Stress
Conditions
Brief summary
Interventional cardiology (IC) fellows and attendings experience high levels of stress. In a recent study, IC fellowship was considered very stressful by 22%, somewhat stressful by 62%, and not stressful by 16%(1). In a different study, 29% of the IC fellows considered leaving their job during the past year, while more than a quarter (29%) felt overwhelmed ≥3x/week(2). Moreover, the same study reports that burnout affects 69% of the interventional cardiologists. In addition, in the Medscape Cardiologist Lifestyle, Happiness & Burnout Report 2023, 43% of the cardiologists in general reported being burned out and 23% were depressed(3). However, it remains unknown whether they deal with increased stress before, during, and after a procedure, if their stress decreases (and if so, how much) with experience, and how they recover after a procedure. The present study will study the stress levels of IC fellows and attendings using various subjective metrics and wearable devices.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Interventional Cardiology fellow or attending. 2. Age 18 years or older. 3. Willing and able to provide informed consent. 4. Access to smartphone (Apple or Android platform). 5. Willing and able to wear the wearable devices.
Exclusion criteria
1- Any health condition that in the opinion of the investigator would preclude individual's participation in the study such as conditions that would preclude them from wearing the study wearables and participating to provide wearable data.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Heart Rate Variability (HRV) | From enrollment to end of study period at 14 days | Heart Rate Variability (HRV) as assessed by the wearable devices |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Stress | Baseline and at the end of study period at 14 days | Subjective stress assessed by the STAI-short version at baseline, before and after a procedure. Higher scores on the STAI indicate greater anxiety |
| Procedural characteristics | Perioperative | Procedural characteristics as assessed by the post-procedural questionnaire |
| Burnout | From enrollment to end of study period at 14 days | Burnout as assessed by the Mini-Z survey. A higher score indicates increased burnout |
| Heart Rate | From enrollment to end of study period at 14 days | Heart rate as assessed by the wearable device(s). |
| Sleep | From enrollment to end of study period at 14 days | Sleep metrics as assessed by the wearable device(s). |
| Blood oxygen | From enrollment to end of study period at 14 days | Blood oxygen as assessed by the wearable device(s). |
| Respiratory rate | From enrollment to end of study period at 14 days | Respiratory rate as assessed by the wearable device(s). |
| Body temperature | From enrollment to end of study period at 14 days | Body temperature as assessed by the wearable device(s). |
| Workout metrics | From enrollment to end of study period at 14 days | Workout metrics as assessed by the wearable device(s). |
| Energy consumption | From enrollment to end of study period at 14 days | Energy consumption as assessed by the wearable device(s). |
Countries
United States