Burnout, Caregiver, Compassion Fatigue
Conditions
Keywords
oncology health professionals, burnout, exercise, physical activity, nature-based walking
Brief summary
The goal of this preference-based pilot study will be to assess the feasibility and acceptability, and impact of a 12-week exercise intervention on oncology care provider burnout. Participants self-select to participate into one of two exercise groups. Group assignment will be based on participant preference. Group 1: Supervised circuit-based resistance exercise Group 2: Nature-based walking
Interventions
Participants will engage in a 12-week circuit-based resistance training program 2-3 times/week. Each supervised session will last about 30 minutes and will consist of 5 resistance exercises. Each exercise will be completed for 1 minute for a total of 5 minutes followed by a 1-minute rest. The circuit will then repeated 3 additional times (total of 4 circuits). All resistance sessions will be supervised by a certified fitness professionals.
Participants will be asked to engage in 30 minutes of self-paced walking in nature 2-3 days/week. Participants will be provided with a list of resources that direct them to walkable nature/green spaces close to their home or workplace.
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years of age or older; * Able to speak/write in English; * Must be providing formal care to cancer patients in a clinical setting within the Halifax Municipality; * Actively practicing within the Nova Scotia Cancer Care Program; and * Able and willing to engage in low-to-moderate intensity physical activity.
Exclusion criteria
* Exceeding Canadian physical activity guidelines of 150-minutes of moderate-to-vigorous physical activity per week; and * Any health condition that would preclude safe participation in a new exercise program.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility - Participant Fidelity (Intervention Adherence) | Through study completion (about 2 years) | Participant adherence to prescribed exercise intervention |
| Feasibility - Safety | Through study completion (about 2 years) | Adverse and serious adverse events |
| Feasibility - Retention/Attrition | Through study completion (about 2 years) | Percentage of participants who complete the 12-week intervention |
| Feasibility - Attendance | Through study completion (about 2 years) | Attendance is calculated as the percentage of exercise sessions completed by the total number of available exercise sessions over the 12-week intervention. |
| Feasibility - Recruitment | Through study completion (about 2 years) | Participant accrual as defined as the number of eligible participants who express an interest in participation divided by the number of participants who consent to participate. |
| Feasibility - Participant Experience | Through study completion (about 2 years) | Interviews with a diverse group of participants will be used to assess factors influencing participant selection of intervention type/setting, adherence to and satisfaction with the selected intervention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Maslach Burnout Inventory (MBI) for Medical Personnel (MP) | Baseline, mid-program (6-weeks), and post intervention (12-weeks). | The MBI-MP is used to assess burnout in medical professionals. The 22-item, 7-point Likert scale (0 = never to 6 = everyday) assesses burnout across three dimensions: emotional exhaustion (9 items), personal accomplishment (8 items), and depersonalization (5-items). |
| Physical Activity Behavior - Self-reported | Baseline, mid-program (6-weeks), and post intervention (12-weeks). | Self-reported physical activity is assessed by the Godin Leisure Time Exercise Questionnaire. Higher scores indicate higher levels of physical activity. Participants reporting moderate-to-strenuous Leisure Score Index ≥ 24 are classified as active; those reporting moderate-to-strenuous Leisure Score Index ≤ 23 are classified as insufficiently active. |
| Resting heart rate | Pre to post intervention (12-week change) | Resting heart rate |
| Resting Blood Pressure | Pre to post intervention (12-week change) | Resting systolic and diastolic blood pressure |
| Aerobic fitness | Pre to post intervention (12-week change) | The six-minute walk test is used to assess aerobic capacity. |
| Upper Body Strength | Pre to post intervention (12-week change) | A hand-held dynamometer is used to assess upper body strength. |
| Muscular Endurance | Pre to post intervention (12-week change) | The 30-second sit-to-stand is used to assess lower body muscular endurance. |
| Body Mass Index | Pre to post intervention (12-week change) | Height and weight is used to assess body mass index |
Countries
Canada