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Trial record 2 of 201 for:    physician coaching

The Impact of Professional Coaching on Early Career Academic Emergency Physicians

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03125330
Recruitment Status : Recruiting
First Posted : April 24, 2017
Last Update Posted : March 16, 2020
Sponsor:
Information provided by (Responsible Party):
Richard C Winters, Mayo Clinic

Tracking Information
First Submitted Date  ICMJE April 12, 2017
First Posted Date  ICMJE April 24, 2017
Last Update Posted Date March 16, 2020
Actual Study Start Date  ICMJE June 1, 2017
Estimated Primary Completion Date September 2020   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: April 19, 2017)
Goal Setting and Attainment [ Time Frame: 18 months (3 measurements at 6-month intervals) ]
Each participant identifies two professional goals at study onset. For each of the goals, participants respond to the question, "Up to today, how successful have you been in achieving this goal?" and rate their goal attainment on a scale from 0% (no attainment) to 100% (complete attainment). To control for differences between participants in perceived goal attainment difficulty, participants also will rate each goal for perceived difficulty on a 4-point scale ( 1=very easy, 2=somewhat easy, 3=somewhat difficult, 4=very difficult). Goal attainment scores are calculated by multiplying the difficulty rating by the degree of success.
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: April 19, 2017)
  • Psychological Well-Being Scale [ Time Frame: 18 months (3 measurements at 6-month intervals) ]
    An 18-item survey that measures eudaemonic well-being.
  • Empowerment at Work Scale [ Time Frame: 18 months (3 measurements at 6-month intervals) ]
    A 12-item survey that measures a physician's sense of meaning, competence, self-determination, and impact while at work.
  • Abbreviated Two-Item Maslach Burnout Inventory [ Time Frame: 18 months (3 measurements at 6-month intervals) ]
    A two-item survey that measures participant burnout.
  • Depression, Anxiety, and Stress Scale (DASS 21) [ Time Frame: 18 months (3 measurements at 6-month intervals) ]
    A 21-item self-report questionnaire designed to measure the severity of the core symptoms of depression, anxiety, and stress in both clinical and nonclinical scenarios.
  • Leadership Self-Efficacy Scale [ Time Frame: 18 months (3 measurements at 6-month intervals) ]
    A 5-item scale of leadership self-efficacy.
  • Self-Insight Scale [ Time Frame: 18 months (3 measurements at 6-month intervals) ]
    An 8-item sub-scale of the Self-reflection and Insight Scale. This scale measures individuals' levels of insight into their thoughts, feelings and behaviors.
  • Solution-Focused Thinking Scale [ Time Frame: 18 months (3 measurements at 6-month intervals) ]
    A 12-item scale with three subscales: Problem Disengagement, Goal Orientation, and Resource Activation.
  • Tolerance for Ambiguity Scale [ Time Frame: 18 months (3 measurements at 6-month intervals) ]
    An eight-item assessment that measures tolerance for ambiguity.
  • Perspective Taking Scale [ Time Frame: 18 months (3 measurements at 6-month intervals) ]
    A 7-item subscale of The Empathy Questionnaire that measures perspective-taking.
  • Qualitative Summary of Coaching Program [ Time Frame: After 6-month coaching intervention. 18 months ]
    An open-ended interview covering issues such as 1) participant's experience with the coaching process and coach; 2) participant goals; 3) impact on the participant's workplace; 4) impact on participant's personal life; and 5) what the participant plans to do to sustain any changes or learnings.
  • Subject-Object Interview [ Time Frame: 18 months ]
    A one-time 60 to 75-minute private interview that measures the particpant's order of subject-object development based upon constructive-developmental theory.
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE The Impact of Professional Coaching on Early Career Academic Emergency Physicians
Official Title  ICMJE The Impact of Professional Coaching on Early Career Academic Emergency Physician Well-Being, Burnout, Leadership Strengths, and Goal Attainment: A Pilot Randomized, Controlled Trial
Brief Summary This research study is designed to answer the question: How does professional coaching impact early career academic emergency medicine physician goal attainment, leadership strengths, well-being, and burnout?
Detailed Description

A recent systematic review and meta-analysis found coaching to have significant positive effects on goal attainment, well-being, coping skills, work attitudes, and goal-directed self-regulation. Randomized controlled studies of professional coaching have found significant positive effects in various settings including high school teachers and students, postgraduate students in a major university, and executives in the commercial, government, and education sectors.

Coaching provides the participant focused time with a trained professional who facilitates that participant's self-determined and self-directed problem-solving and change. Coaching helps the participant "get on the balcony" away from the action on the "dance floor" to see things from a different and broader perspective and, in doing so, enriches the participant's ability to generate options, challenge biases, understand the effects of emotions, and consider uncertainty.

This study also establishes the level of adult development of academic faculty and creates an initial qualitative dataset for further longitudinal study and theory generation for physician well-being, burnout, leadership strengths, and goal attainment.

Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Other
Condition  ICMJE
  • Development, Human
  • Well-Being
  • Professional Burnout
  • Goals
  • Leadership
  • Professional Role
  • Physician's Role
  • Stress
  • Anxiety
Intervention  ICMJE Behavioral: Professional coaching
Professional coaching is provided by the Principal Investigator via video conference.
Other Name: Coaching
Study Arms  ICMJE
  • Experimental: One-to-One Coaching

    Participants randomized to One-to-One Coaching meet for an initial 2-hour coaching session, followed by seven 1-hour coaching sessions every 3-weeks. These eight sessions take place over the course of 6 months.

    Additional requirements for One-to-One Coaching:

    • Complete a 30-minute online assessment of goal attainment, well-being, burnout, and leadership strengths (a) at study enrollment, (b) at 6-months after study enrollment, and (c) 12-months following study enrollment.
    • Complete a 15-minute VIA Character Strengths Test online prior to One-to-One Coaching.
    • Following the completion of the final coaching session, participants are interviewed by a con-investigator by phone call to assess the experience of coaching.

    Each coaching session will be recorded, transcribed, anonymized, and analyzed to identify common themes.

    Intervention: Behavioral: Professional coaching
  • Active Comparator: Group Coaching

    Participants meet for 90-minutes each month for 6 months for facilitated professional coaching with a group of colleagues.

    Additional requirements:

    • Complete a 30-minute online assessment of goal attainment, well-being, burnout, and leadership strengths (a) at study enrollment, (b) at 6-months after study enrollment, and (c) 12-months following study enrollment.
    • Complete a 15-minute VIA Character Strengths Test online prior to Group Coaching.
    • Prior to your initial group coaching session, participate in a 75-minute private phone interview with the primary investigator to discuss the how you make decisions and make sense of the world.
    • Following the completion of the final coaching session, participants are interviewed by a con-investigator by phone call to assess the experience of coaching.

    Each coaching session will be recorded, transcribed, anonymized, and analyzed to identify common themes.

    Intervention: Behavioral: Professional coaching
  • No Intervention: Group Coaching Waitlist

    Participants are offered group coaching at the completion of the 12-month study period. Six 90-minute group coaching sessions will occur over the course of six months.

    Additional requirements:

    • Complete a 30-minute online assessment of goal attainment, well-being, burnout, and leadership strengths (a) at study enrollment (b) and at 6-months after study enrollment.

Publications * Theeboom, T., B. Beersma, and A.E.M. van Vianen, Does coaching work? A meta-analysis on the effects of coaching on individual level outcomes in an organizational context. The Journal of Positive Psychology, 2013. 9(1): p. 1-18.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Recruiting
Estimated Enrollment  ICMJE
 (submitted: April 19, 2017)
90
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE April 2021
Estimated Primary Completion Date September 2020   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion:

  • Emergency physicians
  • Academic appointment of Instructor or Assistant Professor
  • Work greater than 80% of their time in a residency and fellowship program approved by the Accreditation Council of Graduate Medical Education (ACGME), the American Osteopathic Association (AOA), or the Royal College of Physicians and Surgeons of Canada (RCPSC) will be invited to participate in the study.

Exclusion:

  • Mayo Clinic emergency physicians are not eligible for this study.
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE Yes
Contacts  ICMJE
Contact: Richard C. Winters, MD 507-255-7002 winters.richard@mayo.edu
Contact: Renee Cabalka 507-255-9353 cabalka.renee@mayo.edu
Listed Location Countries  ICMJE United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03125330
Other Study ID Numbers  ICMJE 16-010192
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: Undecided
Plan Description: We may make anonymized individual participant data (IPD) available to other researchers. It may be available after the completion of the trial to those who contact the PI directly.
Responsible Party Richard C Winters, Mayo Clinic
Study Sponsor  ICMJE Mayo Clinic
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: Richard C Winters Mayo Clinic
PRS Account Mayo Clinic
Verification Date March 2020

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP