About this trial
Emory Spiritual Health has developed a Compassion-Centered Spiritual Health group-based intervention, called CCSH Interventions for Teams, and are enrolling staff and providers into the groups in this randomized study design. The groups will meet once every other week for 60 minutes for 8 weeks (4 sessions total).
The investigators will evaluate the feasibility and acceptability of this novel team-based intervention that includes mindfulness and compassion-based approaches with mixed-role oncology teams. Employees (n = 80; nurses, advanced practice providers (APPs), physicians, staff) working at an NCI- designated Comprehensive Cancer Center will be randomized by team (8-12 employees/group) to Compassion Centered Spiritual Health Team Intervention (CCSH-TI) or TAU (Treatment as Usual) group. The research objective is to evaluate the feasibility and acceptability of CCSH-TI, and to develop and validate a novel, low-burden ambulatory assessment "toolkit" to improve the measurement of psychological safety and burnout.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Full-time employees working in oncology teams at Winship Cancer Institute;
Employees working in intensive care at Emory University St. Joseph hospital.
Disqualifiers
Less than 18 years old
Trial design
Parallel
Treatments tested in this trial
Compassion Centered Spiritual Health Team Intervention (CCSH-TI)
BehavioralDelivered to healthcare teams by spiritual health clinicians proficient in group facilitation. It is composed of 4 sessions delivered every other week and lasting 60 minutes each. CCSH-TI sessions teach participants to attune to their interpersonal relationships; acknowledge and allow difficult emotions; and access compassion. It also provides psychoeducation about skillful coping strategies. Each session consists of didactic material about team norms and safety, a feeling check-in, facilitated group discussions about social connection and professional team building, and meditations to promote mindfulness, to cultivate a feeling of being nurtured, and to access compassion for self and others. CCSH-TI is delivered to healthcare teams by spiritual health clinicians proficient in group facilitation.
Treatment as Usual
BehavioralTAU refers to the current buffet of wellness and professional development activities that are available to employees at the Winship Cancer Institute.
Treatment groups
Trial outcomes
Primary outcomes
Proportion of eligible employees who enroll and are willing to be randomized
Proportion of eligible employees (all, and according to license, sex/gender, race/ethnicity) who enroll and are willing to be randomized.
Number of participants that attended and completed the three assessment timepoints
Number of participants that attended and completed the three assessment timepoints
Retention rates at three assessment timepoints
Retention rates will be assessed at three assessment timepoints
Satisfaction score
The investigators will administer a satisfaction questionnaire that includes 5 questions. Total possible score ranges from 5-25. With higher score correlating with better study outcome.
Secondary outcomes
Change in Agency for Healthcare Research and Quality's TeamSTEPPS ® Teamwork Perceptions Questionnaire (T-TPQ) score
Measures perceptions of team function with the administration of the Team Structure and Mutual Support subscales (14 items total). Total possible score ranges from 1-14 with higher scores indicating better outcome.
Change in Psychological safety scale score
Includes subscales measuring psychological safety with leaders, peers, and within the team (19 items). Total possible score ranges from 1-19 with higher scores indicating better outcome.
Change in Professional Fulfillment Index Score
Measures Professional fulfillment and burnout, and has demonstrated sensitivity to change in intervention studies (16 items). Total possible score ranges from 1-16 with higher scores indicating better outcome.
EMA (ecological momentary assessment) questionnaire score
The 3-day ambulatory questionnaire asks participants whether the ecological momentary assessment (EMA) impeded daily activities or changed their behaviors, rated on a Likert scale (1 "not at all" - 5 "a great deal"). Higher score correlates with better outcome.
Sponsors and contacts
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Emory University
Lead sponsor
National Center for Complementary and Integrative Health (NCCIH)
Collaborator