Advanced Practice Provider Intervention Study to Promote Wellness

Study Overview
=================
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.

Detailed Description
-----------------
The purpose of this study is to evaluate an educational professional wellness program designed to assist professional clinicians in developing self-awareness and self-care choices as a means to improve engagement and resilience and to avoid/reduce burnout.

Official Title
-----------------
A Pilot Intervention Study to Promote Wellness in Advanced Practice Providers (APPs)

Conditions
-----------------
Job Stress, Professional Burnout

Intervention / Treatment
-----------------
* Behavioral: voluntary consultative wellness session


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: 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 Exclusion Criteria: actively participating in formalized counseling sessions through other services at time of recruitment into the study

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 68 Years

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

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

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

Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Educational Intervention<br>Educational intervention | Behavioral: voluntary consultative wellness session<br>* 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.<br>|

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

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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. | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Resilience, Burnout, Work engagement