Supportive Leadership Training for Well-being

(RESULT Trial)

Overseen By Krista Brockwood, PhD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Oregon Health and Science University

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

1890 Participants Needed

Trial Summary

What is the purpose of this trial?

This study is a randomized controlled trial that assesses the effects of an evidence based, multi-component, leadership support intervention, Resilience-Supportive Leadership Training (RESULT), using accelerated learning strategies aimed at improving Service Member resilience and readiness in the military. The intervention is expected to increase perceptions of resilience-supportive behaviors, resilience indicators, and related behavioral health outcomes such as emotion regulation, connectedness, team cohesion, and psychological health following the training from the perspective of the Service Member.

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

What data supports the effectiveness of the treatment Resilience-Supportive Leadership Training (RESULT)?

Research shows that resilience programs for healthcare leaders, like the R2 resilience program, can reduce stress and burnout while increasing self-efficacy and resilience. Similar leadership training programs have also improved leadership skills and patient care, suggesting that RESULT may have positive effects on well-being and leadership in healthcare settings. ^{1 2 3 4 5}

Is Supportive Leadership Training for Well-being safe for humans?

The research articles provided do not contain specific safety data for Supportive Leadership Training for Well-being or its related programs like Resilience-Supportive Leadership Training (RESULT). ^{6 7 8 9 10}

How does the Resilience-Supportive Leadership Training (RESULT) treatment differ from other treatments for well-being?

The Resilience-Supportive Leadership Training (RESULT) is unique because it focuses on training leaders to be supportive, which can enhance employee well-being by improving leader-member relationships and reducing emotional exhaustion, especially for those with high workloads. This approach is distinct from other treatments as it targets leadership behavior to indirectly boost resilience and well-being in organizational settings. ^{11 12 13 14 15}

Research Team

Leslie Hammer, PhD

Principal Investigator

Oregon Health and Science University

Eligibility Criteria

This trial is for active duty Service Members serving in one of the two Striker Brigade Combat Teams (SBCT), specifically those in positions of platoon leader or below. It aims to improve their resilience and readiness.

Inclusion Criteria

I am an active duty member in a Striker Brigade Combat Team, in a position of platoon leader or below.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Training

Participants undergo Resilience-Supportive Leadership Training (RESULT) using accelerated learning strategies

4 weeks

Multiple sessions (in-person and virtual)

Follow-up

Participants are monitored for changes in resilience, psychological health, and team cohesion

3-4 months

Treatment Details

Interventions

• Resilience-Supportive Leadership Training (RESULT)

Trial Overview The study tests Resilience-Supportive Leadership Training (RESULT), which uses accelerated learning strategies to potentially enhance service members' resilience, emotional regulation, connectedness, team cohesion, and psychological health.

Participant Groups

Group I: Training Group Units Experimental Treatment 1 Intervention

Units randomized to the intervention group will go through the Resilience-Supportive Leadership Training (RESULT)

Group II: Control Group Active Control 1 Intervention

Units randomized to the control group will be usual practice regarding resiliency training

Who Is Running the Clinical Trial?

Oregon Health and Science University

Lead Sponsor

Trials

1,024

Recruited

7,420,000+

Portland State University

Collaborator

Trials

24

Recruited

26,600+

Findings from Research

A second victim support intervention was implemented in a 500-bed University Hospital in Granada, Spain, providing structured emotional support to healthcare workers involved in serious adverse events (SAEs) over two years, with 135 workers receiving second-level support.

The intervention led to increased notification rates of SAEs and high acceptance among professionals, enhancing the visibility of support actions and contributing to a stronger culture of patient safety within the hospital.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Second Victim Support at the Core of Severe Adverse Event Investigation. Cobos-Vargas, A., Pérez-Pérez, P., Núñez-Núñez, M., et al.[2023]

Establishing a positive culture of error reporting in healthcare is essential for improving safety and managing adverse events.

The introduction of a 'responsibility charter' can effectively motivate and empower caregivers to analyze their errors, leading to a more professional approach to error management.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[The charter of responsibility for reporting errors]. Louis-Burlat, I.[2016]

Healthcare organizations have developed various support resources for 'second victims'—healthcare providers affected by adverse events—which have shown beneficial effects for both the affected staff and peer supporters, enhancing coping strategies and resilience.

Implementation of these support programs faces challenges such as a blame culture, lack of awareness, and insufficient funding, highlighting the need for healthcare institutions to prioritize these resources to foster a safer and more supportive environment.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Promoting the Psychological Well-Being of Healthcare Providers Facing the Burden of Adverse Events: A Systematic Review of Second Victim Support Resources. Busch, IM., Moretti, F., Campagna, I., et al.[2021]

The 'Buddy Study' program, which includes a seminar and peer support for healthcare professionals after adverse events, received positive feedback from participants, with 91.6% satisfied with the seminar content and 69.1% feeling it helped them manage their emotional responses.

The program fostered a compassionate culture and attentiveness to colleagues' wellbeing, although it highlighted the need for ongoing support and visibility to maintain its effectiveness, suggesting that while valuable, peer support should complement other forms of support rather than replace them.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Evaluation of'the Buddy Study', a peer support program for second victims in healthcare: a survey in two Danish hospital departments. Schrøder, K., Bovil, T., Jørgensen, JS., et al.[2022]

In a study of 838 health professionals in Colombia from 2017 to 2021, 33.8% reported experiencing adverse events, with 21.91% showing medium-high emotional overload and 3.53% experiencing extreme acute stress.

The risk of developing acute stress after an adverse event was found to be significant, with a prevalence ratio of 1.30, indicating that health institutions need to address this issue to improve care capacity and support their staff.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Acute Stress in Health Workers in Colombia 2017-2021: A Cross-Sectional Study. Gonzalez Delgado, M., Cortes Gil, JD., Rodriguez Araujo, DL., et al.[2023]

A 2-day localized crisis intervention training program significantly improved participants' resistance and resiliency scores, indicating its effectiveness in enhancing mental health skills.

Organizations should consider investing in crisis intervention training for employees, as it not only benefits individual resilience but also contributes to the overall resilience of the organization.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Improving resistance and resiliency through crisis intervention training. Chan, AO., Chan, YH., Kee, JP.[2015]

References

1. England pubmed.ncbi.nlm.nih.gov

Building resilience for healthcare professionals working in an Italian red zone during the COVID-19 outbreak: A pilot study. [2022]

2. England pubmed.ncbi.nlm.nih.gov

Building a clinical leadership community to drive improvement: a multi-case educational study to inform 21st century clinical commissioning, professional capability and patient care. [2019]

3. Australia pubmed.ncbi.nlm.nih.gov

On PAR: A feasibility study of the Promoting Adult Resilience programme with mental health nurses. [2019]

4. England pubmed.ncbi.nlm.nih.gov

A strong lead. [2019]

5. England pubmed.ncbi.nlm.nih.gov

Evidence, culture and clinical outcome. [2020]

6. Switzerland pubmed.ncbi.nlm.nih.gov

Second Victim Support at the Core of Severe Adverse Event Investigation. [2023]

7. France pubmed.ncbi.nlm.nih.gov

[The charter of responsibility for reporting errors]. [2016]

8. Switzerland pubmed.ncbi.nlm.nih.gov

Promoting the Psychological Well-Being of Healthcare Providers Facing the Burden of Adverse Events: A Systematic Review of Second Victim Support Resources. [2021]

9. England pubmed.ncbi.nlm.nih.gov

Evaluation of'the Buddy Study', a peer support program for second victims in healthcare: a survey in two Danish hospital departments. [2022]

10. Switzerland pubmed.ncbi.nlm.nih.gov

Acute Stress in Health Workers in Colombia 2017-2021: A Cross-Sectional Study. [2023]

11. Switzerland pubmed.ncbi.nlm.nih.gov

Resilience Training Programs in Organizational Contexts: A Scoping Review. [2021]

12. United States pubmed.ncbi.nlm.nih.gov

Improving resistance and resiliency through crisis intervention training. [2015]

13. United States pubmed.ncbi.nlm.nih.gov

Supportive leadership training effects on employee social and hedonic well-being: A cluster randomized controlled trial. [2022]

14. United States pubmed.ncbi.nlm.nih.gov

Development and psychometric testing of the Supportive Supervisory Scale. [2019]

15. United States pubmed.ncbi.nlm.nih.gov

Effects of a Total Worker Health® leadership intervention on employee well-being and functional impairment. [2022]