Better Together Physician Coaching to Mitigate Burnout in Male-Identifying Trainees

NCT05550753 | Completed

• 1 other identifier: 22-1718
• Study Type: interventional
• Target: 41
• Locations: 1 country
• Sites: 1

Brief Summary

Better Together Physician Coaching ("Better Together", or "BT"), a 4-month, web-based positive psychology multimodal coaching program was built to decrease burnout in medical trainees. Here, the investigators seek to understand it's efficacy in male-identifying trainees at the University of Colorado

• Aim 1: Implement Better Together in for male-identifying trainees in Graduate Medical Education at the University of Colorado.
• Aim 2: Assess outcomes: primary: reduce burnout as measured by the Maslach Burnout Index (goal: 10% relative improvement), and secondary: self-compassion, imposter syndrome, flourishing and moral injury.
• Aim 3: Advance the field of coaching in GME through innovation and dissemination of evidence-based approaches to GME trainee wellbeing.

Conditions

Burnout, Professional; Self Compassion; Flourishing; Imposter Syndrome; Moral Injury

Outcome Measures

Primary Outcomes (1)

• Burnout as defined by the Maslach Burnout Inventory (MBI).

  The Maslach burnout inventory (MBI) is a 22-item measurement of worker burnout which assesses emotional exhaustion (EE), depersonalization (DP), and personal fulfillment (PF) domains. Possible scores range from 0-6 on a Likert scale for each item. Scores of EE ≥ 27 points, DP ≥ 10, and PF \<33 would indicate a high degree of burnout. Scores of EE≤18 points, DP≤5 points, and PF≥40 points would indicate a low degree of burnout.

  pretest will occur prior to the intervention and posttest will occur after the 4-month intervention.

Secondary Outcomes (4)

• Self-Compassion as defined by Neff's Self Compassion Score Short Form (SCS-SF)

  pretest will occur prior to the intervention and posttest will occur after the 4-month intervention

• Moral Injury as defined by the Moral Injury Symptom Scale for Health Professions (MISS-HP)

  pretest will occur prior to the intervention and posttest will occur after the 4-month intervention

• Imposter Syndrome as defined by Young's Imposter Syndrome Symptoms Scale (YISS)

  pretest will occur prior to the intervention and posttest will occur after the 4-month intervention

• Flourishing as defined by the Secure Flourish Index (SFI)

  pretest will occur prior to the intervention and posttest will occur after the 4-month intervention

Study Arms (2)

Intervention

EXPERIMENTAL

Will be offered the BT coaching intervention during of 4-months (February 1st 2023- May 31st 2023).

Behavioral: Better Together Physician Coaching Program

Control

PLACEBO COMPARATOR

Will NOT be offered the BT coaching intervention during of 4-months (February 1st 2023- May 31st 2023). Will be offered the coaching intervention after the study completion (from September 1st 2023 - December 31st 2023).

Behavioral: No intervention - placebo control

Interventions

Better Together Physician Coaching Program BEHAVIORAL

thought-based coaching. This type of coaching focuses on thoughts and beliefs. It combines a cognitive behavioral therapy (CBT) model with mindfulness-based awareness and integrates theories of acceptance and commitment therapy (ACT), nonattachment, and radical questioning from Socratic and Greek philosophies.4 BT delivers a robust coaching experience via a 4-month web-based, group-coaching model. This novel program allows residents to participate as actively as they are inclined and able, offering flexibility via multiple modalities of coaching: twice weekly group coaching calls, unlimited anonymous written coaching, and weekly self-study modules that are housed on a secure members-only website.

Also known as: no intervention, residency as usual

Intervention

No intervention - placebo control BEHAVIORAL

No intervention - placebo control

Control

Eligibility Criteria

• Gender Eligibility Details: self-representation of male-gender identity.
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• trainee (resident or fellow) in graduate medical education at the University of Colorado, who identify as male (cis, transman, gender-queer, non-binary are welcome).

You may not qualify if:

• non-trainee, non male-identifying

Sponsors & Collaborators

• University of Colorado, Denver: lead

Study Sites (1)

University of Colorado School of Medicine

Aurora, Colorado, 80230, United States

Location

Related Publications (6)

• Villwock JA, Sobin LB, Koester LA, Harris TM. Impostor syndrome and burnout among American medical students: a pilot study. Int J Med Educ. 2016 Oct 31;7:364-369. doi: 10.5116/ijme.5801.eac4.

  PMID: 27802178 BACKGROUND

• Mantri S, Lawson JM, Wang Z, Koenig HG. Identifying Moral Injury in Healthcare Professionals: The Moral Injury Symptom Scale-HP. J Relig Health. 2020 Oct;59(5):2323-2340. doi: 10.1007/s10943-020-01065-w.

  PMID: 32681398 BACKGROUND

• Kelly-Hedrick M, Rodriguez MM, Ruble AE, Wright SM, Chisolm MS. Measuring Flourishing Among Internal Medicine and Psychiatry Residents. J Grad Med Educ. 2020 Jun;12(3):312-319. doi: 10.4300/JGME-D-19-00793.1.

  PMID: 32595851 BACKGROUND

• Fainstad T, Mann A, Suresh K, Shah P, Dieujuste N, Thurmon K, Jones CD. Effect of a Novel Online Group-Coaching Program to Reduce Burnout in Female Resident Physicians: A Randomized Clinical Trial. JAMA Netw Open. 2022 May 2;5(5):e2210752. doi: 10.1001/jamanetworkopen.2022.10752.

  PMID: 35522281 BACKGROUND

• Maslach, C., Jackson, S. E., & Leiter, M. P. (1997). Maslach Burnout Inventory: Third edition. In C. P. Zalaquett & R. J. Wood (Eds.), Evaluating stress: A book of resources (pp. 191-218). Scarecrow Education.

  RESULT

• Neff KD. Self-Compassion Scale. PsycTESTS Dataset. 2012. doi:10.1037/t10178-000

  RESULT

MeSH Terms

Conditions

Burnout, Professional; imposter syndrome; Stress Disorders, Post-Traumatic

Condition Hierarchy (Ancestors)

Occupational Stress; Occupational Diseases; Burnout, Psychological; Stress, Psychological; Behavioral Symptoms; Behavior; Stress Disorders, Traumatic; Trauma and Stressor Related Disorders; Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Data will be de-identified prior to analysis
• Purpose: TREATMENT
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This is a randomized controlled trial. All enrolled participants will complete the pretest baseline survey. After baseline data collection is completed, the participants will be randomized into either a control or intervention group. This randomized controlled trial study design will offer the BT coaching to the intervention group for the during of 4-months (February 1st 2023- May 31st 2023) and to the control group for the duration of 4-months (September 1st 2023 - December 31st 2023). At two different timepoints, all participants will be offered surveys containing the following validated indices: burnout, imposter syndrome, self-compassion, moral injury, discrimination, and flourishing. All participants will be offered the survey at baseline- January 2023 (T0), post intervention- May 2023 (T1).

Study Record Dates

• First Submitted: September 19, 2022
• First Posted: September 22, 2022
• Study Start: January 2, 2023
• Primary Completion: September 1, 2023
• Study Completion: September 1, 2023
• Last Updated: September 28, 2023

Record last verified: 2023-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)