Arena Labs - Improving Clinician Well Being

Study Overview
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Brief Summary
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To determine the efficacy of the asynchronous performance coaching platform, Arena Strive at changing measures of physiological resilience, professional fulfillment, burnout, and self-valuation in full time clinicians.

Detailed Description
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This study is a prospective randomized controlled longitudinal crossover design with a per protocol analysis integrating one sensor (WHOOP, inc Platform) and one educational intervention (Arena Strive Platform). The WHOOP sensor collects data on heart rate (HR), heart rate variability (HRV), and sleep data, and will be worn by all participants in the experimental intervention. Participants will be asked to wear the biometric sensor for 12 weeks but will have optional access to the device for a total of 24 weeks.

Official Title
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Atrium Health - Arena Labs Research Protocol

Conditions
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Mental Health Disorder

Intervention / Treatment
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* Behavioral: Arena Strive
* Device: WHOOP Sensor
* Behavioral: Survey


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Employed full time by an Atrium Health affiliated entity Age 18+ Willing and able to give written informed consent for study participation Healthcare workers working ≥ 36 hours of clinical duties/week Willingness to wear WHOOP and keep it charged for the entire duration of study Have a smart phone for pairing with WHOOP and the Arena Strive platform Exclusion Criteria: Current diagnosis of a sleep-related breathing disorder including obstructive sleep apnea not being treated (with or without continuous positive airway pressure (CPAP) treatment) Circadian rhythm sleep-wake disorders Narcolepsy Recurrent isolated sleep paralysis Restless legs syndrome Periodic Leg Movement Disorder Comorbid nocturia or other conditions (benign prostatic hyperplasia) resulting in frequent need to get out of bed to use the bathroom during the night (≥3 times per night average) Atrial Fibrillation Chronic obstructive pulmonary disease (COPD) other than mild, pulmonary fibrosis or severe chronic lung disease Sleep apnea or undergoing treatment for a sleep related illness Lack of availability of iPhone or Android device

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Factorial Assignment
Interventional Model Description: This study is a prospective randomized controlled longitudinal crossover design with a per protocol analysis integrating one sensor (WHOOP, inc Platform) and one educational intervention (Arena Strive Platform).
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Arena Strive<br>The experimental intervention employed in this study will be a 12-week, multi-phased approach involving an asynchronous learning and coaching experience (6 weeks), and exploration phase (6 weeks). | Behavioral: Arena Strive<br>* This second-generation platform provides frontline clinicians with a comprehensive journey to access the tools, training, and technology used by other high-pressure fields to increase performance and enhance resilience.<br>|
| Other: Control Cohort<br>Participants randomized into the control cohort - the intervention is the survey at baseline and end of the study | Device: WHOOP Sensor<br>* The WHOOP sensor collects data on heart rate (HR), heart rate variability (HRV), and sleep data<br>|
| Other: Survey<br>end of the study | Behavioral: Survey<br>* survey at baseline and end of the study<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Heart Rate Variability | measured by the WHOOP biometric device - The WHOOP wearable brings hi-tech features including sleep, workout, heart rate feedback and more advanced biometrics in a simple package - the latest, most advanced fitness and health wearable available. Monitor your recovery, sleep, training, and health, with personalized recommendations and coaching feedback. | Week 12 | 
| Change in Resting Heart Rate | measured by the WHOOP biometric device - The WHOOP wearable brings hi-tech features including sleep, workout, heart rate feedback and more advanced biometrics in a simple package - the latest, most advanced fitness and health wearable available. Monitor your recovery, sleep, training, and health, with personalized recommendations and coaching feedback. | Week 12 | 
| Change in time spent in bed | measured by the WHOOP biometric device - The WHOOP wearable brings hi-tech features including sleep, workout, heart rate feedback and more advanced biometrics in a simple package - the latest, most advanced fitness and health wearable available. Monitor your recovery, sleep, training, and health, with personalized recommendations and coaching feedback. | Week 12 | 
| Change in sleep quality | measured by the WHOOP biometric device - The WHOOP wearable brings hi-tech features including sleep, workout, heart rate feedback and more advanced biometrics in a simple package - the latest, most advanced fitness and health wearable available. Monitor your recovery, sleep, training, and health, with personalized recommendations and coaching feedback. | Week 12 | 
| Change in sleep consistency | measured by the WHOOP biometric device - The WHOOP wearable brings hi-tech features including sleep, workout, heart rate feedback and more advanced biometrics in a simple package - the latest, most advanced fitness and health wearable available. Monitor your recovery, sleep, training, and health, with personalized recommendations and coaching feedback. | Week 12 | 
| Change in sleep debt | measured by the WHOOP biometric device - The WHOOP wearable brings hi-tech features including sleep, workout, heart rate feedback and more advanced biometrics in a simple package - the latest, most advanced fitness and health wearable available. Monitor your recovery, sleep, training, and health, with personalized recommendations and coaching feedback. | Week 12 | 
| Change in amount of burn out | collected by means of a paper survey at key benchmark moments throughout the intervention period - scored from 0 to 16 with higher scores being more favorable | Week 12 | 
| Change in self-reported professional fulfillment | collected by means of a paper survey at key benchmark moments throughout the intervention period - scored from 0 to 5 with higher scores being more favorable | Week 12 | 
| Change in self-valuation | collected by means of an in-app survey at key benchmark moments throughout the intervention period | Week 12 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in self-reported acceptance of the Arena Strive Platform | collected by means of an in-app survey at key benchmark moments throughout the intervention period | Week 12 | 
| Change in self-reported satisfaction of the Arena Strive Platform | collected by means of an in-app survey at key benchmark moments throughout the intervention period - client satisfaction questionnaire 8 (CSQ-8) - Scores therefore range from 8 to 32, with higher values indicating higher satisfaction. | Week 12 | 
| percentage of feasibility of the Arena Strive Platform | collected by means of an in-app survey at key benchmark moments throughout the intervention period - Net Promoter Score with the question of likelihood to recommend | Week 12 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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professional fulfillment, physiological resilience, high-stress environment