The WISER Study: Web Based Methods for Enhancing Resilience

Study Overview
=================
Brief Summary
-----------------
This is a research study to find out if web-based resilience tools can increase well-being. Enrolled participants will try out one or more brief positive psychology tools. The tools ask participants to reflect on positive experiences or to do an activity (e.g., write a letter of gratitude). The study is entirely online and participants will be prompted to participate via email or text messages. The study team is interested in the effects of the tools on stress, depression, and burnout in adults. A set of brief surveys are administered before and after using the tool, and again at follow-up periods (e.g., 1, 3, 6 and 12 months). Surveys are collected electronically using the secure, HIPAA-compliant survey software. There is no direct benefit to participants for participating in this research study aside from the potential to experience improvements in well-being. Risks are minimal and include the potential to feel emotional or psychological distress when asked questions related to burnout.

Official Title
-----------------
The WISER Study: Web Based Methods for Enhancing Resilience

Conditions
-----------------
Burnout

Intervention / Treatment
-----------------
* Behavioral: WISER


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Adults 18 and over are considered eligible for the study. A sub-sample will include employees (including but not limited to frontline caregivers, support staff and management) of the Duke University Health System, as well as external health systems. All participants will be invited to participate in one or more of the online tools. The investigators will allow the participation of any clinical areas/healthcare worker groups whose leaders express interest in building resilience. The investigators are targeting healthcare workers for recruitment in the study, but adults 18+ are eligible to participate in any of these tools. Identification as a healthcare worker or not is part of data collection in every tool. Exclusion Criteria: Adults who are not proficient in English, do not have basic computer skills, or who have prohibitive vision or hearing disabilities will be excluded from this study as they will be incapable of full participation in the intervention and/or the survey process.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Waitlist control group Randomized Control Design
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Treatment Immediately<br>Participants will engage in well-being tools immediately for 1-week. | Behavioral: WISER<br>* Participants will engage in one or more positive psychology well-being tool(s).<br>|
| No Intervention: Waitlist Control<br>Participants will wait 1 week to begin the well-being tools. | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Emotional Exhaustion as measured by the 5-item Emotional Exhaustion Scale | Survey scores are measured on a 1-5 Likert-like agreement scale. | Baseline, Day 8, and 1, 6, and 12 month follow-ups | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Emotional Recovery as measured by the 4-item Emotional Recovery Scale | Survey scores are measured on a 1-5 Likert-like agreement scale. | Baseline, Day 8, and 1, 6, and 12 month follow-ups | 
| Change in Work-life Integration as measured by the 7-item Work-life Integration Scale | Survey scores are measured with a 1-4 frequency of behaviors scale. | Baseline, Day 8, and 1, 6, and 12 month follow-ups | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Burnout, Well-being, Behavioral Health