Implementation of ThriveCircles for Clinician and Scientist Well-Being at CU SOM
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 160
- 试验地点
- 1
- 主要终点
- Maslach Burnout Inventory
研究概览
简要总结
This study is testing a program called ThriveCircle, which brings small groups of faculty members together to talk about their work experiences, support one another, and build a stronger sense of community. These groups meet over shared meals and use guided conversations to help reduce burnout and improve well-being among clinicians and scientists.
详细描述
The ThriveCircle Study is a pragmatic, hybrid Type 1 effectiveness-implementation project designed to evaluate a structured yet self-facilitated small-group program intended to improve well-being among faculty at the University of Colorado School of Medicine (CU SOM). The initiative adapts core elements from previous peer-support interventions-most notably the COMPASS model-into a format optimized for scalability, flexibility across faculty roles, and sustainable integration into institutional culture.
Study Purpose and Rationale Clinician and scientist burnout continues to rise nationally, with consequences that extend beyond individual distress to workforce instability, increased turnover intention, and patient-safety risks. Existing evidence highlights the potential of relational, community-building interventions to reduce emotional exhaustion and depersonalization and to increase professional fulfillment. However, most prior studies were conducted before 2024, in resource-intensive facilitated formats, or without examining broader outcomes such as sense of belonging, self-valuation, or imposter phenomenon.
ThriveCircle seeks to address these gaps by evaluating a contemporary, low-resource, peer-led model that emphasizes social connection, reflective dialogue, and collegial support. The program integrates commensality (shared meals), which has demonstrated additional benefit in prior studies by lowering barriers to participation and promoting trust and engagement.
Intervention Model ThriveCircle consists of six structured small-group sessions delivered over six months. Groups include approximately 6-8 faculty members and are self-facilitated by a participant who receives basic orientation and a standardized guide. The curriculum centers on meaning in work, professional identity, collegial connection, and shared challenges, with optional adaptations for scientists and for specific professional cultures. Sessions are held in person and incorporate shared meals to support accessibility and sociability.
The intervention is "light-touch," requiring minimal external facilitation, and is designed to be portable across diverse academic units. The study includes a wait-list crossover structure to ensure all participants experience the program while enabling comparative analysis of early versus delayed exposure.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 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
- •Employed or affiliated faculty at CU SOM (including both CU SOM-paid and non-paid faculty)
- •≥0.5 Full-Time Equivalent (FTE) appointment
- •Age 18 years or older
- •Willing and able to provide informed consent
- •Willing to participate in ThriveCircle group sessions (in-person, with shared meals)
- •Able to communicate in English (study materials and sessions will be conducted in English)
排除标准
- •• Faculty with <0.5 FTE appointment
- •Not affiliated with CU SOM
- •Under age 18
- •Unable or unwilling to provide informed consent
- •Unable to participate in in-person group sessions (e.g., due to geographic distance or scheduling conflicts)
- •Current participation in another well-being/job satisfaction intervention
研究组 & 干预措施
Control (Delayed Intervention)
Wait listed control group
Immediate Thrive Circle
Participate in small group discussions immediately
干预措施: ThriveCircle Peer-Led Well-Being Groups (Behavioral)
结局指标
主要结局
Maslach Burnout Inventory
时间窗: From enrollment to the end of the intervention at 6 months and follow-up at 9 months and 12 months.
Maslach Burnout Inventory - Human Services Survey for Medical Personnel (MBI-HSS MP) is a 22-item survey that covers 3 areas: Emotional Exhaustion (EE, range 0-54, higher score greater EE), Depersonalization (DP, range 0 - 30, higher score greater DP), and low sense of Personal Accomplishment (PA, range 0 -48, higher score greater PA). Each subscale includes multiple questions with frequency rating choices of Never, A few times a year or less, Once a month or less, A few times a month, Once a week, A few times a week, or Every day.
Maslach Burnout Inventory
时间窗: From enrollment to the end of the intervention at 6 months
Maslach Burnout Inventory - Human Services Survey for Medical Personnel (MBI-HSS MP) is a 22-item survey that covers 3 areas: Emotional Exhaustion (EE, range 0-54, higher score greater EE), Depersonalization (DP, range 0 - 30, higher score greater DP), and low sense of Personal Accomplishment (PA, range 0 -48, higher score greater PA). Each subscale includes multiple questions with frequency rating choices of Never, A few times a year or less, Once a month or less, A few times a month, Once a week, A few times a week, or Every day.
次要结局
- Patient Reported Outcomes Measurement Information System (PROMIS) Short Form v2.0 Social Isolation 4a scale(From enrollment to the end of the intervention at 6 months and follow-up at 9 months and 12 months.)
- Belonging (Investigator developed)(From enrollment to end of intervention at 6 months and follow-up at 9 months and 12 months.)
- Stanford Professional Fulfillment Index(Fulfillment subscale: from enrollment to end of intervention at 6 months and follow-up at 9 months and 12 months. Work exhaustion and interpersonal disengagement subscales: collected at 12 months.)
- Stanford Self-Valuation Scale(From enrollment to end of intervention at 6 months and follow-up at 9 months and 12 months.)
- 4-item version of the Clance Imposter Phenomenon Scale(Enrollment to post intervention at 6 months and follow-up at 9 months and 12 months.)
- Self-Reported Intent to leave(Collected at enrollment and 12 months)
- Maslach Areas of Worklife Survey (AWS) - Community subscale(From enrollment to the end of the intervention at 6 months)
- Patient Reported Outcomes Measurement Information System (PROMIS) Short Form v2.0 Social Isolation 4a scale(From enrollment to the end of the intervention at 6 months)
- Belonging (Investigator developed)(From enrollment to end of intervention at 6 months)
- Stanford Professional Fulfillment Index(From enrollment to end of intervention at 6 mo)
- Stanford Self-Valuation Scale(From enrollment to end of intervention at 6 months)
- 4-item version of the Clance Imposter Phenomenon Scale(Enrollment to post intervention at 6 mo)
- Self-Reported Intent to leave(Enrollment to post intervention at 6 mo)
研究者
Lotte Dyrbye
Senior Associate Dean for Faculty Wellbeing, Chief Well-being Officer
University of Colorado, Denver