Finding the sweet spot: Developing,implementing and evaluating a burn out and compassion fatigue intervention for third year medical trainees

Medical trainees are at high risk for developing burnout. Introducing trainees to the risks of burnout and supporting identification and proactive responses to their ‘warning’ signs of compassion fatigue (CF) is critical in building resiliency. The authors developed and evaluated a burnout and CF program for third year trainees at a Canadian Medical School. Of 165 medical trainees who participated in the burnout and CF program, 59 (36%) provided evaluation and feedback of the program and its impact throughout their year. Participation included self-utilization of a validated CF and burnout tool (ProQOL) across three time-points, workshop feedback, and focus group participation. Results highlighted the importance of 1) Recognizing Individual Signs & Symptoms of Stress, CF and Burnout; 2) Normalizing Stress, CF and Burnout for Students and Physicians; 3) Learning to Manage One’s Own Stress. A decrease in compassion satisfaction and increase in burnout between beginning and end of third year were found. Further outcomes highlighted the importance of learning, living and surviving CF and burnout in clerkship. Emergent theory reveals the important responsibility educators have to integrate CF and burnout programs into ‘the sweet spot’ that third year offers, as trainees shift from theoretical to experiential practice as future clinicians.     

Two‐Year Follow‐Up of the Efficacy of the PREP Training on Iranian Newlyweds

The aim of the present study was to replicate the efficacy of the Prevention and Relationship Education Program (PREP) training on marital satisfaction and dyadic adjustment among a group of Iranian newlyweds. One hundred and sixty heterosexual couples (N = 320 participants) were randomly assigned to an experimental or a wait list control group. Data from one hundred and forty‐eight couples were analyzed. Participants completed the ENRICH Marital Satisfaction Scale (The Family Journal, 1, 1993, 196–207) and Dyadic Adjustment Scale (The Journal of Sex Research, 39, 1976, 190–196) at pretest, posttest, 1‐year follow‐up, and 2‐year follow‐up. Results indicated that mean marital satisfaction and dyadic adjustment scores between the experimental and control groups were significantly different at posttest. Therefore, PREP training improved marital satisfaction and dyadic adjustment of couples at posttest. The data suggests that PREP training program can be introduced as an effective relationship education program for Iranian newlyweds.     

Educational guidance for functional visual diversity in Nicaragua. Design and evaluation of a teacher-training program

The article exposes the process of design and implementation of a training program for teachers that teach people with Visual Functional Diversity (VFD), taking into account their needs both in training and in the provision of resources in Nicaragua. To verify the effectiveness of the program, a quasi-experimental design was carried out with a non-equivalent pretest and posttest control group. The experimental group received training while the control group did not receive training. The evaluation of the results obtained after the application of the program was carried out through two instruments: an efficacy questionnaire and a satisfaction questionnaire. The results showed significant differences between the experimental and control group after the application of the program (Z = −4,383; p = 0.000) in favor of the experimental group. It is confirmed that the program is effective in training teachers on inclusive education for the visually impaired as the teachers who took part in the training program significantly increased their knowledge in that issue.     

Helping Dual-Earner Couples Manage Work–Partner Interferences: A Program Evaluation

This study explored the effectiveness and informed further development of a brief intervention designed to teach couples strategies for managing interferences from work to their romantic relationship. A pretest/posttest design with a control group measured the impact of the intervention on married couples’ work–partner balance skills and strategies and their relationship satisfaction. Couples in the intervention group improved in areas of work–partner balance compared with the control group, but there was no difference in relationship satisfaction between groups. The program was most effective for women. Based on these findings, we discuss program strengths, areas for improvement, and future directions for work–partner management programming.     

Effectiveness and feasibility of a 10-minute employee stress intervention: Outdoor Booster Break

There is a growing recognition that workplace environments affect employee health. Nature contact exposures in the workplace have been shown to be healthful for employees. This pilot study was designed to test the feasibility and efficacy of a daily outdoor work break (Outdoor Booster Break) compared to a daily indoor break. A census of university office staff was invited to participate (N?=?244). Phase 1 focused on feasibility—participants (n?=?119) reported that the Outdoor Booster Break was feasible (74%), practical (80%), and worthwhile (83%). During Phase II we used a single-site randomized controlled trial (RCT) to examine the effects of an Outdoor Booster Break—compared with a control indoor work break group—for 4 weeks on employee stress. Perceived stress was measured at pretest and posttest for both conditions. Mean posttest stress scores were lower for both the control group (n?=?19) and the treatment group (n?=?18). A main effects ANCOVA model controlling for baseline stress revealed posttest stress was lower for the treatment group compared to controls (p?=?.041). Taking a work break appears to have stress-reducing benefits, but the Outdoor Booster Break reduced stress significantly more than an indoor break. Implications for employers, worksite health promoters, and future research are discussed.     

Buffering Effects of a Family-Based Intervention for African American Emerging Adults

This study focused on the buffering effects of Adults in the Making (AIM), a family-centered preventive intervention, on the link between life stress and increases in risk behaviors among 347 rural, southern African Americans as they left high school. Of the families, 174 were assigned to the prevention condition and 173 to a control condition. Emerging adults reported risk behaviors at pretest, posttest (7 months after pretest), and long-term follow-up (10 months after posttest). A significant Life stress × Prevention condition interaction emerged: Increases in risk behaviors were significantly greater among emerging adults in the control condition who experienced high stress levels than among those in the prevention condition who experienced equally high stress levels.     

The benefits of reflecting on and discussing purpose in life in emerging adulthood

The benefits of understanding and pursuing one's purposes in life are well documented. However, few studies have addressed potential interventions for enhancing purpose. This article presents the results of an empirical investigation testing whether reflecting on and discussing one's core values, life goals, and purposes in life has benefits for later purpose, as well as later life satisfaction. The study involved a pretest/posttest experimental design with 102 college students, with posttest measures administered nine months later. Results showed that those who engaged in the guided discussion of their values, life goals, and purpose (compared to those who did not) benefited in terms of their goal directedness and life satisfaction and that the benefits for life satisfaction were partially attributable to changes in goal directedness. The article concludes by highlighting implications for practitioners of all kinds, including parents, with recommendations for implementing the purpose discussion in a variety of youth settings.     

Reduction of Face‐to‐Face Contact Hours in Foundation Research Courses: Impact on Students' Knowledge Gained and Course Satisfaction

This study investigated the impact of reducing the number of face‐to‐face contact hours in a Masters of Science in Social Work (MSSW) foundation research course in an urban school of social work on students' knowledge gained and course satisfaction. A quasi‐experimental pretest/posttest comparison group design was used to test the following hypothesis: reducing the number of face‐to‐face contact hours will not negatively impact knowledge gain and course satisfaction in a foundation research course. The findings of this study suggest that reducing the number of face‐to‐face contact hours does not negatively affect student learning as both the comparison and the experimental group demonstrated an increase in foundation research knowledge. The level of course satisfaction was influenced by the number of hours completed in the program, age, and the number of hours worked in paid employment. Students who are especially vulnerable are younger students who have completed less course hours. They tend to struggle at the beginning to get used to new technology as part of their educational experience. This paper demonstrates that it is no longer ‘if’ web‐based and distance learning technologies are appropriate for social work education but rather ‘when’ and the degree to which their integration yields greatest educational value.     

Research Note—Multiple Time Point Course Evaluation and Student Learning Outcomes in an MSW Course

ABSTRACT

Evaluation methods play a key role in measuring student learning outcomes. Yet traditional assessments focus on assessing student satisfaction with instructors or courses rather than their progress toward competencies. In addition, the common pretest-posttest assessment is problematic because of response-shift bias. Although multiple time point assessment is suggested, very little is known about its application and potential in social work education. This research note examines how student self-assessments of their progress on core competencies in an MSW-level social work course change across three time points (pretest, posttest, retrospective test). The findings suggest that students underrated and overrated their competencies at the pretest. We argue that using multiple time point self-assessment addresses this internal validity threat and should be considered in social work course evaluation.     

Teaching Note—Keeping It Real: Program Evaluation Projects for an Undergraduate Research Class

ABSTRACT

This article describes a teaching innovation that focused on the redesign of an undergraduate social work research class. Students enrolled in the redesigned class had an opportunity to conduct program evaluation projects in community agencies. The projects included (a) pretest and posttest evaluation of reminiscence approach in improving the well-being of older adults in a long-term care facility, (b) evaluation of family support services at a Head Start center, and (c) pretest and posttest evaluation of an awareness program to promote community inclusion of individuals with an intellectual disability. Steps in course development, implementation, and evaluation as well as the positive student learning outcomes are discussed. The article concludes with limitations and potential areas for further improvement.     

Preventing Child Sexual Abuse: Body Safety Training for Young Children in Turkey

The “Body Safety Training Program” is an education program aimed at ensuring children are informed about their body and acquire self-protection skills. In this study, a total of 83 preschoolers were divided into experimental and control groups; based on a power analysis, 40 children comprised the experimental group, while 43 children comprised the control group. The “Body Safety Training Programme” was translated into Turkish and content validity was determined regarding the language and cultural appropriateness. The “What If Situations Test” (WIST) was administered to both groups before and after the training. Mann–Whitney U Test, Kruskal–Wallis Variance Analysis, and the Wilcoxon Signed Ranks Test were used to compare between the groups and the Spearman correlation analysis was used to determine the strength of the relationship between the dependent and independent variable. The differences between the pretest and posttest scores for the subscales (appropriate recognition, inappropriate recognition, say, do, tell, and reporting skills), and the personal safety questionnaire (PSQ) score means for the children in the experimental group were found to be statistically significant (p < .001). The posttest–pretest difference score means of the experimental group children for WIST saying, doing, telling and reporting, total skills, and PSQ were found to be statistically significant as compared to that of the control group (p < .05). The “Body Safety Training programme” is effective in increasing the child sexual abuse prevention and self-protection skills in Turkish young children.     

Attitudes of parents towards the pre‐marital sex behavior of their children and themselves

The purpose of the experiment was to examine the acquisition of information about sexuality by 182 ninth‐grade students enrolled in a sex education course. An additional 197 ninth‐grade students in the same school served as a control group. Approximately half the subjects in each group were pretested. Following completion of the course, all subjects were posttested. The major results of the multiple regression analysis indicated that the experimental group scored higher on the posttest than the control group both for the total set of items (N = 24) and for several subscores measuring learning of sex education material. The pretest and posttest scores did not differ for control group subjects. The results indicated: (a) sex education courses can provide important information about sexuality which is not gained in other ways by ninth‐graders; (b) peers may not be important sources of sexual information when alternatives (sex education courses) to peer information are available.     

The Impact of Hopelessness and Hope on the Social Work Profession

Abstract

Burnout and turnover are detrimental to social service organizations, social service providers and clients. Very often organizational characteristics are part of the cause for burnout. Burnout in a job can lead to hopelessness for social service providers and begin a vicious cycle of continued burnout and increased hopelessness. Knowing the characteristics of hopelessness can help social welfare institutions nurture their employee's level of hope thus impacting the way the social service providers work with their clients.     

Burnout and Secondary Trauma Among Forensic Interviewers of Abused Children

This study examined factors associated with burnout and secondary trauma among forensic interviewers of abused children. Sixty-six forensic interviewers who are affiliated with advocacy centers across the United States completed an online survey. The Oldenburg Burnout Inventory and Secondary Traumatic Stress Scale were used to measure burnout and secondary trauma, respectively. Results indicate that organizational satisfaction has a moderate inverse relationship with burnout and a slight inverse relationship with secondary trauma. The number of forensic interviews conducted or length of employment in forensic interviewing did not have a strong relationship with either burnout or secondary trauma.     

Burnout and Mental Health in Swiss Vocational Students: The Moderating Role of Physical Activity

Few studies have focused on burnout among vocational students. This study examined the association between burnout and mental health among 56 Swiss vocational students (29 males, 27 females, M = 18.1, SD = 1.2 years) and tested whether recommended levels of moderate‐to‐vigorous physical activity (MVPA) attenuate this relationship. Burnout was strongly associated with increased depressive symptoms and decreased levels of life satisfaction, mental toughness, and quality of sleep. Students above recommended levels of MVPA reported lower burnout and higher mental health. No significant moderator effects were observed. Symptoms of burnout were associated with increased mental health problems. Physical activity should be promoted to prevent burnout, because nearly half of the students did not meet MVPA recommendations.     

A Study of Clinical Change in Individual Career Counseling

This study examined the clinical significance of career counseling effects. Participants were 111 university students (83% women) who participated in individual career counseling sessions at their university. All participants completed the French version of the Outcome Questionnaire–30.2 (OQ‐30.2; Lambert, Finch, Okiishi, & Burlingame, 2005) immediately before the 1st session (pretest) and at the beginning of the last session (posttest). The OQ‐30.2 assesses 3 client life domains: subjective discomfort, problems in interpersonal relationships, and problems in social role satisfaction. Using Jacobson and Truax’s (1991) statistical approach to assessing clinical change, the authors compared clients’ pretest OQ‐30.2 scores with their posttest scores. Among clients with a “dysfunctional” score (n = 59) at the study’s inception, 34% recovered and 14% improved, whereas 41% of clients with functional scores (n = 52) at the study’s inception improved. The results suggest that individual career counseling can make a difference in the lives of many clients; they also highlight the importance of further outcome research that accounts for possible variability in clients’ responses to career counseling.     

Meditation lowers stress and supports forgiveness among college students: a randomized controlled trial

OBJECTIVE AND PARTICIPANTS: The authors evaluated the effects on stress, rumination, forgiveness, and hope of two 8-week, 90-min/wk training programs for college undergraduates in meditation-based stress-management tools. METHODS: After a pretest, the authors randomly allocated college undergraduates to training in mindfulness-based stress reduction (MBSR; n = 15), Easwaran's Eight-Point Program (EPP; n = 14), or wait-list control (n = 15). The authors gathered pretest, posttest, and 8-week follow-up data on self-report outcome measures. RESULTS: The authors observed no post-treatment differences between MBSR and EPP or between posttest and 8-week follow-up (p > .10). Compared with controls, treated participants (n = 29) demonstrated significant benefits for stress (p < .05, Cohen's d = -.45) and forgiveness (p < .05, d = .34) and marginal benefits for rumination (p < .10, d = -.34). CONCLUSIONS: Evidence suggests that meditation-based stress-management practices reduce stress and enhance forgiveness among college undergraduates. Such programs merit further study as potential health-promotion tools for college populations.     

Career Maturity and Quality of Life in Korean Adolescents: A Cross‐Lagged Panel Design

This study investigated the effectiveness of a short‐term career exploration program for enhancing career maturity and quality of life in Korean adolescents. It further tested causality between career maturity and quality of life defined as school satisfaction and subjective well‐being. We used a cross‐lagged panel design to examine the links among career maturity, subjective well‐being, and school satisfaction, measured both before and 4 weeks after a career exploration program for 224 Korean middle school students. Study results indicated that 4 weeks after the program implementation, there were significant increases in career maturity, subjective well‐being, and school satisfaction. A significant causal relationship from the pretest score of career maturity to the posttest score of school satisfaction was found. Results suggest that the implementation of a short‐term career exploration program designed to increase career maturity also significantly promotes school satisfaction. Limitations of the study are discussed along with suggestions for future research.     

Evaluation of the High School Relationship Curriculum Connections: Dating and Emotions

Interest in relationship education for high school students has grown since the Deficit Reduction Act of 2005 provided funding for Healthy Marriage Initiative programs. This study used a pretest and posttest design and measures of relationship knowledge and attitudes to evaluate a relationship curriculum taught in required health education classes to a sample of 139 students. Comparison of students’ pretest and posttest scores showed slight gains in knowledge about relationships. Analysis based on characteristics associated with risk and protective factors for relationship outcomes (gender, academic performance and parental divorce history) found significant differences. Implications for expanding high school relationship education and recommendations for social work involvement in these programs are discussed.     

The Effects of Briefly Interrupting Marital Conflict

This study examined couples’ (N = 94) behavior resulting from two proximal change interventions. One was a spousal “compliments intervention” to increase positivity, and the other was a “criticize intervention” to increase negativity. Participants were randomly assigned to one of the two intervention conditions or a control group. There was no main effect in affect from the pretest conflict discussion to the posttest conflict discussion between the interventions or control group. However, a manipulation check on how couples acted during either intervention produced a significant interaction effect. Pretest affect during conflict and marital satisfaction significantly predicted couples’ construal of the intervention. Professionals may need to monitor how couples use specific interventions and direct the processes how the intervention is construed by the couple.