The Impact of Professional Coaching on Early Career Academic Emergency Physicians

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Primary Purpose

Status

Completed

Phase

Not Applicable

Locations

United States

Study Type

Interventional

Intervention

Professional coaching

About this trial

This is an interventional other trial for Development, Human focused on measuring Coaching, Professional coaching, Emergency physicians, Emergency medicine, Goal attainment, Leadership strengths, Well-being, Burnout, Adult level of development, Group coaching, Instructor, Assistant professor, Academic faculty, Subject-Object Interview

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

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.

Sites / Locations

Mayo Clinic in Rochester

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

No Intervention

Arm Label

One-to-One Coaching

Group Coaching

Group Coaching Waitlist

Arm Description

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.

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.

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.

Outcomes

Primary Outcome Measures

Goal Setting and Attainment

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.

Secondary Outcome Measures

Psychological Well-Being Scale

An 18-item survey that measures eudaemonic well-being.

Empowerment at Work Scale

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

A two-item survey that measures participant burnout.

Depression, Anxiety, and Stress Scale (DASS 21)

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

A 5-item scale of leadership self-efficacy.

Self-Insight Scale

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

A 12-item scale with three subscales: Problem Disengagement, Goal Orientation, and Resource Activation.

Tolerance for Ambiguity Scale

An eight-item assessment that measures tolerance for ambiguity.

Perspective Taking Scale

A 7-item subscale of The Empathy Questionnaire that measures perspective-taking.

Qualitative Summary of Coaching Program

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

A one-time 60 to 75-minute private interview that measures the particpant's order of subject-object development based upon constructive-developmental theory.

Full Information

NCT ID

NCT03125330

First Posted

April 12, 2017

Last Updated

January 4, 2021

Sponsor

Mayo Clinic

1. Study Identification

Unique Protocol Identification Number

NCT03125330

Brief Title

The Impact of Professional Coaching on Early Career Academic Emergency Physicians

Official Title

The Impact of Professional Coaching on Early Career Academic Emergency Physician Well-Being, Burnout, Leadership Strengths, and Goal Attainment: A Pilot Randomized, Controlled Trial

Study Type

Interventional

2. Study Status

Record Verification Date

January 2021

Overall Recruitment Status

Completed

Study Start Date

June 1, 2017 (Actual)

Primary Completion Date

March 5, 2020 (Actual)

Study Completion Date

March 5, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Principal Investigator

Name of the Sponsor

Mayo Clinic

4. Oversight

Studies a U.S. FDA-regulated Drug Product

No

Studies a U.S. FDA-regulated Device Product

No

Data Monitoring Committee

No

5. Study Description

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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Development, Human, Well-Being, Professional Burnout, Goals, Leadership, Professional Role, Physician's Role, Stress, Anxiety

Keywords

Coaching, Professional coaching, Emergency physicians, Emergency medicine, Goal attainment, Leadership strengths, Well-being, Burnout, Adult level of development, Group coaching, Instructor, Assistant professor, Academic faculty, Subject-Object Interview

7. Study Design

Primary Purpose

Other

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Masking

None (Open Label)

Allocation

Randomized

Enrollment

46 (Actual)

8. Arms, Groups, and Interventions

Arm Title

One-to-One Coaching

Arm Type

Experimental

Arm Description

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.

Arm Title

Group Coaching

Arm Type

Active Comparator

Arm Description

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.

Arm Title

Group Coaching Waitlist

Arm Type

No Intervention

Arm Description

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.

Intervention Type

Behavioral

Intervention Name(s)

Professional coaching

Other Intervention Name(s)

Coaching

Intervention Description

Professional coaching is provided by the Principal Investigator via video conference.

Primary Outcome Measure Information:

Title

Goal Setting and Attainment

Description

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.

Time Frame

18 months (3 measurements at 6-month intervals)

Secondary Outcome Measure Information:

Title

Psychological Well-Being Scale

Description

An 18-item survey that measures eudaemonic well-being.

Time Frame

18 months (3 measurements at 6-month intervals)

Title

Empowerment at Work Scale

Description

A 12-item survey that measures a physician's sense of meaning, competence, self-determination, and impact while at work.

Time Frame

18 months (3 measurements at 6-month intervals)

Title

Abbreviated Two-Item Maslach Burnout Inventory

Description

A two-item survey that measures participant burnout.

Time Frame

18 months (3 measurements at 6-month intervals)

Title

Depression, Anxiety, and Stress Scale (DASS 21)

Description

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.

Time Frame

18 months (3 measurements at 6-month intervals)

Title

Leadership Self-Efficacy Scale

Description

A 5-item scale of leadership self-efficacy.

Time Frame

18 months (3 measurements at 6-month intervals)

Title

Self-Insight Scale

Description

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.

Time Frame

18 months (3 measurements at 6-month intervals)

Title

Solution-Focused Thinking Scale

Description

A 12-item scale with three subscales: Problem Disengagement, Goal Orientation, and Resource Activation.

Time Frame

18 months (3 measurements at 6-month intervals)

Title

Tolerance for Ambiguity Scale

Description

An eight-item assessment that measures tolerance for ambiguity.

Time Frame

18 months (3 measurements at 6-month intervals)

Title

Perspective Taking Scale

Description

A 7-item subscale of The Empathy Questionnaire that measures perspective-taking.

Time Frame

18 months (3 measurements at 6-month intervals)

Title

Qualitative Summary of Coaching Program

Description

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.

Time Frame

After 6-month coaching intervention. 18 months

Title

Subject-Object Interview

Description

A one-time 60 to 75-minute private interview that measures the particpant's order of subject-object development based upon constructive-developmental theory.

Time Frame

18 months

10. Eligibility

Sex

All

Minimum Age & Unit of Time

18 Years

Accepts Healthy Volunteers

Eligibility Criteria

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.

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

Richard C Winters

Organizational Affiliation

Mayo Clinic

Official's Role

Principal Investigator

Facility Information:

Facility Name

Mayo Clinic in Rochester

City

Rochester

State/Province

Minnesota

ZIP/Postal Code

55905

Country

United States

12. IPD Sharing Statement

Plan to Share IPD

Undecided

IPD Sharing 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.

Citations:

Citation

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.

Results Reference

background

PubMed Identifier

36214207

Citation

Silva JAM, Mininel VA, Fernandes Agreli H, Peduzzi M, Harrison R, Xyrichis A. Collective leadership to improve professional practice, healthcare outcomes and staff well-being. Cochrane Database Syst Rev. 2022 Oct 10;10(10):CD013850. doi: 10.1002/14651858.CD013850.pub2.

Results Reference

derived

Links:

URL

https://teachmentor.coach/

Description

Website for basic information and link to interest form

URL

http://www.mayo.edu/research/clinical-trials/CLS-20314743

Description

Mayo Clinic clinical trials listing

URL

https://www.mayo.edu/research/clinical-trials

Description

Mayo Clinic Clinical Trials

Development, Human, Well-Being, Professional Burnout

About this trial

Eligibility Criteria

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

1. Study Identification

2. Study Status

3. Sponsor/Collaborators

4. Oversight

5. Study Description

6. Conditions and Keywords

7. Study Design

8. Arms, Groups, and Interventions

10. Eligibility

12. IPD Sharing Statement

Learn more about this trial