RISE Peer Support for Emotional Distress

Recruiting at 1 trial location

Overseen By Albert W Wu, MD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Johns Hopkins University

Disqualifiers: Age less than 18

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

Approved in 1 Jurisdiction This treatment is already approved in other countries

Compensation: Varies

Number of Visits: Unknown

1362 Participants Needed

Trial Summary

What is the purpose of this trial?

Health care workers (HCW) face distressing work related situations that pose a threat to the HCW's resilience and well-being. Hospital-based peer support programs can improve HCW well-being, but there are few programs and little data for settings outside of hospitals. The program would adapt, implement, and evaluate an evidence-informed peer support program (RISE) in ambulatory practices, rural hospitals, Federally Qualified Health Centers (FQHC), and community based organizations (CBOs). The hypothesis is that the availability of peer support will improve the culture of well-being, and the resilience and well-being of HCW in participating organizations. The research has the potential to improve the quality of life of HCW and the quality of care available to diverse organizations and the populations the HCW serve.

Do I have to stop taking my current medications?

The trial protocol does not specify whether you need to stop taking your current medications.

What data supports the idea that RISE Peer Support for Emotional Distress is an effective treatment?

The available research shows that the RISE Peer Support program is effective in helping healthcare workers deal with emotional stress from adverse events. In a study at a pediatric medical center, 71.8% of surveyed clinicians found the program valuable, and 81.3% recommended it for those involved in stressful events. This suggests that RISE is a beneficial treatment for emotional distress compared to other wellness initiatives, which often lack clear evidence of effectiveness. ^{1 2 3 4 5}

What safety data exists for the RISE peer support program?

The RISE peer support program has been evaluated in various studies. One study at a quaternary pediatric medical center showed that the program is effective in mitigating the emotional impact of adverse events, with a 60.3% response rate to support offers and 81.3% of clinicians recommending it. Another study at Johns Hopkins Hospital used RISE as a case study to evaluate its effectiveness and identify barriers. These studies suggest that the program is feasible, valuable, and beneficial for healthcare workers dealing with emotional distress. ^{1 2 6 7 8}

Is the RISE peer support team a promising treatment for emotional distress?

Yes, the RISE peer support team is a promising treatment. It helps hospital staff cope with stress from patient-related events and has shown benefits in improving emotional well-being and support networks. ^{1 5 9 10 11}

Research Team

Albert W Wu

Principal Investigator

Johns Hopkins University

Eligibility Criteria

This trial is for healthcare workers employed at certain health care sites or organizations, aiming to support their resilience and well-being. It's not open to those under the age of 18.

Inclusion Criteria

Health care worker employed at participating implementation health care site/organization

Exclusion Criteria

I am under 18 years old.

Treatment Details

Interventions

• Resilience In Stressful Events (RISE) peer support team

Trial Overview The study tests a peer support program called RISE, designed to help healthcare workers cope with work-related stress. The goal is to see if this improves their overall well-being and the culture within various healthcare settings.

Participant Groups

Group I: RISE Early Active Control 1 Intervention

RISE peer support program available early, launched study year 1

Group II: RISE Late Active Control 1 Intervention

RISE peer support program available later, launched study year 2

Resilience In Stressful Events (RISE) peer support team is already approved in United States for the following indications:

Approved in United States as RISE for:

• Support for healthcare workers experiencing stressful patient-related events

Who Is Running the Clinical Trial?

Johns Hopkins University

Lead Sponsor

Trials

2,366

Recruited

15,160,000+

Health Resources and Services Administration (HRSA)

Collaborator

Trials

88

Recruited

152,000+

Findings from Research

The RISE program, designed to support hospital staff in coping with stressful events, resulted in a net monetary benefit of approximately $22,576 per nurse who utilized the program, indicating its effectiveness in reducing costs associated with nurse turnover and time off.

Overall, the implementation of the RISE program could save hospitals around $1.81 million annually, highlighting the financial advantages of providing peer-support programs for medical staff.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Cost-Benefit Analysis of a Support Program for Nursing Staff. Moran, D., Wu, AW., Connors, C., et al.[2021]

A peer-to-peer support program implemented at a pediatric medical center trained 125 supporters and received 2187 referrals, demonstrating its feasibility in addressing healthcare worker burnout.

Survey results showed that 71.8% of frontline clinicians found the program valuable, and 81.3% recommended it for those involved in adverse and stressful events, indicating its effectiveness in mitigating emotional distress.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Implementation of a Peer-to-Peer Support Program in a Quaternary Pediatric Medical Center. Simpson, SL., Khan, S., Schiferl, LM., et al.[2023]

A pilot project involving a Peer Support Network (PSN) for 20 nurses showed significant improvements in compassion satisfaction (CS) after 6 weeks, indicating that such support can enhance nurses' emotional well-being.

While compassion fatigue (CF) did not show statistically significant improvement, the PSN may help in preventing its negative effects, suggesting that peer support can be beneficial in reducing the risks associated with work-related stress in nursing.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Implementing a Peer Support Network to Promote Compassion Without Fatigue. Wahl, C., Hultquist, TB., Struwe, L., et al.[2018]

This study outlines a rigorous 2 × 2 factorial randomized controlled trial designed to evaluate the effectiveness and cost-effectiveness of one-to-one peer support and group reminiscence programs for family carers and individuals with dementia, addressing a gap in previous research.

By testing both individual and group interventions, the trial aims to provide valuable insights into how these peer support strategies can improve the wellbeing of carers and the people they support, potentially leading to better psychosocial intervention designs in the future.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Peer support for family carers of people with dementia, alone or in combination with group reminiscence in a factorial design: study protocol for a randomised controlled trial. Charlesworth, G., Burnell, K., Beecham, J., et al.[2021]

Both professionally led and peer-led support groups significantly improved psychological functioning and informal support networks for participants compared to control groups.

Professionally led groups showed the most substantial improvements in psychological functioning, while peer-led groups excelled in enhancing informal support networks.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The effectiveness of peer-led and professionally led groups to support family caregivers. Toseland, RW., Rossiter, CM., Labrecque, MS.[2019]

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]

The RISE peer support program at Johns Hopkins Hospital showed effectiveness in increasing awareness and utilization of support structures for health care workers dealing with stressful patient-related events, with 93% of respondents recommending the program.

Barriers to the program's success included a blame culture, the need for better promotion of the initiative, and insufficient staff time to address adverse events, highlighting the importance of organizational culture in implementing support programs.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Case: A Second Victim Support Program in Pediatrics: Successes and Challenges to Implementation. Dukhanin, V., Edrees, HH., Connors, CA., et al.[2021]

Adverse events in hospital nursing units are linked to increased burnout among nurses, indicating that these incidents have broader negative impacts beyond just the patients involved.

The relationship between adverse events and nurse burnout is stronger when nurses have a high sense of workgroup identification, but this effect can be reduced if the safety climate in the workplace is perceived as positive.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Adverse Events and Burnout: The Moderating Effects of Workgroup Identification and Safety Climate. Vogus, TJ., Ramanujam, R., Novikov, Z., et al.[2021]

Family caregivers of individuals with Alzheimer's disease often face significant emotional challenges, which can negatively affect their quality of life, highlighting the need for support.

Peer supporters can effectively address the emotional and practical needs of these caregivers, suggesting that collaboration between nurses and peer support specialists could enhance caregiver well-being.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Care2Caregivers: A Retrospective Examination of Needs Addressed and Services Provided by a Peer Support Helpline. Zechner, M., Lundquist, MC., Swarbrick, M., et al.[2021]

Peer support interventions for individuals with rare or young onset dementia have been shown to be valuable, with studies indicating that these programs can enhance social support, whether they are hospital-based or community-based.

The review highlighted a need for better conceptualization and evaluation of peer support interventions, suggesting that more effective models and strategies are necessary to improve dementia care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Peer support for people living with rare or young onset dementia: An integrative review. Sullivan, MP., Williams, V., Grillo, A., et al.[2022]

The web-based peer support intervention for informal caregivers of military service members was used infrequently, with over 60% of participants visiting the site once a month or less, but most users reported moderate to high satisfaction, primarily using it for informational support.

Participants expressed a strong need for emotional support and preferred more active engagement with other caregivers, suggesting that while the online platform is helpful, it should be complemented with in-person support groups to better address emotional needs.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Informal Caregivers' Experiences and Perceptions of a Web-Based Peer Support Network: Mixed-Methods Study. Vaughan, C., Trail, TE., Mahmud, A., et al.[2023]

References

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

Cost-Benefit Analysis of a Support Program for Nursing Staff. [2021]

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

Implementation of a Peer-to-Peer Support Program in a Quaternary Pediatric Medical Center. [2023]

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

Implementing a Peer Support Network to Promote Compassion Without Fatigue. [2018]

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

Peer support for family carers of people with dementia, alone or in combination with group reminiscence in a factorial design: study protocol for a randomised controlled trial. [2021]

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

The effectiveness of peer-led and professionally led groups to support family caregivers. [2019]

6. 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]

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

Case: A Second Victim Support Program in Pediatrics: Successes and Challenges to Implementation. [2021]

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

Adverse Events and Burnout: The Moderating Effects of Workgroup Identification and Safety Climate. [2021]

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

Care2Caregivers: A Retrospective Examination of Needs Addressed and Services Provided by a Peer Support Helpline. [2021]

10. England pubmed.ncbi.nlm.nih.gov

Peer support for people living with rare or young onset dementia: An integrative review. [2022]

11. Canada pubmed.ncbi.nlm.nih.gov

Informal Caregivers' Experiences and Perceptions of a Web-Based Peer Support Network: Mixed-Methods Study. [2023]