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Interprofessional Group Intervention to Promote Faculty Wellbeing and Engagement

10 maart 2020 bijgewerkt door: Susan Hata, MD, Massachusetts General Hospital
A randomized trial of an interprofessional intervention to reduce burnout and enhance professional engagement in physicians, certified nurse midwives, and nurse practitioners.

Studie Overzicht

Toestand

Voltooid

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

To test the hypothesis that an intervention involving self-facilitated interprofessional group meetings would result in improvement in wellbeing and to determine whether use of a written curriculum provided increased benefit, the following study is conducted:

Practicing clinical faculty in the Department of Obstetrics and Gynecology at the Massachusetts General Hospital were recruited to participate in three monthly small groups over dinner. Participants were randomized to a control group, which met without any specified guidelines for discussion content, or to receive an intervention which consisted of a one-page discussion guide addressing themes relevant to challenges in the healthcare environment: reframing challenging patient interactions; embracing uncertainty in work; and coping with errors, near misses, and bad outcomes. Outcomes included burnout, empowerment and engagement in work, stress from uncertainty assessed using validated metrics, and perception of of collegiality and community.

All participants were also offered the option of participating in evaluation of biomarkers. To test the hypothesis that an increased sense of bonding and relational connection, and reduced stress levels would be reflected by changes in hormone levels during the meeting and over the course of the study. Faculty who opted into this portion of the study gave the following samples:

Urine Oxytocin before and after the first and third group meetings Salivary Oxytocin before and after the first and third group meetings Salivary Cortisol before and after the first and third group meetings Hair Cortisol at the beginning of the study and at the end of the study (a roughly three month interval).

An optional focus group was conducted after the three monthly sessions.

All participants signed a consent form prior to participating in the study.

Studietype

Ingrijpend

Inschrijving (Werkelijk)

25

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

  • Verenigde Staten
    • Massachusetts
      • Boston, Massachusetts, Verenigde Staten, 02114
        • Massachusetts General Hospital

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

  • Kind
  • Volwassen
  • Oudere volwassene

Accepteert gezonde vrijwilligers

Ja

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria:

  • Physican in the Department of Obstetrics and Gynecology at Massachusetts General Hospital
  • Nurse Practitioner in the Department of Obstetrics and Gynecology at Massachusetts General Hospital
  • Certified Nurse Midwife in the Department of Obstetrics and Gynecology at Massachusetts General Hospital

Exclusion Criteria:

  • None

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Ander
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Enkel

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Intervention
Providers were placed in small groups and given the intervention of a discussion guide to facilitate discussion.
Ander: Discussion Guide
Written list of prompts to facilitate discussion
Geen tussenkomst: Control
Providers were placed in small groups and not given a discussion guide to facilitate discussion.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Burnout
Tijdsspanne: Change over the three month study period. Baseline measurement and immediately after final intervention.

Change from baseline in 2 item Maslach Burnout Inventory scores before and after the intervention.

Minimum score: 2; Maximum score: 14 Higher score = more burnt out (worse outcome)
Change over the three month study period. Baseline measurement and immediately after final intervention.
Stress from Uncertainty
Tijdsspanne: Change over the three month study period. Baseline measurement and immediately after final intervention.
Change in scores on Physician Response to Uncertainty Scale before and after intervention Minimum score: 6; Maximum score: 90 Higher score = increased stress due to uncertainty (worse outcome)
Change over the three month study period. Baseline measurement and immediately after final intervention.
Work Engagement
Tijdsspanne: Change over the three month study period. Baseline measurement and immediately after final intervention.
Change in scores on Utrecht Work Engagement Scale before and after intervention Minimum score: 0; Maximum score: 54 Higher score = higher engagement at work (better outcome)
Change over the three month study period. Baseline measurement and immediately after final intervention.
Urine oxytocin
Tijdsspanne: Two samples were taken one hour apart at baseline, and this was repeated three months later.
Change from baseline in the level of urine oxytocin before and after each intervention. This is an exploratory study so the maximum and minimum values are not known, and any change up or down is interesting.
Two samples were taken one hour apart at baseline, and this was repeated three months later.
Salivary Oxytocin
Tijdsspanne: Two samples were taken one hour apart at baseline, and this was repeated three months later
Change from baseline in the level of salivary oxytocin before and after each intervention. This is an exploratory study so the maximum and minimum values are not known, and any change up or down is interesting.
Two samples were taken one hour apart at baseline, and this was repeated three months later
Salivary Cortisol
Tijdsspanne: Two samples were taken one hour apart at baseline, and this was repeated three months later
Change from baseline in the level of salivary cortisol before and after each intervention. This is an exploratory study so the maximum and minimum values are not known, and any change up or down is interesting.
Two samples were taken one hour apart at baseline, and this was repeated three months later
Hair Cortisol
Tijdsspanne: Change over the three month study period. Baseline measurement and immediately after final intervention.
Change from baseline in hair cortisol levels. Maximum and minimum levels are not known and any change up or down is interesting.
Change over the three month study period. Baseline measurement and immediately after final intervention.
Work Empowerment Scale
Tijdsspanne: Change over the three month study period. Baseline measurement and immediately after final intervention.
Minimum score: 12; Maximum score: 84 Change from baseline on Work Empowerment Scale before and after intervention. Higher score = higher empowerment at work (better outcome)
Change over the three month study period. Baseline measurement and immediately after final intervention.

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Massachusetts General Hospital

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

1 mei 2018

Primaire voltooiing (Werkelijk)

30 september 2018

Studie voltooiing (Werkelijk)

30 september 2018

Studieregistratiedata

Eerst ingediend

3 maart 2020

Eerst ingediend dat voldeed aan de QC-criteria

10 maart 2020

Eerst geplaatst (Werkelijk)

12 maart 2020

Updates van studierecords

Laatste update geplaatst (Werkelijk)

12 maart 2020

Laatste update ingediend die voldeed aan QC-criteria

10 maart 2020

Laatst geverifieerd

1 maart 2020

Meer informatie

Termen gerelateerd aan deze studie

Aanvullende relevante MeSH-voorwaarden

Andere studie-ID-nummers

  • 2018P000415

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

NEE

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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