Clinical trial NCT05938556: Coaching for Advanced Practice Providers
Official title: The Impact of a Multicenter Randomized Control Trial of Hybrid Synchronous-Asynchronous Virtual Group Coaching on Burnout and Retention in Advanced Practice Providers
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Burnout, Professional
Keywords: Advanced Practice Providers
APPs
Coaching
Healthcare provider
Nurse burnout
Wellness
Lead sponsor: Emory University
Sponsor class: OTHER
Collaborators: name: Children's Healthcare of Atlanta
name: University of Colorado, Denver
First posted: 2023-07-10
Enrollment: 319
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Intervention model description: Participants will be randomly assigned to receive either four months of group coaching or treatment as usual. After fourth months of the assigned treatment, the two arms will switch for another four months of either group coaching or treatment as usual.
Primary purpose: PREVENTION

Brief summary: This study aims to determine if online coaching is feasible in advanced practice providers (APP) and can impact burnout.

The study will recruit APPs from Children's Healthcare of Atlanta (CHOA), Emory, Colorado University (CU), and their affiliate hospitals through online consent sent via email. Interventions will include online video coaching, written coaching, and self-coaching through self-study material.

Detailed description: The purpose of this study is to determine the feasibility of establishing a coaching program directed toward Advanced Practice Providers (APPs), to determine the generalizability of tools shown to relieve physician burnout in the population of APPs, and to advance research in the field of healthcare wellness.

The coaching group will have a curriculum of self-study modules, pre-recorded webinars, and worksheets. The coaching group will also have access to two live group calls per week as well as an online forum to receive anonymously written coaching. After four months, participants will be switched to the other group, so that each participant is exposed to treatment but at separate times. At the completion of each intervention time point, participants will fill out a post-study survey.

Eligibility criteria: Inclusion Criteria:

* Advanced Practice Providers (nurse practitioners, physician assistants, certified midwife nurses, certified registered nurse anesthetists, anesthesiology assistants, and clinical nurse specialists) at Children's Healthcare of Atlanta, Emory University, and CU and its affiliate hospitals.
* Pregnant women will be included in this population, though this inclusion is incidental.

Exclusion Criteria:

* adults unable to consent,
* individuals who are not adults,
* prisoners,
* cognitively impaired or individuals with impaired decision-making capacity and
* individuals who do not clearly understand English.

Primary outcomes:
measure: Change in Burnout
timeFrame: Baseline, 4 months, 9 months
measure: Change in the percentage of participants that accept the program course
timeFrame: Baseline, 4 months, 9 months
measure: Percentage of participants who watch program calls
timeFrame: 4 month or 9 months
measure: Change in the percentage of participants that complete >50% of self-study worksheets
timeFrame: 4 month or 9 months
measure: Change in the percentage of participants that use the Ask A Coach Forum at least once
timeFrame: 4 month or 9 months
measure: Change in the rate of participation in the program
timeFrame: Baseline, 4 months, 9 months
Secondary outcomes:
measure: Change in Trauma Symptoms of Discrimination Scale
timeFrame: Baseline, 4 months, 9 months
measure: Change in Self-Compassion
timeFrame: Baseline, 4 months, 9 months
measure: Change in Moral Injury
timeFrame: Baseline, 4 months, 9 months
measure: Change in the Young's Imposter Syndrome Symptoms Scale
timeFrame: Baseline, 4 months, 9 months
measure: Change in the intention to leave
timeFrame: Baseline, 4 months, 9 months
measure: Change in Loneliness
timeFrame: Baseline, 4 months, 9 months
measure: Change in Self Reflection and Insight Scale
timeFrame: Baseline, 4 months, 9 months
Other outcomes:
Locations:
city: Denver
country: United States
facility: University of Colorado
state: Colorado
city: Atlanta
country: United States
facility: Children's Healthcare of Atlanta
state: Georgia
city: Atlanta
country: United States
facility: Emory Healthcare System
state: Georgia
city: Atlanta
country: United States
facility: Emory University
state: Georgia
Study officials:
affiliation: Emory University
name: Zahidee (Saidie) Rodriguez, MD
role: PRINCIPAL_INVESTIGATOR
References: