Clinical trial NCT04398407: Testing the Effectiveness of Mainstream Management Tools to Increase Organizational Commitment and Job Satisfaction and Decrease Turnover Among Peer Providers
Official title: Testing the Effectiveness of Mainstream Management Tools to Increase Organizational Commitment and Job Satisfaction and Decrease Turnover Among Peer Providers
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Mental Health
Work Related Stress
Keywords: peer support specialists
coaching
Lead sponsor: Boston University Charles River Campus
Sponsor class: OTHER
First posted: 2020-05-21
Enrollment: 122
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This study in a randomized control trial, with an enhanced control condition. Prior to the randomized trial, the investigators will conduct a small pilot study. Findings from the pilot study will inform revisions of the intervention prior to the randomized trial.
Primary purpose: TREATMENT

Brief summary: The role of peer support specialists (PSS) has burgeoned in the mental health field. Peer support specialists are individuals with a psychiatric condition who are in recovery and who are employed to provide various kinds of tangible and other supports to individuals with psychiatric conditions, generally in public mental health programs. Partially because of the newness of this role, PSS experience confusion about their role and tasks as well as conflict with other mental health providers who are uncertain about how to utilize PSS effectively in services.

This project was designed to bring a coaching service to PSS to assist them to address challenges in their job. The investigators will conduct a randomized control trial to evaluate a novel coaching, Coaching and Advancement for Peer Providers (CAPP). Our hypotheses are that individuals participating in the CAPP intervention will experience a reduction in burnout, role confusion, and intention to leave their job or the field. Participants in CAPP will also experience an increase in job satisfaction, role clarity and organizational commitment.

Detailed description: The role of peer support specialists (PSS) has burgeoned in the mental health field. Peer support specialists are individuals with a psychiatric condition who are in recovery and who are employed to provide various kinds of tangible and other supports to individuals with psychiatric conditions, generally in public mental health programs. Partially because of the newness of this role, PSS experience confusion about their role and tasks as well as conflict with other mental health providers who are uncertain about how to utilize PSS effectively in services.

This project was designed to bring a coaching service to PSS to assist them to address challenges in their job. There are three phases of this study:

1. The investigators will test components of the intervention with volunteers who are peer specialists. The investigators will collect no data from these individuals and will use the information gathered to refine the intervention.
2. Next, the investigators will recruit and randomly assign 140 PSS to participate in this newly developed coaching intervention (Coaching and Advancement for Peer Providers, or CAPP) and to assess their level of role confusion, overload, burnout, and intention to leave their job or their profession.
3. Finally, the investigators will conduct a qualitative study of experimental study participants to learn about the experience of CAPP.

Individuals will be randomly assigned to receive CAPP or an informational control group. A total of 16 CAPP sessions will be conducted with coaches that the investigators train and supervise. This will be a telehealth intervention and study. That is, all consenting and coaching sessions will be conducted using platforms such as Zoom (HIPAA compliant version) and assessments will be collected using online platforms (REDCap). Individuals will be assessed at baseline, 4, 6, and 9 months after baseline. The investigators will record selected coaching sessions to insure that the intervention is being delivered with fidelity. Our hypotheses are that individuals participating in the CAPP intervention will experience a reduction in burnout, role confusion, and intention to leave their job or the field. Participants in CAPP will also experience an increase in job satisfaction, role clarity and organizational commitment.

Eligibility criteria: Inclusion Criteria:

Peer support specialists/providers who are:

1. are currently employed a minimum of 10 hours per week as an employee in a mental health setting;
2. are providing services to individuals with psychiatric disabilities (this will exclude individuals in volunteer positions);
3. have been employed as a peer provider for a minimum of 6 months;
4. are employed in a mental health program;
5. express types of concerns about their work, such as distress or lack of clarity about their job, role stressors and/or burnout, that suggest they could benefit from the intervention;
6. express a willingness to engage in the CAPP Coaching intervention;
7. have the ability to conduct CAPP sessions and assessments in English.

Exclusion Criteria:

1. unable or unwilling to provide full and knowing consent for the research study;
2. unwilling to participate in the data collection.

Primary outcomes:
measure: Effort-Reward Imbalance Scale-assessing change
timeFrame: Baseline, immediately after the intervention, 6 months followup, 9 months followup
measure: Utrecht Work Engagement Scale-Short Form-assessing change
timeFrame: Baseline, immediately after the intervention, 6 months followup, 9 months followup
measure: Quality of Work Life (QWL)-assessing change
timeFrame: Baseline, immediately after the intervention, 6 months followup, 9 months followup
measure: Job satisfaction-assessing change
timeFrame: Baseline, immediately after the intervention, 6 months followup, 9 months followup
measure: Turnover intention-assessing change
timeFrame: Baseline, immediately after the intervention, 6 months followup, 9 months followup
measure: Goal Attainment Scaling-assessing change
timeFrame: Baseline, immediately after the intervention, 6 months followup, 9 months followup
measure: Maslach Burnout Inventory-Human Services Survey-assessing change
timeFrame: Baseline, immediately after the intervention, 6 months followup, 9 months followup
measure: Three Component Organizational Commitment Scale-assessing change
timeFrame: Baseline, immediately after the intervention, 6 months followup, 9 months followup
Secondary outcomes:
Other outcomes:
measure: Working alliance inventory
timeFrame: Immediately after the intervention for experimental condition only
Locations:
city: Boston
country: United States
facility: Boston University
state: Massachusetts
Study officials:
References: