Evidence-Based Quality Improvement to Reduce VA Primary Care Burnout
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeNot listed
SponsorVA Greater Los Angeles Healthcare System
About this trial
Burnout is highly prevalent among VA primary care providers and staff, impairing productivity and retention, as well as safety, quality, and patient experience. In this pilot trial, the investigators will facilitate the development of burnout reduction interventions using an evidence-based quality improvement (EBQI) approach, and then evaluate the feasibility, acceptability and effectiveness of a pilot EBQI-facilitated burnout reduction intervention in a modified stepped wedge design in one VA region.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
5 primary care clinics (2 VA Medical Centers [VAMCs] and 3 community-based outpatient clinics [CBOCs]) in 2 VA healthcare systems in 1 VA Veterans Integrated Service Network
Primary care providers, registered nurses, clinical associates (e.g., licensed vocational or practical nurses), or administrative associates (e.g., clerks) on regular Patient-Aligned Care Team (PACT) teamlets at a study site.
Disqualifiers
All other VAMCs and CBOCs.
Other primary care professionals at a study site.
Members of special types of PACT teamlets at a study site.
Trial design
Design model
Sequential
Treatments tested in this trial
Evidence-based quality improvement (EBQI)
BehavioralEvidence-based quality improvement (EBQI) is a multi-level implementation strategy that aids in the development and implementation of evidence-based interventions to reduce burnout. Preliminary survey, interview, and systematic review data on burnout, turnover intent, burnout drivers, and burnout interventions will be presented to an expert panel for each intervention site. These panels will collectively decide on the top categories of burnout drivers to target and burnout interventions to implement. These top drivers and intervention categories will be presented to site-level providers and staff and proposals will be solicited for quality improvement (QI) interventions to reduce burnout that reflect these categories and address these drivers. The expert panels will then choose one or more of these QI interventions to implement and evaluate at each intervention site.
Treatment groups
203 Participants
are divided into 2 treatment groupsGroup A: Evidence-based quality improvement (EBQI)Experimental treatment 1 intervention
Group B: Usual careNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
Burnout
22-item Maslach Burnout Inventory. Minimum score of 0 for all domains. Maximum score of 54 for emotional exhaustion domain. Maximum score of 30 for depersonalization domain. Maximum score of 48 for personal accomplishment domain. Higher scores are worse, except for the personal accomplishment domain where higher scores are better.
Time frame
Annually, from enrollment until the end of the study, three years later (4 survey administrations).Secondary outcomes
1
Turnover intent
Turnover intent in the next year, and factors related to turnover intent (questions adapted from the VA All Employee Survey).
Time frame
Annually, from enrollment until the end of the study, three years later (4 survey administrations).2
Workplace drivers of burnout
28-item Areas of Worklife Survey. Minimum score of 0 for all domains. Maximum score of 25 for workload domain. Maximum score of 20 for control domain. Maximum score of 20 for reward domain. Maximum score of 25 for community domain. Maximum score of 30 for fairness domain. Maximum score of 20 for values domain. Higher scores are better for all domains.
Time frame
Annually, from enrollment until the end of the study, three years later (4 survey administrations)3
Depression
14-item Hospital Anxiety and Depression Scale. Minimum score of 0 for depression domain. Maximum score of 21 for depression domain. Higher scores are worse.
Time frame
Annually, from enrollment until the end of the study, three years later (4 survey administrations)4
Anxiety
14-item Hospital Anxiety and Depression Scale. Minimum score of 0 for anxiety domain. Maximum score of 21 for anxiety domain. Higher scores are worse.
Time frame
Annually, from enrollment until the end of the study, three years later (4 survey administrations)Sponsors and contacts
Click on the lead sponsor to view all of their trials.
VA Greater Los Angeles Healthcare System
Lead sponsor
VA Office of Research and Development
Collaborator
Source ClinicalTrials.gov