Evaluation of Institutional Resources and a Novel Mindfulness Tool on Burnout Intensity

NCT04129632 | Completed DMC

• 1 other identifier: PIRB67
• Study Type: interventional
• Target: 73
• Locations: 1 country
• Sites: 1

Brief Summary

: The problem of physician burnout has been well documented. As health care providers (HCP) encounter the demands and resources of a rapidly changing health care system, navigate their place and performance within it, deal with the demands of an internet informed patient populace and balance daily work load with family life, stressors arise. These stressors can contribute to burnout and this burnout has both interpersonal and health care system wide effects. Studies have shown that HCP burnout has personal physiologic consequences and predicts external objective associations with health care acquired infection rates, medical errors, medical litigation, patient satisfaction, job satisfaction, health care system costs, alcohol abuse and suicidal ideation, among others. As our population ages and its medical co-morbidities and system demands increase, the premature curtailing, cessation or turnover of an HCP's clinical practice due to emotional exhaustion is a concerning trend. While studies have shown that HCP's are no more prone to burnout then other professionals, a growing body of literature has shown that an intentional focus on institutional processes that nurture clinician well-being through multiple modalities is both important and effective. Additionally, insights into the role that forgiveness plays in personal well-being prompts our presentation of a novel mindfulness tool that focuses on improving clinician well-being through self-help exercises in meditation and forgiveness. In light of recent studies that have cautioned against the tendency to dichotomize and/or pathologize peoples' responses to their work environment, we will use the JD-R (Job demands-resources model) and the CBI (Copenhagen burnout inventory) to quantify these processes and responses. These factors have prompted us to present a unique study design a) to evaluate the wellness process affecters inside the culture of a regional health care center and b) to evaluate the effectiveness of a personal mindfulness intervention which aims at spectrum based burnout quantification and facilitated self-help, with an eye on both for institution wide application.

Conditions

Burnout, Professional

Keywords

burnout; wellness; mindfulness; physician burnout

Outcome Measures

Primary Outcomes (1)

• Copenhagen Burnout Inventory score

  A numerical quantification of burnout in health care providers with and without intervention. 19 questions, 1-5 scale, 19-95 total score, higher is worse/more burnout

  6 months

Study Arms (1)

IEPF intervention

OTHER

Survey respondent voluntary decides to do a 4 weeks mindfulness intervention

Behavioral: IEPF Wellness Tool

Interventions

IEPF Wellness Tool BEHAVIORAL

A daily 5 minute mindfulness exercise over 28 days

Also known as: Insights and Exercises in Personal Forgiveness from Psalm 19

IEPF intervention

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• DO's, MD's, MA's, NP's, PA's, RN's, PharmD's

You may not qualify if:

• any one not in the above professional categories

Sponsors & Collaborators

• Parkview Medical Center: lead

Study Sites (1)

Parkview Medical Center

Pueblo, Colorado, 81003, United States

Location

Related Publications (22)

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MeSH Terms

Conditions

Burnout, Professional; Burnout, Psychological

Interventions

Exercise

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Doug Duffee, MD

  Parkview Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Masking Details: No demographic linking to survey participants
• Purpose: DIAGNOSTIC
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Internal Medicine Residency Faculty Attending Physician

Model Details: Cross sectional study design with intra cohort voluntary intervention participation

Study Record Dates

• First Submitted: October 15, 2019
• First Posted: October 17, 2019
• Study Start: September 19, 2019
• Primary Completion: September 30, 2020
• Study Completion: October 30, 2020
• Last Updated: November 13, 2020

Record last verified: 2020-11

Locations

US (1)