Compassion-Centered Spiritual Health (CCSH) Interventions for Teams With Faculty and Staff
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Health Behavior
- Sponsor
- Emory University
- Enrollment
- 58
- Locations
- 1
- Primary Endpoint
- Change in Professional Quality of Life (ProQOL) Score
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
Compassion-Centered Spiritual Health (CCSH) at Emory University was launched as a joint creation by Spiritual Health and the Center for Contemplative Science and Compassion-Based Ethics in 2018. The program enhances the practice of spiritual health through CCSH Interventions, which are a Cognitively-Based Compassion Training (CBCT)-based approach to support the practices of spiritual health clinicians. CBCT is a research-based contemplative program developed at Emory University in 2004. CCSH Interventions are provided by spiritual health clinicians across Emory's inpatient and outpatient facilities and beyond, and offer a method to alleviate distress in patients and families and to mitigate burnout in healthcare professionals. While the intervention will be required for some staff and provider populations, Spiritual Health proposes to pilot a voluntary systematic implementation of CCSH Interventions for Teams (CCSH-TI) to clinical research teams at Winship Cancer Institute. Clinical Research Coordinators (CRCs) experience significant emotional and spiritual burden through exposure to patients living with cancer and undergoing clinical trials for cancer treatment. As individuals and teams, CRCs face multiple work-related challenges known to cause distress, including experiences of secondary trauma, exposure to emotional and spiritual suffering of patients and families, and experiences of loss of patients. The researchers of this study hope that offering CCSH Interventions for Teams to CRCs will increase their resilience, wellbeing and compassion toward self and others, with a secondary benefit that burnout will be reduced. By conducting this pilot project, the researchers hope to gain a better understanding of how to optimally implement CCSH for CRC teams at the Winship Cancer Institute.
Detailed Description
Previous research indicates that Cognitively-Based Compassion Training (CBCT) improves empathic accuracy, enhances well-being, and attenuates the pro-inflammatory response to psychosocial stress. CBCT is a secularized compassion meditation program adapted from the Tibetan Buddhist mind training (lojong) tradition, and it may be an ideal addendum to the spiritual caregiving provided by Emory University hospital chaplains and chaplain residents to approximately 100,000 patients, staff, and faculty members each year. With this in mind, The Emory University Spiritual Health department now incorporates CBCT into their training curriculum using a phased approach that began in Fall 2017. The Spiritual Health department also developed an adapted program based on CBCT principles that chaplains can then deliver to patients and staff, called Compassion-Centered Spiritual Health (CCSH). Spiritual Health proposes to pilot a systematic implementation of CCSH Interventions for Teams (CCSH-TI) to clinical research teams at the Winship Cancer Institute. This is a randomized trial of CCSH Interventions for Teams versus a wait list control condition. CRC teams will be randomized to receive CCSH-TI during a first cohort or to a wait-list group that will receive CCSH-TI during the second cohort. CRCs (n = 93) will be randomized by team to receive CCSH Interventions for Teams either in the fall or in the spring. Participating CRCs will complete self-report measures at 4 timepoints throughout the year: (1) Prior to randomization, (2) immediately upon completion of CCSH Interventions for Teams for cohort 1 (3) prior to CCSH Interventions for Teams for cohort 2, and (4) immediately upon completion of CCSH Interventions for Teams for cohort 2.
Investigators
Jennifer Mascaro
Assistant Professor
Emory University
Eligibility Criteria
Inclusion Criteria
- •Emory staff, clinical research coordinators
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Change in Professional Quality of Life (ProQOL) Score
Time Frame: Baseline, Week 5, Week 24, Week 29
The Professional Quality of Life Scale (ProQOL) is a 30-item inventory and is the most commonly used measure of the negative and positive effects of helping others who experience suffering. It has sub-scales for compassion satisfaction, burnout, and compassion fatigue. The sub-scales are summed and converted to t-scores with a mean of 50 and standard deviation of 10. Scores higher than 57 indicate professional satisfaction while scores below 40 indicate possible problems with feeling satisfied professionally.
Staff Absenteeism
Time Frame: Up to Week 29
Staff absenteeism (number of missed work days) will be compared between the teams completing the intervention and those who have not yet participated.
Staff Retention
Time Frame: Up to Week 29
Staff retention (number of employees not resigning) will be compared between the teams completing the intervention and those who have not yet participated.
Secondary Outcomes
- Change in Depression Anxiety and Stress Scale (DASS) Short Form Score(Baseline, Week 5, Week 24, Week 29)
- Change in Connor-Davidson Resilience Scale 25 (CD-RISC-25) Score(Baseline, Week 5, Week 24, Week 29)
- Change in Revised University of California, Los Angeles (UCLA) Loneliness Scale (R-UCLA) Score(Baseline, Week 5, Week 24, Week 29)
- Change in Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance Short Form Score(Baseline, Week 5, Week 24, Week 29)
- Interest in the CCSH Intervention Scale(Baseline or Week 24)
- Change in Nursing Incivility Scale (General, Nurse, and Patient subscales)(Baseline, Week 5, Week 24, Week 29)
- Experiences with the CCSH Intervention Scale(Week 5 or Week 29)