The Impact of Professional Coaching on Early Career Academic Emergency Physician Well-Being, Burnout, Leadership Strengths, and Goal Attainment: A Pilot Randomized, Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Mayo Clinic
- 入组人数
- 46
- 试验地点
- 1
- 主要终点
- Goal Setting and Attainment
研究概览
简要总结
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?
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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.
排除标准
- •Mayo Clinic emergency physicians are not eligible for this study.
研究组 & 干预措施
One-to-One Coaching
Participants randomized to One-to-One Coaching meet for an initial 2-hour coaching session, followed by seven 1-hour coaching sessions every 3-weeks. These eight sessions take place over the course of 6 months.
Additional requirements for One-to-One Coaching:
- Complete a 30-minute online assessment of goal attainment, well-being, burnout, and leadership strengths (a) at study enrollment, (b) at 6-months after study enrollment, and (c) 12-months following study enrollment.
- Complete a 15-minute VIA Character Strengths Test online prior to One-to-One Coaching.
- Following the completion of the final coaching session, participants are interviewed by a con-investigator by phone call to assess the experience of coaching.
Each coaching session will be recorded, transcribed, anonymized, and analyzed to identify common themes.
干预措施: Professional coaching (Behavioral)
Group Coaching
Participants meet for 90-minutes each month for 6 months for facilitated professional coaching with a group of colleagues.
Additional requirements:
- Complete a 30-minute online assessment of goal attainment, well-being, burnout, and leadership strengths (a) at study enrollment, (b) at 6-months after study enrollment, and (c) 12-months following study enrollment.
- Complete a 15-minute VIA Character Strengths Test online prior to Group Coaching.
- Prior to your initial group coaching session, participate in a 75-minute private phone interview with the primary investigator to discuss the how you make decisions and make sense of the world.
- Following the completion of the final coaching session, participants are interviewed by a con-investigator by phone call to assess the experience of coaching.
Each coaching session will be recorded, transcribed, anonymized, and analyzed to identify common themes.
干预措施: Professional coaching (Behavioral)
Group Coaching Waitlist
Participants are offered group coaching at the completion of the 12-month study period. Six 90-minute group coaching sessions will occur over the course of six months.
Additional requirements:
• Complete a 30-minute online assessment of goal attainment, well-being, burnout, and leadership strengths (a) at study enrollment (b) and at 6-months after study enrollment.
结局指标
主要结局
Goal Setting and Attainment
时间窗: 18 months (3 measurements at 6-month intervals)
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.
次要结局
- Empowerment at Work Scale(18 months (3 measurements at 6-month intervals))
- Self-Insight Scale(18 months (3 measurements at 6-month intervals))
- Perspective Taking Scale(18 months (3 measurements at 6-month intervals))
- Solution-Focused Thinking Scale(18 months (3 measurements at 6-month intervals))
- Tolerance for Ambiguity Scale(18 months (3 measurements at 6-month intervals))
- Psychological Well-Being Scale(18 months (3 measurements at 6-month intervals))
- Abbreviated Two-Item Maslach Burnout Inventory(18 months (3 measurements at 6-month intervals))
- Depression, Anxiety, and Stress Scale (DASS 21)(18 months (3 measurements at 6-month intervals))
- Leadership Self-Efficacy Scale(18 months (3 measurements at 6-month intervals))
- Qualitative Summary of Coaching Program(After 6-month coaching intervention. 18 months)
- Subject-Object Interview(18 months)