Efficacy of a Mobile Health Mindfulness-based Intervention on Resident Well-being and Performance
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Burnout, Psychological
- Sponsor
- University of Wisconsin, Madison
- Enrollment
- 508
- Locations
- 1
- Primary Endpoint
- Change in Stress Measured by the Perceived Stress Scale
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This project aims to investigate the effectiveness of a meditation intervention utilizing a smart phone-based meditation app on resident burnout, well-being, and performance self-efficacy in a randomized clinical trial. 500 participants will be enrolled for a 4 week intervention.
Detailed Description
Burnout is an increasingly prevalent challenge in the medical field and especially prominent in residency. Burnout negatively affects learning and decision-making, physician performance, and patient outcomes. Studies have shown that mindfulness-based interventions are effective at reducing burnout and strengthening well-being in physicians. Furthermore, mobile health mindfulness-based interventions have similar benefits to in-person interventions while offering the advantages of increased scalability, lack of physical constraint, and lower costs. This project will use a novel mobile health MBI and measure resident burnout, well-being, and self-efficacy in performance.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Resident in a high burnout rate specialty: family medicine, internal medicine, obstetrics and gynecology, emergency medicine, general surgery, or surgical sub-specialty (plastic surgery, urology, neurosurgery, orthopedic surgery, vascular surgery, cardiothoracic surgery, otolaryngology, ophthalmology)
Exclusion Criteria
- •Participants who have previously used the HMP (a version of HMP has been freely available to the public since 2020)
- •Participants who have been practicing meditation daily or almost daily for the prior six months
Outcomes
Primary Outcomes
Change in Stress Measured by the Perceived Stress Scale
Time Frame: baseline, week 1, week 2, week 3, week 4, 3 months
The Perceived Stress Scale is a 10-item scale where participants report their level of perceived stress (e.g., "In the last week, how often have you felt nervous and 'stressed'?"). It is scored on a 5-point Likert scale where 0 = "never" to 4 = "very often." Total scores range from 0 to 40 where higher scores indicate greater perceived stress.
Secondary Outcomes
- Change in Burnout Measured by the Abbreviated Maslach Burnout Inventory: Depersonalization and Emotional Exhaustion Dimensions(baseline, 4 weeks, 3 months)
- Change in Sleep Disturbance Measured by Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance Score(baseline, 4 weeks, 3 months)
- Change in Flourishing Measured by the Flourishing Index Score(baseline, 4 weeks, 3 months)
- Change in Burnout Measured by the Abbreviated Maslach Burnout Inventory: Personal Accomplishment Dimension(baseline, 4 weeks, 3 months)
- Change in Healthy Minds Index (HM Index)(baseline, week 1, week 2, week 3, week 4, 3 months)
- Change in Self-efficacy of Performance Measured by self-report on Accreditation Council for Graduate Medical Education (ACGME) Residency Milestones(baseline, 4 weeks, 3 months)
- Change in Meaning in Life Measured by NIH Toolbox Meaning and Purpose Score(baseline, 4 weeks, 3 months)
- Change in Resilience Measured by the Brief Resilience SCale(baseline, 4 weeks, 3 months)
- Change in Connection Measured by NIH Toolbox Loneliness Score(baseline, 4 weeks, 3 months)
- Change in Awareness Measured by Five Facet Mindfulness Questionnaire Acting with Awareness Subscale Score(baseline, 4 weeks, 3 months)
- Change in General Self-Efficacy Measured by the General Self-Efficacy Scale(baseline, 4 weeks, 3 months)