Depression, Anxiety, Satisfaction, Well-being
Conditions
Brief summary
For this project the broad research objective is to evaluate the effectiveness of an enhanced digital wellbeing program in improving well-being, depression, anxiety, stress, resilience, and job satisfaction of physicians. The intent of the investigators is that this will enable a proactive culture of well-being and mental health support for the broader healthcare workforce during the multiple phases of the pandemic. The investigator's approach evaluates existing digital models which can be executed in a timely fashion and rapidly scaled for use across other health systems. Aim 1: Conduct interviews of URM and women physicians to identify barriers and facilitators to accessing and receiving digital well-being, mental health, and culturally sensitive support resources. Aim 2: Through a randomized controlled trial (RCT) investigate the immediate and long-term effect of a comprehensive well-being focused intervention (push text messaging, resource support, semi-facilitated peer groups hosted by Cobalt) vs. usual care on well-being, depression, anxiety, stress, resilience, and job satisfaction of physicians practicing in the era of COVID.
Interventions
OTHERComprehensive Well-Being Intervention
The intervention group will receive an 18-month comprehensive suite of services including: 1) monthly automated text messaging reminders about wellbeing resources focused on a range of topics (e.g. mindfulness, stress management, childcare support, racial trauma, diversity and inclusion) and assignment to a one-hour quarterly peer support group with an expectation of regular attendance. Half of these sessions will be self-directed discussion topics and half will be facilitated discussions. The content of monthly text messaging resources and discussion topics for the peer-support groups will be informed by the Aim 1 qualitative findings.
Sponsors
University of Pennsylvania
Pennsylvania Department of Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 18 years of age; * Interest in participating in an 18 month study and willing to complete regular surveys; * Regular, daily access to a phone with texting capabilities * Identify as a Physician at Penn Medicine;
Exclusion criteria
* Under 18 years of age; * Not willing to sign informed consent document for an 18 month study; * No access to a phone with texting capabilities; * Not a Physician at Penn Medicine
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Well-Being Index (WBI) | at month 0 | The Well-being index (WBI) is a nine-question survey validated for use in physician populations and considered important to health systems in managing the well-being of their workforce. The domains address likelihood of burnout, severe fatigue, suicidal ideation, quality of life, meaning in work, work-life integration, risk of medical error, dropout risk, and overall well-being, It is brief (approximately 5 minutes to complete), easily tracked via a mobile app, and tracked across multiple health systems in Pennsylvania and across the United States. The WBI is also currently used by our health system for assessing HCW well-being and baseline survey |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient Health Questionnaire (PHQ-2) | at month 0 | PHQ-2 and GAD-2 have been validated and used in multiple studies and provide easy, simple scales to quickly assess for depression and anxiety. |
| General Anxiety Disorder (GAD-2) | at month 0 | GAD-2 have been validated and used in multiple studies and provide easy, simple scales to quickly assess for depression and anxiety. GAD-2 have been validated and used in multiple studies and provide easy, simple scales to quickly assess for depression and anxiety. |
| Perceived Stress Scale (PSS-10) | at month 0 | The Perceived Stress Scale is a 10-item well validated instrument in physician cohorts and measures stress |
| Connor-Davidson Resilience Scale (CDRS) | at month 0 | The Connor-Davidson Resilience Scale (CDRS) is a 2-item standardized and validated instrument in physician populations and measures bounce back and adaptability aspects of resilience |
| Physician Job Satisfaction Scale (JSS-10) | at month 0 | The Physician Job Satisfaction Scale (JSS-10) measures satisfaction at work and is a well validated 12-item measure |
| Professional Fulfillment Index | at month 0 | • The Professional Fulfillment Index (PFI) was developed to capture both burnout and professional fulfillment in the evaluation and assessment of professional wellbeing \[18\]. The PFI is a 16-item index that measures burnout and professional fulfillment. |
Countries
United States
Outcome results
None listed