Achieving the Quadruple Aim by Reducing Burnout

NCT03746574 | Completed

• 1 other identifier: 15-132
• Study Type: interventional
• Target: 341
• Locations: 0 countries
• Sites: N/A

Brief Summary

To demonstrate that a multimodal intervention can reduce burnout in a multidisciplinary primary care practice while improving other components of the Quadruple Aim including staff engagement, patient experience, productivity and quality.

Conditions

Burnout, Professional

Outcome Measures

Primary Outcomes (4)

• Change in Burnout Score on Maslach Burnout Inventory

  Score on Maslach Burnout Inventory: Maslach Burnout Inventory - Human Services Survey (MBI-HSS) is a 22-item survey that covers 3 areas: Emotional exhaustion (EE), Depersonalization (DP), and Low sense of personal accomplishment (PA). There are multiple questions for each of these subscales and responses are in the form of a frequency rating scale (never, a few times a year or less, once a month or less, a few times a month, once a week, a few times a week, every day).

  Baseline, 6 Months and 12 Months

• Change in Compassion: Score on Santa Clara Brief Compassion Scale

  Score on Santa Clara Brief Compassion Scale: The Santa Clare Brief Compassion Scale is a brief index that assesses compassion and its link to prosocial behaviors. An example from a 'compassion for humanity' item include ""When I hear about someone (a stranger) going through a difficult time, I feel a great deal of compassion for him or her." Responses are given on a 7-point scale from "Not at all true for me" to "Very true for me."

  Baseline, 6 Months and 12 Months

• Change in Mindfulness: Mindful Attention Awareness Score

  Mindful Attention Awareness Score: The trait MAAS is a 15-item scale designed to assess a core characteristic of mindfulness, namely, a receptive state of mind in which attention, informed by a sensitive awareness of what is occurring in the present, simply observes what is taking place. Scored on a scale 1=almost never--\> 6=almost always

  Baseline, 6 Months and 12 Months

• Change in Intent to stay on Caregiver survey

  Intent to stay on Caregiver survey

  Baseline and 12 months

Secondary Outcomes (7)

• Change inCaregiver Engagement measured on annual Willis Tower Watson Survey

  Baseline and 12 months

• Change in Patient Experience on routine Press Ganey Survey

  Baseline, 6 Months and 12 Months

• Change in Visit per month

  Baseline, 6 Months and 12 Months

• Change in Panel Size

  Baseline, 6 Months and 12 Months

• Change in Diabetes Control

  Baseline, 6 Months and 12 Months

Study Arms (2)

Intervention Clinics

EXPERIMENTAL

Participants in the intervention clinics experienced a 12 session compassion curriculum intevention offered every other week for six months. Each session lasted 80 minutes and all staff at the intervention clinics were expected to participate. A total of 16 hours of experiences were provided.

Behavioral: Compassion Curriculum

Control Clinics

NO INTERVENTION

Completed baseline, end of curriculum, and 6 month follow up survey. Otherwise no intervention

Interventions

Compassion Curriculum BEHAVIORAL

12 session curriculum offered every other week for six months. Each session lasted 80 minutes and all staff at the intervention clinics were expected to participate. A total of 16 hours of experiences were provided.

Intervention Clinics

Eligibility Criteria

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

You may qualify if:

• All employees working in selected clinics

You may not qualify if:

• none

Sponsors & Collaborators

• Providence Health & Services: lead

Related Publications (7)

• Bodenheimer T, Sinsky C. From triple to quadruple aim: care of the patient requires care of the provider. Ann Fam Med. 2014 Nov-Dec;12(6):573-6. doi: 10.1370/afm.1713.

  PMID: 25384822 BACKGROUND

• Hall LH, Johnson J, Watt I, Tsipa A, O'Connor DB. Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLoS One. 2016 Jul 8;11(7):e0159015. doi: 10.1371/journal.pone.0159015. eCollection 2016.

  PMID: 27391946 BACKGROUND

• Salyers MP, Bonfils KA, Luther L, Firmin RL, White DA, Adams EL, Rollins AL. The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis. J Gen Intern Med. 2017 Apr;32(4):475-482. doi: 10.1007/s11606-016-3886-9. Epub 2016 Oct 26.

  PMID: 27785668 BACKGROUND

• Panagioti M, Geraghty K, Johnson J, Zhou A, Panagopoulou E, Chew-Graham C, Peters D, Hodkinson A, Riley R, Esmail A. Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction: A Systematic Review and Meta-analysis. JAMA Intern Med. 2018 Oct 1;178(10):1317-1331. doi: 10.1001/jamainternmed.2018.3713.

  PMID: 30193239 BACKGROUND

• West CP, Dyrbye LN, Rabatin JT, Call TG, Davidson JH, Multari A, Romanski SA, Hellyer JM, Sloan JA, Shanafelt TD. Intervention to promote physician well-being, job satisfaction, and professionalism: a randomized clinical trial. JAMA Intern Med. 2014 Apr;174(4):527-33. doi: 10.1001/jamainternmed.2013.14387.

  PMID: 24515493 BACKGROUND

• West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet. 2016 Nov 5;388(10057):2272-2281. doi: 10.1016/S0140-6736(16)31279-X. Epub 2016 Sep 28.

  PMID: 27692469 BACKGROUND

• Panagioti M, Panagopoulou E, Bower P, Lewith G, Kontopantelis E, Chew-Graham C, Dawson S, van Marwijk H, Geraghty K, Esmail A. Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. JAMA Intern Med. 2017 Feb 1;177(2):195-205. doi: 10.1001/jamainternmed.2016.7674.

  PMID: 27918798 BACKGROUND

MeSH Terms

Conditions

Burnout, Professional

Condition Hierarchy (Ancestors)

Occupational Stress; Occupational Diseases; Burnout, Psychological; Stress, Psychological; Behavioral Symptoms; Behavior

Study Officials

• Mark Rosenberg, MD

  Providence St. Joseph

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director, Compassionate Care

Model Details: Randomization to intervention or control occuring at the level of clinic. All participants within a clinic are assigned to same group

Study Record Dates

• First Submitted: November 14, 2018
• First Posted: November 19, 2018
• Study Start: January 1, 2016
• Primary Completion: July 1, 2016
• Study Completion: December 31, 2016
• Last Updated: November 19, 2018

Record last verified: 2018-11

Data Sharing

• IPD Sharing: Will not share