Protocol for a cluster-randomized control trial of a remote workplace resilience intervention for early care and education providers: The OnWARD trial.
Derek Hales, Regan Burney, Erik Willis...
https://pubmed.ncbi.nlm.nih.gov/41824507/Actively Recruiting
Led by University of North Carolina, Chapel Hill · Updated on 2026-02-20
640
Participants Needed
1
Research Sites
52 weeks
Total Duration
Researchers are evaluating two remotely delivered programs aimed at improving well-being among early childhood education ECE staff. This 15-month cluster randomized trial compares a Resilience program, which helps staff build resilience assets and resources, with a Physical Activity program focused on promoting healthy physical activity habits. The study includes 80 child care centers, 80 directors, and about 560 staff members. Participating centers are randomly assigned to either the Resilience or Physical Activity program. Both programs last 3 months and include four modules with video lessons, webinars, and text message reminders. A behavioral health counselor guides participants, providing orientation and coaching calls to center directors. After the active intervention, a 12-month maintenance period allows participants continued access to program materials. Participants will complete assessments at four timepoints before the program starts, after 3 months, and at 9 and 15 months to track changes in resilience, well-being, mental health, social support, and organizational resources. The study measures absenteeism and staff turnover, and explores how personal and social factors may influence outcomes. The aim is to understand both immediate and lasting effects of these programs on ECE staff well-being.
CONDITIONS
Comparing a Workplace Resilience and a Physical Activity Intervention on Early Childhood Educators Well-being
R
Regan V Burney, PhD
D
Deborah J Jones, PhD
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University of North Carolina, Chapel Hill
Lead Sponsor
National Center for Complementary and Integrative Health (NCCIH)
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Remote Resilience Program | Remote Physical Activity Program |
|---|---|---|
| What it is | A remote behavioral program designed to strengthen resilience by drawing on internal and external assets. Participants receive lessons, videos, webinars, and coaching focused on resilience-building strategies and adherence. | A remote behavioral program created to promote healthy physical activity habits. Participants access lessons, videos, webinars, and coaching supporting evidence-based strategies to increase or maintain physical activity. |
| Role in the trial | Active randomized intervention arm assessing whether the resilience program can improve educator well-being, resilience, and organizational support. | Active randomized comparator arm evaluating effects of the physical activity program on educator well-being, resilience, and physical activity habits. |
| Primary use or goal | To enhance psychological resilience, promote well-being, and support organizational resources among early childhood education staff. | To improve physical activity behaviors, establish or maintain healthy activity habits, and promote well-being among early childhood education staff. |
| How it is given or performed | Participants are provided remote access to educational materials, videos, webinars, and coaching calls supporting resilience strategies. Delivery is online; adherence is encouraged with behavior change tools. | Participants receive remote access to educational materials, videos, webinars, and coaching calls focused on increasing or maintaining physical activity habits. |
| Evidence status | Investigational program in an ongoing randomized trial. No published outcome data for this intervention in early childhood educators as of the current protocol. | Investigational comparator program in an ongoing randomized trial. No published outcome data as of the current protocol, although evidence supports physical activity interventions for well-being in general populations. |
| Important limitations | No results are available yet; all efficacy and safety findings for the resilience program in early childhood educators remain under study. Remote delivery may affect engagement or adherence depending on participant access and preferences. | No results are available yet; all efficacy and outcome data for the physical activity program in this population are pending. Remote intervention delivery may introduce variability in adherence and access. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person or remote)
Duration - 3 months
Participants complete their assigned program remotely over 3 months, which includes an orientation, 4 modules with video lessons, 3 webinars, weekly text messages, and coaching calls for center directors.
Weekly remote interactions plus 4 coaching calls for directors and 3 webinars for all participants
Duration - 12 months
Participants are observed during a 12-month maintenance period to assess the sustained effects of the intervention on well-being and organizational resources.
Assessments at 9 and 15 months post-baseline
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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Derek Hales, Regan Burney, Erik Willis...
https://pubmed.ncbi.nlm.nih.gov/41824507/University of North Carolina, Chapel Hill
Lead Sponsor
National Center for Complementary and Integrative Health (NCCIH)
Collaborating Sponsor