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Targeting the Health Care Provider (HCP) Burnout Crisis During the COVID-19 Pandemic

Not Applicable
Completed
Conditions
Burnout, Professional
Stress, Psychological
Interventions
Behavioral: Transcendental Meditation
Registration Number
NCT04632368
Lead Sponsor
Duke University
Brief Summary

This single blind, randomized, controlled trial (RCT) evaluates, a nonpharmacological intervention, TM (Transcendental Meditation) for improving burnout (, as measured by self-reporting (survey), physiologic, and neuro-functional imaging studies in health care providers (HCPs) when practiced over 3 months' time. The investigators define HCPs as any physician, physician trainee, nurse, physician assistant, nurse practitioner or respiratory therapist.

HCPs will be screened by a single-item stress scale and Columbia Suicide Severity Rating Scale (CSSRS) to understand their stress level and exclusion criteria respectively. The Global Severity Index of the Brief Symptom Inventory (BSI)-18 Global Severity score will be used as the primary outcome for pre- and post-TM training (baseline, 1 vs. 3 months). In addition, the investigators will evaluate physiological markers of stress and cardiovascular resiliency such as 1) changes (pre/post-treatment) in heart rate variability (HRV) through wearables, 2) Galvanic Skin Response (GSR) - changes in sweat gland activity that result from changes in an emotional state. fMRI will be performed by the Duke Brain Imaging and Analysis Center (BIAC) on a subset of participants to evaluate changes A specifically developed mobile app will aid data collection as well as reminders for providers to aid compliance for meditation

Detailed Description

OVERALL HYPOTHESIS: HCPs who learn and practice TM will demonstrate significantly improved symptoms of burnout within 3 months, as measured by self-report (survey), physiologic, and neuro-functional imaging studies.

SPECIFIC AIM 1: To conduct a single-blind, randomized, controlled trial (RCT) of TM (N=40) vs. Control (CTL, N=40) in frontline HCPs. HCPs will be screened by a single-item stress scale and Columbia Suicide Severity Rating Scale (CSSRS). The Global Severity Index of the Brief Symptom Inventory (BSI)-18 Global Severity score will be used as the primary outcome for pre- and post-TM training (baseline, 1 vs. 3 months). SPECIFIC AIM 2: Evaluate changes (pre/post-treatment) in heart rate variability (HRV), a physiological measure of stress, and overall cardiovascular resilience) in response to TM practice versus CTL. Participants will be asked to wear an Apple Watch throughout trial participation to assess changes in resting HRV during meditative practice. Galvanic Skin Response (GSR) refers to the changes in sweat gland activity that result from changes in an emotional state. A portable GSR device (e-Sense Skin Response) will be used to evaluate GSR score (baseline and 3 months). fMRI (N=20 for each group) will be performed by the Duke Brain Imaging and Analysis Center (BIAC).

fMRI Protocol: The first 20 eligible (exclusion criteria: pregnancy, claustrophobia, reluctance to participate) patients from each group will be randomly assigned to get fMRI at baseline and at the end of the study.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria

HCPs including physicians, trainee physicians, nurses, nurse practitioners, Physician Assistants, and respiratory therapists providing patient care during the COVID-19 pandemic.

  • A single-item stress scale will be used as a screen for eligibility; a minimum score of 6 on a 10-point response scale will be needed to meet inclusion criteria
  • Subjects who have at least a 5% increase from baseline in heart rate after exposure to a personalized stressful script OR at least a 33% increase in skin conductance after exposure to the script
  • Willingness to address burnout symptoms by non-pharmacological means
  • All subjects must provide Informed Consent prior to enrollment in the study.
  • Willingness to wear the provided Apple Watch for the data collection process
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Exclusion Criteria
  • Antipsychotic medications or beta-blockers
  • Current suicidal or homicidal ideation (suicidal ideation as screened by C-SSRI survey pre-enrollment)
  • Previous instruction in TM
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Transcendental Meditation Intervention ArmTranscendental MeditationTM, a mind-body intervention that can reduce sympathetic arousal and promote a state of relaxation and calm, will be offered to a randomized group of eligible HCPs ( N=40)providing care during COVID-19 pandemic.
Primary Outcome Measures
NameTimeMethod
change in self reported Stress symptomsBaseline, 1 month, 3 months

Changes in brief symptom inventory as evaluated by BSI 18

Secondary Outcome Measures
NameTimeMethod
Change in anxiety symptomsBaseline, 1 month, 3 months

Change in anxiety symptoms as measured by GAD-7

Change in insomnia symptomsBaseline, 1 month, 3 months

Change in insomnia symptoms as measured by Insomnia severity Index(ISI)

Change in psychological distressBaseline, 1 month, 3 months

change in psychological distress as measured by the Global Severity Index of the Brief Symptom Inventory (BSI)-18 questionnaire.

Change in self reported burnout symptomsTime Frame: Baseline, 1 month, 3 months

Change in burnout symptoms in HCPs as measured by Maslach Burnout Inventory( MBI)

Change in self reported resilienceBaseline, 1 month, 3 months

These will include secondary outcomes as measured by the Connor Davidson Resilience Scale-25 (CD-RISC).

Change in symptoms of depressionBaseline, 1 month, 3 months

Change in symptoms of depression will be measured by PHQ 9 scale

Trial Locations

Locations (1)

Duke University health system

🇺🇸

Durham, North Carolina, United States

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