Reducing Burnout in Healthcare Workers Through Yoga and Square Breathing Practices

Not Applicable

Not yet recruiting

• Conditions: Burn-Out

• Registration Number: NCT07166510
• Lead Sponsor: Poitiers University Hospital

Brief Summary

The mental health of healthcare workers, burnout, and the resulting suicides are now described as a real "public health crisis." Emergency departments are not spared by this phenomenon; in fact, up to 71% of emergency physicians suffer from burnout. All professions are affected, with 49.2% of nurses reportedly affected by this phenomenon, and this figure rises to 90.7% of nursing assistants and 30% of paramedics providing advanced life support. However, ensuring the safety and protecting the physical and mental health of workers is a legal obligation in France.

In their latest recommendation on human factors in critical situations, SFAR experts suggest "limiting the factors responsible for burnout among caregivers exposed to crisis situations in order to reduce the risk of errors and unprofessional behavior." To achieve this, the importance of taking breaks in emergency medicine is already well recognized, and it is recommended that participants be given permission to take care of themselves through an agreement negotiated with peers and other staff members.

Furthermore, for several years now, the benefits of yoga in managing stress among healthcare workers seem to have been confirmed. Yoga is effective in reducing depression and anxiety, and it also improves sleep and clinical performance. It has also been shown to significantly reduce scores on the depersonalization and personal accomplishment items of the Maslach Burnout Inventory (MBI).

In addition, mindfulness meditation (MPC), based in particular on various breathing techniques including square breathing, is increasingly being studied, and SFAR experts suggest, with the help of these methods in particular, that "healthcare teams faced with critical situations benefit from psychological preparation for stress management to improve their experience and performance in such critical situations." Sudarshan Kriya Yoga, a technique that focuses primarily on breathing rhythm, has also been shown to be effective in improving well-being and reducing burnout among physicians.

Finally, yoga and mindfulness meditation administered together are effective in reducing stress and anxiety among healthcare workers, giving them greater attention, alertness, and ability to manage the stressful demands of work.

However, the combination of these two techniques through the implementation of video-guided breaks combining both techniques has never been studied.

Detailed Description

Not available

Study Timeline

• Status Verified: 2025-09
• Study First Submitted: 2025-09-03
• Study First Submitted QC: 2025-09-03
• Last Update Submitted: 2025-09-03
• Study First Posted: 2025-09-10
• Last Update Posted: 2025-09-10
• Study Start: 2025-11-01
• Primary Completion: 2026-06
• Study Completion: 2026-12-01

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 75

Inclusion Criteria

• Subjects aged 18 or over
• Subjects who have been working for at least one year in the emergency department/emergency medical service/mobile emergency and resuscitation service of the selected centers as a nursing assistant, paramedic, medical dispatch assistant, registered nurse, or doctor
• Subjects who are affiliated with or beneficiaries of a social security system
• Consent signed by the participant regarding their participation in the study

Exclusion Criteria

• Physical or psychological contraindications to practicing yoga or mindfulness meditation.
• Subjects who reported having been on sick leave for at least three months due to burnout prior to inclusion in the study
• Subjects who reported currently being monitored and/or treated by a healthcare professional for burnout
• Subjects who reported practicing yoga or meditation regularly (more than one day per week over the last three months)
• Scheduled absence of at least 3 months (e.g., maternity leave, availability, etc.)
• Subjects who did not wish to participate in the study.
• People benefiting from enhanced protection, namely minors, people deprived of their liberty by a judicial or administrative decision, people staying in a health or social care facility, and adults under legal protection.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
Evaluate the impact after 6 months of implementing breaks consisting of 15-minute video-guided yoga or meditation sessions on burnout among emergency department staff at participating centers.	6 months	Proportion of participants experiencing burnout at 6 months, compared to inclusion.; Burnout is defined as a high score on the emotional exhaustion scale (≥27) and either: a high score on the depersonalization scale (≥10), or a low score on the personal accomplishment scale (≤33), according to the standard thresholds of the Maslach Burnout Inventory (MBI-HSS).

Secondary Outcome Measures

Name	Time	Method
Assess the change in the proportion of participants experiencing burnout at 3 months (M3) and 12 months (M12), using the same composite definition as that used for the primary endpoint.	3 months and 12 months	Proportion of participants experiencing burnout at 3 months and 12 months, according to the same composite definition as for the primary endpoint
Assess the impact of the intervention on participants' quality of life, via changes in SF-12 mental and physical scores collected at baseline, then at 3, 6, and 12 months.	From enrollment to 12 months	Changes in average scores obtained on the physical and mental components of the SF-12 between inclusion, 3 months, 6 months, and 12 months.
Explore the evolution of continuous scores for the three dimensions of burnout (emotional exhaustion, depersonalization, personal accomplishment), measured by the MBI-HSS, between inclusion (T0), 3 months, 6 months, and 12 months.	From enrollment to 12 months	Changes in continuous scores obtained on each of the three subscales of the Maslach Burnout Inventory (emotional exhaustion, depersonalization, personal accomplishment) between inclusion (T0), 3 months, 6 months, and 12 months.
Assess adherence to the program, based on the initial participation rate and the persistence rate until the end of the study, among healthcare personnel in the emergency departments of participating centers.	From enrollment to 12 months	Initial participation rate, defined as the number of participants who agreed to participate in the study relative to the total number of eligible professionals.; Effective participation rate, defined as the number of participants who continued the intervention until the end of the study relative to the number of participants initially included.

Trial Locations

Locations (2)

Bordeaux University Hospital; 🇫🇷 Bordeaux, France

Poitiers University Hospital; 🇫🇷 Poitiers, France