NCT04494633

Brief Summary

Burnout is a common problem for medical students and is associated with stress-related health problems and also potentially affects the quality of care delivered to their patients. Among the health problems commonly associated with burnout are substance use problems, and alcohol is the substance most often misused. The purpose of the evaluation is to document whether an educational intervention incorporating aspects of virtual reality (VR) via a 3D online simulation experience prevents or improves the primary endpoint of burnout and the secondary endpoints of burnout-related factors in medical students. The investigators will also will evaluate student satisfaction with the intervention to determine if it meets our standard of success. The hypothesis is that the intervention will improve the primary clinical endpoint of burnout from pre-intervention to post-intervention as measured by the Maslach Burnout Inventory, a validated inventory that is widely used to measure burnout. The related factors that will be measured as secondary clinical endpoints include quality of life, substance use (alcohol and drugs), depression, and resilience. Due to evidence that these endpoints are linked to burnout, the investigators also hypothesize that the measures will improve pre- to post-intervention. Satisfaction of the target audience after completing the simulation intervention will also be evaluated. The evaluation will be prior to and after use of the simulation by medical student participants, using a pre-/post intervention, wait-list control, parallel design.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
73

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started May 2022

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 10, 2020

Completed
21 days until next milestone

First Posted

Study publicly available on registry

July 31, 2020

Completed
1.8 years until next milestone

Study Start

First participant enrolled

May 11, 2022

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2022

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

July 31, 2022

Completed
1.4 years until next milestone

Results Posted

Study results publicly available

December 15, 2023

Completed
Last Updated

December 15, 2023

Status Verified

December 1, 2023

Enrollment Period

2 months

First QC Date

July 10, 2020

Results QC Date

September 27, 2023

Last Update Submit

December 13, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Burnout Change

    Burnout was measured using the Maslach Burnout Inventory (modified). This scale uses items to assess emotional exhaustion, and depersonalization, and measure the sense of personal accomplishment. Selected items were used to make it relevant to medical students experience. It was modified so that for all questions, higher scores indicate higher, and thus more problematic, levels of burnout. A decrease means an improvement; lower values mean more improvement. A positive change means worsening; higher values mean more worsening. Range: Minimum total value 0, Maximum total value 96. The Outcome Measure is the amount of Burnout Change from baseline (evaluation point #1) to evaluation point #2. Burnout Change is calculated for the intervention group pre intervention and 2 weeks post intervention (case) and pre intervention and after a 2 week waiting period for the Wait Group (Control) . See Baseline for more details.

    1 months

Secondary Outcomes (5)

  • Alcohol Use Change

    1 months

  • Depression Change

    1 months

  • Resilience Change

    1 months

  • Drug Use Change

    1 months

  • Happiness and Exhaustion (Quality of Life)

    2 weeks- 1 month

Study Arms (2)

Intervention

EXPERIMENTAL

Participants completed the pre-assessments, used the intervention, waited 2-4 weeks, and then completed the assessments again.

Other: Clinical Encounters Medical School 3D Simulation

Wait Group

NO INTERVENTION

Participants completed the pre-assessments, waited 2-4 weeks, and completed the assessments again.

Interventions

A 3D simulation related to coping with the stresses of medical school and burnout.

Intervention

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • US Medical students in years 2-4
  • Has access to a computer with Internet access

You may not qualify if:

  • Self report of active symptoms of major depression

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Clinical Tools, Inc.

Chapel Hill, North Carolina, 27516, United States

Location

MeSH Terms

Conditions

Burnout, PsychologicalDepressionBurnout, Professional

Condition Hierarchy (Ancestors)

Stress, PsychologicalBehavioral SymptomsBehaviorOccupational StressOccupational Diseases

Limitations and Caveats

The study period was brief, to stay within the timeframe of the Small Business Innovation Research (SBIR) Phase II grant. Additional follow-up time and intervention use would be needed to fully assess the impact of the intervention.

Results Point of Contact

Title
Mary Metcalf, PhD, MPH
Organization
Clinical Tools, Inc.

Study Officials

  • Mary P Metcalf, PhD

    Clinical Tools, Inc.

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 10, 2020

First Posted

July 31, 2020

Study Start

May 11, 2022

Primary Completion

July 1, 2022

Study Completion

July 31, 2022

Last Updated

December 15, 2023

Results First Posted

December 15, 2023

Record last verified: 2023-12

Data Sharing

IPD Sharing
Will not share

Locations