Pediatrician Wellbeing Program

Coaching a Wellbeing Leadership Culture: Bringing a Pediatrician Wellbeing Program Into Practice

The investigators propose to implement a comprehensive Pediatrician Wellbeing Program initiated through and aligning with departmental faculty development and mentorship processes and goals. The Investigators hypothesize that a wellbeing intervention that incorporates an innovative health coaching model to cultivate individual behavior change supportive of one's own and others' wellbeing will lead to improvements in self-reported wellbeing.

Study Overview

• Status: Completed
• Conditions: Burn Out; Work Related Stress; Burn Out (Psychology)

Detailed Description

The investigators hypothesize that a wellbeing intervention that incorporates an innovative health coaching model to cultivate individual behavior change supportive of one's own and others' wellbeing can be implemented using existing institutional infrastructure and will lead to improvements in self-reported wellbeing.

This is a nonrandomized pilot study of a convenience sample. Participants will be assigned to 1 of 2 coaches, based upon availability of schedules. Participants who perform research will be assigned to the remote coach whenever possible to avoid potential concerns with the internal coach's dual role as Administrative Director of the Children's Research Institute.

The sample size for this pilot study (up to 30) was selected for feasibility and not power. This study is funded for 1-year and study participation is for 6-months. The study will be conducted at a single site; the University of North Carolina Department of Pediatrics Chapel Hill. Assistant, Associate and Full Professors, tenure-track or fixed-term, on the UNC main campus are eligible.

The Pediatric Wellbeing Program consists of coaching sessions from a certified National Board for Health and Wellness Coach (NBHWC) through the National Board of Medical Examiners. The NBHWC pioneered science-based training, education, and research of health and wellness coaches over the past 15 years. NBHWC became an accredited institution through National Board of Medical Examiners in 2016, providing certification through examination. By using NBHWC-certified coaches, the investigators are adhering to a standard and measured foundational competencies: the knowledge, tasks and skills essential to the practice of health and wellness coaching. Coaches will assist participants in constructing their Wellbeing-Individual Development Plan (Wellbeing-IDP). The Wellbeing-IDP is designed to assist with identifying the participant's vision, goals, and plan for wellbeing; assess current wellbeing with the WHO-5 to identify areas where they have high wellbeing and areas they need to develop; secure support and accountability (e.g., UNC resources, familial, peer, social, professional); and create a timeline for what they want to accomplish when.

As needed, faculty will also receive up to 5 additional coaching sessions from a certified health coach via video conferencing. All coaching sessions will use principles for health coaching, including brief motivational interviewing, self-empowerment and determination, transtheoretical model of stages of change, mindset, sense making, and making SMART goals (Specific, Measurable, Achievable, Relevant, Timely).

• Study Type: Observational
• Enrollment (Actual): 28

Contacts and Locations

Study Locations

• United States
  • North Carolina
    • Chapel Hill, North Carolina, United States, 27599
      • University of North Carolina at Chapel Hill

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Assistant, Associate or Full Professor, either in fixed-term and tenure-track positions in the Department of Pediatrics on the UNC main campus, at the time of consent.

Description

Inclusion Criteria:

• Provision of signed and dated informed consent form.
• An Assistant, Associate or Full Professor, either in fixed-term and tenure-track positions in the Department of Pediatrics on the UNC main campus, at the time of consent.

Exclusion Criteria:

• Not an Assistant, Associate or Full Professor in either fixed-term or tenure-track position within the Department of Pediatrics on the UNC main campus.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Percentage of Persons Who Were Contacted to Enroll in the Study	Percentage of persons who were contacted to enroll in the study	through study completion, an average of 180 days
Percentage of Persons Who Ultimately Enrolled in the Study	Potential persons who were contacted for study participation versus the number who ultimately enrolled in the study.	through study completion, an average of 180 days
Percentage of Mentors Who Attended First Session	Percentage of mentors who attended first session with mentee	through study completion, an average of 180 days
Percentage of Health Coach Visits Scheduled	Percentage of visits scheduled with health coaches	through study completion, an average of 180 days
Percentage of Health Coach Visits Missed	Percentage of visits missed with health coaches	through study completion, an average of 180 days
Percentage of Health Coach Visits Attended	Percentage of visits attended with health coaches	through study completion, an average of 180 days
Percentage of Total Surveys Completed	Participants are asked to complete 6 surveys at baseline, 4 surveys after 3-months in the program and 7 surveys after 6-months in the program; the measure reports the number of fully executed surveys as a percentage to determine engagement.	Day 180
Percentage of Participants Who Complete the Study	Percentage of participants who fully complete all visits and surveys in the study	Day 180

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in World Health Organization Wellbeing Index (WHO-5) Scores	The WHO-5 is a 5-item measure assessing subjective psychological well-being based on respondent ratings of cheerfulness, calmness, feelings of vigor, feelings of being well rested after sleep, and personal interest. Responses are provided on a 6-point scale: 0 ("at no time") to 5 ("all of the time") according to the proportion of time over the preceding 2 weeks that applied to each attribute. Scores range from 0-25; higher scores reflect better well-being.	Day 1, Day 180
Change in Breslau Post Traumatic Stress Disorder (PTSD) Scores	The Breslau Post Traumatic Stress Disorder screen is a 7-symptom measure assessing presence of PTSD in accordance with Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV) and World Health Organization guidelines. Responses are provided on a 2-point scale: 1 ("Yes") or 0 ("No") in response to 7 questions. Scores of 4 or more indicate a likelihood of PTSD.	Day 1, Day 180
Change in Perceived Stress Scale (PSS-4) Scores	The Perceived Stress Scale is a 4-item measure, self-report scale that generates a global stress score based on general questions rather than specific experiences. Response are provided on a 5-point scale: 0 ("Never") to 4 ("very often") according to the proportion of time over the preceding month that applied to each attribute. Scores range from 0-16. Scores of 0-7 indicate low to moderate stress; scores of 8-16 indicate moderate to high stress level.	Day 1, Day 180
Change in Utrecht Work Engagement Scale (UWES) Scores	The UWES is a 3-item measure assessing engagement in an individual's work based on respondent ratings of vigor, dedication, and absorption. Responses are provided on a 7-point scale: 0 ("never") to 6 ("always, every day") and averaged. Scores range from 0-6; scores within 0-4 indicate low engagement and satisfaction in the workplace.	Day 1, Day 180

Collaborators and Investigators

• Sponsor: University of North Carolina, Chapel Hill

Study record dates

Study Major Dates

• Study Start (Actual): September 22, 2020
• Primary Completion (Actual): February 3, 2022
• Study Completion (Actual): February 3, 2022

Study Registration Dates

• First Submitted: March 15, 2021
• First Submitted That Met QC Criteria: March 15, 2021
• First Posted (Actual): March 18, 2021

Study Record Updates

• Last Update Posted (Actual): August 3, 2022
• Last Update Submitted That Met QC Criteria: August 2, 2022
• Last Verified: August 1, 2022

More Information

Terms related to this study

• Keywords: Wellbeing; Mindfulness; Burn Out; Physician Burn Out
• Additional Relevant MeSH Terms: Behavioral Symptoms; Wounds and Injuries; Stress, Psychological; Occupational Diseases; Burns; Burnout, Psychological; Occupational Stress
• Other Study ID Numbers: 20-0987

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: Deidentified individual data that supports the results will be shared beginning 9 to 36 months following publication provided the investigator who proposes to use the data has approval from an Institutional Review Board (IRB), Independent Ethics Committee (IEC), or Research Ethics Board (REB), as applicable, and executes a data use/sharing agreement with UNC.
• IPD Sharing Time Frame: 9-36 months
• IPD Sharing Access Criteria: Approval from an investigator's IRB, IEC, or REB, as applicable, and an executed data use/sharing agreement with UNC.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No