Effectiveness of an Intervention for Prevention and Treatment of Burnout in Primary Care

NCT01870154 | Completed

• 1 other identifier: 08/1443
• Study Type: interventional
• Target: 300
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Burnout syndrome is an important health problem that affects many professionals and must be addressed globally, with both organizational measures and personal interventions. Burnout of health professionals can be prevented in order to avoid personal, familial, and social consequences, as well as repercussions for patients. Methods/Design: This work describes a protocol for a controlled, pragmatic, randomized clinical trial in 2 parallel groups: intervention and control. All health professionals from 7 health care centers (HCCs) will form the intervention group, and all health professionals from 7 different HCCs will form the control group. The intervention group will receive 16 hours of training at their work place. The Maslach's burnout inventory (MBI), burnout physician Questionnaire (CDPM) or burnout nurse Questionnaire (CDPE), and the 28-item Goldberg's General Health Questionnaire (GHQ-28), validated for our setting, will be used as measurement tools. Change in the average scores from the MBI emotional exhaustion scale will be compared between the intervention and control groups, measured as intention-to-treat, and the intervention will be considered effective if a minimum increase of 20% is achieved. Discussion: Due to the deleterious consequences of burnout syndrome for people suffering from it and for the organization where they work, it is necessary to evaluate the effectiveness of certain interventions for its prevention. Organizational measures are important for preventing burnout syndrome, but so is providing professionals with coping strategies, as this group intervention intends to do.

Conditions

Burnout Syndrome

Keywords

Burnout syndrome; Job stressors; Primary Health Care; Health professional

Outcome Measures

Primary Outcomes (1)

• Maslach's burnout inventory (MBI)

  Worker classification regarding burnout syndrome will be performed according to the MBI, which includes 22 items to evaluate emotional exhaustion (EE), depersonalization (DP), and personal fulfillment (PF), with scores ranging from 0 to 6 on the Likert scale. We consider a high degree of burnout in the case of EE ≥ 27 points, DP ≥ 10, and PF \<33. Moderate burnout will be considered in the case of 26\<EE\<19 points, 6\<DP\<9 points, and 34\<PF\<39 points. Low levels will be considered for EE≤18 points, DP≤5 points, and PF≥40 points.

  One year

Secondary Outcomes (1)

• Goldberg's General Health Questionnaire (GHQ-28)

  One year

Study Arms (2)

Intervention group

EXPERIMENTAL

The intervention consists of 16 hours of training, to be held at the subject's health center. The workshop involves mixed learning, comprising 4 sessions, each 2 hours long, in addition to personal work previous to and after each session of reading relevant bibliography and performing exercises, self-evaluation, and case studies (8 hours of individual work).

Behavioral: Training

Control group

ACTIVE COMPARATOR

Usual care

Behavioral: Training

Interventions

Training BEHAVIORAL

The objective of the intervention is learning from the work experience of professionals attending the workshop to know and recognize the risk and process of the burnout syndrome and the characteristics specific to the health setting, as well as promoting prevention lines by transmitting strategies to manage and control the elements and consequences of the syndrome process (physical, psychological, and social).

Control group; Intervention group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• All health professionals (family physicians, pediatricians, and nurses) who are part of the health care centers at the moment of the trial.

You may not qualify if:

• No one.

Sponsors & Collaborators

• Gerencia de Atención Primaria, Madrid: lead
• Fondo de Investigacion Sanitaria: collaborator

Study Sites (1)

Gerencia de Atención Primaria

Madrid, Madrid, 28003, Spain

Location

Related Publications (1)

• Gomez-Gascon T, Martin-Fernandez J, Galvez-Herrer M, Tapias-Merino E, Beamud-Lagos M, Mingote-Adan JC; Grupo EDESPROAP-Madrid. Effectiveness of an intervention for prevention and treatment of burnout in primary health care professionals. BMC Fam Pract. 2013 Nov 17;14:173. doi: 10.1186/1471-2296-14-173.

  PMID: 24237937 DERIVED

MeSH Terms

Conditions

Burnout, Psychological

Condition Hierarchy (Ancestors)

Stress, Psychological; Behavioral Symptoms; Behavior

Study Officials

• Tomás Gómez-Gascón, MD

  Gerencia de Atención Primaria, Madrid

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 2, 2013
• First Posted: June 5, 2013
• Study Start: March 1, 2010
• Primary Completion: March 1, 2013
• Study Completion: March 1, 2013
• Last Updated: June 5, 2013

Record last verified: 2013-06

Locations

ES (1)