Resident Well-being and Performance

NCT06149156 | Completed

• 3 other identifiers: 2023-1432A171600IRB Approval 2/9/2024
• Study Type: interventional
• Target: 508
• Locations: 1 country
• Sites: 1

Brief Summary

This project aims to investigate the effectiveness of a meditation intervention utilizing a smart phone-based meditation app on resident burnout, well-being, and performance self-efficacy in a randomized clinical trial. 500 participants will be enrolled for a 4 week intervention.

Conditions

Burnout, Psychological

Keywords

Residency; Well-being; Physician Health; Physician Burnout; Mindfulness; Mobile health

Outcome Measures

Primary Outcomes (1)

• Change in Stress Measured by the Perceived Stress Scale

  The Perceived Stress Scale is a 10-item scale where participants report their level of perceived stress (e.g., "In the last week, how often have you felt nervous and 'stressed'?"). It is scored on a 5-point Likert scale where 0 = "never" to 4 = "very often." Total scores range from 0 to 40 where higher scores indicate greater perceived stress.

  baseline, week 1, week 2, week 3, week 4, 3 months

Secondary Outcomes (11)

• Change in Burnout Measured by the Abbreviated Maslach Burnout Inventory: Personal Accomplishment Dimension

  baseline, 4 weeks, 3 months

• Change in Burnout Measured by the Abbreviated Maslach Burnout Inventory: Depersonalization and Emotional Exhaustion Dimensions

  baseline, 4 weeks, 3 months

• Change in Flourishing Measured by the Flourishing Index Score

  baseline, 4 weeks, 3 months

• Change in Resilience Measured by the Brief Resilience SCale

  baseline, 4 weeks, 3 months

• Change in Sleep Disturbance Measured by Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance Score

  baseline, 4 weeks, 3 months

Other Outcomes (2)

• Change in Digital Working Alliance Inventory

  4 weeks

• Acceptability, Appropriateness, and Feasibility of Intervention

  4 weeks

Study Arms (2)

Healthy Minds Program (HMP) intervention

EXPERIMENTAL

Participants will receive access to the 4-week HMP Foundations module. The HMP app is a meditation-based smartphone app designed to promote and protect psychological well-being through sustainable skills training. The program is grounded in constituents of psychological well-being identified in empirical literature. HMP provides core content, with instruction administered through a curriculum of guided practices. HMP is based on research on eudaimonic well-being (e.g., environmental mastery, purpose) and brain-based skills that underlie these qualities (e.g., regulation of attention, mental flexibility). The full HMP has guided audio practices that address 4 constituents of well-being: awareness, connection, insight, and purpose. At post-treatment, participants will be given access to additional HMP content to support their continued practice.

Behavioral: Healthy Minds Program App

Waitlist Control

ACTIVE COMPARATOR

Participants will receive a list of well-being resources. They will be given access to HMP at the end of the study.

Behavioral: Well-being Resources

Interventions

Healthy Minds Program App BEHAVIORAL

The four-week intervention comprises two introductory lessons and guided meditations followed by one week of content for each pillar of well-being. Each week includes two brief lessons (5-7 minutes) with education on the scientific research behind the practices, as well as examples of how to strengthen the skills of each pillar in daily life, along with three guided meditations for which the participant can select the practice length (5-30 minutes).

Healthy Minds Program (HMP) intervention

Well-being Resources BEHAVIORAL

List of well-being resources that comprises of online video links and books

Waitlist Control

Eligibility Criteria

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

You may qualify if:

• Resident in a high burnout rate specialty: family medicine, internal medicine, obstetrics and gynecology, emergency medicine, general surgery, or surgical sub-specialty (plastic surgery, urology, neurosurgery, orthopedic surgery, vascular surgery, cardiothoracic surgery, otolaryngology, ophthalmology)

You may not qualify if:

• Participants who have previously used the HMP (a version of HMP has been freely available to the public since 2020)
• Participants who have been practicing meditation daily or almost daily for the prior six months

Sponsors & Collaborators

• University of Wisconsin, Madison: lead

Study Sites (1)

University of Wisconsin School of Medicine and Public Health

Madison, Wisconsin, 53792, United States

Location

MeSH Terms

Conditions

Burnout, Psychological

Condition Hierarchy (Ancestors)

Stress, Psychological; Behavioral Symptoms; Behavior

Study Officials

• Simon Goldberg

  University of Wisconsin, Madison

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 20, 2023
• First Posted: November 28, 2023
• Study Start: February 21, 2024
• Primary Completion: December 1, 2024
• Study Completion: December 1, 2024
• Last Updated: May 1, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)