CCSH (Compassion-Centered Spiritual Health) for Teams

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorEmory University

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Compassion Centered Spiritual Health Team Intervention (CCSH-TI)

    Behavioral

    Delivered 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

    Behavioral

    TAU refers to the current buffet of wellness and professional development activities that are available to employees at the Winship Cancer Institute.

Treatment groups

80 Participants
are divided into 2 treatment groups
Group A: CCSH-TI GroupExperimental treatment 1 intervention
Group B: TAU (treatment as usual) groupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

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.

Time frame
BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)
2

Number of participants that attended and completed the three assessment timepoints

Number of participants that attended and completed the three assessment timepoints

Time frame
BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)
3

Retention rates at three assessment timepoints

Retention rates will be assessed at three assessment timepoints

Time frame
BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)
4

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.

Time frame
Immediately post-intervention (T2), and 12-weeks post-intervention (LT)

Secondary outcomes

1

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.

Time frame
BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)
2

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.

Time frame
BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)
3

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.

Time frame
BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)
4

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.

Time frame
BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)

Other outcomes

Sponsors and contacts

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Emory University

Lead sponsor

National Center for Complementary and Integrative Health (NCCIH)

Collaborator