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

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to test a new training program designed to boost resilience and readiness among military Service Members. The program, Resilience-Supportive Leadership Training (RESULT), focuses on improving emotional regulation, connectedness, team cohesion, and psychological health. Participants will split into two groups: one will receive the special training, while the other will continue with usual practices. Active Duty Service Members in one of the two Striker Brigade Combat Teams can join this study. As an unphased trial, participants have the opportunity to contribute to innovative research that could enhance military readiness and personal resilience.

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 prior data suggests that this leadership training is safe for improving resilience and readiness?

Research shows that Resilience-Supportive Leadership Training (RESULT) is safe. Earlier studies have found that it can boost mental well-being and job performance. In one study, similar training raised well-being scores from 47.0 to 57.2 and helped lower stress and physical symptoms. Another study found that participants were happy with the training and noticed improvements in their skills and team performance. No major negative side effects were reported, indicating that the training is generally well-received. The training aims to build resilience and improve mental health, benefiting participants. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the Resilience-Supportive Leadership Training (RESULT) because it focuses on enhancing leadership skills to foster resilience in teams, which is a fresh approach compared to traditional individual-based resiliency programs. Unlike standard practices that mainly target personal coping mechanisms, RESULT emphasizes the role of supportive leadership in improving overall team well-being and resilience. This innovative method aims to cultivate a positive work environment, potentially leading to more sustainable outcomes in stress management and mental health support.

What evidence suggests that Resilience-Supportive Leadership Training is effective for improving Service Member resilience?

Research has shown that training programs designed to build resilience can greatly reduce stress and tiredness. For example, one study found that after a 6-hour resilience training, participants felt less stressed and exhausted over time. Another study demonstrated that a 3-hour training improved mental well-being and lowered stress from dealing with others' trauma. Additionally, evidence suggests that resilient supervisors can enhance their employees' well-being, leading to less stress and burnout. These findings support the idea that resilience training, such as the Resilience-Supportive Leadership Training (RESULT) program tested in this trial, could improve mental health and teamwork in military settings. ^{1 2 6 7 8}

Who Is on the Research Team?

Leslie Hammer, PhD

Principal Investigator

Oregon Health and Science University

Are You a Good Fit for This Trial?

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 for a Trial Participant

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

What Are the Treatments Tested in This Trial?

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.

How Is the Trial Designed?

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+

Published Research Related to This Trial

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]

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]

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]

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]

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]

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]

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC11639878/

The RISE (Resilience in Stressful Events) Peer Support ... RISE helps break the cycle of healthcare worker burnout by providing peer support for stresses at work 24 hours a day, 7 days a week.

2. sigmapubs.onlinelibrary.wiley.com sigmapubs.onlinelibrary.wiley.com/doi/10.1111/wvn.70028?af=R

Effects of a 6‐h Resiliency Training on Well‐Being in Nurse ... Post resiliency training, scores in perceived stress and exhaustion decreased significantly over time, demonstrating the efficacy of this 6-h ...

3. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC8191373/

Impact of a Resiliency Training to Support the Mental Well ... After a 3-hour CRM training, participants reported improved mental well-being and decreased secondary traumatic stress and somatic symptoms.

4. sciencedirect.com sciencedirect.com/science/article/abs/pii/S0001879124001179

Supervisor resilience promotes employee well-being The present study examined whether supervisor resilience influences employee well-being (ie, psychological distress, burnout, and life satisfaction)

5. mckinsey.com mckinsey.com/capabilities/people-and-organizational-performance/our-insights/developing-a-resilient-adaptable-workforce-for-an-uncertain-future

Fostering workforce resilience and adaptability In this article, we'll review recent McKinsey research on both resilience and adaptability and their association with employee outcomes. We'll ...

6. tandfonline.com tandfonline.com/doi/abs/10.1080/23303131.2023.2287742

Evaluation of Leadership Training and Resilience ... The training showed positive outcomes in satisfaction, knowledge/skills, work/team performance, and organizational resilience/sustainability. ...

7. academic.oup.com academic.oup.com/milmed/article/189/Supplement_3/501/7735904

The Effects of Platoon Leader Mental Health and Resilience ... This study provides an initial evaluation of training for platoon leaders that educates them on proactive and responsive behavioral strategies.

8. sciencedirect.com sciencedirect.com/science/article/pii/S0925753523002539

Resilience training for critical situation management. An ... We focus on RT for professionals likely to manage crisis situations. 5 RT categories: Preparedness, Stress Inoculation, Personal Efficacy, RE & Team training.