Impact of the Be Well Care Well Program on Early Care Education Teachers

Targeting Teacher Stress and Well-being to Improve Child Outcomes: Impact of the Be Well Care Well Program

The study will address the following specific aims: (1) assess the impact of the BWCW program on teacher stress and physical activity, (2) Examine feasibility of collecting cortisol.

Study Overview

• Status: Completed
• Conditions: Burnout, Caregiver
• Intervention / Treatment: Behavioral: Be Well Care Well

• Study Type: Interventional
• Enrollment (Actual): 244
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • South Carolina
    • Charleston, South Carolina, United States, 29425
      • MUSC Department of Psychiatry

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 14 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

Teachers that meet the following criteria will be included:

1. currently employed as a teacher or assistant teacher at a participating ECE center;
2. ages 18 or older;
3. men or women;
4. able to speak, read, and write English.

Exclusion Criteria:

None

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control
Experimental: Be Well Care Well	Behavioral: Be Well Care Well; Be Well Care Well addresses teacher well-being through activities implemented in the classroom aimed at reducing teacher stress and improving physical activity. A subset of teachers involved in the program will complete classroom observations and cortisol testing to examine additional measures of stress.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in Score of Child Worker Job Stress Inventory	The Child Worker Job Stress Inventory is a survey used to measure job stress via questionnaire that the childcare worker completes. This survey measure contains 22 items that range from 22 (low levels of stress) to 110 (High Levels of Stress). A higher score on each item represents higher child worker stress. The total score is utilized in this study with higher total score representing higher reported child worker job stress.	Baseline and 1 year follow-up
Change in Score on the Devereux Adult Resilience Survey	The Devereux Adult Resilience Survey (DARS) is a 23-item self-report measure assessing personal strengths and resilience. Each item is scored from 0 (Not Yet) to 2 (Almost Always), yielding a raw total score range of 0-46. In this study, subscale scores (e.g., relationships, internal beliefs, professional skills) may be combined or analyzed separately. If a composite score is used, the method of combination (e.g., summing across subscales) will be specified in the analysis plan.	Baseline and 1-year follow-up

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in Score on the Lifestyle Questionnaire	The lifestyle questionnaire measured health and functioning. The physical activity subscale was used in this study, which had 18 items and ranged from 0-4 with higher scores representing more physical activity.	Baseline and 1-year follow-up
Change in Score on the Early Childhood Job Satisfaction Survey	The Early Childhood Job Satisfaction Survey measures work satisfaction regarding co-worker relations, supervisor support, nature of the work itself, working conditions, and pay and promotion opportunities. The total score is used in this study and contains 55 items that range from 1-5. Higher scores on this scale represent higher job satisfaction.	Baseline and 1-year follow-up

Collaborators and Investigators

• Sponsor: Medical University of South Carolina
• Collaborators: National Institutes of Health (NIH); National Institute of General Medical Sciences (NIGMS); University of Delaware

Study record dates

Study Major Dates

• Study Start (Actual): January 15, 2021
• Primary Completion (Actual): June 30, 2022
• Study Completion (Actual): June 30, 2022

Study Registration Dates

• First Submitted: March 25, 2022
• First Submitted That Met QC Criteria: March 25, 2022
• First Posted (Actual): April 4, 2022

Study Record Updates

• Last Update Posted (Estimated): October 14, 2025
• Last Update Submitted That Met QC Criteria: September 24, 2025
• Last Verified: September 1, 2025

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Behavioral Symptoms; Stress, Psychological; Behavior; Caregiver Burden
• Other Study ID Numbers: 00105341; U54GM104941 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

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