ANZCTR - Registration

The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this information for consumers

Trial registered on ANZCTR

Registration number

ACTRN12622000352707

Ethics application status

Approved

Date submitted

18/02/2022

Date registered

25/02/2022

Date last updated

20/02/2023

Date data sharing statement initially provided

25/02/2022

Type of registration

Prospectively registered

Titles & IDs

Public title

Resilience training in the early parenting workforce & harnessing expertise for intervention redesign

Scientific title

The effect of training in adaptive self-reflection on perceived resilience and mood symptoms in client-facing professionals who work with distressed parents, and testing novel moderators and mediators

Secondary ID [1]

Nil known

Universal Trial Number (UTN)

U1111-1274-6386

Trial acronym

Linked study record

Health condition

Health condition(s) or problem(s) studied:

Depression

Anxiety

Burnout

Condition category

Condition code

Mental Health

Depression

Mental Health

Anxiety

Mental Health

Other mental health disorders

Intervention/exposure

Study type

Interventional

Description of intervention(s) / exposure

Brief name: Self-Reflection Resilience Training

Materials: Briefing slides; participant workbook; telephone coaching protocol; debriefing slides

Procedures:
i. 40-minute introduction and training session (group training face-to-face or online, or individual online)
ii. Five 15-minute guided self-reflection writing tasks, once per week for five weeks
iii. Two 20-minute coaching calls during this 5-week period
iv. 30-minute group debrief (face-to-face or online)

Content:
i. Introduction and training. This session covers: the concept of resilience and how it can develop over time in response to stressors; types of stressors; 3 key resilient skills (resilient beliefs, good coping strategies, and available resources); identifying core values; a process of self-reflection to understand stress responses, strengths and areas for development; and an overview of the forthcoming writing tasks and coaching calls.
ii. Self-reflection writing tasks. The first four tasks guide participants through a process of self-reflection on a stressor event from the past week, including examining their reactions, identifying and evaluating the coping strategies they employed, and thinking about future options. The fifth task encourages participants to reflect across the previous four weeks, reviewing their workbook entries to identify emerging patterns in their stressors, responses and strategies. The participant workbook is designed especially for this study, based on prior work by A/Prof. Crane's team.
iii. Telephone coaching sessions. Following a standardised script, coaches confirm consent for the call, monitor participant wellbeing, check in re. completion of self-reflection activities, and encourage participants to discuss their self-reflection responses in more detail.
iv. Debrief. In this group session, the trainer invites participants to share personal insights from the final self-reflection writing task, and encourages participants to continue reflecting on stressor events in the future, using the questions and techniques covered in this program.

Who: The intervention will be delivered by a postdoctoral researcher (PhD in Psychology) and an Organisational Psychology Masters student (provisionally registered psychologist).

Mode of delivery:
i. Introduction and training. Flexible, including group training face-to-face or online (trainer PowerPoint presentation, in person or in Zoom meeting) or individual online (prerecorded trainer PowerPoint presentation, accessed at participant convenience). The mode of delivery will be determined by several factors, including organisational capacity (time for group training, availability of training room), geographical spread of participants, and participant availability, preference, and access to technology.
ii. Self-reflection writing tasks: Individual self-paced in workbooks
iii. Telephone coaching sessions: Individual by phone
iv. Debrief: Group face-to-face or online (trainer PowerPoint presentation, in person or in Zoom meeting, with discussion). The mode of delivery will be determined by factors including organisational capacity (time for group training, availability of training room), geographical spread of participants, and participant availability, preference, and access to technology.

Location: Flexible, including workplace (Tresillian Family Care Centres for all face-to-face and some online and self-reflection task components) and participants' own homes (for some online and self-reflection task components).

Adherence: Intervention adherence will be monitored via attendance records (training and debrief sessions), degree of participation in coaching calls (as assessed by coach), self-reported completion of writing tasks (discussed in coaching calls), verbal confirmation during debrief sessions, and relevant questions from the training engagement measure at Time 3.

The intervention will be adapted for the Tresillian workforce and context during an initial staff consultation period. Five to ten staff volunteers, including managers and representatives of the target workforce, will participate in a 30-minute interview or 60-minute focus group (according to participant availability) conducted via phone or Zoom by members of the research team. These will be audio recorded. Questions will explore: the nature of challenges experienced in the workplace; perceived effects of these challenges (especially, the nature – e.g., stress, depression, anxiety, burnout – and extent of distress experienced); any prior workplace training in resilience/coping; what strategies participants have tried to manage challenges; what strategies participants perceive to have been successful; possible modalities for the current training; opportunities for managers to help support training engagement.

Intervention code [1]

Prevention

Intervention code [2]

Behaviour

Comparator / control treatment

No control group

Control group

Uncontrolled

Outcomes

Primary outcome [1]

Mean depression score on the Patient Health Questionnaire (PHQ-9)

Timepoint [1]

Baseline, immediately post-intervention and 3 months post-intervention (primary timepoint)

Primary outcome [2]

Mean anxiety score on the Generalized Anxiety Disorder Assessment (GAD-7)

Timepoint [2]

Baseline, immediately post-intervention and 3 months post-intervention (primary timepoint)

Primary outcome [3]

Mean perceived resilience score on the Brief Resilience Scale (BRS)

Timepoint [3]

Baseline, immediately post-intervention and 3 months post-intervention (primary timepoint)

Secondary outcome [1]

Mean stress score on the Stress sub-scale of the Depression Anxiety Stress Scales (DASS-21)

Timepoint [1]