of CCSH-TI (T2), and 12-weeks after completion (LT), and characterize data completion to evaluate the feasibility of data collection methods for a future randomized control trial. Informed consent will be obtained from study participants in-person. The duration of the study will be 22-23 weeks (from consent to completion of data collection).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
80
Delivered to healthcare teams by spiritual health clinicians proficient in group facilitation. It is composed of 4 sessions delivered every other week and lasting 60 minutes each. CCSH-TI sessions teach participants to attune to their interpersonal relationships; acknowledge and allow difficult emotions; and access compassion. It also provides psychoeducation about skillful coping strategies. Each session consists of didactic material about team norms and safety, a feeling check-in, facilitated group discussions about social connection and professional team building, and meditations to promote mindfulness, to cultivate a feeling of being nurtured, and to access compassion for self and others. CCSH-TI is delivered to healthcare teams by spiritual health clinicians proficient in group facilitation.
TAU refers to the current buffet of wellness and professional development activities that are available to employees at the Winship Cancer Institute.
Emory Winship Cancer Institute
Atlanta, Georgia, United States
RECRUITINGEmory University St. Joseph hospital
Atlanta, Georgia, United States
RECRUITINGProportion of eligible employees who enroll and are willing to be randomized
Proportion of eligible employees (all, and according to license, sex/gender, race/ethnicity) who enroll and are willing to be randomized.
Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)
Number of participants that attended and completed the three assessment timepoints
Number of participants that attended and completed the three assessment timepoints
Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)
Retention rates at three assessment timepoints
Retention rates will be assessed at three assessment timepoints
Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)
Satisfaction score
The investigators will administer a satisfaction questionnaire that includes 5 questions. Total possible score ranges from 5-25. With higher score correlating with better study outcome.
Time frame: Immediately post-intervention (T2), and 12-weeks post-intervention (LT)
Perceived credibility score
The investigators will assess perceived credibility with a questionnaire that includes 5 questions. Each question is scores from 1 to 8 with a total possible score range of 5-40. Higher score correlates with better study outcome.
Time frame: Immediately post-intervention (T2), and 12-weeks post-intervention (LT)
Perceived intervention benefit
The investigators will assess perceived benefit with a questionnaire that includes 18 questions, to be answered with a 7-point scale. Total possible score ranges from 18 to 126. Higher score correlates with better study outcome.
Time frame: Immediately post-intervention (T2), and 12-weeks post-intervention (LT)
Acceptability of wearing the Electronically Activated Recorder (EAR)
After the T1, T2, and LT assessments, participants will complete the EAR Experiential Questionnaire, a self-report measure that assesses the acceptability of wearing the EAR. Questions focus on participants' comfort with wearing the EAR, whether the EAR impeded daily activities, whether the EAR changed their behaviors or others' behaviors, and how typical were the days that the EAR was worn. Each question is rated on a Likert scale (1 "not at all" - 5 "a great deal"). Higher score correlates with better outcome.
Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)
Number of EMA dropouts
Number of EMA dropouts will be collected
Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)
Percentage (%) of items completed using EMA
Percentage of items completed using EMA will be assessed.
Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)
Change in Agency for Healthcare Research and Quality's TeamSTEPPS ® Teamwork Perceptions Questionnaire (T-TPQ) score
Measures perceptions of team function with the administration of the Team Structure and Mutual Support subscales (14 items total). Total possible score ranges from 1-14 with higher scores indicating better outcome.
Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)
Change in Psychological safety scale score
Includes subscales measuring psychological safety with leaders, peers, and within the team (19 items). Total possible score ranges from 1-19 with higher scores indicating better outcome.
Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)
Change in Professional Fulfillment Index Score
Measures Professional fulfillment and burnout, and has demonstrated sensitivity to change in intervention studies (16 items). Total possible score ranges from 1-16 with higher scores indicating better outcome.
Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)
EMA (ecological momentary assessment) questionnaire score
The 3-day ambulatory questionnaire asks participants whether the ecological momentary assessment (EMA) impeded daily activities or changed their behaviors, rated on a Likert scale (1 "not at all" - 5 "a great deal"). Higher score correlates with better outcome.
Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)
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