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NCT Number: NCT06722027

CCSH (Compassion-Centered Spiritual Health) for Teams

Emory Spiritual Health has developed a Compassion-Centered Spiritual Health group-based intervention, called CCSH Interventions for Teams, and are enrolling staff and providers into the groups in this randomized study design. The groups will meet once every other week for 60 minutes for 8 weeks (4 sessions total).

The investigators will evaluate the feasibility and acceptability of this novel team-based intervention that includes mindfulness and compassion-based approaches with mixed-role oncology teams. Employees (n = 80; nurses, advanced practice providers (APPs), physicians, staff) working at an NCI- designated Comprehensive Cancer Center will be randomized by team (8-12 employees/group) to Compassion Centered Spiritual Health Team Intervention (CCSH-TI) or TAU (Treatment as Usual) group. The research objective is to evaluate the feasibility and acceptability of CCSH-TI, and to develop and validate a novel, low-burden ambulatory assessment "toolkit" to improve the measurement of psychological safety and burnout.

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Key information

Conditions

Health Behavior Behavior

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Emory University St. Joseph hospital, Atlanta, Georgia, United States

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About this study

Current interventions to reduce provider burnout are only minimally effective. To overcome the barriers to achieving success in burnout prevention interventions, the investigators propose Compassion Centered Spiritual Health Team Intervention (CCSH-TI), a 4-session intervention delivered by healthcare chaplains to mixed-role interprofessional teams that includes mindfulness and compassion-based approaches to bolster resilience, compassion for self and others, and psychological safety. The research team will conduct a mixed-method feasibility and acceptability study of CCSH-TI with mixed-role oncology teams. Employees (n = 80; nurses, advanced practice providers (APPs), physicians, staff) working at an NCI-designated Comprehensive Cancer Center will be randomized by team (8-12 employees/group) to CCSH-TI or to TAU (Treatment as Usual) group, who has access to all well-being resources and activities available to them as employees. Self-report surveys and focus group discussions will be used to evaluate the feasibility and acceptability of CCSH-TI. The investigators will also collect self-report surveys, ecological momentary assessments (EMA), and the electronically activated recorder (EAR) data at 3 timepoints (before CCSH-TI (T1), immediately after completion of CCSH-TI (T2), and 12-weeks after completion (LT), and characterize data completion to evaluate the feasibility of data collection methods for a future randomized control trial. Informed consent will be obtained from study participants in-person. The duration of the study will be 22-23 weeks (from consent to completion of data collection).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Full-time employees working in oncology teams at Winship Cancer Institute;
  • Employees working in intensive care at Emory University St. Joseph hospital.

Exclusion criteria

  • Less than 18 years old

Treatment and study plan

Compassion Centered Spiritual Health Team Intervention (CCSH-TI)

Behavioral

Delivered to healthcare teams by spiritual health clinicians proficient in group facilitation. It is composed of 4 sessions delivered every other week and lasting 60 minutes each.

CCSH-TI sessions teach participants to attune to their interpersonal relationships; acknowledge and allow difficult emotions; and access compassion. It also provides psychoeducation about skillful coping strategies. Each session consists of didactic material about team norms and safety, a feeling check-in, facilitated group discussions about social connection and professional team building, and meditations to promote mindfulness, to cultivate a feeling of being nurtured, and to access compassion for self and others. CCSH-TI is delivered to healthcare teams by spiritual health clinicians proficient in group facilitation.

Other names: CCSH-TI

Treatment as Usual

Behavioral

TAU refers to the current buffet of wellness and professional development activities that are available to employees at the Winship Cancer Institute.

Other names: TAU, Standard of Care

Primary outcomes

  1. Proportion of eligible employees who enroll and are willing to be randomized

    Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)

    Proportion of eligible employees (all, and according to license, sex/gender, race/ethnicity) who enroll and are willing to be randomized.

  2. Number of participants that attended and completed the three assessment timepoints

    Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)

    Number of participants that attended and completed the three assessment timepoints

  3. Retention rates at three assessment timepoints

    Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)

    Retention rates will be assessed at three assessment timepoints

  4. Satisfaction score

    Time frame: Immediately post-intervention (T2), and 12-weeks post-intervention (LT)

    The investigators will administer a satisfaction questionnaire that includes 5 questions. Total possible score ranges from 5-25. With higher score correlating with better study outcome.

  5. Perceived credibility score

    Time frame: Immediately post-intervention (T2), and 12-weeks post-intervention (LT)

    The investigators will assess perceived credibility with a questionnaire that includes 5 questions. Each question is scores from 1 to 8 with a total possible score range of 5-40. Higher score correlates with better study outcome.

  6. Perceived intervention benefit

    Time frame: Immediately post-intervention (T2), and 12-weeks post-intervention (LT)

    The investigators will assess perceived benefit with a questionnaire that includes 18 questions, to be answered with a 7-point scale. Total possible score ranges from 18 to 126. Higher score correlates with better study outcome.

  7. Acceptability of wearing the Electronically Activated Recorder (EAR)

    Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)

    After the T1, T2, and LT assessments, participants will complete the EAR Experiential Questionnaire, a self-report measure that assesses the acceptability of wearing the EAR. Questions focus on participants' comfort with wearing the EAR, whether the EAR impeded daily activities, whether the EAR changed their behaviors or others' behaviors, and how typical were the days that the EAR was worn. Each question is rated on a Likert scale (1 "not at all" - 5 "a great deal"). Higher score correlates with better outcome.

  8. Number of EMA dropouts

    Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)

    Number of EMA dropouts will be collected

  9. Percentage (%) of items completed using EMA

    Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)

    Percentage of items completed using EMA will be assessed.

Secondary outcomes

  1. Change in Agency for Healthcare Research and Quality's TeamSTEPPS ® Teamwork Perceptions Questionnaire (T-TPQ) score

    Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)

    Measures perceptions of team function with the administration of the Team Structure and Mutual Support subscales (14 items total). Total possible score ranges from 1-14 with higher scores indicating better outcome.

  2. Change in Psychological safety scale score

    Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)

    Includes subscales measuring psychological safety with leaders, peers, and within the team (19 items). Total possible score ranges from 1-19 with higher scores indicating better outcome.

  3. Change in Professional Fulfillment Index Score

    Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)

    Measures Professional fulfillment and burnout, and has demonstrated sensitivity to change in intervention studies (16 items). Total possible score ranges from 1-16 with higher scores indicating better outcome.

  4. EMA (ecological momentary assessment) questionnaire score

    Time frame: BaselineI (T1), immediately post-intervention (T2), and 12-weeks post-intervention (LT)

    The 3-day ambulatory questionnaire asks participants whether the ecological momentary assessment (EMA) impeded daily activities or changed their behaviors, rated on a Likert scale (1 "not at all" - 5 "a great deal"). Higher score correlates with better outcome.

Study contacts

Contact information is provided by the study sponsor or research team.

Jennifer Mascaro, PhD

CONTACT

[email protected]

404-558-4461

Sponsors and collaborators

Lead sponsor

Emory University

Other

Collaborators

  • National Center for Complementary and Integrative Health (NCCIH)

Registry information

Official study title

Compassion-Centered Spiritual Health Interventions for Teams (CCSH-TI) With Faculty and Staff

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Dec 9, 2024
Registry last updated
May 5, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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