Testing the Effectiveness of Mainstream Management Tools to Increase Organizational Commitment and Job Satisfaction and Decrease Turnover Among Peer Providers

Boston University Charles River Campus

Status: Active, not recruiting

Conditions: Work Related Stress; Mental Health

Treatments: Behavioral: Coaching and Advancement for Peer Providers (CAPP)

Study type: Interventional

Funder types: Other

Identifiers

NCT04398407

5348E

Details and patient eligibility

About

The role of peer support specialists (PSS) has burgeoned in the mental health field. Peer support specialists are individuals with a psychiatric condition who are in recovery and who are employed to provide various kinds of tangible and other supports to individuals with psychiatric conditions, generally in public mental health programs. Partially because of the newness of this role, PSS experience confusion about their role and tasks as well as conflict with other mental health providers who are uncertain about how to utilize PSS effectively in services.

This project was designed to bring a coaching service to PSS to assist them to address challenges in their job. The investigators will conduct a randomized control trial to evaluate a novel coaching, Coaching and Advancement for Peer Providers (CAPP). Our hypotheses are that individuals participating in the CAPP intervention will experience a reduction in burnout, role confusion, and intention to leave their job or the field. Participants in CAPP will also experience an increase in job satisfaction, role clarity and organizational commitment.

Full description

The role of peer support specialists (PSS) has burgeoned in the mental health field. Peer support specialists are individuals with a psychiatric condition who are in recovery and who are employed to provide various kinds of tangible and other supports to individuals with psychiatric conditions, generally in public mental health programs. Partially because of the newness of this role, PSS experience confusion about their role and tasks as well as conflict with other mental health providers who are uncertain about how to utilize PSS effectively in services.

This project was designed to bring a coaching service to PSS to assist them to address challenges in their job. There are three phases of this study:

1. The investigators will test components of the intervention with volunteers who are peer specialists. The investigators will collect no data from these individuals and will use the information gathered to refine the intervention.
2. Next, the investigators will recruit and randomly assign 140 PSS to participate in this newly developed coaching intervention (Coaching and Advancement for Peer Providers, or CAPP) and to assess their level of role confusion, overload, burnout, and intention to leave their job or their profession.
3. Finally, the investigators will conduct a qualitative study of experimental study participants to learn about the experience of CAPP.

Individuals will be randomly assigned to receive CAPP or an informational control group. A total of 16 CAPP sessions will be conducted with coaches that the investigators train and supervise. This will be a telehealth intervention and study. That is, all consenting and coaching sessions will be conducted using platforms such as Zoom (HIPAA compliant version) and assessments will be collected using online platforms (REDCap). Individuals will be assessed at baseline, 4, 6, and 9 months after baseline. The investigators will record selected coaching sessions to insure that the intervention is being delivered with fidelity. Our hypotheses are that individuals participating in the CAPP intervention will experience a reduction in burnout, role confusion, and intention to leave their job or the field. Participants in CAPP will also experience an increase in job satisfaction, role clarity and organizational commitment.

Enrollment: 122 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Peer support specialists/providers who are:

1. are currently employed a minimum of 10 hours per week as an employee in a mental health setting;
2. are providing services to individuals with psychiatric disabilities (this will exclude individuals in volunteer positions);
3. have been employed as a peer provider for a minimum of 6 months;
4. are employed in a mental health program;
5. express types of concerns about their work, such as distress or lack of clarity about their job, role stressors and/or burnout, that suggest they could benefit from the intervention;
6. express a willingness to engage in the CAPP Coaching intervention;
7. have the ability to conduct CAPP sessions and assessments in English.

Exclusion criteria

1. unable or unwilling to provide full and knowing consent for the research study;
2. unwilling to participate in the data collection.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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122 participants in 2 patient groups

Coaching and Achievement of Peer Providers (CAPP)

Experimental group

Description:

CAPP will consist of 16 individualized, one-on-one sessions using Zoom or other videoconferencing software and occurring over a 4-month period. Coaching meetings will take approximately one hour per week. The coach will tailor and individualize the modules and time spent on modules to meet the goals of each peer provider. Modules: Module 1: Establishing and solidifying the working alliance, understanding the work setting and role Module 2: Understand Generic drivers of burnout and role stress Module 3: Discuss specific sources of role stressors and burnout Module 4: Set SMART Goals Module 5: Overcome challenges for workplace success Module 6: Develop Skills for Workplace Success Module 7: Managing co-worker and supervisory relations in the workplace Module 8: Wrap-up sessions During the first stage of research, the CAPP intervention will be further developed and refined, prior to the Randomized clinical trial.

Treatment:

Behavioral: Coaching and Advancement for Peer Providers (CAPP)

Enhanced control

Active Comparator group

Description:

The "enhanced" control condition will include 1 generic informational session conducted by a CAPP coach.During that session, the coach will introduce the key concepts under study and provide information about the drivers of burnout and role stress. The CAPP coach will discuss the need to set goals to overcome these challenges and will provide one article via email describing burnout and role stressors that is suitable for a lay person.

Treatment:

Behavioral: Coaching and Advancement for Peer Providers (CAPP)