Leading Well-being and the Psychosocial Working Environment - A Cluster-randomized Waitlist Controlled Trial

NCT ID: NCT05623371

Last Updated: 2022-11-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-15

Study Completion Date

2024-01-08

Brief Summary

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The design comprises a cluster, randomized waitlist controlled design. The goal of the study is to prevent stress and burnout in middle managers and employees in a hospital setting. The study population is middle managers in a hospital setting.

The intervention comprises five training modules with practice in small groups in between. Training will take place over 5 months. The training will be received in groups of 20 middle managers and the training will be facilitated by 2 facilitators. Themes of training are inspired by the concept of Health Oriented Leadership which takes into account that the well-being of managers is important for the well-being of employees. Central themes of the training are: 1) Self-care and well-being of the manager and how to cope with stress as a manager. 2) Employee well-being and reducing risk-factors in the psychosocial working environment of employee mental health problems. 3) Enhancing protective factors social social support and a healthy team climate. 4) Responding to employees at risk and how to handle difficult conversations and procedures on return to work. 5) Managing well-being in employees during changes and pressure.

In order to establish commitment for the waitlist control group, the control group will receive an offer of a webinar and some written information.

Middle managers in both intervention arms will receive a questionnaire at baseline, after the intervention and at 6 months follow-up. The intervention group will also receive a short questionnaire after each training.

The following expectations are hypothesized:

The training will improve self-care and perceived staff-care in middle managers and employees in the intervention group when compared to the control group

The training will improve psychological outcomes of stress, well-being, exhaustion and psychological symptoms among middle managers and employees in the intervention group when compared to the control group

The training will improve the perceived psychosocial working environment (PSWE) among middle managers and employees in the intervention group when compared to the control group

The training will reduce sickness absence and retention among middle managers and employees in the intervention group when compared to the control group

Middle managers who adhere more to the training will experience larger improvements in self-care, staff-care and mental outcomes

Detailed Description

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The design comprises a two-armed cluster, randomized waitlist controlled design. The goal of the study is to prevent stress and burnout in middle managers and employees in a hospital setting. The study population is middle managers in a hospital setting. These managers are randomized by unit and stratified on number of managers enrolled from each unit to obtain equal numbers in each arm.

The intervention comprises five training modules with practice in small groups in between. Training will take place over 5 months. The training will be received in groups of 20 middle managers and the training will be facilitated by 2 facilitators. Themes of training are inspired by the concept of Health Oriented Leadership which takes into account that the well-being of middle managers is important for the well-being of employees. Central themes of the training are: 1) Self-care and well-being of the manager and how to cope with stress as a manager. 2) Employee well-being and reducing risk-factors in the psychosocial working environment of employee mental health problems. 3) Enhancing protective factors social social support and a healthy team climate. 4) Responding to employees at risk and how to handle difficult conversations and procedures on return to work. 5) Managing well-being in employees during changes and pressure.

In order to establish commitment for the waitlist control group, the control group will receive an offer of a webinar and some written information.

Middle managers in both intervention arms will receive a questionnaire at baseline, after the intervention and at 6 months follow-up. The intervention group will also receive a short questionnaire after each training.

The following expectations are hypothesized:

The training will improve self-care and perceived staff-care in middle managers and in employees in the intervention group when compared to the control group

The training will improve psychological outcomes of stress, well-being, exhaustion and psychological symptoms among middle managers and employees in the intervention group when compared to the control group

The training will improve the perceived psychosocial working environment (PSWE) among middle managers and employees in the intervention group when compared to the control group

The training will reduce sickness absence and retention among middle managers and employees in the intervention group when compared to the control group

Middle managers who adhere more to the training will experience larger improvements in self-care, staff-care and mental outcomes

Conditions

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Stress Well-being Burn Out

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Cluster, randomized waitlist controlled trial. The treatment group receives the intervention in 2023, and the control group receives it in 2024.
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors
As the design is a waitlist controlled trial, the participants, the consultans and the some of the involved researchers will know what individuals received the intervention in 2023 (i.e. the treatment group), and 2024 (i.e. the control group).

Study Groups

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Treatment group

Leadership training comprising 5 modules and group exercises

Group Type EXPERIMENTAL

Training leaders in leading well-being and the psychosocial working environment

Intervention Type BEHAVIORAL

The intervention comprises five training modules with practice in small groups in between. Training will take place over 5 months. The training will be received in groups of 20 and the training will be facilitated by 2 facilitators. Central themes of the training are:

1. Self-care and well-being of the manager and how to cope with stress as a manager.
2. Employee well-being and reducing risk-factors in the psychosocial working environment of employee mental health problems
3. Enhancing protective factors social social support and a healthy team climate
4. Responding to employees at risk and how to handle difficult conversations and procedures on return to work
5. Managing well-being in employees during organizational change and final reflections

The training will comprise video material and in person training of competencies and behaviors in group settings.

The waitlist control group will receive an offer of a webinar and written information.

Control group

Active control group receiving the offer of a webinar and written material

Group Type OTHER

The offer of a webinar and written material

Intervention Type BEHAVIORAL

The offer of a webinar plus written material

Interventions

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Training leaders in leading well-being and the psychosocial working environment

The intervention comprises five training modules with practice in small groups in between. Training will take place over 5 months. The training will be received in groups of 20 and the training will be facilitated by 2 facilitators. Central themes of the training are:

1. Self-care and well-being of the manager and how to cope with stress as a manager.
2. Employee well-being and reducing risk-factors in the psychosocial working environment of employee mental health problems
3. Enhancing protective factors social social support and a healthy team climate
4. Responding to employees at risk and how to handle difficult conversations and procedures on return to work
5. Managing well-being in employees during organizational change and final reflections

The training will comprise video material and in person training of competencies and behaviors in group settings.

The waitlist control group will receive an offer of a webinar and written information.

Intervention Type BEHAVIORAL

The offer of a webinar and written material

The offer of a webinar plus written material

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Included managers are middle managers in hospitals in the Danish Central Region
* Included managers must be directly responsible for employees
* Included managers must be responsible for yearly assesment talks

Exclusion Criteria

* If the above is not true, based on the data collected when the manager signed up for the study, the manager is not included in the study
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Central Denmark Region

OTHER

Sponsor Role collaborator

University of Aarhus

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Vita LP Dalgaard, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Aarhus BSS, Aarhus University

Locations

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Aarhus Universitet

Aarhus, , Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Vita LP Dalgaard, Ph.D

Role: CONTACT

+4527124401

Christian B Jacobsen, Ph.D

Role: CONTACT

Facility Contacts

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Ane-Kathrine [email protected], MSc

Role: primary

Christian B Jacobsen, Ph.D

Role: backup

References

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Reference Type DERIVED
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Other Identifiers

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Matterhorn

Identifier Type: -

Identifier Source: org_study_id

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