The Impact of Professional Coaching on Early Career Academic Emergency Physicians

Anxiety Clinical Trial

Official title:

The Impact of Professional Coaching on Early Career Academic Emergency Physician Well-Being, Burnout, Leadership Strengths, and Goal Attainment: A Pilot Randomized, Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03125330
• Other study ID #: 16-010192
• Status: Completed
• Phase: N/A
• Start date: June 1, 2017
• Est. completion date: March 5, 2020

Study information

• Verified date: January 2021
• Source: Mayo Clinic
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This research study is designed to answer the question: How does professional coaching impact early career academic emergency medicine physician goal attainment, leadership strengths, well-being, and burnout?

Description:

A recent systematic review and meta-analysis found coaching to have significant positive effects on goal attainment, well-being, coping skills, work attitudes, and goal-directed self-regulation. Randomized controlled studies of professional coaching have found significant positive effects in various settings including high school teachers and students, postgraduate students in a major university, and executives in the commercial, government, and education sectors. Coaching provides the participant focused time with a trained professional who facilitates that participant's self-determined and self-directed problem-solving and change. Coaching helps the participant "get on the balcony" away from the action on the "dance floor" to see things from a different and broader perspective and, in doing so, enriches the participant's ability to generate options, challenge biases, understand the effects of emotions, and consider uncertainty. This study also establishes the level of adult development of academic faculty and creates an initial qualitative dataset for further longitudinal study and theory generation for physician well-being, burnout, leadership strengths, and goal attainment.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 46
• Est. completion date: March 5, 2020
• Est. primary completion date: March 5, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion:

• Emergency physicians
• Academic appointment of Instructor or Assistant Professor
• Work greater than 80% of their time in a residency and fellowship program approved by the Accreditation Council of Graduate Medical Education (ACGME), the American Osteopathic Association (AOA), or the Royal College of Physicians and Surgeons of Canada (RCPSC) will be invited to participate in the study.

Exclusion:

• Mayo Clinic emergency physicians are not eligible for this study.

Related Conditions & MeSH terms

• Anxiety
• Burnout, Professional
• Burnout, Psychological
• Development, Human
• Emergencies
• Goals
• Leadership
• Physician's Role
• Professional Burnout
• Professional Role
• Stress
• Well-Being

Intervention

Behavioral:
• Professional coaching
Professional coaching is provided by the Principal Investigator via video conference.

Locations

Country	Name	City	State
United States	Mayo Clinic in Rochester	Rochester	Minnesota

Sponsors (1)

Lead Sponsor	Collaborator
Mayo Clinic

Country where clinical trial is conducted

United States, 

References & Publications (1)

Theeboom, T., B. Beersma, and A.E.M. van Vianen, Does coaching work? A meta-analysis on the effects of coaching on individual level outcomes in an organizational context. The Journal of Positive Psychology, 2013. 9(1): p. 1-18.

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Goal Setting and Attainment	Each participant identifies two professional goals at study onset. For each of the goals, participants respond to the question, "Up to today, how successful have you been in achieving this goal?" and rate their goal attainment on a scale from 0% (no attainment) to 100% (complete attainment). To control for differences between participants in perceived goal attainment difficulty, participants also will rate each goal for perceived difficulty on a 4-point scale ( 1=very easy, 2=somewhat easy, 3=somewhat difficult, 4=very difficult). Goal attainment scores are calculated by multiplying the difficulty rating by the degree of success.	18 months (3 measurements at 6-month intervals)
Secondary	Psychological Well-Being Scale	An 18-item survey that measures eudaemonic well-being.	18 months (3 measurements at 6-month intervals)
Secondary	Empowerment at Work Scale	A 12-item survey that measures a physician's sense of meaning, competence, self-determination, and impact while at work.	18 months (3 measurements at 6-month intervals)
Secondary	Abbreviated Two-Item Maslach Burnout Inventory	A two-item survey that measures participant burnout.	18 months (3 measurements at 6-month intervals)
Secondary	Depression, Anxiety, and Stress Scale (DASS 21)	A 21-item self-report questionnaire designed to measure the severity of the core symptoms of depression, anxiety, and stress in both clinical and nonclinical scenarios.	18 months (3 measurements at 6-month intervals)
Secondary	Leadership Self-Efficacy Scale	A 5-item scale of leadership self-efficacy.	18 months (3 measurements at 6-month intervals)
Secondary	Self-Insight Scale	An 8-item sub-scale of the Self-reflection and Insight Scale. This scale measures individuals' levels of insight into their thoughts, feelings and behaviors.	18 months (3 measurements at 6-month intervals)
Secondary	Solution-Focused Thinking Scale	A 12-item scale with three subscales: Problem Disengagement, Goal Orientation, and Resource Activation.	18 months (3 measurements at 6-month intervals)
Secondary	Tolerance for Ambiguity Scale	An eight-item assessment that measures tolerance for ambiguity.	18 months (3 measurements at 6-month intervals)
Secondary	Perspective Taking Scale	A 7-item subscale of The Empathy Questionnaire that measures perspective-taking.	18 months (3 measurements at 6-month intervals)
Secondary	Qualitative Summary of Coaching Program	An open-ended interview covering issues such as 1) participant's experience with the coaching process and coach; 2) participant goals; 3) impact on the participant's workplace; 4) impact on participant's personal life; and 5) what the participant plans to do to sustain any changes or learnings.	After 6-month coaching intervention. 18 months
Secondary	Subject-Object Interview	A one-time 60 to 75-minute private interview that measures the particpant's order of subject-object development based upon constructive-developmental theory.	18 months

External Links

•   Mayo Clinic Clinical Trials
•   Mayo Clinic clinical trials listing
•   Website for basic information and link to interest form