Testing a Training Program to Enhance Emotional Management Skills and Professional Resiliency in Healthcare Providers

ID: NCT02552264
Status: Recruiting
Phase: N/A
Start Date: November 01, 2015
First Submitted: September 15, 2015
Last Updated: January 23, 2018
Results: N/A
Sponsors & Collaborators: Nova Scotia Health Authority, IWK Health Centre
Location: Canada
Conditions: Burnout, Professional, Adaptation, Psychological
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Study Description

Brief Summary

The Behaviour Change Institute (BCI) was created in 2008 within Capital Health to provide healthcare providers with evidence-based skills in helping patients change. In addition, the BCI has also become a resource within the organization to assist with other needed changes, such as helping healthcare providers use new or different procedures to provide better patient care. Through our work at the BCI we have identified the need to help healthcare providers to better cope with change. The purpose of this project is to implement and to evaluate an evidence-based professional resiliency training program for staff to help them better cope with change. This professional resiliency training program is based on an empirically supported form of therapy called Acceptance and Commitment Therapy. The training takes the form of a hands-on, applied workshop designed to increase resiliency and flexibility in a workplace setting.

Detailed Description

The Behaviour Change Institute (BCI) was created in 2008 within Capital Health to provide healthcare providers with behaviour change counselling skills. These skills are backed by evidence-based theory and competency training methods and are designed to be used by healthcare providers to help their patients change their behaviours. Acquiring these skills involves change for the healthcare provider. Through our work at the BCI we have come to identify the need to help healthcare providers effectively manage their emotions in such situations in order to learn behavior change counselling skills and to continue to use them effectively over time. The ability to effectively manage emotions, including discomfort and distress, may differentiate between individuals who are able to successfully adopt and maintain new behaviours over time from those who do not (Brown, Lejuez, Kahler, Strong, & Zvolensky, 2005). That is, we have identified that there is a significant need to support healthcare providers to more effectively manage emotions in order to help them change.

The Acceptance and Commitment Therapy for the Workplace program (ACT-W) is an evidence-based program designed to help individuals manage emotions and stress by learning skills to accept negative feelings, thoughts, and sensations and to move toward valued behaviours (Flaxman, Bond, Livheim, Hayes, 2013). The ACT-W program has been shown to increase the ability to manage emotions and stress (Flaxman & Bond, 2010) and to increase the ability to learn new behaviours (Bond & Flaxman, 2006; Luoma et al., 2007; Varra, Hayes et al., 2008).

The purpose of this project is to evaluate the implementation of the ACT-W training program for healthcare providers through the BCI.
Condition or disease Intervention/treatment Phase

Adaptation, Psychological

Burnout, Professional

Behavioral: Acceptance and Commitment Therapy for the Workplace
Other Names
Professional Resiliency
N/A

Tracking Information

First Submitted DateSeptember 15, 2015
Last Update Posted DateJanuary 23, 2018
Actual Start DateNovember 01, 2015
Anticipated Completion DateOctober 01, 2019
Actual Primary Completion DateAugust 01, 2018
Results First Submitted DateN/A
Received Results Disposit DateN/A

Current Primary Outcome Measures

  • Change in Psychological Flexibility [Time Frame: Change from T1 (baseline) to T2 (1 week) and change from T1 (baseline) to T3 (3 months)]

    The Acceptance and Action Questionnaire, a 7-item self-report scale which measures one's willingness to experience difficult thoughts and emotions while also persisting in the pursuit of values and goals.

Original Primary Outcome Measures

Not Available

Current Secondary Outcome Measures

  • Change in Burnout [Time Frame: Change from T1 (baseline) to T2 (1 week) and change from T1 (baseline) to T3 (3 months)]

    The Maslach Burnout Inventory, a 22-item self-report scale that measures three facets of burnout including emotional exhaustion (e.g. emotionally overextended within one's job); depersonalization (e.g. having impersonal responses to one's customers/clients; and personal accomplishment (e.g. sense of competence).

  • Absenteeism [Time Frame: at 2 years]

    Number of hours missed from the workplace due to illness from time sheets submitted by each employee to payroll.

Original Secondary Outcome Measures

Not Available

Study Design

Brief TitleTesting a Training Program to Enhance Emotional Management Skills and Professional Resiliency in Healthcare Providers
Official TitleImplementing and Evaluating an Empirically Supported Training Program to Enhance Emotional Management Skills and Professional Resiliency in Healthcare Providers
Brief Summary

The Behaviour Change Institute (BCI) was created in 2008 within Capital Health to provide healthcare providers with evidence-based skills in helping patients change. In addition, the BCI has also become a resource within the organization to assist with other needed changes, such as helping healthcare providers use new or different procedures to provide better patient care. Through our work at the BCI we have identified the need to help healthcare providers to better cope with change. The purpose of this project is to implement and to evaluate an evidence-based professional resiliency training program for staff to help them better cope with change. This professional resiliency training program is based on an empirically supported form of therapy called Acceptance and Commitment Therapy. The training takes the form of a hands-on, applied workshop designed to increase resiliency and flexibility in a workplace setting.

Detailed Description

The Behaviour Change Institute (BCI) was created in 2008 within Capital Health to provide healthcare providers with behaviour change counselling skills. These skills are backed by evidence-based theory and competency training methods and are designed to be used by healthcare providers to help their patients change their behaviours. Acquiring these skills involves change for the healthcare provider. Through our work at the BCI we have come to identify the need to help healthcare providers effectively manage their emotions in such situations in order to learn behavior change counselling skills and to continue to use them effectively over time. The ability to effectively manage emotions, including discomfort and distress, may differentiate between individuals who are able to successfully adopt and maintain new behaviours over time from those who do not (Brown, Lejuez, Kahler, Strong, & Zvolensky, 2005). That is, we have identified that there is a significant need to support healthcare providers to more effectively manage emotions in order to help them change.

The Acceptance and Commitment Therapy for the Workplace program (ACT-W) is an evidence-based program designed to help individuals manage emotions and stress by learning skills to accept negative feelings, thoughts, and sensations and to move toward valued behaviours (Flaxman, Bond, Livheim, Hayes, 2013). The ACT-W program has been shown to increase the ability to manage emotions and stress (Flaxman & Bond, 2010) and to increase the ability to learn new behaviours (Bond & Flaxman, 2006; Luoma et al., 2007; Varra, Hayes et al., 2008).

The purpose of this project is to evaluate the implementation of the ACT-W training program for healthcare providers through the BCI.

Study TypeInterventional
Study PhaseN/A
Estimated Enrollment
240
Allocation
Randomized
Interventional Model
Crossover Assignment
Masking
None (Open Label)
Primary Purpose
Other
Conditions
Adaptation, Psychological
Burnout, Professional
Target Follow-Up Duration N/A
Biospecimen:
N/A
Sampling MethodN/A
Study PopulationN/A
Intervention
Behavioral: Acceptance and Commitment Therapy for the Workplace

Acceptance and Commitment Therapy

Other Names
Professional Resiliency
Study Groups/Cohorts
Immediate intervention
Acceptance and Commitment Therapy

Waitlist control
Acceptance and Commitment Therapy

Study Arms
Active Comparator Immediate intervention
Acceptance and Commitment Therapy
Behavioral : Acceptance and Commitment Therapy for the Workplace
Acceptance and Commitment Therapy

Placebo Comparator Waitlist control
Acceptance and Commitment Therapy
Behavioral : Acceptance and Commitment Therapy for the Workplace
Acceptance and Commitment Therapy

Arm Intervention/Treatment
Active Comparator Immediate intervention
Acceptance and Commitment Therapy
Behavioral : Acceptance and Commitment Therapy for the Workplace
Placebo Comparator Waitlist control
Acceptance and Commitment Therapy
Behavioral : Acceptance and Commitment Therapy for the Workplace

Recruitment Information

Recruitment Status:Recruiting
Enrollment240
Completion DateOctober 01, 2019
Eligibility Criteria: Inclusion Criteria:
- Employees (full time or part time; administrative or clinical) within service areas with managerial approval to attend the training program.

Exclusion Criteria:
GenderAll
Age19 Years to N/A
Accepts Healthy VolunteersAccepts Healthy Volunteers
Contacts
Listed Location Countries
Canada

Administrative Information

NCT Number:NCT02552264
Other Study ID Numbers
NSHA REB ROMEO File #: 1019748
Has Data Monitoring CommitteeNo
U.S. FDA-regulated Product Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Device Product Not Approved or Cleared by U.S. FDA: No
IPD Sharing Statement
Not Available
Responsible PartyDayna Lee-Baggley, Nova Scotia Health Authority
Study Sponsor
Nova Scotia Health Authority
Collaborators
IWK Health Centre
Investigators
Principal Investigator
Dayna Lee-Baggley, Ph.D.
Nova Scotia Health Authority