NCT07459868

Brief Summary

Burnout is highly prevalent among oncology clinicians, including residents in training. This prospective, mixed-methods, quasi-experimental study will evaluate how burnout changes over 12 months during the first year of medical oncology residency and explore which work-related, professional identity, and program support factors influence this variation. Residents will participate in a structured self-care and burnout prevention program with multiple modules (e.g., yoga, mindfulness, art therapy, music therapy, Balint groups, workshops, mentorship). Quantitative burnout outcomes will be measured using the Maslach Burnout Inventory (MBI-HSS), and qualitative insights will be collected through individual semi-structured interviews. The study will also describe sociodemographic characteristics, baseline burnout prevalence, participation/adherence, satisfaction, and implementation barriers/facilitators.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
9

participants targeted

Target at below P25 for not_applicable

Timeline
12mo left

Started Mar 2026

Status
not yet recruiting

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress18%
Mar 2026May 2027

First Submitted

Initial submission to the registry

February 16, 2026

Completed
14 days until next milestone

Study Start

First participant enrolled

March 2, 2026

Completed
8 days until next milestone

First Posted

Study publicly available on registry

March 10, 2026

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2027

Expected
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2027

Last Updated

March 11, 2026

Status Verified

March 1, 2026

Enrollment Period

1.1 years

First QC Date

February 16, 2026

Last Update Submit

March 10, 2026

Conditions

Keywords

medical oncology residentsburnout syndromeself care program

Outcome Measures

Primary Outcomes (1)

  • Burnout (MBI-HSS domains). Maslach Buront Inventory

    Maslach Burnout Inventory-Human Services Survey (MBI-HSS) domains: Emotional Exhaustion, Depersonalization, and Personal Accomplishment.

    Baseline and repeated every 3 mmonths during 12 months (per protocol schedule)

Secondary Outcomes (1)

  • Baseline burnout prevalence (baseline).

    At Baseline

Other Outcomes (6)

  • Attendance rate to scheduled program sessions (%)

    throughout 12 months (complete duration of the program)

  • Overall program satisfaction score assessed by post-program satisfaction survey (Likert 1-5)

    At program completion (12 months)

  • Identification of barriers and facilitators to implementation

    Throughout 12 months (complete duration of the program)

  • +3 more other outcomes

Study Arms (1)

Self-Care and Burnout Prevention Program

EXPERIMENTAL

First-year medical oncology residents participate in a structured wellness program delivered over 12 months. Attendance is tracked, and feedback is collected to evaluate satisfaction and implementation.

Behavioral: Self-Care and Burnout Prevention Program

Interventions

(EN): Multi-component wellness program delivered over 12 months (e.g., yoga, mindfulness, art therapy, music therapy, Balint groups, workshops, mentorship). Attendance/adherence is tracked; participant feedback is collected to evaluate satisfaction and implementation barriers/facilitators.

Self-Care and Burnout Prevention Program

Eligibility Criteria

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

You may qualify if:

  • First-year medical oncology residents at FALP; continued residency enrollment; minimum attendance requirement per protocol (≥75%).

You may not qualify if:

  • Maternity leave during the study period.
  • Interruption/withdrawal from the residency program.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (23)

  • Cufer T, Kosty MP; Curriculum Development Subgroup-ESMO/ASCO Global Curriculum Working Group. ESMO/ASCO Recommendations for a Global Curriculum in Medical Oncology Edition 2023. JCO Glob Oncol. 2023 Sep;9:e2300277. doi: 10.1200/GO.23.00277.

    PMID: 37867478BACKGROUND
  • West CP, Dyrbye LN, Rabatin JT, Call TG, Davidson JH, Multari A, Romanski SA, Hellyer JM, Sloan JA, Shanafelt TD. Intervention to promote physician well-being, job satisfaction, and professionalism: a randomized clinical trial. JAMA Intern Med. 2014 Apr;174(4):527-33. doi: 10.1001/jamainternmed.2013.14387.

    PMID: 24515493BACKGROUND
  • Kannai R, Krontal S, Freud T, Biderman A. Balint groups: an effective tool for improving health professionals' perceived well-being. Isr J Health Policy Res. 2024 Aug 1;13(1):31. doi: 10.1186/s13584-024-00618-8.

    PMID: 39085974BACKGROUND
  • Krasner MS, Epstein RM, Beckman H, Suchman AL, Chapman B, Mooney CJ, Quill TE. Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA. 2009 Sep 23;302(12):1284-93. doi: 10.1001/jama.2009.1384.

    PMID: 19773563BACKGROUND
  • Rojas B, Catalan E, Diez G, Roca P. A compassion-based program to reduce psychological distress in medical students: A pilot randomized clinical trial. PLoS One. 2023 Jun 23;18(6):e0287388. doi: 10.1371/journal.pone.0287388. eCollection 2023.

    PMID: 37352295BACKGROUND
  • Joshi SP, Wong AI, Brucker A, Ardito TA, Chow SC, Vaishnavi S, Lee PJ. Efficacy of Transcendental Meditation to Reduce Stress Among Health Care Workers: A Randomized Clinical Trial. JAMA Netw Open. 2022 Sep 1;5(9):e2231917. doi: 10.1001/jamanetworkopen.2022.31917.

    PMID: 36121655BACKGROUND
  • Araujo D, Bartolo A, Fernandes C, Pereira A, Monteiro S. Intervention Programs Targeting Burnout in Health Professionals: A Systematic Review. Iran J Public Health. 2024 May;53(5):997-1008. doi: 10.18502/ijph.v53i5.15580.

    PMID: 38912141BACKGROUND
  • West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet. 2016 Nov 5;388(10057):2272-2281. doi: 10.1016/S0140-6736(16)31279-X. Epub 2016 Sep 28.

    PMID: 27692469BACKGROUND
  • Panagioti M, Geraghty K, Johnson J, Zhou A, Panagopoulou E, Chew-Graham C, Peters D, Hodkinson A, Riley R, Esmail A. Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction: A Systematic Review and Meta-analysis. JAMA Intern Med. 2018 Oct 1;178(10):1317-1331. doi: 10.1001/jamainternmed.2018.3713.

    PMID: 30193239BACKGROUND
  • Hlubocky FJ, Taylor LP, Marron JM, Spence RA, McGinnis MM, Brown RF, McFarland DC, Tetzlaff ED, Gallagher CM, Rosenberg AR, Popp B, Dragnev K, Bosserman LD, Dudzinski DM, Smith S, Chatwal M, Patel MI, Markham MJ, Levit K, Bruera E, Epstein RM, Brown M, Back AL, Shanafelt TD, Kamal AH. A Call to Action: Ethics Committee Roundtable Recommendations for Addressing Burnout and Moral Distress in Oncology. JCO Oncol Pract. 2020 Apr;16(4):191-199. doi: 10.1200/JOP.19.00806. Epub 2020 Mar 30.

    PMID: 32223701BACKGROUND
  • LeNoble CA, Pegram R, Shuffler ML, Fuqua T, Wiper DW 3rd. To Address Burnout in Oncology, We Must Look to Teams: Reflections on an Organizational Science Approach. JCO Oncol Pract. 2020 Apr;16(4):e377-e383. doi: 10.1200/JOP.19.00631. Epub 2020 Feb 19.

    PMID: 32074017BACKGROUND
  • Alabi RO, Hietanen P, Elmusrati M, Youssef O, Almangush A, Makitie AA. Mitigating Burnout in an Oncological Unit: A Scoping Review. Front Public Health. 2021 Oct 1;9:677915. doi: 10.3389/fpubh.2021.677915. eCollection 2021.

    PMID: 34660505BACKGROUND
  • Banerjee S, Califano R, Corral J, de Azambuja E, De Mattos-Arruda L, Guarneri V, Hutka M, Jordan K, Martinelli E, Mountzios G, Ozturk MA, Petrova M, Postel-Vinay S, Preusser M, Qvortrup C, Volkov MNM, Tabernero J, Olmos D, Strijbos MH. Professional burnout in European young oncologists: results of the European Society for Medical Oncology (ESMO) Young Oncologists Committee Burnout Survey. Ann Oncol. 2017 Jul 1;28(7):1590-1596. doi: 10.1093/annonc/mdx196.

    PMID: 28449049BACKGROUND
  • Shanafelt T, Dyrbye L. Oncologist burnout: causes, consequences, and responses. J Clin Oncol. 2012 Apr 10;30(11):1235-41. doi: 10.1200/JCO.2011.39.7380. Epub 2012 Mar 12.

    PMID: 22412138BACKGROUND
  • Sobczuk P, Gawlik-Urban A, Sigorski D, Kiszka J, Osmola M, Machulska-Ciuraj K, Wilk M, Brodziak A. Prevalence and factors associated with professional burnout in Polish oncologists-results of a nationwide survey. ESMO Open. 2024 Feb;9(2):102230. doi: 10.1016/j.esmoop.2023.102230. Epub 2024 Jan 23.

    PMID: 38266421BACKGROUND
  • Schenkel C, Levit LA, Kirkwood K, Shanafelt T, Subbiah IM. Ten-Year Trends in Clinician Well-Being and Burnout Among Oncology Fellows in Training: An ASCO State of Cancer Care in America Study. JCO Oncol Pract. 2025 Jul;21(7):1039-1044. doi: 10.1200/OP.24.00200. Epub 2025 Jan 29.

    PMID: 39879569BACKGROUND
  • Jimenez-Labaig P, Pacheco-Barcia V, Cebria A, Galvez F, Obispo B, Paez D, Quilez A, Quintanar T, Ramchandani A, Remon J, Rogado J, Sanchez DA, Sanchez-Canovas M, Sanz-Garcia E, Sesma A, Tarazona N, Cotes A, Gonzalez E, Bosch-Barrera J, Fernandez A, Felip E, Vera R, Rodriguez-Lescure A, Elez E. Identifying and preventing burnout in young oncologists, an overwhelming challenge in the COVID-19 era: a study of the Spanish Society of Medical Oncology (SEOM). ESMO Open. 2021 Aug;6(4):100215. doi: 10.1016/j.esmoop.2021.100215. Epub 2021 Jul 26.

    PMID: 34325108BACKGROUND
  • Blanchard P, Truchot D, Albiges-Sauvin L, Dewas S, Pointreau Y, Rodrigues M, Xhaard A, Loriot Y, Giraud P, Soria JC, Kantor G. Prevalence and causes of burnout amongst oncology residents: a comprehensive nationwide cross-sectional study. Eur J Cancer. 2010 Oct;46(15):2708-15. doi: 10.1016/j.ejca.2010.05.014. Epub 2010 Jun 4.

    PMID: 20627537BACKGROUND
  • Noronha J, Malik A, Bindhulakshmi P, Karimundackal G. Oncology Residency-a Burning Issue, Results of a Questionnaire-Based Survey on Psychological Well-being of Oncology Residents. Indian J Surg Oncol. 2020 Sep;11(3):387-393. doi: 10.1007/s13193-020-01183-7. Epub 2020 Aug 3.

    PMID: 33013115BACKGROUND
  • Hlubocky FJ, Back AL, Shanafelt TD. Addressing Burnout in Oncology: Why Cancer Care Clinicians Are At Risk, What Individuals Can Do, and How Organizations Can Respond. Am Soc Clin Oncol Educ Book. 2016;35:271-9. doi: 10.1200/EDBK_156120.

    PMID: 27249706BACKGROUND
  • Schenkel C, Levit LA, Kirkwood K, Spence R, Burke JM, Gallagher CM, Garrett-Mayer E, McGinnis M, Morgante JD, Page RD, Paice J, Tetzlaff E, Winer E, Hlubocky FJ, Shanafelt T. State of Professional Well-Being, Satisfaction, and Career Plans Among US Oncologists in 2023. JCO Oncol Adv. 2025 Jan 29;2(1):e2400010. doi: 10.1200/OA.24.00010. eCollection 2025.

    PMID: 39906334BACKGROUND
  • Lim KHJ, Kamposioras K, Elez E, Haanen JBAG, Hardy C, Murali K, O'Connor M, Oing C, Punie K, de Azambuja E, Blay JY, Banerjee S; ESMO Resilience Task Force. ESMO Resilience Task Force recommendations to manage psychosocial risks, optimise well-being, and reduce burnout in oncology. ESMO Open. 2024 Oct;9(10):103634. doi: 10.1016/j.esmoop.2024.103634. Epub 2024 Sep 10.

    PMID: 39461774BACKGROUND
  • Pujol-de Castro A, Valerio-Rao G, Vaquero-Cepeda P, Catala-Lopez F. [Prevalence of burnout syndrome in physicians working in Spain: systematic review and meta-analysis]. Gac Sanit. 2024;38:102384. doi: 10.1016/j.gaceta.2024.102384. Epub 2024 Apr 22. Spanish.

    PMID: 38653640BACKGROUND

MeSH Terms

Conditions

Burnout, PsychologicalBurnout, Professional

Interventions

Self Care

Condition Hierarchy (Ancestors)

Stress, PsychologicalBehavioral SymptomsBehaviorOccupational StressOccupational Diseases

Intervention Hierarchy (Ancestors)

TherapeuticsRehabilitationHealth ServicesHealth Care Facilities Workforce and Services

Study Officials

  • Nicole M Caire, Medical Oncologist

    Fundacion Arturo Lopez Perez

    PRINCIPAL INVESTIGATOR
  • Daniela A Reinhardt, Psychologist

    Fundación Arturo Lopez Pérez

    STUDY CHAIR
  • Victor M Tapia, Drama Therapist

    Fundacion Arturo Lopez Perez

    STUDY CHAIR

Central Study Contacts

Nicole M Caire, Medical Oncologist

CONTACT

Claudia C Chavez, Master of Science in Biostatis

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Model Details: This is a prospective, single-center, quasi-experimental interventional study using a mixed-methods longitudinal design. All eligible first-year medical oncology residents participate in a structured well-being and burnout prevention program delivered over a 12-month period. The intervention consists of recurrent, multimodal group-based sessions (including mindfulness, yoga, art and music therapy, reflective practice, and facilitated group discussions), integrated into the residency curriculum. There is no randomization or parallel control group; each participant serves as their own comparator over time. Quantitative outcomes are assessed repeatedly using validated instruments (Maslach Burnout Inventory), complemented by qualitative data obtained through semi-structured individual interviews. This design allows evaluation of temporal changes in burnout dimensions and exploration of contextual and experiential factors influencing professional well-being.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 16, 2026

First Posted

March 10, 2026

Study Start

March 2, 2026

Primary Completion (Estimated)

March 31, 2027

Study Completion (Estimated)

May 31, 2027

Last Updated

March 11, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will share

Recruitment and Adherence rates to the program Baseline results of the MBI

Shared Documents
STUDY PROTOCOL
Time Frame
Aggregate, de-identified data will be made available after completion of data collection and publication of the primary study results, approximately 6 to 12 months after study completion, and for 3 years after the study completion
Access Criteria
Access will be granted to qualified researchers upon reasonable request for academic, non-commercial purposes. Requests must include a brief research proposal and will be subject to approval by the study investigators. Only aggregate, fully de-identified data will be shared, in accordance with institutional policies and ethical approvals.
More information