Mindfulness and Intercare Based Intervention for Physicians Burnout Reduction (MIIB)

Physicians Burnout: Cause, Consequence and Mindfulness and Intercare Based Intervention for Physicians Burnout Reduction

During the coronavirus disease 2019 (COVID19) pandemic, many physicians have presented burnout. A range of associated factors need to be considered for effective prevention and intervention. Objective 1: To assess the association of burnout in medical doctors with individual factors, self-reported medical errors, medical leave, and demands of the work environment demand. Objective 2: to assess the effectiveness of a online mindfulness, compassion and intercare based intervention to reduce burnout.

Study Overview

• Status: Completed
• Conditions: Burnout; Mental Health Wellness 1
• Intervention / Treatment: Behavioral: Mindfulness and intercare based intervention

• Study Type: Interventional
• Enrollment (Actual): 795
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Chile
  • Santiago, Chile
    • University Diego Portales

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Physicians enrolled in the database of the medical college of Chile

Exclusion Criteria:

• Recent Grief
• Severe acute depression disorder
• Active suicidal ideation
• Active Psychosis
• Active addiction
• Post Traumatic Stres Disorder

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Mindfulness, compassion and intercare based Intervention; An Eight week mindfulness and intercare group online program.	Behavioral: Mindfulness and intercare based intervention; Eight week online program based on mindfulness, compassion and intercare intervention. A two hour synchronic online session every week plus daily homework based on meditation and journaling exercises. The topics covered in the program are mindfulness meditation, cognitive behavioral therapy exercises, gratitude and acceptance, compassion and self compassion exercises, conservation of resources theory and intercare.
No Intervention: Waiting list; Psychological support if needed. No other intervention.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Maslach Burnout Inventory - Human Services	Burnout was evaluated with Maslach Burnout Inventory for Human Services. Continuous variable for burnout total score, emotional exhaustion, depersonalization and accomplishment. Dichotomous variable was used for burnout syndrome using two common cut-off point criteria and a new proposal.	Baseline
Maslach Burnout Inventory - Human Services	Burnout was evaluated with Maslach Burnout Inventory for Human Services. Continuous variable for burnout total score, emotional exhaustion, depersonalization and accomplishment. Dichotomous variable was used for burnout syndrome using two common cut-off point criteria and a new proposal.	3 months
Maslach Burnout Inventory - Human Services	Burnout was evaluated with Maslach Burnout Inventory for Human Services. Continuous variable for burnout total score, emotional exhaustion, depersonalization and accomplishment. Dichotomous variable was used for burnout syndrome using two common cut-off point criteria and a new proposal.	6 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Demands of the work environment - Psychosocial Factors Questionnaire 75. (PFQ-75-SF)	Demands of the work environment were evaluated with an adaptation of the Psychosocial Factors Questionnaire 75.	Baseline
Demands of the work environment - Psychosocial Factors Questionnaire 75. (PFQ-75-SF)	Demands of the work environment were evaluated with an adaptation of the Psychosocial Factors Questionnaire 75.	3 months
Demands of the work environment - Psychosocial Factors Questionnaire 75. (PFQ-75-SF)	Demands of the work environment were evaluated with an adaptation of the Psychosocial Factors Questionnaire 75.	6 months
Medical error perception - Medical Error Checklist General (MECG)	Medical error perception was evaluated with an adaptation of the Medical Error Checklist.	Baseline
Medical error perception - Medical Error Checklist General (MECG)	Medical error perception was evaluated with an adaptation of the Medical Error Checklist.	3 months
Medical error perception - Medical Error Checklist General (MECG)	Medical error perception was evaluated with an adaptation of the Medical Error Checklist.	6 months
Medical Leave	Days of medical leave if needed	Baseline
Medical Leave	Days of medical leave if needed	3 months
Medical Leave	Days of medical leave if needed	6 months
Personality - The Big Five Inventory-2 Short Form (BFI-2-S)	As individual factors were measured Personality with a short version of the Big Five Questionnaire The Big Five Inventory-2 Short Form (BFI-2-S)	Baseline
Mental Health - Mental Health Continuum Scale- Short Form	Mental Health - Mental Health Continuum Scale- Short Form (MHC-14): Mental health can be defined as a state in which an individual realizes his or her own abilities, can cope with the stresses of life, can work productively and can make a contribution,and is described by Corey L. Keyes in 3 main dimensions; emotional well being, psychological well being and social well being. It is a Likert from 0 to 5 with a total of 14 ítems and 3 main subdimensions: emotional well being (BE, 3 ítems), psychological well being (BP, 5 ítems) y social well being.(PS, 6 ítems). It as a total score of 70 and a minium of 0. The higher the better mental health.	Baseline
Mental Health - Mental Health Continuum Scale- Short Form	Mental Health - Mental Health Continuum Scale- Short Form (MHC-14): Mental health can be defined as a state in which an individual realizes his or her own abilities, can cope with the stresses of life, can work productively and can make a contribution,and is described by Corey L. Keyes in 3 main dimensions; emotional well being, psychological well being and social well being. It is a Likert from 0 to 5 with a total of 14 ítems and 3 main subdimensions: emotional well being (BE, 3 ítems), psychological well being (BP, 5 ítems) y social well being.(PS, 6 ítems). It as a total score of 70 and a minium of 0. The higher the better mental health.	3 months
Mental Health - Mental Health Continuum Scale- Short Form	Mental Health - Mental Health Continuum Scale- Short Form (MHC-14): Mental health can be defined as a state in which an individual realizes his or her own abilities, can cope with the stresses of life, can work productively and can make a contribution,and is described by Corey L. Keyes in 3 main dimensions; emotional well being, psychological well being and social well being. It is a Likert from 0 to 5 with a total of 14 ítems and 3 main subdimensions: emotional well being (BE, 3 ítems), psychological well being (BP, 5 ítems) y social well being.(PS, 6 ítems). It as a total score of 70 and a minium of 0. The higher the better mental health.	6 months
Five Facet Mindfulness Questionnaire Short Form (FFMQ-SF)	Mindfulness is defined as the ability to pay attention to our own experiences without judging them. The Five Facet Mindfulness Questionnaire Short Form was used, which consists of 24 questions that look for the 5 facets of mindfulness: observe, describe, act aware, non-judge and no-react.	Baseline
Five Facet Mindfulness Questionnaire Short Form (FFMQ-SF)	Mindfulness is defined as the ability to pay attention to our own experiences without judging them. The Five Facet Mindfulness Questionnaire Short Form was used, which consists of 24 questions that look for the 5 facets of mindfulness: observe, describe, act aware, non-judge and no-react.	3 months
Five Facet Mindfulness Questionnaire Short Form (FFMQ-SF)	Mindfulness is defined as the ability to pay attention to our own experiences without judging them. The Five Facet Mindfulness Questionnaire Short Form was used, which consists of 24 questions that look for the 5 facets of mindfulness: observe, describe, act aware, non-judge and no-react.	6 months
Self compassion scale Short form (SCS-SF)	Self compassion is understood as maintenance of full attention and opening without disconnecting from self's suffering with the desire to alleviate it in a non judgemental way, comprehending the own experience as a part of the human experience. The "Self Compassion Scale Short Form - 12 a scale of 6 sub domains was used.	Baseline
Self compassion scale Short form (SCS-SF)	Self compassion is understood as maintenance of full attention and opening without disconnecting from self's suffering with the desire to alleviate it in a non judgemental way, comprehending the own experience as a part of the human experience. The "Self Compassion Scale Short Form - 12 a scale of 6 sub domains was used.	3 months
Self compassion scale Short form (SCS-SF)	Self compassion is understood as maintenance of full attention and opening without disconnecting from self's suffering with the desire to alleviate it in a non judgemental way, comprehending the own experience as a part of the human experience. The "Self Compassion Scale Short Form - 12 a scale of 6 sub domains was used.	6 months

Collaborators and Investigators

• Sponsor: University Diego Portales

Study record dates

Study Major Dates

• Study Start (Actual): October 30, 2020
• Primary Completion (Actual): September 30, 2021
• Study Completion (Actual): September 30, 2021

Study Registration Dates

• First Submitted: August 12, 2021
• First Submitted That Met QC Criteria: August 16, 2021
• First Posted (Actual): August 19, 2021

Study Record Updates

• Last Update Posted (Actual): May 20, 2022
• Last Update Submitted That Met QC Criteria: May 16, 2022
• Last Verified: May 1, 2022

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Behavioral Symptoms; Stress, Psychological; Burnout, Psychological
• Other Study ID Numbers: 17-2020

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

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