About this trial
This study aims to strengthen leadership competencies among CU SOM faculty who have at least five direct reports by promoting meaningful behavior change in leadership practices and fostering a culture of peer support, to advance employee well-being and help reduce burnout among healthcare professionals. 125 leaders will take part in a six-month leadership development program consisting of 6 self-paced learning focus areas and 6 in-person sessions with peers to discuss. The investigators will evaluate the program's implementation process and its effectiveness in achieving desired outcomes.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
CU SOM faculty member who is either a physician, advanced practice provider, licensed mental health professional, research scientist or other CU SOM faculty member
Works at least half time
Has at least 5 employees who directly report to them
Not participating in the CU Thrive Circle intervention (like this leadership program but NOT for those in a leadership role)
Disqualifiers
Does not fit the criteria outlined above
Trial design
Crossover
Treatments tested in this trial
CU Thrive Leadership Circles
BehavioralThe CU SOM leadership program is based on the Wellness-Centered Leadership framework and Mayo Clinic Leadership Index behaviors, using a COMPASS-style peer group model to build leadership skills and community. Leaders complete brief pre-work and on-the-job practice challenges delivered through an online dashboard, then participate in facilitated peer sessions to discuss implementation successes and barriers. Sessions are led by trained leader-facilitators, with researchers not present, and include structured agendas to support consistent implementation and skill development.
Treatment groups
Trial outcomes
Primary outcomes
Burnout
Maslach Burnout Inventory (MBI) - Human Services Survey for Medical Personnel (MBI-HSS MP) is a 22-item survey that covers 3 areas: Emotional Exhaustion (EE, range 0-54, higher score greater EE), Depersonalization (DP, range 0 - 30, higher score greater DP), and low sense of Personal Accomplishment (PA, range 0 -48, higher score greater PA). Each subscale includes multiple questions with frequency rating choices of Never, A few times a year or less, Once a month or less, A few times a month, Once a week, A few times a week, or Every day.
Leadership
Mayo Clinic Leadership Index (MLI) - a validated, self-report instrument developed at Mayo Clinic that asks healthcare professionals to rate their direct-report supervisor across key dimensions of well-being centered leadership, including inclusion, communication, empowerment, professional development, and recognition. The instrument is a 9-item questionnaire. Each item is scored on a 5-point Likert scale ranging from 1 ("strongly disagree") to 5 ("strongly agree").
Professional fulfillment
Stanford Professional Fulfillment Index (PFI) - a validated instrument designed to measure professional fulfillment (positive aspects of work) among physicians and other healthcare professionals. It includes 6 items assessing intrinsic positive reward from work (e.g., meaningfulness, satisfaction, sense of contribution). It was measured on a Not at all true (0), Somewhat true (1), Moderately true (2), Very true (3), Completely true (4) scale.
Leadership self-efficacy
Leadership self-efficacy was measured with a modified version of the Mayo Leadership Index to assess their confidence in enacting each of the leadership behaviors. 8-items from the Mayo Leadership Index were modified to start with "I feel confident I can…" and were measured with the following scale: Strongly Agree (5), Agree (4), Neither Agree nor Disagree (3), Disagree (2), Strongly Disagree (1) scale.
Secondary outcomes
Organizational health climate
Organizational health climate assessment includes 10 questions assessing their organization and supervisors engagement in practices that support employee health. It was measured using a Strongly Agree (5), Agree (4), Neither Agree nor Disagree (3), Disagree (2), Strongly Disagree (1) scale.
General self-efficacy
General self-efficacy measures an individual's broad, stable belief in their own capacity to cope with a variety of challenging demands, and has been identified as an influential variable related to adaptation to stress and chronic illness. This was measured with Romppel et al.'s (2013) measure. It has 6-items measured with a Not at all true (1), Hardly true (2), Moderately true (3), Exactly true (4) scale.
Intent to leave
This outcome is assessed via a single self-report survey item developed for this study to capture an individual's perceived likelihood of leaving employment with the CU SOM within the next two years. The item is designed to serve as a pragmatic indicator of turnover intention, a commonly reported correlate of well-being, job satisfaction, and organizational climate in healthcare workforce research.Higher scores indicate a greater self-reported likelihood of leaving CU SOM within the next two years (i.e., stronger turnover intention).
Sponsors and contacts
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Colorado School of Public Health
Lead sponsor
CU Thrive: Office for Well-being | Center for Workplace Well-being Research
Collaborator
University of Colorado, Denver
Collaborator
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