Physician Burnout
Conditions
Keywords
burnout, physicians, app-based, smarthphone, mindfulness
Brief summary
The goals of this randomized controlled trial are 1) to test the efficacy of an app-based program in reducing physician burnout vs. no app (control) in 100 physicians; 2) to explore the role of an online live training to augment outcomes and develop an ongoing and sustainable support community with a subsample of physicians.
Interventions
OTHERApp-Delivered Mindfulness Training (MT).
The program is delivered via a smartphone-based platform, which includes 7 mindfulness-based modules of about 15 minutes of brief didactic and experience-based for two weeks
OTHEROnline Virtual Training
A sub-group of 25 participants, either from the both intervention or control group, the will receive a virtual online training delivered via zoom calls. It is a group session program which includes 4 mindfulness-based sessions of about 60 minutes of brief didactic and experience-based for four weeks.
Sponsors
Brown University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
One group will receive the intervention (audio-course) to listen during the study and the other group will have access to the audio-course at the end of the study
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. Being a physician 2. Able to speak English because all study activities will be conducted in English. 3. 18+ years 4. Direct patient care
Exclusion criteria
1\. If using psychotropic medication - not on a stable dosage at least 6 weeks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Level of cynicism | It will be collected 3 times, at baseline, 2 weeks after (post-app), three months later (follow-up). For the sub-group that will attend the online virtual training intervention, it will be collected after 4 months (post online training intervention). | Maslach Burnout Inventory (MBI) cynicism. The MBI is a validated 22-item self-report measure of risk of burnout. Items are rated on a 7-point Likert scale ranging from 0 (never) to 6 (every day). The investigators will use only one single-item measure of cynicism that was included from the Maslach Burnout Inventory (MBI)-based on the research of West et al., 2009. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Level of emotional exhaustion | It will be collected 3 times, at baseline, 2 weeks after (post-app), three months later (follow-up). For the sub-group that will attend the online virtual training intervention, it will be collected after 4 months (post online training intervention). | 1.Maslach Burnout Inventory (MBI) emotional exhaustion. The MBI is a validated 22-item self-report measure of risk of burnout. Items are rated on a 7-point Likert scale ranging from 0 (never) to 6 (every day). |
| Level of anxiety | It will be collected 3 times, at baseline, 2 weeks after (post-app), three months later (follow-up). For the sub-group that will attend the online virtual training intervention, it will be collected after 4 months (post online training intervention). | 2.Generalized Anxiety Disorder 7-items (GAD-7). The GAD-7 is a validated 7-item measure of anxiety rated on a 4-point Likert scale ranging from 0 (Not at all sure) to 3 (Nearly every day). |
| Level of depression | It will be collected 3 times, at baseline, 2 weeks after (post-app), three months later (follow-up). For the sub-group that will attend the online virtual training intervention, it will be collected after 4 months (post online training intervention). | Patient Health Questionnaire 2-item scale (PHQ-2). The PHQ-2 is a validated 2-item self-report measure of depression. Items are rated on a 4-point Likert scale ranging from 0 (not at all) to 3 (nearly every day). |
| Level of intolerance of uncertainty | It will be collected 3 times, at baseline, 2 weeks after (post-app), three months later (follow-up). For the sub-group that will attend the online virtual training intervention, it will be collected after 4 months (post online training intervention). | 4.Intolerance of Uncertainty 12-item scale (IUS-12). The IUS-12 is a validated 12-item self-report measure of intolerance of uncertainty. Items are rated on a 5-point Likert scale ranging from 1 (not t all). |
| Level of self-compassion | It will be collected 3 times, at baseline, 2 weeks after (post-app), three months later (follow-up). For the sub-group that will attend the online virtual training intervention, it will be collected after 4 months (post online training intervention). | 5.Self-Compassion Scale. The SCS is a validated 12-item self-report measure of self-compassion on a 5-point Likert scale ranging from 1 (almost never) to 5 (always). |
Other
| Measure | Time frame | Description |
|---|---|---|
| Elements learned | It will be collected one time, two weeks after the baseline (post-app). For the sub-group that will attend the online virtual training intervention, it will be collected a second time after 4 months (post online virtual training intervention). | Open question regarding the elements learned with the app and virtual training sessions. |
| Level of Work Engagement | It will be collected 3 times, at baseline, 2 weeks after (post-app), three months later (follow-up). For the sub-group that will attend the online virtual training intervention, it will be collected after 4 months (post online training intervention). | 1\. Job Engagement Questionnaire (18 items). The Job Engagement questionnaire is a validated scale of the 18-item. This scale contains 18 items which are presented on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). |
| Barriers | It will be collected one time, at two weeks after the baseline (post-app). For the sub-group that will attend the online virtual training, it will be collected a second time after 4 months (post online training intervention). | Open question regarding the barriers encountered with the app and virtual training sessions. |
| Facilitators | It will be collected one time, two weeks after the baseline (post-app). For the sub-group that will attend the online training intervention, it will be collected a second time after 4 months (post online training intervention). | Open question regarding the facilitators encountered with the app and virtual training sessions. |
| Level of patient-centered care | It will be collected 3 times, at baseline, 2 weeks after (post-app), three months later (follow-up). For the sub-group that will attend the online virtual training intervention, it will be collected after 4 months (post online training intervention). | 2\. Nursing Workplace Satisfaction Questionnaire (NWSQ - 17). The NWSQ is a validated 17-item self-report measure of patient-centered care with items presented on a 5-point Likert scale ranging from 1 (fully disagree) to 5 (definitely disagree). |
| Level of organization civic behavior | It will be collected 3 times, at baseline, 2 weeks after (post-app), three months later (follow-up). For the sub-group that will attend the online virtual training intervention, it will be collected after 4 months (post online training intervention). | 3\. Organizational Civic Behavior Scale (24 items). This questionnaire is a validated 24-item self-report measure of Organizational Civic Scale. Items are rated 7-point Likert-type scale ranging from 1 (strongly disagree) to 7 (strongly agree). |
| Level of physician well-being | It will be collected 3 times, at baseline, 2 weeks after (post-app), three months later (follow-up). For the sub-group that will attend the online virtual training intervention, it will be collected after 4 months (post online training intervention). | 4\. Physician Well-Being Index (PWBI - 7 items). This questionnaire is a validated 7-item self-report measure of Physician Well-Being. Items are rated 7-point Likert-type scale ranging from 1 (strongly disagree) to 7 (strongly agree). |
| Level of loneliness | It will be collected 3 times, at baseline, 2 weeks after (post-app), three months later (follow-up). For the sub-group that will attend the online virtual training intervention, it will be collected after 4 months (post online training intervention). | 5\. UCLA 3-Item Loneliness Scale (University California Los Angeles - 3 items). This questionnaire is a validated 3-item self-report measure of Loneliness. Items are rated 10-point Likert-type scale ranging from 1 (least lonely) to 10 (lost lonely). |
| Level of mindfulness practice | It will be collected 3 times, at baseline, 2 weeks after (post-app), three months later (follow-up). For the sub-group that will attend the online virtual training intervention, it will be collected after 4 months (post online training intervention). | 6\. Mindful Practice Questionnaire (MIPR-Q - 28 items). This questionnaire is a validated 28-item self-report measure of Mindfulness practice. Items are rated 4-point Likert-type scale ranging from 1 (never/almost never) to 4 for (always/most always). |
Countries
United States
Contacts
Primary ContactLia Antico, PhD In Neuroscience
Backup ContactJudson Brewer, PhD, MD
Outcome results
None listed