Clinical trial NCT05743205: Advanced Practice Provider Intervention Study to Promote Wellness
Official title: A Pilot Intervention Study to Promote Wellness in Advanced Practice Providers (APPs)
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Job Stress
Professional Burnout
Keywords: Resilience
Burnout
Work engagement
Lead sponsor: OSF Healthcare System
Sponsor class: OTHER
First posted: 2023-02-24
Enrollment: 300
Sex: ALL
Minimum age (years): 18
Maximum age (years): 68
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: PREVENTION

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.

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

Primary outcomes:
measure: Holmes-Rahe Life Stress Inventory; The Social Readjustment Rating Scale
timeFrame: change from baseline stress measure at 1 year and 2 years.
measure: The Brief Resilience Scale
timeFrame: change from baseline in resilience measure at 6 months, 1 year and 2 years.
measure: The Work and Well-being Survey (UWES)© Engagement Scale
timeFrame: change from baseline engagement measure at 6 months, 1 year and 2 years.
measure: Advanced Practice Provider Well-being Index
timeFrame: change from baseline well-being measure at 6 months, 1 year and 2 years.
Secondary outcomes:
Other outcomes:
Locations:
city: Peoria
country: United States
facility: OSF HealthCare System
state: Illinois
Study officials:
affiliation: OSF Healthcare System
name: Colleen Klein, PhD, RN
role: PRINCIPAL_INVESTIGATOR
References:
citation: Klein CJ, Weinzimmer LG, Cooling M, Lizer S, Pierce L, Dalstrom M. Exploring burnout and job stressors among advanced practice providers. Nurs Outlook. 2020 Mar-Apr;68(2):145-154. doi: 10.1016/j.outlook.2019.09.005. Epub 2019 Nov 8.
citation: Klein CJ, Dalstrom M, Lizer S, Cooling M, Pierce L, Weinzimmer LG. Advanced Practice Provider Perspectives on Organizational Strategies for Work Stress Reduction. West J Nurs Res. 2020 Sep;42(9):708-717. doi: 10.1177/0193945919896606. Epub 2019 Dec 22.
citation: Klein CJ, Dalstrom MD, Weinzimmer LG, Cooling M, Pierce L, Lizer S. Strategies of Advanced Practice Providers to Reduce Stress at Work. Workplace Health Saf. 2020 Sep;68(9):432-442. doi: 10.1177/2165079920924060. Epub 2020 Jun 3.
citation: Klein CJ, Weinzimmer LG, Dalstrom M, Lizer S, Cooling M, Pierce L. Investigating practice-level and individual factors of advanced practice registered nurses and physician assistants and their relationship to resilience. J Am Assoc Nurse Pract. 2021 Jul 29;34(2):310-321. doi: 10.1097/JXX.0000000000000639.
citation: Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J. The brief resilience scale: assessing the ability to bounce back. Int J Behav Med. 2008;15(3):194-200. doi: 10.1080/10705500802222972.
citation: Dyrbye LN, Johnson PO, Johnson LM, Halasy MP, Gossard AA, Satele D, Shanafelt T. Efficacy of the Well-Being Index to identify distress and stratify well-being in nurse practitioners and physician assistants. J Am Assoc Nurse Pract. 2019 Jul;31(7):403-412. doi: 10.1097/JXX.0000000000000179.
citation: Klein CJ, Riggenbach-Hays JJ, Sollenberger LM, Harney DM, McGarvey JS. Quality of Life and Compassion Satisfaction in Clinicians: A Pilot Intervention Study for Reducing Compassion Fatigue. Am J Hosp Palliat Care. 2018 Jun;35(6):882-888. doi: 10.1177/1049909117740848. Epub 2017 Nov 23.