Solving Wellness: An Initiative to Enhance Canadian Healthcare Provider Wellness

December 5, 2023 updated by: Hopital Montfort
Given the high incidence of burnout, depression, and suicidal ideation among Canadian healthcare providers (HCPs), there is an urgent need to support wellness through strengthening peer networks and engaging key stakeholders. This project will explore the capacity of digital tools to educate HCPs and enable them to support their mental health. The investigators will evaluate specific research questions: Are HCPs more aware of their wellness needs? Did burnout and stress decrease? Do HCPs feel more supported by their peers? The overarching objective is to contribute towards a culture prioritizing HCP wellbeing. The investigators hope to achieve this through two outcome-oriented objectives: 1) to create resources to promote HCP wellbeing and 2) to foster a web-based HCP community. This initiative integrates big data tools, interactive online content, and the Solving Healthcare podcast to improve HCP wellness. It is anticipated that HCPs will become more aware of their wellness needs, and once they are able to identify strategies to live healthier work lives, cultural changes will take place, leading to a new attitude surrounding HCP mental health. To complete these objectives, resources will be drawn from the HELP-MD physician database and an advisory circle, and will be disseminated via a web platform and the widely known Solving Healthcare podcast. The project's significance stems from the changes it will incite in both individuals and health care institutions, inspiring long term changes in workplace culture and teaching the next generation that a balanced work life is attainable.

Study Overview

Status

Completed

Study Type

Interventional

Enrollment (Actual)

53

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Ontario
      • Ottawa, Ontario, Canada, K1K0T1
        • Montfort Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Description

Participant Inclusion Criteria Healthcare providers who are

  • aged 18 years or older
  • physicians, residents, medical students, nurses, and allied health professionals of various specialties at the Montfort Hospital and will also be open to Canadian medical professionals (physicians, residents, medical students, nurses, and allied health professionals).

Participant exclusion criteria: Healthcare providers who have previously enrolled as a member of Solving Wellness prior to project start.

Stakeholder staff inclusion criteria:

Employees who are

  • aged 18 years or older; and
  • whose roles provide them with direct knowledge of topics relating to physician wellness at the Montfort Hospital and of the interventions implemented during the study period (e.g., senior physicians, experts on physician wellness, health system decision makers, mental health experts, health care service managers, nurse managers, ICU managers, medical site lead, directors or department heads).

Stakeholder staff exclusion criteria: Any employees who are involved in the project design and execution (ie. advisory circle members or research team members)

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Solving Wellness Platform Group
Participants will receive a 1-year membership to the Solving Wellness virtual platform containing interactive wellness resources.
Interactive wellness resources available include a wide range of curated content and resources including fitness and yoga classes, cooking classes, webinars on sleep and various mental health topics including resilience, stress management, relationships and mindfulness, and resources including e-books, videos and guided meditations. Online discussion groups will foster awareness for specific issues and allow casual discussion. A curated collection of links to additional resources including the Solving Healthcare podcast will also be provided.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Reduction in healthcare provider burnout
Time Frame: 12 months
As measured by the administration of the Maslach Burnout Inventory (MBI) at Months 1 and 12 of the intervention phase. The MBI is a 22 question survey which evaluates 3 subscales; emotional exhaustion, depersonalization and reduced personal accomplishment. Each question is rated from 1 to 5, where 1 is strongly disagree and 5 is strongly agree. A high score on the emotional exhaustion subscale (27+) coupled with a high score on the depersonalization scale (10+) indicates that the individual may be experiencing 1+ symptoms of burnout.
12 months
Reduction in healthcare provider stress
Time Frame: 12 months
As measured by the administration of the Perceived Stress Scale (PSS) at Months 1 and 12 of the intervention phase. The PSS consists of 10 questions, answered on a scale of 0-4 depending on the frequency of which the behavior is observed, with 0 indicating "never" and 4 indicating "very often". Overall, a score of 0 indicates low stress, while a score of 40 indicates an individual with high perceived stress levels.
12 months
Increase in perceived peer support
Time Frame: 12 months
A pre/post intervention staff questionnaire will measure this outcome quantitatively through the inclusion of questions relating to the degree of perceived peer support , and measured qualitatively by thematic analysis of post-intervention focus group discussions with study participants and staff stakeholders.
12 months
Increased awareness of personal wellness needs
Time Frame: 12 months
A pre/post intervention staff questionnaire will measure this outcome quantitatively through the inclusion of questions relating to the degree that wellness is considered daily, and measured qualitatively by thematic analysis of post-intervention focus group discussions with study participants and staff stakeholders.
12 months
Increased ability to apply wellness practices to daily life
Time Frame: 12 months
A pre/post intervention staff questionnaire will measure this outcome quantitatively through the inclusion of questions relating to the degree that wellness is considered daily, and qualitatively measured by thematic analysis of post-intervention focus group discussions with study participants and staff stakeholders.
12 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Kwadwo Kyeremanteng, MD, The Ottawa Hospital

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 31, 2022

Primary Completion (Actual)

April 30, 2023

Study Completion (Actual)

June 30, 2023

Study Registration Dates

First Submitted

July 12, 2021

First Submitted That Met QC Criteria

July 12, 2021

First Posted (Actual)

July 21, 2021

Study Record Updates

Last Update Posted (Actual)

December 6, 2023

Last Update Submitted That Met QC Criteria

December 5, 2023

Last Verified

December 1, 2023

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

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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