Evaluating an Intervention for Physician Burnout

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorBrown University

About this trial

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.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Being a physician

Able to speak English because all study activities will be conducted in English.

18+ years

Direct patient care

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • App-Delivered Mindfulness Training (MT).

    Other intervention

    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

  • Online Virtual Training

    Other intervention

    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.

Treatment groups

100 Participants
are divided into 3 treatment groups
Group A: Experimental: Early App-Delivered Mindfulness Training (MT).Experimental treatment 1 intervention
Group B: Later App-Delivered Mindfulness Training (MT).Other 1 intervention
Group C: Experimental: Online Virtual TrainingExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Level of cynicism

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.

Time frame
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).

Secondary outcomes

1

Level of emotional exhaustion

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).

Time frame
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

Level of anxiety

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).

Time frame
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

Level of depression

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).

Time frame
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

Level of intolerance of uncertainty

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).

Time frame
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).

Other outcomes

1

Level of Work Engagement

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).

Time frame
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

Level of patient-centered care

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).

Time frame
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

Level of organization civic behavior

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).

Time frame
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

Level of physician well-being

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).

Time frame
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).

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