Clinical trial NCT05942469: Fostering Optimal Regulation of Emotion for Prevention of Secondary Trauma (FOREST)
Official title: Fostering Optimal Regulation of Emotion for Prevention of Secondary Trauma (FOREST): Implementation and Evaluation of a Burnout Prevention Program for Staff in Gun Violence Prevention Programs
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Burnout
Burnout, Professional
Positive Affect
Depression
Anxiety
Compassion Fatigue
Job Stress
Keywords: Burnout
Anxiety
Depression
Positive Emotion
Coping
Job Stress
Lead sponsor: Northwestern University
Sponsor class: OTHER
First posted: 2023-07-12
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SUPPORTIVE_CARE

Brief summary: FOREST is a positive emotion skills program designed to target mental health and coping needs for frontline violence prevention workers at UCAN. Ten skills are taught over a period of nine months during existing meetings and wellness activities, as well as in online modules in UCAN's Learning Management System (LMS). Through infusing the FOREST skills throughout UCAN, we hope to inspire organizational culture change that will emphasize the importance of wellbeing and enhance resilience, therefore reducing burnout and turnover.

Detailed description: All frontline UCAN staff will receive the FOREST program. Each month for 9 months there will be a focus on one to two positive emotion skills. The skill(s) of the month will be taught to the staff during existing one-hour wellness meetings/activities, and will be co-facilitated by Positive Emotion Ambassadors (PEAs; UCAN Staff members nominated to infuse the skills into UCAN culture) and Northwestern University.

The skill sessions will include didactic content defining the skill and explaining the rationale for inclusion, as well as examples of existing research demonstrating the skills benefits. During the session the group will practice the skill together and discuss ways to use the skill in both work and personal situations. Throughout the month, PEAs will implement the FOREST skill of the month in other existing meetings, check-ins, and team outings

The monthly sessions will be observed by a member of the Implementation Resource Team (IRT) who will use a checklist to track that all core pieces of the skill training were delivered. Once a month, the IRT will meet with the PEAs for additional training and support. These sessions will be audio recorded for qualitative data on facilitators and barriers to the skill.

Each month a module in UCAN's learning management system (LMS) that covers that month's skill(s) will also become available. The LMS modules will contain skill-related content similar to what is taught in the skill sessions, including a thorough definition of the skill, examples of ways to utilize the skill, a review or summary of the skill, and several knowledge questions to check for comprehension. The LMS content may include text, audio, images, and video components. All UCAN frontline CVI staff will be required to complete the LMS FOREST skill module of the month. Percentage of staff completing each LMS training will be tracked.

Annual assessments to assess primary and secondary outcomes will be administered via REDCap. Annual interviews and focus groups will ask for feedback on implementation and content.

Eligibility criteria: Inclusion Criteria:

* Age 18 and over
* Currently employed by UCAN
* Has internet access
* Speaks and reads English

Exclusion Criteria:

* None

Primary outcomes:
measure: Decrease in burnout measured by the Maslach Burnout Inventory (MBI).
timeFrame: 12 months
measure: Increase in positive affect measured by PROMIS Short Form v1.0- Positive Affect 15a.
timeFrame: 12 months
measure: Decrease in depression measured by PROMIS Short Form v1.0- Depression 4a.
timeFrame: 12 months
measure: Decrease in anxiety measured by PROMIS Short Form v1.0- Anxiety 4a.
timeFrame: 12 months
measure: Measure of trauma exposure using the Lifetime Events Checklist (LEC).
timeFrame: 12 months
measure: Measure of PTSD symptoms using the the PTSD Checklist for DSM-5 (PCL-5).
timeFrame: 12 months
measure: Increase in meaning and purpose measured by PROMIS Short Form v1.0- Meaning and Purpose 4a.
timeFrame: 12 months
measure: Improvement in professional quality of life/well-being measured by Eudaimonic Workplace Well-being Scale (EWWS).
timeFrame: 12 months
Secondary outcomes:
measure: Decrease in staff turnover.
timeFrame: 12 months
measure: Increase in staff retention
timeFrame: 12 months
measure: Increase in staff promotion
timeFrame: 12 months
measure: Decrease in use of sick days
timeFrame: 12 months
Other outcomes:
Locations:
city: Chicago
country: United States
facility: Northwestern University Feinberg School of Medicine
state: Illinois
Study officials:
affiliation: Northwestern University
name: Judith Moskowitz, PhD, MPH
role: PRINCIPAL_INVESTIGATOR
References: