Burn Out Among Medical Family Doctors (BOUM)

Study of the Prevalence, Risk Factors and Protective Factors of Burnout Among General Practitioners in France

The main objective of this study is to assess the burnout prevalence among French general practitioners in private practice.

As secondary outcomes, this study aim to measure the impact of sociodemographic variables, organizational practice models and workload. the investigators also intend to characterize the prevalence of depression, anxiety, fatigue and stress, drugs and alcohol consumption, use of psychotropic medication, and preferred strategies to cope with their symptoms.

Study Overview

• Status: Unknown
• Conditions: Depressive Disorder; Burnout, Professional; Occupational Stress; Anxiety; Mental Health Wellness 1

Detailed Description

The BOUM protocol is designed to provide a better understanding of the current burnout prevalence among French general practitioners, as well as its risk and protective factors.

In order to fulfil those objectives, the methodologist estimated a 1536 individuals sample size, using an expected prevalence of severe burnout ranged between 10% and 20% (from the the EGPRN study - Soler, J.K., et al., Burnout in European family doctors: the EGPRN study. Family Practice, 2008. 25(4): p. 245-265), thus allowing the investigators to retrieve results with a 95% confidence level and a 2% error margin.

All analyses will be performed in a bilateral formulation for a 5% alpha error under the Stata® software (version 13, StataCorp, College Station, US). A difference will be considered statistically significant for p<0.05. The population will be described as frequency and percentage for the categorical variables, and as mean ± standard deviation or median [interquartile range] for the quantitative variables, according to their statistical distribution (normality studied by the Shapiro-Wilk test). Confidence intervals for population prevalence will be characterised with a binomial test. Comparisons between groups of burnout will be performed using Chi2 or Fisher's exact test for the categorical variables (followed by a Marascuillo post-hoc tests if needed), and by an ANOVA or Kruskal-Wallis test if normality and homoscedasticity not respected (Bartlett test) for the quantitative variables (followed by Tukey-Kramer or Dunn tests when necessary). Finally, considering the variables clinically relevant and those with a pertinent univariate analysis results, a multivariate analyse of ordinal polynomial regression type will be proposed; its results will be expressed as relative risk with 95% confidence intervals and presented as a Forest-plot.

• Study Type: Observational
• Enrollment (Anticipated): 1536

Contacts and Locations

Study Locations

• France
  • Auvergne
    • Clermont-Ferrand, Auvergne, France, 63000
      • Recruiting
      • CHU Clermont Ferrand

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Study Population

General practitioners working in France

Description

Inclusion Criteria:

• General practitioners working in France

Exclusion Criteria:

• None

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Burnout in French General Practitioners	To evaluate the burnout prevalence in French General Practitioners, using the Maslach Burn-Out Inventory questionnaire	Day 1

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Anxiety	Hospital Anxiety and Depression scale will be assessed and related to with demographic information and occupational characteristics	Day 1
Depression	Hospital Anxiety and Depression scalewill be assessed and related to with demographic information and occupational characteristics	Day 1
Stress	Visual analog scale will be assessed and related to with demographic information and occupational characteristics	Day 1
Fatigue	Visual analog scale will be assessed and related to with demographic information and occupational characteristics	Day 1
sleep disturbance	Validated questionnaire will be assessed and related to with demographic information and occupational characteristics	Day 1
Psychiatric history and clinical approaches	Participants will be asked about any previous psychiatric diagnosis, suicidal attempt, use of any psychotropic medication and usual stress management approaches.	Day 1
Addictive behaviors	Alcohol, tobacco and other psychotropic drugs consumption, through questionnaires assessment	Day 1

Collaborators and Investigators

• Sponsor: University Hospital, Clermont-Ferrand
• Collaborators: UFR Médecine & Pharmacie - Université Clermont Auvergne

Study record dates

Study Major Dates

• Study Start (ACTUAL): November 1, 2016
• Primary Completion (ANTICIPATED): June 1, 2021
• Study Completion (ANTICIPATED): June 1, 2022

Study Registration Dates

• First Submitted: January 22, 2020
• First Submitted That Met QC Criteria: January 24, 2020
• First Posted (ACTUAL): January 27, 2020

Study Record Updates

• Last Update Posted (ACTUAL): January 27, 2020
• Last Update Submitted That Met QC Criteria: January 24, 2020
• Last Verified: January 1, 2020

More Information

Terms related to this study

• Keywords: General Practitioners; Private Practice; Surveys and Questionnaires; Behavior and Behavior Mechanisms; Models, Organizational; Test Anxiety Scale; Cross-Sectional Studies
• Additional Relevant MeSH Terms: Behavioral Symptoms; Mental Disorders; Mood Disorders; Stress, Psychological; Occupational Diseases; Depressive Disorder; Burnout, Professional; Burnout, Psychological; Occupational Stress
• Other Study ID Numbers: 2016 BOUM

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No