Personal Resilience Skills to Improve Surgery Training (PERSIST)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 12
- 试验地点
- 2
- 主要终点
- Personal Well-being as measured by the Self-Valuation (S-V) scale
研究概览
简要总结
The objective of the current study (PERSIST) is to 1) determine acceptability of an 8-session (16 week) group curriculum on personal resilience skills for residents in the Duke General Surgery Program, and 2) examine changes in professional fulfillment, depression symptomatology, anxiety symptomatology, and self-valuation, and positive wellbeing (flourishing) at the end of the program and 3-month follow-up compared to baseline, 3) examine performance on surgery training metrics compared to the mean performance of non-participants. Participants will be residents active in the Duke General Surgery Program. There will be one group of Junior Assistant Residents (JAR, N = 10) and one group of Senior Assistant Residents (SAR, N =10), which will be conducted separately. At baseline, all participants will complete questionnaires related personal resilience, including professional fulfillment (professional fulfillment, work exhaustion, interpersonal disengagement), depression symptoms, anxiety, symptoms, self-valuation, flourishing, and psychosocial working conditions. At post-treatment (end of session 8), participants will complete the baseline questionnaires (with the exception of psychosocial working conditions), as well as a questionnaire assessing acceptability of the group experience and content. The post-treatment questionnaires will be repeated as a 3-month follow-up. All study activities are considered low risk, and there the training is expected to have the benefit of teaching lasting skills to promote professional and personal resilience. To protect participant confidentiality, surgery staff and faculty will not have access linkage between study variables and participant identity.
详细描述
The primary aims/objectives are to examine acceptability of the PERSIST intervention, and pre-post changes relevant to resident resilience, as operationalized in measures of personal and professional well-being. The investigators intend to enroll both Junior Assistant Residents (JAR) and Senior Assistant Residents (SAR) cohorts in a combined sample; and secondarily results by group.
The secondary objective is to examine whether participation in PERSIST is associated with better training and safety outcomes compared to resident who do not participate.
Aim 1: Determine acceptability of an 8-session PERSIST intervention for General Surgery residents.
Aim 2: Assess change on measures of personal and professional well-being following an 8 session PERSIST intervention for General Surgery residents. The investigators anticipate that individuals completing PERSIST will show improvement in professional fulfillment, depression symptoms, anxiety symptoms, flourishing, and self-valuation at post-treatment and 3-month follow up compared to baseline.
Aim 3: Compare training and safety outcomes of PERSIST participants compared to non-participants.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 25 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The pilot cohort will be composed of junior assistant residents (JAR) and senior assistant residents (SAR) members of the Duke General Surgery Residency Program.
排除标准
- •Because the PERSIST intervention is focused on coaching resilience to the challenges of clinical training, JAR and SAR who will be completing a research year during the intervention period will be excluded from participation.
结局指标
主要结局
Personal Well-being as measured by the Self-Valuation (S-V) scale
时间窗: 3 months post-intervention
Personal well-being will be assessed with the Self-Valuation scale (S-V), which is scored on a scale of 0-16 (higher score = better outcome).
Program Acceptability as measured by Questionnaire
时间窗: Intervention end - 16 weeks
A questionnaire rating of the experience and value of the 8 content topics in PERSIST using a scale of 5-50 (higher score = higher acceptability).
Positive well-being as assessed by the Flourishing Scale (FS)
时间窗: 3 months post-intervention
Positive well-being will be assessed by the Flourishing Scale (FS), which is scored on a scale of 8-56 (higher score = better outcome).
Exhaustion as measured by the Professional Fulfillment Index (PFI)
时间窗: 3 months post-intervention
Exhaustion from work will be assessed with the Professional Fulfillment Index (PFI), which is scored on a scale of 0-44 (higher score = worse outcome).
Anxiety symptoms as measured by the General Anxiety Disorder-7 questionnaire (GAD-7)
时间窗: 3 months post-intervention
Anxiety symptoms will be assessed using the General Anxiety Disorder-7 questionnaire (GAD-7), which is scored on a scale from 0-21 (higher = worse outcome).
Depression symptoms as measured by the 8-item version of the Patient Health Questionnaire (PHQ-8)
时间窗: 3 months post-intervention
Depression symptoms will be assessed using the 8-item version of the Patient Health Questionnaire (PHQ-8), which is scored on a scale from 0-24 (higher = worse outcome).
Program Acceptability as measured by participant attendance in mean percent
时间窗: Intervention end - 16 weeks
Investigators will track participant attendance over the duration of the intervention and report in total mean percent.
Professional Well-being as measured by the Professional Fulfillment Index (PFI)
时间窗: 3 months post-intervention
Overall professional well-being will be assessed with the Professional Fulfillment Index (PFI), which is scored on a scale of 0-24 (higher score = better outcome).
次要结局
- Clinical and professional competencies measured by milestone achievement in Entrustable Professional Activities (EPA)(3 months post-intervention)
- Safety outcomes as measured by mean number of Safety Reporting System (SRS) incidents(3 months post-intervention)