Stress
Conditions
Keywords
mind/body medicine, 3RP, stress management, resident burnout
Brief summary
This prospective pilot study evaluated the benefits of a stress management and resiliency training program for residents (SMART-R). The primary objective of this study is to determine whether the SMART-R effectively reduces burnout and stress and enhances coping skills in first year residents. Objective parameters (heart rate, galvanized skin response, sleep duration and quality, exercise and actigraphy) measured with the Basis health tracking device will help correlate objective signs to subjective report of stress. The investigators' hypothesis is that the SMART-R, a curriculum designed to teach first year residents (in the department of Medicine and Psychiatry) relaxation skills, will enhance residents' emotional and physical well being, reduce reports of stress, anxiety, depression, and physical complaints, as well as increase overall resiliency.
Detailed description
The SMART-R has been developed by the Benson-Henry Institute (BHI) of Mind Body Medicine and is aimed at reducing the impact of stress through a variety of skill building exercises. The exercises incorporated into the program have been shown to improve physical symptoms, mood and wellbeing in medical patient populations. However, very little work has focused on healthcare providers, and there are no studies that look at mindfulness interventions for resident physicians specifically. Participants enrolled will be invited to complete a set of questionnaire before and after participation in the program. The investigators will also collect continuous physiologic data using the Basis Peak Health Tracking device to correlate the physiologic data with self-report measures of stress.
Interventions
The SMART-R is a mind-body Educational Program for residents that is aimed at reducing the impact of stress and enhancing coping strategies through skill building exercises. The intervention consists of 3, 2 hour sessions over the course of 12 months.
Sponsors
Massachusetts General Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Massachusetts General Hospital first year resident in Department of Medicine or Department of Psychiatry * 21 years of age or older * consenting to participate in 3RP-1
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in burnout levels post intervention | change between baseline (week 0) and post intervention (week 52) | Maslach Burnout Inventory (MBI), a validated 22-item self-report measure of professional burnout in human services. The MBI consists of 3 subscales of burnout: emotional exhaustion, depersonalization, and low sense of personal accomplishment. |
| Change in perceived stress post intervention | change between baseline (week 0) and post intervention (week 52) | Perceived Stress Scale (PSS-10) |
| Change in continuous physiologic data throughout intervention | change between baseline (week 0) and post intervention (week 52) | Basis Peak Health Tracking device collects continuous physiologic data (heart rate, galvanized skin response, sleep duration and quality, exercise and actigraphy) |
| change in coping abilities post intervention | change between baseline (week 0) and post intervention (week 52) | Measure of Coping Status-Revised (MOCS-R) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change in self-reported anxiety and depression | change between baseline (week 0) and post intervention (week 52) | Beck Anxiety Inventory (BAI) and Patient Health Questionnaire 9-item |
Countries
United States
Outcome results
None listed