Identifying Mental Health Distress in EM Physicians

NCT05606887 | Completed

• 1 other identifier: 0852220
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

This project seeks to develop and test provider-centered strategies that improve the detection and facilitate the treatment of physiologic and mental health symptoms in emergency medicine physicians. This will be done by investigating the feasibility and acceptability of wearable device and EMA feedback with personalized linkage to an evidence-based mental health platform at the University of Pennsylvania Health System.

Conditions

Burnout, Professional

Outcome Measures

Primary Outcomes (4)

• Feasibility of Intervention (FIM)

  Feasibility will be measured by the Feasibility of Intervention Measure (FIM)

  Through study completion, on average 6 months

• Feasibility of Intervention (Study Retention)

  Feasibility will be measured by study retention

  Through study completion, on average 6 months

• Acceptability of Intervention (AIM)

  Acceptability will be measured by the validated Acceptability of Intervention Measure.

  Through study completion, on average 6 months

• Acceptability of Intervention (EMA Completion Rates)

  Acceptability will be measured by the open/completion rates of ecological momentary assessment.

  Through study completion, on average 6 months

Secondary Outcomes (4)

• Anxiety

  Through study completion, on average 6 months

• Depression

  Through study completion, on average 6 months

• Professional Burnout

  Through study completion, on average 6 months

• Post-Traumatic Stress Disorder

  Through study completion, on average 6 months

Study Arms (2)

Intervention

EXPERIMENTAL

In addition to completing 3 surveys over the course of 6 months, participants in the intervention arm will be asked to wear a wearable device (FitBit Charge 5), complete texting-based ecological momentary assessments to gauge real-time feelings of stress, and receive bi-weekly personalized data dashboards to report back their data.

Other: Wearable Device and Ecological Momentary Assessments

Control

NO INTERVENTION

Participants randomized to this arm will receive digital surveys over the course of 6 months (one at baseline, one at 3 months, and one at 6 months). These surveys will be the same as the intervention arm and will ask questions related to burnout, anxiety, depression, PTSD, and stress.

Interventions

Wearable Device and Ecological Momentary Assessments OTHER

The intervention will consist of three components: 1. Completion of brief text-message based surveys 2-3 times per week 2. Wearing a wrist-based wearable device to generate individual data insights on physiological data related to stress and well-being, including heart rate variability, stress scores, and sleep quality 3. Individual biweekly reports of survey response trends and curated resources intended to support participant well-being

Intervention

Eligibility Criteria

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

You may qualify if:

• years of age or older
• Emergency Medicine (EM) physician or advanced practice provider
• Daily access to smart phone
• Ability to use a wrist-worn wearable device
• Has or is willing to create a Gmail / Google account
• Provides at least 20 hours per week of clinical care.

You may not qualify if:

• Under 18
• Not a Penn EM physician or advanced practice provider
• Does not have daily access to a smart phone
• Unwilling or unable to wear a wearable device
• Does not have or is unwilling to create a Gmail / Google account
• Does not provide at least 20 hours per week of clinical care

Sponsors & Collaborators

• University of Pennsylvania: lead
• Emergency Medicine Foundation: collaborator

Study Sites (1)

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

MeSH Terms

Conditions

Burnout, Professional

Interventions

Wearable Electronic Devices; Ecological Momentary Assessment

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Electrical Equipment and Supplies; Equipment and Supplies; Psychological Tests; Behavioral Disciplines and Activities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Given the nature of the intervention (i.e., participants in the intervention arm receiving a wearable device and investigators and analysts reviewing biometric data for this group), the study will not be masked.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participants will be assigned to the intervention arm (with wearable devices or EMAs) or control (survey-only) in parallel and will remain in their assigned arm throughout their participation in the survey.

Study Record Dates

• First Submitted: October 26, 2022
• First Posted: November 7, 2022
• Study Start: October 3, 2023
• Primary Completion: June 10, 2024
• Study Completion: June 10, 2024
• Last Updated: February 28, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)