Clinical trial NCT04805294: Pediatrician Wellbeing Program
Official title: Coaching a Wellbeing Leadership Culture: Bringing a Pediatrician Wellbeing Program Into Practice
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Burn Out
Burn Out (Psychology)
Work Related Stress
Keywords: Wellbeing
Burn Out
Physician Burn Out
Mindfulness
Lead sponsor: University of North Carolina, Chapel Hill
Sponsor class: OTHER
First posted: 2021-03-18
Enrollment: 28
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Assistant, Associate or Full Professor, either in fixed-term and tenure-track positions in the Department of Pediatrics on the UNC main campus, at the time of consent.

Brief summary: The investigators propose to implement a comprehensive Pediatrician Wellbeing Program initiated through and aligning with departmental faculty development and mentorship processes and goals. The Investigators hypothesize that a wellbeing intervention that incorporates an innovative health coaching model to cultivate individual behavior change supportive of one's own and others' wellbeing will lead to improvements in self-reported wellbeing.

Detailed description: The investigators hypothesize that a wellbeing intervention that incorporates an innovative health coaching model to cultivate individual behavior change supportive of one's own and others' wellbeing can be implemented using existing institutional infrastructure and will lead to improvements in self-reported wellbeing.

This is a nonrandomized pilot study of a convenience sample. Participants will be assigned to 1 of 2 coaches, based upon availability of schedules. Participants who perform research will be assigned to the remote coach whenever possible to avoid potential concerns with the internal coach's dual role as Administrative Director of the Children's Research Institute.

The sample size for this pilot study (up to 30) was selected for feasibility and not power. This study is funded for 1-year and study participation is for 6-months. The study will be conducted at a single site; the University of North Carolina Department of Pediatrics Chapel Hill. Assistant, Associate and Full Professors, tenure-track or fixed-term, on the UNC main campus are eligible.

The Pediatric Wellbeing Program consists of coaching sessions from a certified National Board for Health and Wellness Coach (NBHWC) through the National Board of Medical Examiners. The NBHWC pioneered science-based training, education, and research of health and wellness coaches over the past 15 years. NBHWC became an accredited institution through National Board of Medical Examiners in 2016, providing certification through examination. By using NBHWC-certified coaches, the investigators are adhering to a standard and measured foundational competencies: the knowledge, tasks and skills essential to the practice of health and wellness coaching. Coaches will assist participants in constructing their Wellbeing-Individual Development Plan (Wellbeing-IDP). The Wellbeing-IDP is designed to assist with identifying the participant's vision, goals, and plan for wellbeing; assess current wellbeing with the WHO-5 to identify areas where they have high wellbeing and areas they need to develop; secure support and accountability (e.g., UNC resources, familial, peer, social, professional); and create a timeline for what they want to accomplish when.

As needed, faculty will also receive up to 5 additional coaching sessions from a certified health coach via video conferencing. All coaching sessions will use principles for health coaching, including brief motivational interviewing, self-empowerment and determination, transtheoretical model of stages of change, mindset, sense making, and making SMART goals (Specific, Measurable, Achievable, Relevant, Timely).

Eligibility criteria: Inclusion Criteria:

* Provision of signed and dated informed consent form.
* An Assistant, Associate or Full Professor, either in fixed-term and tenure-track positions in the Department of Pediatrics on the UNC main campus, at the time of consent.

Exclusion Criteria:

* Not an Assistant, Associate or Full Professor in either fixed-term or tenure-track position within the Department of Pediatrics on the UNC main campus.

Primary outcomes:
measure: Percentage of Persons Who Were Contacted to Enroll in the Study
timeFrame: through study completion, an average of 180 days
measure: Percentage of Persons Who Ultimately Enrolled in the Study
timeFrame: through study completion, an average of 180 days
measure: Percentage of Mentors Who Attended First Session
timeFrame: through study completion, an average of 180 days
measure: Percentage of Health Coach Visits Scheduled
timeFrame: through study completion, an average of 180 days
measure: Percentage of Health Coach Visits Missed
timeFrame: through study completion, an average of 180 days
measure: Percentage of Health Coach Visits Attended
timeFrame: through study completion, an average of 180 days
measure: Percentage of Total Surveys Completed
timeFrame: Day 180
measure: Percentage of Participants Who Complete the Study
timeFrame: Day 180
Secondary outcomes:
measure: Change in World Health Organization Wellbeing Index (WHO-5) Scores
timeFrame: Day 1, Day 180
measure: Change in Breslau Post Traumatic Stress Disorder (PTSD) Scores
timeFrame: Day 1, Day 180
measure: Change in Perceived Stress Scale (PSS-4) Scores
timeFrame: Day 1, Day 180
measure: Change in Utrecht Work Engagement Scale (UWES) Scores
timeFrame: Day 1, Day 180
Other outcomes:
Locations:
city: Chapel Hill
country: United States
facility: University of North Carolina at Chapel Hill
state: North Carolina
Study officials:
affiliation: University of North Carolina, Chapel Hill
name: Terry Noah, MD
role: PRINCIPAL_INVESTIGATOR
References: