Resiliency & Burnout Interventions for Behavioral Health Staff

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Massachusetts General Hospital

Disqualifiers: Temp staff, per diem workers, others

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

Compensation: Varies

Number of Visits: 3

900 Participants Needed

Trial Summary

Do I need to stop my current medications to join the trial?

The trial information does not specify whether you need to stop taking your current medications. It seems focused on training and workplace interventions, so it's unlikely that medication changes are required.

What data supports the effectiveness of the treatment Resiliency Training, Prehabilitation Program, Task Sharing, Workplace Improvement Learning Collaborative for reducing burnout and improving resilience among behavioral health staff?

Research shows that resilience training can improve resilience and reduce stress in nurses, and similar programs have been effective in reducing burnout and improving resilience in healthcare providers, suggesting potential benefits for behavioral health staff. ^{1 2 3 4 5}

Is resilience training safe for healthcare workers?

Resilience training, including e-learning courses and skill-building workshops, has been shown to improve well-being and resilience in healthcare workers without any reported safety concerns. ^{2 4 6 7 8}

How is the Resiliency Training, Task Sharing, Workplace Improvement Learning Collaborative treatment different from other treatments for burnout in behavioral health staff?

This treatment is unique because it combines resilience training, task sharing, and workplace improvement strategies to address burnout, focusing on building resilience and improving the work environment, rather than just individual stress management. Unlike other treatments, it emphasizes collaborative learning and practical exercises to enhance well-being and reduce burnout over time. ^{2 3 4 9 10}

What is the purpose of this trial?

The goal of this clinical trial is to compare Integrated Resiliency Training and Task Sharing (IRTTS) to Workplace Improvement Learning Collaborative (WILC) in group homes for adults with serious mental illness and/or intellectual and developmental disabilities. The main questions it aims to answer are: * Is IRTTS superior to WILC in improving residential care worker (RCW) resiliency; stress management and burnout; depression and anxiety; and positive health behaviors? * Is IRTTS superior to WILC in improving RCW turnover/retention; RCW sick days/absenteeism; and group home safety and resident incidents? * What are the barriers, facilitators, and resources required to successfully implement IRTTS and WILC? Participants may engage in training sessions, collaborate with residents and other RCWs in their group homes, attend meetings with RCWs from other group homes, complete surveys, participate in focus groups, and/or give qualitative interviews. Researchers will compare IRTTS to WILC to see which intervention should be implemented to achieve the greatest improvement in RCW resiliency and greatest reduction in burnout and turnover in group homes for adults with serious mental illness and/or developmental and intellectual disabilities.

Eligibility Criteria

This trial is for permanent-salary staff at certain group homes for adults with serious mental illness or intellectual and developmental disabilities. It's not open to temporary or per diem workers, nor staff at non-participating group homes.

Inclusion Criteria

Permanent-salary staff working in participating group homes

Exclusion Criteria

Temp staff and per diem workers

Staff working in group homes not included in this study

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Phase 1 Implementation

Implementation of IRTTS or WILC in 60 group homes, with training and collaborative activities

18 months

Regular training sessions and collaborative meetings

Phase 2 Implementation

Continuation of IRTTS or WILC in the next set of 60 group homes

18 months

Regular training sessions and collaborative meetings

Phase 3 Implementation

Final phase of IRTTS or WILC implementation in the last set of 60 group homes

18 months

Regular training sessions and collaborative meetings

Follow-up

Participants are monitored for outcomes such as resiliency and burnout reduction

12 months

3-month and 12-month follow-up assessments

Treatment Details

Interventions

• Resiliency Training
• Task Sharing
• Workplace Improvement Learning Collaborative

Trial Overview The study compares two programs: Integrated Resiliency Training and Task Sharing (IRTTS) versus Workplace Improvement Learning Collaborative (WILC). It looks at which is better for improving staff resiliency, stress management, health behaviors, job retention, safety in the home, and reducing burnout.

Participant Groups

Group I: Workplace Improvement Learning Collaborative Experimental Treatment 1 Intervention

A workplace improvement learning collaborative implemented at the organization level (mesosystem).

Group II: Integrated Resiliency Training and Task Sharing Experimental Treatment 2 Interventions

A multi-component intervention combining resiliency training and task sharing implemented at the site-level (microsystem).

Who Is Running the Clinical Trial?

Massachusetts General Hospital

Lead Sponsor

Trials

3,066

Recruited

13,430,000+

Vinfen

Industry Sponsor

Trials

5

Recruited

2,800+

Bay Cove Human Services

Collaborator

Trials

3

Recruited

2,500+

Patient-Centered Outcomes Research Institute

Collaborator

Trials

592

Recruited

27,110,000+

Vinfen

Collaborator

Trials

3

Recruited

2,100+

Bay Cove Human Services

Collaborator

Trials

3

Recruited

2,500+

Findings from Research

A resilience curriculum for medical trainees, consisting of skill-building workshops, has been developed to help reduce burnout and improve wellness, focusing on skills like goal-setting and managing expectations.

Feedback from interns indicates that the sessions were effective, as most participants reported feeling more comfortable discussing burnout and medical errors, suggesting that resilience training can be a valuable tool in medical education.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A Curriculum to Foster Resident Resilience. Bird, A., Pincavage, A.[2022]

The Ohio State University Wexner Medical Center implemented a comprehensive, multiyear program starting in 2010 to reduce provider burnout and improve resilience, which included cultural change, mindfulness training, and wellness programs, resulting in improved patient satisfaction and reduced safety events.

Mindfulness training, particularly through the Mindfulness in Motion program and 'flipped classroom' approaches, significantly enhanced provider well-being, reduced emotional exhaustion, and increased resilience among staff, faculty, and residents.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Interventions to Reduce Burnout and Improve Resilience: Impact on a Health System's Outcomes. Moffatt-Bruce, SD., Nguyen, MC., Steinberg, B., et al.[2020]

The BREATHE workshop, aimed at reducing burnout among behavioral health providers, showed small but significant improvements in cynicism, emotional exhaustion, and positive expectations for clients over a six-month period, despite no significant differences compared to a control group.

While BREATHE did not outperform the control condition overall, it suggests potential benefits for participants and indicates a need for further refinement to better support distressed providers and their organizations.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Comparative Effectiveness of a Burnout Reduction Intervention for Behavioral Health Providers. Rollins, AL., Kukla, M., Morse, G., et al.[2019]

References

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

Refocusing the training of psychiatric rehabilitation staff. [2019]

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

A Curriculum to Foster Resident Resilience. [2022]

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

Everyday Resilience: Equipping Faculty With Practical Exercises to Promote Resilience Among Medical Students. [2021]

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

Resilience Training for Nurses: A Meta-analysis. [2023]

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

Interventions to Reduce Burnout and Improve Resilience: Impact on a Health System's Outcomes. [2020]

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

Improving Healthcare Worker Resilience and Well-Being During COVID-19 Using a Self-Directed E-Learning Intervention. [2022]

7. Canada pubmed.ncbi.nlm.nih.gov

Behavioral Skills Training for Teaching Safety Skills to Mental Health Clinicians: Protocol for a Pragmatic Randomized Control Trial. [2022]

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

Trauma Leadership Strategies to Prevent and Reduce Burnout in Urban Academic Trauma Centers. [2018]

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

Specialized disaster behavioral health training: Its connection with response, practice, trauma health, and resilience. [2020]

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

Comparative Effectiveness of a Burnout Reduction Intervention for Behavioral Health Providers. [2019]