- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03759795
Bournemouth University Resilience Training for Surgeons (BURTS)
Ameliorating the Impact of Complications and Errors on Surgeons: Resilience Training for Surgeons.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Research in a range of occupational settings has indicated that resilience plays an important role in ameliorating the impact of adverse events in high pressure environments. This project will use a randomised controlled trial research design to assess the efficacy of brief one-to-one Acceptance and Commitment Training (ACTr), designed to enhance surgeons' psychological resilience. According to the model ACTr is based on, psychopathology is primarily the consequence of psychological inflexibility i.e. inability to persist or change behaviour according to long-term values due to language and cognition skills, which has particular significance when an individual is confronted with stress or adversity.
The main aim of this research is to assess the efficacy of a brief one-to-one Acceptance and Commitment Training course. Researchers wish to ascertain whether such a course can increase surgeons' resilience by increasing psychological flexibility, valuing and self-compassion (all of which are expected to be positively impacted by this training). This research will fill a gap in the relevant research literature; namely that no research project as far as we are aware has evaluated ACTr as a means to enhance resilience in surgeons. In fact any research conducted on resilience training with a surgical population is rare.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Bournemouth, United Kingdom, BH7 7DW
- Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
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Poole, United Kingdom, BH15 2JB
- Poole Hopsital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Trainee surgeons and consultant surgeons
Exclusion Criteria:
None
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention Group
Acceptance and Commitment Training (ACTr)
|
The programme is based on Acceptance and Commitment Training (ACT), a contemporary, empirically supported approach to psychological well-being.
|
No Intervention: Wait-list control
No intervention during trial.
Participants in this group will be offered the training once the study is complete.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Resilience - Brief Resilience Scale (BRS)
Time Frame: 20 weeks
|
A self-report measure of psychological resilience.
Higher values represent a better outcome.
|
20 weeks
|
General Health - General Health Questionnaire (GHQ-12).
Time Frame: 20 weeks
|
A self reported measure of minor psychological symptomology in a non-clinical population.
|
20 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
CBI (Copenhagen Burnout Inventory)
Time Frame: 20 weeks
|
A self-report measure of vulnerability to burnout.
Lower values represent a better outcome.
|
20 weeks
|
DASS21 (Depression Anxiety and Stress Scale)
Time Frame: 20 weeks
|
A self-report measure of depression, stress and anxiety.
Lower values represent a better outcome.
|
20 weeks
|
VLQ (Value Living Questionnaire)
Time Frame: 20 weeks
|
A self-report measure of valuing.
Higher values represent a better outcome.
|
20 weeks
|
WAAQ (Work related Acceptance and Action Questionnaire)
Time Frame: 20 weeks
|
A self-report measure of work related psychological flexibility.
Higher values represent a better outcome.
|
20 weeks
|
AAQII (Acceptance and Action Questionnaire)
Time Frame: 20 weeks
|
A self-report measure of general psychological inflexibility.
Lower values represent a better outcome.
|
20 weeks
|
SCS (Self Compassion Scale)
Time Frame: 20 weeks
|
A self-report measure of self compassion.
Higher values represent a better outcome.
|
20 weeks
|
SPS (Sense of Preparedness Scale)
Time Frame: 20 weeks
|
A self-report measure of preparedness for potential future events.
Higher values represent a better outcome.
|
20 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Helen Bolderston, Bournemouth University
Publications and helpful links
General Publications
- Kunzler AM, Helmreich I, Chmitorz A, Konig J, Binder H, Wessa M, Lieb K. Psychological interventions to foster resilience in healthcare professionals. Cochrane Database Syst Rev. 2020 Jul 5;7(7):CD012527. doi: 10.1002/14651858.CD012527.pub2.
- Shanafelt TD, Balch CM, Bechamps G, Russell T, Dyrbye L, Satele D, Collicott P, Novotny PJ, Sloan J, Freischlag J. Burnout and medical errors among American surgeons. Ann Surg. 2010 Jun;251(6):995-1000. doi: 10.1097/SLA.0b013e3181bfdab3.
- Finnes A, Ghaderi A, Dahl J, Nager A, Enebrink P. Randomized controlled trial of acceptance and commitment therapy and a workplace intervention for sickness absence due to mental disorders. J Occup Health Psychol. 2019 Feb;24(1):198-212. doi: 10.1037/ocp0000097. Epub 2017 Sep 28.
- Flaxman PE, Bond FW. A randomised worksite comparison of acceptance and commitment therapy and stress inoculation training. Behav Res Ther. 2010 Aug;48(8):816-20. doi: 10.1016/j.brat.2010.05.004. Epub 2010 May 8.
- Pinto A, Faiz O, Davis R, Almoudaris A, Vincent C. Surgical complications and their impact on patients' psychosocial well-being: a systematic review and meta-analysis. BMJ Open. 2016 Feb 16;6(2):e007224. doi: 10.1136/bmjopen-2014-007224.
- Balch CM, Shanafelt TD, Dyrbye L, Sloan JA, Russell TR, Bechamps GJ, Freischlag JA. Surgeon distress as calibrated by hours worked and nights on call. J Am Coll Surg. 2010 Nov;211(5):609-19. doi: 10.1016/j.jamcollsurg.2010.06.393. Epub 2010 Sep 20.
- Flaxman P. , Bond, F., Livheim, F. (2013): The Mindful and Effective Employee: An Acceptance and Commitment Therapy Training Manual for Improving Well-Being and Performance. New Harbinger Publications; 2013
- Turner, K., Johnson, C., Thomas, K., Bolderston, H., & McDougall, S. (2016). The impact of complications and errors on surgeons. The Bulletin Of The Royal College Of Surgeons Of England, 98(9), 404-407. doi: 10.1308/rcsbull.2016.404
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 1819/IRASSR/1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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