Development, HumanNCT03125330
The Impact of Professional Coaching on Early Career Academic Emergency Physicians
A study testing Professional coaching in people with Development, Human and Well-Being, run by Mayo Clinic at 1 site in United States.
Trial 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? Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Development, Human, Well-Being, Professional Burnout
- What is being tested?
- Professional coaching
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 46 participants
- Where
- 1 siteUnited States
- Study dates
- 1 Jun 2017to 5 Mar 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- 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.
Who cannot join
- Mayo Clinic emergency physicians are not eligible for this study.
Trial locations and contacts
1 site in 1 country.
United States1 site
Mayo Clinic in Rochester
Rochester, Minnesota, 55905
About this study
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
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?
Read the 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.
- Conditions
- Development, Human, Well-Being, Professional Burnout, Goals, Leadership, Professional Role
- Being tested
- Professional coaching
- 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
- Medical subject headings
- Burnout, Professional, Anxiety Disorders, Burnout, Psychological
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Professional coachingBehavioural
Also called Coaching
Professional coaching is provided by the Principal Investigator via video conference.
| Study group | Role | What they receive |
|---|---|---|
| One-to-One Coaching | Experimental | 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. Receives: Behavioral: Professional coaching |
| Group Coaching | Active comparator | 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. Receives: Behavioral: Professional coaching |
| Group Coaching Waitlist | No intervention | 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. |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: 18 months (3 measurements at 6-month intervals)
Secondary outcomes (11)
Psychological Well-Being Scale
An 18-item survey that measures eudaemonic well-being.
Measured: 18 months (3 measurements at 6-month intervals)
Empowerment at Work Scale
A 12-item survey that measures a physician's sense of meaning, competence, self-determination, and impact while at work.
Measured: 18 months (3 measurements at 6-month intervals)
Abbreviated Two-Item Maslach Burnout Inventory
A two-item survey that measures participant burnout.
Measured: 18 months (3 measurements at 6-month intervals)
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.
Measured: 18 months (3 measurements at 6-month intervals)
Leadership Self-Efficacy Scale
A 5-item scale of leadership self-efficacy.
Measured: 18 months (3 measurements at 6-month intervals)
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.
Measured: 18 months (3 measurements at 6-month intervals)
Solution-Focused Thinking Scale
A 12-item scale with three subscales: Problem Disengagement, Goal Orientation, and Resource Activation.
Measured: 18 months (3 measurements at 6-month intervals)
Tolerance for Ambiguity Scale
An eight-item assessment that measures tolerance for ambiguity.
Measured: 18 months (3 measurements at 6-month intervals)
Perspective Taking Scale
A 7-item subscale of The Empathy Questionnaire that measures perspective-taking.
Measured: 18 months (3 measurements at 6-month intervals)
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.
Measured: After 6-month coaching intervention. 18 months
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.
Measured: 18 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Apr 2017
- Study start1 Jun 2017
- Primary completion5 Mar 2020
- Study completion5 Mar 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Development, HumanStudies of the same condition, open and under way.
- More trials run by Mayo ClinicThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 46 participants (actual)
Sponsor and investigators
- Lead sponsor
- Mayo Clinic
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Richard C Winters, Mayo Clinic
- Investigators
- Richard C Winters, Principal investigator, Mayo Clinic
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03125330
- Sponsor's protocol ID
- 16-010192
- Status last verified
- Jan 2021
- First submitted
- 12 Apr 2017
- Last updated
- 6 Jan 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided: 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.
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.
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.
PubMed 36214207
Study at a glance
From the registry record, last updated by the sponsor on 6 Jan 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT03125330
- Acronym / sponsor ID
- 16-010192
- Conditions
- Development, Human, Well-Being, Professional Burnout, Goals, Leadership, Professional Role
- Keywords
- Coaching, Professional coaching, Emergency physicians, Emergency medicine, Goal attainment, Leadership strengths, Well-being, Burnout
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 46 participants (actual)
- Lead sponsor
- Mayo ClinicUniversity, hospital or other
- Study start
- 1 Jun 2017 (actual)
- Primary completion
- 5 Mar 2020 (actual)
- Study completion
- 5 Mar 2020 (actual)
- First posted
- 24 Apr 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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 design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| One-to-One Coaching | Experimental | Behavioral: Professional coachingParticipants 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. |
| Group Coaching | Active comparator | Behavioral: Professional coachingParticipants 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. |
| Group Coaching Waitlist | No intervention | –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. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- 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.
Key exclusion criteria (1 listed)
- Mayo Clinic emergency physicians are not eligible for this study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Professional coachingAlso: CoachingProfessional coaching is provided by the Principal Investigator via video conference. | Behavioural | Group Coaching, One-to-One Coaching |
Primary outcome
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.
11 secondary outcomes
Psychological Well-Being Scale
Time frame: 18 months (3 measurements at 6-month intervals)
Empowerment at Work Scale
Time frame: 18 months (3 measurements at 6-month intervals)
Abbreviated Two-Item Maslach Burnout Inventory
Time frame: 18 months (3 measurements at 6-month intervals)
Depression, Anxiety, and Stress Scale (DASS 21)
Time frame: 18 months (3 measurements at 6-month intervals)
Leadership Self-Efficacy Scale
Time frame: 18 months (3 measurements at 6-month intervals)
Self-Insight Scale
Time frame: 18 months (3 measurements at 6-month intervals)
Solution-Focused Thinking Scale
Time frame: 18 months (3 measurements at 6-month intervals)
Tolerance for Ambiguity Scale
Time frame: 18 months (3 measurements at 6-month intervals)
Perspective Taking Scale
Time frame: 18 months (3 measurements at 6-month intervals)
Qualitative Summary of Coaching Program
Time frame: After 6-month coaching intervention. 18 months
Subject-Object Interview
Time frame: 18 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Jan 2021.
- BackgroundTheeboom, 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.
- Derived from this study: PubMed 36214207Silva 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.
- Mayo Clinic Clinical TrialsLink provided by the sponsor.
- Individual participant dataSharing planned: Undecided. 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Richard C Winters principal investigator
Mayo Clinic
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Professional coaching in people with Development, Human and Well-Being, run by Mayo Clinic at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 6 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Goal Setting and Attainment (time frame: 18 months (3 measurements at 6-month intervals)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03125330, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jan 2021.