Advanced Practice Provider Intervention Study to Promote Wellness

Job Stress Clinical Trial

Official title:

A Pilot Intervention Study to Promote Wellness in Advanced Practice Providers (APPs)

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05743205
• Other study ID #: 1537818
• Status: Recruiting
• Phase: N/A
• Start date: December 21, 2022
• Est. completion date: December 31, 2027

Study information

• Verified date: April 2024
• Source: OSF Healthcare System
• Contact: Colleen Klein, PhD, RN
• Phone: 309-655-3899
• Email: colleen.klein[@]osfhealthcare.org
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 300
• Est. completion date: December 31, 2027
• Est. primary completion date: December 31, 2025
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 68 Years

Eligibility

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

Related Conditions & MeSH terms

• Burnout, Professional
• Burnout, Psychological
• Job Stress
• Occupational Stress
• Professional Burnout

Intervention

Behavioral:
• voluntary consultative wellness session
Professional wellness counseling sessions provided to health care professionals through voluntary enrollment. Consultative sessions will conducted throughout the course of 1 year and number of subsequent sessions will be determined by the participant.

Locations

Country	Name	City	State
United States	OSF HealthCare System	Peoria	Illinois

Sponsors (1)

Lead Sponsor	Collaborator
Colleen J Klein

Country where clinical trial is conducted

United States, 

References & Publications (7)

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. — View 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. — View 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. — View 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: 10.1177/1049 — View 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. — View 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. — View 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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Holmes-Rahe Life Stress Inventory; The Social Readjustment Rating Scale	The Holmes-Rahe Scale is used to life changes that may impact stress. Minimum values =150 pts or less; maximum values = 300 pts. or more; higher scores indicate higher susceptibility to stress-induced health problems.	change from baseline stress measure at 1 year and 2 years.
Primary	The Brief Resilience Scale	The Brief Resilience Scale developed by Smith et al. (2008) is used to measure resilience. Minimum value =6 and maximum value = 30; mean value is used to determine scoring with higher value indicating more resilience.	change from baseline in resilience measure at 6 months, 1 year and 2 years.
Primary	The Work and Well-being Survey (UWES)© Engagement Scale	Work engagement is measured using the Utrecht Work and Well-being Survey Engagement instrument (UWES). The minimum value =0 and the maximum value = 54. Mean is used to determine scoring. Higher value indicates greater work engagement.	change from baseline engagement measure at 6 months, 1 year and 2 years.
Primary	Advanced Practice Provider Well-being Index	measures the increased probability of distress risk for personal or professional consequences. Minimum value =0 and maximum value =7. Mean and standard deviation is computed and compared to normative data.	change from baseline well-being measure at 6 months, 1 year and 2 years.