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CBCT for Spiritual Health Clinicians

2020年5月19日 更新者：Jennifer Mascaro、Emory University

Exploring the Effect of Cognitively-Based Compassion Training (CBCT) on the Empathic Accuracy and Resilience of Spiritual Health Clinicians

The Emory University Spiritual Health department will incorporate Cognitively-Based Compassion Training (CBCT) into their training curriculum beginning in Fall 2017, which provides the opportunity to compare students receiving the CBCT addendum with those receiving traditional chaplaincy training. This is a naturalistic study that examines the impact of incorporating CBCT into Emory's spiritual caregiver training program. The researchers will examine the effect of CBCT on empathic accuracy and resilience by comparing the first group of students who receive CBCT-informed training with chaplains who receive standard training in spiritual caregiving and receive CBCT later in the residency year. Comprehensive assessments will be conducted in order to examine whether outcomes for patients are improved for those receiving chaplain spiritual care augmented by CBCT compared to those receiving spiritual care from chaplains who receive CBCT later in their residency.

研究概览

地位

完全的

条件

干预/治疗

详细说明

Based on a wealth of research demonstrating the associations between physical health and psychosocial well-being, modern health care in the United States is characterized by an increasingly patient-centered model of care that places a premium on the holistic treatment of the patient as a physical, psychosocial, and spiritual whole. Hospital chaplains play a vital role in delivering emotional and spiritual care to a broad range of both religious and non-religious patients for a wide variety of stressors, and extensive research indicates that spiritual consults impact patient outcomes and satisfaction. However, there is remarkably little research on the "active ingredients" of chaplaincy spiritual care, and a subsequent lack of standardization and best-practice guidelines informing chaplain training and chaplain spiritual consulting. CBCT ® (Cognitively-Based Compassion Training) is a secularized compassion meditation program adapted from the Tibetan Buddhist mind training (lojong) tradition, and it may be an ideal addendum to both chaplain training programs and to the spiritual care consults provided by Emory University hospital chaplains to approximately 100,000 patients each year. This is a pilot study to explore the feasibility and impact of incorporating CBCT into the educational curriculum for chaplain residents. To this end, the researchers will (1) examine the impact of CBCT on burnout, compassion, and empathic accuracy among chaplains in training, (2) explore whether the impact persists through the end of the resident training, (3) evaluate the timing of the training within the existing curriculum to maximize its impact, (4) evaluate whether CBCT-informed interventions improve patient outcomes, and (5) explore chaplain and patient mediators of the impact of spiritual care consults on patient outcomes. Data acquired in this pilot study will be used to estimate efficacy and to inform a randomized controlled trial.

研究类型

介入性

注册 (实际的)

304

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 美国
    • Georgia
      • Atlanta、Georgia、美国、30322
        • Emory University Hospital
      • Atlanta、Georgia、美国、30308
        • Emory University Hospital Midtown
      • Atlanta、Georgia、美国、30322
        • Emory Clinic
      • Atlanta、Georgia、美国、30322
        • Emory University Winship Cancer Institute
      • Atlanta、Georgia、美国、30342
        • St. Joseph's Hospital
      • Atlanta、Georgia、美国、30329
        • Wesley Woods Center
      • Johns Creek、Georgia、美国、30097
        • Emory Johns Creek Hospital

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 孩子
  • 成人
  • 年长者

接受健康志愿者

不

有资格学习的性别

全部

描述

Inclusion Criteria for Chaplains:

  • Chaplain residents with Spiritual Health at Emory Healthcare

Inclusion Criteria for Chaplains:

  • Patient of Emory Healthcare
  • Requested a spiritual health consultation with a hospital chaplain

Exclusion Criteria:

  • None

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：卫生服务研究
  • 分配：非随机化
  • 介入模型：并行分配
  • 屏蔽：无（打开标签）

武器和干预

参与者组/臂
干预/治疗
实验性的：Early-start group for CBCT-informed training
Hospital chaplain residents receiving the Cognitively-Based Compassion Training (CBCT) education during the first unit of their year-long residency.
行为的：CBCT-informed training
Cognitively-Based Compassion Training (CBCT) is a secularized compassion meditation program adapted from the Tibetan Buddhist mind training (lojong) tradition. Lojong practices utilize a cognitive, analytic approach to challenge one's unexamined thoughts and emotions toward other people, with the long-term goal of developing altruistic emotions and behavior towards all people.
有源比较器：Delayed-start group for CBCT-informed training
Hospital chaplain residents receiving the Cognitively-Based Compassion Training (CBCT) education midway through their year-long residency.
行为的：CBCT-informed training
Cognitively-Based Compassion Training (CBCT) is a secularized compassion meditation program adapted from the Tibetan Buddhist mind training (lojong) tradition. Lojong practices utilize a cognitive, analytic approach to challenge one's unexamined thoughts and emotions toward other people, with the long-term goal of developing altruistic emotions and behavior towards all people.

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Change in Depression Anxiety and Stress Scale (DASS) Score
大体时间：Baseline, Week 5, Week 24, Week 29
The Depression Anxiety and Stress Scale (DASS) is a 42-item likert-scale measure that assesses the frequency of symptoms of depression, anxiety and stress during the past week. Respondents indicate the degree to which they agree with each statement on a scale of 0 to 3 where 0 = does not apply to me at all and 3 = applied to me very much, or most of the time. Total scores range from 0 to 126 and higher scores indicate increased feelings of depression, anxiety and stress.
Baseline, Week 5, Week 24, Week 29
Change in Mental Health Continuum Short Form (MHC-SF) Score
大体时间：Baseline, Week 5, Week 24, Week 29
The Mental Health Continuum Short Form (MHC-SF) is a 14-item inventory assessing emotional well-being. Participants indicate how frequently they have experienced different feelings (such as feeling happy) in the past month. Responses are are a 6-point scale where 0 = never and 5 = every day. Total scores range from 0 to 70 and higher scores indicate greater well being.
Baseline, Week 5, Week 24, Week 29
Change in Professional Quality of Life Scale (ProQOL) Score
大体时间：Baseline, Week 5, Week 24, Week 29
The Professional Quality of Life Scale (ProQOL) is a 30-item inventory, the ProQOL is the most commonly used measure of the negative and positive effects of helping others who experience suffering. It has sub-scales for compassion satisfaction, burnout, and compassion fatigue. The sub-scales are summed and converted to t-scores with a mean of 50 and standard deviation of 10. Scores higher than 57 indicate professional satisfaction while scores below 40 indicate possible problems with feeling satisfied professionally.
Baseline, Week 5, Week 24, Week 29
Change in School-Burnout Inventory (SBI) Score
大体时间：Baseline, Week 5, Week 24, Week 29
The School-Burnout Inventory is a 9-item survey asking students about how much burnout, in the context of an academic environment, they have felt in the past month (for example, "I feel overwhelmed by my schoolwork"). Respondents indicate the degree to which they agree with each statement on a scale of 1 to 6 where 1 = completely disagree and 6 = completely agree. Total scores can range from 9 to 54, with higher scores indicating more burnout.
Baseline, Week 5, Week 24, Week 29
Change in Revised University of California, Los Angeles (UCLA) Loneliness Scale (R-UCLA) Score
大体时间：Baseline, Week 5, Week 24, Week 29
The Revised UCLA Loneliness Scale (R-UCLA) is a 20-item questionnaire measuring general feelings of social isolation and dissatisfaction with one's social interactions. Participants rate each item on a scale from 1 (never) to 4 (often). When scoring the scale, certain items are reversed so that low scores correspond with low loneliness. Total scores range from 20 to 80, where high scores indicate high feelings of loneliness.
Baseline, Week 5, Week 24, Week 29
Change in Empathic Accuracy (EA) Task Score
大体时间：Baseline, Week 5, Week 24, Week 29
The Empathic Accuracy (EA) Task is a dynamic video assessment that asks subjects to continuously rate the emotions of others as they tell emotional autobiographical stories. Empathic accuracy is the correlation between feelings of the story-tellers in the video and what the participants perceive the story-tellers feelings to be.
Baseline, Week 5, Week 24, Week 29
Change in Spiritual Meaning Scale (SMS) Score
大体时间：Baseline, Week 5, Week 24, Week 29
The Spiritual Meaning Scale (SMS) is a 15-item, likert-scale inventory that assesses the extent to which someone endorses a belief in something larger than themselves. Participants respond to statements like "life is inherently meaningful" on a scale of 1 to 5 where 1 = I totally disagree, 3 = I'm in between, and 5 = I totally agree. Certain items are scored in reverse. The total score ranges from 15 to 75 and higher scores indicate stronger belief.
Baseline, Week 5, Week 24, Week 29
Change in Jefferson Scale of Empathy Score
大体时间：Baseline, Week 5, Week 24, Week 29
The Jefferson Scale of Empathy is a 20-item scale designed to measure empathy in practicing health care professionals and health care professional students. Participants answer on a 7-point scale where 1 = strongly disagree and 7 = strongly agree. Total scores range from 20 to 140 where higher scores indicate increased empathy.
Baseline, Week 5, Week 24, Week 29

次要结果测量

结果测量
措施说明
大体时间
National Comprehensive Cancer Network (NCCN) Distress Thermometer
大体时间：Day 1 (before Spiritual Health consult)
Patients will use the NCCN Distress Thermometer to rate levels of distress over the past week including the current day. The NCCN Distress Thermometer is a single-item screener of distress, with a scale from 0 (no distress) to 10 (extreme distress) represented through a visual graphic of a thermometer. Patients will complete the screening prior to having a Spiritual Health consult with the chaplain.
Day 1 (before Spiritual Health consult)
Patient-Reported Outcomes Measurement Information System (PROMIS) Self-Efficacy for Managing Emotions
大体时间：Day 1 (after Spiritual Health consult)
The PROMIS Self-Efficacy for Managing Emotions is a 15-item Likert scale self-report measure ("not at all confident"; "a little confident"; "somewhat confident"; "quite confident" and "very confident") completed by patients, which asks them to reflect on their own confidence levels in managing and controlling symptoms of anxiety, depression, helplessness, discouragement, frustration, disappointment, and anger. Raw scores range from 15 to 75 with higher scores indicating increased self efficacy. Patients will complete the questionnaire after having a Spiritual Health consult with the chaplain.
Day 1 (after Spiritual Health consult)
PROMIS Positive Affect
大体时间：Day 1 (after Spiritual Health consult)
The PROMIS Positive Affect questionnaire is a 15-item Likert-scale self-report measure completed by patients, which assesses momentary positive or rewarding affective experiences such as feelings and moods associated with pleasure, joy, elation, contentment, pride, affection, happiness, engagement, and excitement. Raw scores range from 15 to 75 with higher scores indicating increased positive feelings. Patients will complete the questionnaire after having a Spiritual Health consult with the chaplain.
Day 1 (after Spiritual Health consult)
Hospital Anxiety and Depression Scale (HADS)
大体时间：Day 1 (after Spiritual Health consult)
The Hospital Anxiety and Depression Scale (HADS) is a 14-item self-report questionnaire used to screen for the presence of depression and anxiety in physically ill patients. It is divided into two subscales: Anxiety (HADS-A) and Depression (HADS-D). Patients rate each item on a 4-point scale from 0 (absence) to 3 (extreme presence), with five of the 14 items reverse coded. Total scores range from 0 to 42, with higher scores indicating greater levels of anxiety and depression. Patients will complete the questionnaire after having a Spiritual Health consult with the chaplain.
Day 1 (after Spiritual Health consult)
PROMIS Emotional Support
大体时间：Day 1 (after Spiritual Health consult)
The PROMIS Emotional Support is a 4-item Likert-scale that assesses perceived feelings of being cared for and valued as a person. Each of the 4 questions has five response options ranging in value from one to five, with total scores ranging from 4 to 20. Higher scores indicate increased feelings of being supported emotionally. Patients will complete the questionnaire after having a Spiritual Health consult with the chaplain.
Day 1 (after Spiritual Health consult)
PROMIS Informational Support
大体时间：Day 1 (after Spiritual Health consult)
The PROMIS Informational Support is a 4-item Likert-scale that assesses perceived availability of helpful information or advice. Each of the 4 questions has five response options ranging in value from one to five, with total scores ranging from 4 to 20. Higher scores indicate increased perception of available information. Patients will complete the questionnaire after having a Spiritual Health consult with the chaplain.
Day 1 (after Spiritual Health consult)
PROMIS Social Isolation
大体时间：Day 1 (after Spiritual Health consult)
The PROMIS Social Isolation is a 4-item Likert-scale that assesses perceptions of being avoided, excluded, detached, disconnected from, or unknown by, others. Each of the 4 questions has five response options ranging in value from one to five, with total scores ranging from 4 to 20. Higher scores indicate increased social isolation. Patients will complete the questionnaire after having a Spiritual Health consult with the chaplain.
Day 1 (after Spiritual Health consult)
Scottish Patient Reported Outcome Measure (PROM)
大体时间：Day 1 (after Spiritual Health consult)
The Scottish Patient Reported Outcome Measure (PROM) is an 18-item self-report Likert-scale that assesses how a hospitalized patient perceived the Spiritual Care visit both during and after the consult. It also assesses the patient's present state regarding their situation and whether they view themselves as a spiritual or religious person. Responses range in value from 1 (not at all) to 5 (all of the time). Total scores range from 18 to 90 with higher scores suggesting increased positive feelings about the spiritual care received. Patients will complete the questionnaire after having a Spiritual Health consult with the chaplain.
Day 1 (after Spiritual Health consult)

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Emory University

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2018年7月5日

初级完成 (实际的)

2020年5月7日

研究完成 (实际的)

2020年5月7日

研究注册日期

首次提交

2018年5月8日

首先提交符合 QC 标准的

2018年5月8日

首次发布 (实际的)

2018年5月18日

研究记录更新

最后更新发布 (实际的)

2020年5月21日

上次提交的符合 QC 标准的更新

2020年5月19日

最后验证

2020年5月1日

更多信息

与本研究相关的术语

关键字

其他研究编号

  • IRB00098222

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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赞助者和合作者

医疗条件

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条件

罕见疾病

药物干预

膳食补充剂

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地点

3
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