Evaluation of the Satisfaction and Relevance of Leadership Training for Residents (START)

Evaluation of the Satisfaction and Relevance of Leadership Training for Residents - START Study

Health students are the future actors of the health system. They are exposed to many stressors in their journey. The quality of life of medical students is alarming worldwide: 11.1% of undergraduate and postgraduate residents reportedly have suicidal ideation and 27.2% have depressive symptoms. In addition, 44.2% suffer from burn-out syndrome. In the third cycle, 28.8% suffer from depressive symptoms and 35.1% from burn-out syndrome. This finding is shared internationally among medical residents. Health professionals are facing a global problem which it is crucial to act.

At national level, a survey on the mental health of young doctors carried out in 2017 found, among the 7603 residents who responded a prevalence: 22.8% of depressive symptoms, 59.7% of anxiety symptoms, 23.4% of suicidal thoughts, including 5.0% in the month prior to the survey. In 2018, a French report on the quality of life of health by Dr Donata Marra highlighted a real malaise affecting residents and the need to intervene "for residents, for carers and for patients", through the implementation of specific recommendations. The proposal 6 of the report emphasises the prevention of psychosocial risks through educational interventions such as training in collaborative management. On a personal level, the aim is to the leadership of each individual, in terms of stress management, communication, cross-disciplinary skills or even the introduction of relational simulations in the teaching of an awareness of deviant behaviour and harassment. The stress factors are indeed multiple during health studies confrontation with death, competition, increasing responsibilities… Perceived stress has a negative impact on the quality of life and burnout. Effective stress management strategies could therefore help to improve the quality of life of residents.

In this context, the analysis of the literature highlights three main areas of intervention that could contribute to resident leadership in favour of their quality of life: stress management, healthy living and the construction of a professional identity.

The Junior Leadership programme for residents from the beginning of their professional formation designed to provide basic knowledge and skills in healthcare leadership and to develop cross-disciplinary skills. The aim is to provide the necessary support for the success of the resident's professional project by participating in the improvement of their quality of life and the prevention of psycho-social risks.

The study therefore propose to evaluate the feasibility of training in leadership and meditation on the satisfaction of resident.

Study Overview

• Status: Not yet recruiting
• Conditions: Quality of Life; Medical Residents
• Intervention / Treatment: Diagnostic test: Self-questionnaires

• Study Type: Interventional
• Enrollment (Anticipated): 24
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Marion DOUPLAT, MD; Phone Number: +33 04 78 86 28 54; Email: marion.douplat@chu-lyon.fr
• Study Contact Backup: Name: Anne TERMOZ; Phone Number: +33 04 27 85 63 00; Email: anne.termoz@chu-lyon.fr

Study Locations

• France
  • Oullins, France, 69921
    • Pôle de simulation en Santé de Lyon Sud (PL3S)

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:

• residents assigned to the Hospices Civils de Lyon
• Informed consent given by the resident

Exclusion Criteria:

• Pregnant women, women in labour or nursing mothers
• Persons deprived of their liberty by a judicial or administrative decision
• Persons under psychiatric care
• Persons of full age who are subject to a legal protection measure (guardianship, curatorship)
• Persons who are not affiliated to a social security scheme or who are beneficiaries of a similar scheme

Study Plan

How is the study designed?

Design Details

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

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Cohort of residents; Medical residents undergoing the leadership and meditation training	Diagnostic test: Self-questionnaires; Self-questionnaires on satisfaction, burn-out, depression, anxiety, relational skills and sleep quality

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Description of the satisfaction on the Junior Leadership programme for residents evaluated by the questionnaire recommanded by the HAS	The satisfaction of the residents will be evaluated by a self-questionnaire according to model recommended by the Haute Autorité de Santé (HAS)and used in the framework of the SAMSEI programme (SAMSEI="Stratégies d'Apprentissage des Métiers de Santé en Environnement Immersif" that means in English "Learning Strategies for Healthcare Professions in an Immersive Environment") and the Lyon South Health Simulation Centre. The questionnaire will evaluate the interest, practical usefulness, density of information information, conformity with the objectives, the material conditions of the training, the activity of the participants and the motivation to continue the training.	At 4 months (at the end of the training that lasts around 4 months)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change of proportion of burn-out evaluated the Maslach's burn-out inventory scale	The proportion of residents showing symptoms of burn-out will be assessed by the Maslach's burn-out inventory before training and 3 months, 6 months and 1 year after training.	Before training (baseline) and 3 months, 6 months and 1 year after training
Change int he presence of symptoms of anxiety and depression evaluated by the HADS scale	Anxiety and depression symptoms will be assessed by Hospital Anxiety and Depression Scale (HADS) before training and at 3 months, 6 months and 1 year after training.	Before training (baseline) and 3 months, 6 months and 1 year after training
Change of the real-life stress levels in the professional environment of residents evaluated by the Karasek scale	The stress of residents in their work environment will be assessed using the Karasek scale, which evaluates psychosocial risk factors at work before training and at 3 months, 6 months and and 1 year after the training	Before training (baseline) and 3 months, 6 months and 1 year after training
Change of relational skills evaluated by Cungi and Rey's communication scale	Caregivers' interpersonal skills will be assessed by Cungi and Rey's communication scale at 3 months, 6 months and 1 year after the training.	Before training (baseline) and 3 months, 6 months and 1 year after training
Change of sleep quality of the residents evaluated by the LEEDS scale	The sleep quality of the residents will be assessed by the LEEDS scale before training and at 3 months, 6 months and 1 year after training	Before training (baseline) and 3 months, 6 months and 1 year after training
Change of the use of psychoactive substances by residents collected by questionnaire	The use of psychoactive substances will be collected from residents before the training and at 3 months, 6 months and 1 year after the training	Before training (baseline) and 3 months, 6 months and 1 year after training
Change of the use of medical/psychological by residents collected by questionnaire	The use of medical/psychological support will be collected from residents before the training and at 3 months, 6 months and 1 year after the training.	Before training (baseline) and 3 months, 6 months and 1 year after training
Change of the number of days off for sikness collected by questionnaire	The number of days off sick will be collected from the residents before the training and at 3 months, 6 months and 1 year after the training.	Before training (baseline) and 3 months, 6 months and 1 year after training

Collaborators and Investigators

• Sponsor: Hospices Civils de Lyon

Study record dates

Study Major Dates

• Study Start (Anticipated): October 1, 2022
• Primary Completion (Anticipated): March 1, 2024
• Study Completion (Anticipated): March 1, 2024

Study Registration Dates

• First Submitted: September 21, 2022
• First Submitted That Met QC Criteria: September 26, 2022
• First Posted (Actual): September 30, 2022

Study Record Updates

• Last Update Posted (Actual): September 30, 2022
• Last Update Submitted That Met QC Criteria: September 26, 2022
• Last Verified: September 1, 2022

More Information

Terms related to this study

• Keywords: meditation; leadership; residents
• Other Study ID Numbers: 69HCL21_1273

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