Fostering Optimal Regulation of Emotion for Prevention of Secondary Trauma (FOREST)
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: FOREST.
- Who it may be relevant to
- Registry conditions: Burnout, Burnout, Professional, Positive Affect, Depression. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Fostering Optimal Regulation of Emotion for Prevention of Secondary Trauma (FOREST): Implementation and Evaluation of a Burnout Prevention Program for Staff in Gun Violence Prevention Programs
Overview
FOREST is a positive emotion skills program designed to target mental health and coping needs for frontline violence prevention workers at UCAN. Ten skills are taught over a period of nine months during existing meetings and wellness activities, as well as in online modules in UCAN's Learning Management System (LMS). Through infusing the FOREST skills throughout UCAN, we hope to inspire organizational culture change that will emphasize the importance of wellbeing and enhance resilience, therefore reducing burnout and turnover.
Detailed description
All frontline UCAN staff will receive the FOREST program. Each month for 9 months there will be a focus on one to two positive emotion skills. The skill(s) of the month will be taught to the staff during existing one-hour wellness meetings/activities, and will be co-facilitated by Positive Emotion Ambassadors (PEAs; UCAN Staff members nominated to infuse the skills into UCAN culture) and Northwestern University.
The skill sessions will include didactic content defining the skill and explaining the rationale for inclusion, as well as examples of existing research demonstrating the skills benefits. During the session the group will practice the skill together and discuss ways to use the skill in both work and personal situations. Throughout the month, PEAs will implement the FOREST skill of the month in other existing meetings, check-ins, and team outings
The monthly sessions will be observed by a member of the Implementation Resource Team (IRT) who will use a checklist to track that all core pieces of the skill training were delivered. Once a month, the IRT will meet with the PEAs for additional training and support. These sessions will be audio recorded for qualitative data on facilitators and barriers to the skill.
Each month a module in UCAN's learning management system (LMS) that covers that month's skill(s) will also become available. The LMS modules will contain skill-related content similar to what is taught in the skill sessions, including a thorough definition of the skill, examples of ways to utilize the skill, a review or summary of the skill, and several knowledge questions to check for comprehension. The LMS content may include text, audio, images, and video components. All UCAN frontline CVI staff will be required to complete the LMS FOREST skill module of the month. Percentage of staff completing each LMS training will be tracked.
Annual assessments to assess primary and secondary outcomes will be administered via REDCap. Annual interviews and focus groups will ask for feedback on implementation and content.
Interventions
- Behavioral FOREST
The skill sessions will include didactic content defining the skill, rationale for including the skill in FOREST, and research demonstrating that practice of the skill increases positive emotion. In addition, the group will practice the skill together and will discuss ways to practice the skill at work as well as outside of work. Throughout the month, PEAs will implement the FOREST skill of the month in other existing meetings, check-ins, and team outings. Concurrently, a module in UCAN's learn
Primary outcome measures
- Decrease in burnout measured by the Maslach Burnout Inventory (MBI). [Time frame: 12 months]
- Increase in positive affect measured by PROMIS Short Form v1.0- Positive Affect 15a. [Time frame: 12 months]
- Decrease in depression measured by PROMIS Short Form v1.0- Depression 4a. [Time frame: 12 months]
- Decrease in anxiety measured by PROMIS Short Form v1.0- Anxiety 4a. [Time frame: 12 months]
- Measure of trauma exposure using the Lifetime Events Checklist (LEC). [Time frame: 12 months]
- Measure of PTSD symptoms using the the PTSD Checklist for DSM-5 (PCL-5). [Time frame: 12 months]
- Increase in meaning and purpose measured by PROMIS Short Form v1.0- Meaning and Purpose 4a. [Time frame: 12 months]
- Improvement in professional quality of life/well-being measured by Eudaimonic Workplace Well-being Scale (EWWS). [Time frame: 12 months]
Secondary outcome measures (4)
- Decrease in staff turnover. [Time frame: 12 months]
- Increase in staff retention [Time frame: 12 months]
- Increase in staff promotion [Time frame: 12 months]
- Decrease in use of sick days [Time frame: 12 months]
Eligibility criteria
Inclusion criteria
- Age 18 and over
- Currently employed by UCAN
- Has internet access
- Speaks and reads English
Exclusion criteria
- None
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Supportive care
Study locations
United States · 1 center
- Northwestern University Feinberg School of Medicine — Chicago
Identifiers
NCT: NCT05942469 · STU00219630