- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03125330
The Impact of Professional Coaching on Early Career Academic Emergency Physicians
The Impact of Professional Coaching on Early Career Academic Emergency Physician Well-Being, Burnout, Leadership Strengths, and Goal Attainment: A Pilot Randomized, Controlled Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
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.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Minnesota
-
Rochester, Minnesota, United States, 55905
- Mayo Clinic in Rochester
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion:
- 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.
Exclusion:
- Mayo Clinic emergency physicians are not eligible for this study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: 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:
Each coaching session will be recorded, transcribed, anonymized, and analyzed to identify common themes. |
Professional coaching is provided by the Principal Investigator via video conference.
Other Names:
|
Active Comparator: Group Coaching
Participants meet for 90-minutes each month for 6 months for facilitated professional coaching with a group of colleagues. Additional requirements:
Each coaching session will be recorded, transcribed, anonymized, and analyzed to identify common themes. |
Professional coaching is provided by the Principal Investigator via video conference.
Other Names:
|
No Intervention: 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. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Goal Setting and Attainment
Time Frame: 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.
|
18 months (3 measurements at 6-month intervals)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Psychological Well-Being Scale
Time Frame: 18 months (3 measurements at 6-month intervals)
|
An 18-item survey that measures eudaemonic well-being.
|
18 months (3 measurements at 6-month intervals)
|
Empowerment at Work Scale
Time Frame: 18 months (3 measurements at 6-month intervals)
|
A 12-item survey that measures a physician's sense of meaning, competence, self-determination, and impact while at work.
|
18 months (3 measurements at 6-month intervals)
|
Abbreviated Two-Item Maslach Burnout Inventory
Time Frame: 18 months (3 measurements at 6-month intervals)
|
A two-item survey that measures participant burnout.
|
18 months (3 measurements at 6-month intervals)
|
Depression, Anxiety, and Stress Scale (DASS 21)
Time Frame: 18 months (3 measurements at 6-month intervals)
|
A 21-item self-report questionnaire designed to measure the severity of the core symptoms of depression, anxiety, and stress in both clinical and nonclinical scenarios.
|
18 months (3 measurements at 6-month intervals)
|
Leadership Self-Efficacy Scale
Time Frame: 18 months (3 measurements at 6-month intervals)
|
A 5-item scale of leadership self-efficacy.
|
18 months (3 measurements at 6-month intervals)
|
Self-Insight Scale
Time Frame: 18 months (3 measurements at 6-month intervals)
|
An 8-item sub-scale of the Self-reflection and Insight Scale.
This scale measures individuals' levels of insight into their thoughts, feelings and behaviors.
|
18 months (3 measurements at 6-month intervals)
|
Solution-Focused Thinking Scale
Time Frame: 18 months (3 measurements at 6-month intervals)
|
A 12-item scale with three subscales: Problem Disengagement, Goal Orientation, and Resource Activation.
|
18 months (3 measurements at 6-month intervals)
|
Tolerance for Ambiguity Scale
Time Frame: 18 months (3 measurements at 6-month intervals)
|
An eight-item assessment that measures tolerance for ambiguity.
|
18 months (3 measurements at 6-month intervals)
|
Perspective Taking Scale
Time Frame: 18 months (3 measurements at 6-month intervals)
|
A 7-item subscale of The Empathy Questionnaire that measures perspective-taking.
|
18 months (3 measurements at 6-month intervals)
|
Qualitative Summary of Coaching Program
Time Frame: After 6-month coaching intervention. 18 months
|
An open-ended interview covering issues such as 1) participant's experience with the coaching process and coach; 2) participant goals; 3) impact on the participant's workplace; 4) impact on participant's personal life; and 5) what the participant plans to do to sustain any changes or learnings.
|
After 6-month coaching intervention. 18 months
|
Subject-Object Interview
Time Frame: 18 months
|
A one-time 60 to 75-minute private interview that measures the particpant's order of subject-object development based upon constructive-developmental theory.
|
18 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Richard C Winters, Mayo Clinic
Publications and helpful links
General Publications
- Silva JAM, Mininel VA, Fernandes Agreli H, Peduzzi M, Harrison R, Xyrichis A. Collective leadership to improve professional practice, healthcare outcomes and staff well-being. Cochrane Database Syst Rev. 2022 Oct 10;10(10):CD013850. doi: 10.1002/14651858.CD013850.pub2.
- Theeboom, T., B. Beersma, and A.E.M. van Vianen, Does coaching work? A meta-analysis on the effects of coaching on individual level outcomes in an organizational context. The Journal of Positive Psychology, 2013. 9(1): p. 1-18.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 16-010192
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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