Creative Arts Program to Reduce Burnout in Healthcare Professionals

Not Applicable

Recruiting

• Conditions: Burn-Out Syndrome; Depression, Anxiety; Post-Traumatic Stress Disorder
• Interventions: Behavioral: Control; Behavioral: Music; Behavioral: Writing/Poetry; Behavioral: Dance/Movement; Behavioral: Visual Arts

• Registration Number: NCT04276922
• Lead Sponsor: University of Colorado, Denver

Brief Summary

This study plans to learn if creative arts programs that include visual, musical, written, or physical expression can reduce symptoms of burnout syndrome, Post Traumatic Stress Disorder (PTSD), depression, and anxiety in critical care healthcare professionals. This study also explores if creative arts can enhance the connection to the purpose of work, the development of adequate coping skills, while providing time to connect with peers.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2020-01-30
• Study First Submitted QC: 2020-02-18
• Study First Posted: 2020-02-19
• Study Start: 2020-03-01
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-11
• Last Update Posted: 2024-12-16
• Primary Completion: 2024-12-31
• Study Completion: 2025-04-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 195

Inclusion Criteria

• Employed as a healthcare provider, practicing primarily in a hospital setting for at least 20 hours per week.

• Positive symptoms of burnout measured via the Maslach Burnout Inventory (MBI):

  • emotional exhaustion score of >17, or
  • depersonalization score of >7, or
  • personal accomplishment score of < 31.

Read More

Exclusion Criteria

• Unwillingness to participate in any of the four creative arts interventions.

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control Group	Control	Surveys at baseline and 12 weeks later.
Music Group	Music	Music group involves music-listening exercises (such as lyric analysis, patient-chosen, music for relaxation and/or visualization) and active music making.
Writing/Poetry Group	Writing/Poetry	Writing/Poetry group uses writing workshops using integral elements of good writing.
Dance/Movement Group	Dance/Movement	Dance/Movement group - movement check-in, gentle physical warm-up, and then either a structured or improvisational movement process.
Visual Arts Group	Visual Arts	Visual Arts group - sketch journals

Primary Outcome Measures

Name	Time	Method
Acceptability/Satisfaction of Intervention as assessed by Client Satisfaction Questionnaire (CSQ-8) scores to yield a homogeneous estimate of general satisfaction.	At the end of 12 week intervention	Acceptability of intervention will be assessed using eight item Client Satisfaction Questionnaire (SCQ-8) to generate an estimate of general satisfaction. Scores range from 8-32 (higher scores = greater satisfaction).

Secondary Outcome Measures

Name	Time	Method
Change in subject perception of intervention process scores as assessed by Psychological General Well-Being Index (PGWBI).	Baseline and after 12 weeks	Emotional experience and sense of achievement using Psychological General Well-Being Index (PGWB), uses a 22-item survey to produce a single measure of psychological well-being.
Change in perceived occupational stress as assessed by Turnover Intention Questionnaire (TIQ).	Baseline and after 12 weeks	Turnover Intention Questionnaire (TIQ): 6 single-choice questions asking the respondents' intention to leave. Responses scored 1-4. High scores indicate high intention level to leave the profession. Total score of turnover intention is divided into four levels: lower ≤6, low \>6 and ≤12, high \>12 and ≤18, higher\>18.
Change in subject perception of intervention process scores as assessed by Maugeri Stress Index (MASI).	Baseline and after 12 weeks	Maugeri Stress Index (MASI) is a self-report questionnaire. Four correlated sub scales (Wellness, Resilience, Perception of social support, and Negative coping styles). Total index is sum of responses (coded from 1 to 5). MASI-R score is expressed as a continuous variable: range: 0-100 , 50th percentile or less indicates presence of a stress condition) 118.
Change in perceived occupational stress as assessed by Medical Personnel Stress Survey (MPSS-R).	Baseline and after 12 weeks	Medical Personnel Stress Survey (MPSS-R) assesses key stressors on organizational and individual levels. Measures 4 components of occupational stress: organizational stress, job dissatisfaction, negative patient attitudes, somatic distress.
Change in level of Burnout as measured by Maslach Burnout Inventory.	Baseline and after 12 weeks.	Maslach Burnout Inventory: Collected at baseline and post intervention.; Maslach Burnout Inventory (MBI) designates positive symptoms of burnout via three areas: emotional exhaustion score of \>17, depersonalization score of \>7, or a personal accomplishment score of \< 31.
Change in subject perception of intervention process scores as assessed by Positive and Negative Affect Schedule (PANAS).	Baseline and after 12 weeks	Positive and Negative Affect Schedule (PANAS) is a 20-item, self-report measure for changes in mood. Positive and negative affect (PA/NA) reflect dispositional dimensions - high-NA reflects subjective distress and unpleasable engagement, while high-PA represents pleasurable engagement, such as enthusiasm and alertness; low-PA reflects lethargy and sadness.
Change in perceived occupational stress as assessed by Job Content Questionnaire (JCQ).	Baseline and after 12 weeks	Job Content Questionnaire (JCQ) is scored on a 4-point Likert scale, covers 3 dimensions: Psychological Demand: 9 items evaluating amount of work demanded, rapidity required, time available, and level of concentration required. Decision Latitude: 9 items evaluating decision authority, use of skills, and varied aspects of tasks. Social support: 8 items evaluating help and interest provided by colleagues and supervisors.
Change in level of psychological distress as measured by Posttraumatic Diagnostic Scale (PDS).	Baseline and after 12 weeks	Posttraumatic Diagnostic Scale (PDS) yields both a DSM-V diagnosis and symptom severity. Calculated by having a traumatic event, and a re-experiencing criterion, three avoidance symptoms, and two arousal symptoms.
Change in level of psychological distress as measured by the Hospital Anxiety Depression Scale (HADS).	Baseline and after 12 weeks	The Hospital Anxiety and Depression Scale (HADS) assesses 7-item anxiety subscale and a 7-item depression subscale. A score of \> 8 identifies a positive history of anxiety or depression symptoms.

Trial Locations

Locations (1)

University of Colorado - Anschutz Medical Campus; 🇺🇸 Aurora, Colorado, United States