Integrative Self-care Approaches for HCP Wellbeing

Caring Science, Mindful Practice™ and Reiki: Integrative Self-care Approaches to Promote Interprofessional Healthcare Provider Wellbeing

The purpose of this pilot study is to assess the impact of a hospital-based integrative self-care program (e.g., a. Reiki and b. Caring Science and Mindful Practice [CSMP] course) for interprofessional staff including nurses, physicians and/or medical residents, physical therapists, as well as other healthcare providers on their wellbeing.

Study Overview

• Status: Completed
• Conditions: Burnout, Professional
• Intervention / Treatment: Behavioral: Caring Science, Mindful Practice and Reiki Training

Detailed Description

The primary research procedures are:

• Participants will complete an online pre-training survey via REDCap, including a demographic questionnaire, and questions related to Physical Function, Depression, Anxiety, Fatigue, Sleep Disturbance, Social Roles/Activities, Resilience, Burnout, COVID-19 Experience, Caring Science, and Reiki Knowledge and Application.
• Participants will participate in the 4-week (virtual) CSMP and (in-person) Reiki Training course.
• Participants will complete the online post-training survey with the same questions included in the pre-training survey.
• Data analysis will be conducted by the research team using descriptive statistics, bivariate analysis, and multivariate linear/logistic regression analysis to assess for relationships between the Reiki and CSMP training and HCP wellbeing.

The research team will enroll up to 20 participants comprising of interprofessional staff including nurses, physicians and/or medical residents, physical therapists, as well as other healthcare providers.

All parts of the protocol will be conducted at CSMC.

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • California
    • Los Angeles, California, United States, 90048
      • Cedars Sinai Medical Center

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Healthcare provider must:

  • Be 18 years or older
  • Be full-time employee of a CSMC hospital/clinic
  • MDs/DOs must have admitting privileges to a hospital and/or have private practice/ or be a current medical resident enrolled in a Cedars Sinai Medical Residency Program
  • Provide direct patient care in hospital and/or clinic
  • Consent to participating in the study

Exclusion Criteria:

• Healthcare provider who do not meet all the inclusion criteria and/or reports:

  • They do not provide direct patient care
  • Do not consent to participating in the study

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: Caring Science, Mindful Practice and Reiki Training	Behavioral: Caring Science, Mindful Practice and Reiki Training; Participants will complete a) 4 week internet-based course on Caring Science Mindful Practice and b) 12 hour Reiki training. The participants will also complete online post-training survey with the same questions included in pre-training survey.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Changes in perception of wellbeing	PROMIS® is a publicly available, highly reliable, precise measure of patient-reported health status for physical, mental, and social well-being. Maslach Burnout Inventory covers 3 areas: Emotional Exhaustion, Depersonalization, and low sense of Personal Accomplishment. The investigator chose two items from the MBI as a previous study has shown that relative to the full MBI, single-item measures of emotional exhaustion and depersonalization exhibit strong and consistent associations with key outcomes in various HCWs. Connor-Davidson Resilience Scale is a brief, two-item self-rated measure of resilience, which has shown to have internal consistency, test-retest reliability, convergent validity, and divergent validity as well as significant correlation with the full scale. The investigator will also collect information including demographics, COVID-19 experiences, and knowledge/application of CSMP and Reiki using generic questionnaires that have not been validated.	baseline, 30 days post, and 60 days post-training

Collaborators and Investigators

• Sponsor: Cedars-Sinai Medical Center
• Collaborators: Weil Foundation
• Investigators: Principal Investigator: Linda Kim, Cedars-Sinai Medical Center

Study record dates

Study Major Dates

• Study Start (Actual): September 1, 2022
• Primary Completion (Actual): August 18, 2024
• Study Completion (Actual): August 18, 2024

Study Registration Dates

• First Submitted: May 19, 2022
• First Submitted That Met QC Criteria: May 19, 2022
• First Posted (Actual): May 24, 2022

Study Record Updates

• Last Update Posted (Actual): August 21, 2024
• Last Update Submitted That Met QC Criteria: August 19, 2024
• Last Verified: August 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Behavioral Symptoms; Stress, Psychological; Occupational Stress; Occupational Diseases; Burnout, Psychological; Burnout, Professional
• Other Study ID Numbers: STUDY00002087

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