Evaluation of the CBSM Program Online and in Person to Reduce Caregiver Burnout
- Conditions
- Burnout, Caregiver
- Interventions
- Behavioral: Cognitive Behavioral Stress management in in person group FormatBehavioral: Cognitive Behavioral Stress management Hybrid Format
- Registration Number
- NCT06626061
- Lead Sponsor
- University Hospital, Grenoble
- Brief Summary
Professional burnout is a common syndrome among healthcare workers, impacting both their well-being and the quality of care provided . It is characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment.
This multicenter study evaluates the effectiveness of the Cognitive Behavioral Stress Management (CBSM) program in preventing burnout. This intervention, based on cognitive-behavioral techniques, integrates stress management tools and relaxation exercises over eight 2-hour sessions. The study aims to recruit 200 healthcare workers, divided into three groups: in-person intervention, hybrid format (videos + videoconferences), and delayed intervention (in-person/hybrid), across two hospital centers (CHUGA and CHMS). Data will be collected at three time points (M0, M3, M6), with emotional exhaustion (MBI) as the primary outcome, supplemented by measures of individual, relational, and organizational factors.
By comparing different intervention modalities (in-person vs. hybrid, immediate vs. delayed), this research will provide practical recommendations to enhance burnout prevention strategies in the hospital setting.
- Detailed Description
This project aims to evaluate the effectiveness of the Cognitive Behavioral Stress Management (CBSM) program in preventing burnout, a widespread issue among healthcare professionals. Burnout, particularly characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment, has severe consequences on caregivers' mental and physical health as well as the quality of care provided. In this context, the CBSM program, originally developed for patients, has been modified and adapted specifically to meet the needs of healthcare professionals. It is a multidimensional program combining various techniques such as relaxation, cognitive and emotional management, coping strategies and enhancement of social support and assertiveness. Numerous previous studies have demonstrated the effectiveness of CBSM in reducing stress, anxiety, and depressive symptoms, as well as in improving the long-term quality of life of participants.
The current project plans to form 12 groups of 10 people, split between the two institutions, with two intervention modalities: in-person group sessions and a hybrid format. The latter includes podcasts and three virtual sessions (at the beginning, middle, and end of the program). Participants, whether medical or non-medical staff, will complete standardized questionnaires before the intervention begins (M0), at the end of the intervention (M3), and six months later (M6). Data collection will take place from May 2025 to December 2026, with the last inclusion scheduled for October 2026.
All data will be collected via questionnaires:
* The Maslach Burnout Inventory (MBI), which will assess the three dimensions of burnout: emotional exhaustion, depersonalization, and personal accomplishment.
* The Perceived Stress Scale (PSS-14), which will measure the participants' perceived stress levels.
* The Hospital Anxiety and Depression Scale (HADS), which will evaluate symptoms of anxiety and depression among participants.
* The Professional Quality of Life Scale (ProQOL), which will assess participants' professional quality of life.
* The Ruminative Response Scale (RRS), which will evaluate participants' tendencies toward rumination.
* The Coping Flexibility Scale-Revised (CFS-R), which will measure individuals' ability to evaluate the effectiveness of their coping strategies and to replace them when they are not effective.
* A questionnaire on program satisfaction and adherence.
* Sociodemographic data (age, gender, years of experience in the profession) to identify variations in the effectiveness of the intervention based on caregivers' profiles.
* Questions regarding perceptions of working conditions.
* One item measuring sleep quality.
* Two items measuring social support at work and outside of work.
The expected outcomes of this study aim to enrich the scientific literature on burnout prevention and stress management in healthcare professionals, providing recommendations on best practices to be disseminated across healthcare institutions. The results will also be used to develop continuing education programs designed to strengthen healthcare professionals psychosocial skills.
Recruitment & Eligibility
- Status
- ENROLLING_BY_INVITATION
- Sex
- All
- Target Recruitment
- 240
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description CBSM Intervention in In-Person Group Format Cognitive Behavioral Stress management in in person group Format * 8 CBSM sessions * The sessions will take place in a group setting, face-to-face, within the institution. Hybrid CBSM Intervention Cognitive Behavioral Stress management Hybrid Format * 8 CBSM sessions * This format combines podcasts to listen to, along with three online sessions via video conferencing (at the beginning, middle, and end of the program).
- Primary Outcome Measures
Name Time Method Score of the Emotional Exhaustion Dimension of the Maslach Burnout Inventory (MBI) Month 0; Month 3; Month 6 for the immediate intervention group and Month 0; Month 3; Month 6; Month 9 for the delayed intervention group The scores for the emotional exhaustion dimension of the Maslach Burnout Inventory (MBI) range from 0 to 54. A higher score indicates a higher level of emotional exhaustion.
- Secondary Outcome Measures
Name Time Method Scores of Depersonalization and Personal Accomplishment from the Maslach Burnout Inventory (MBI). Month 0; Month 3; Month 6 for the immediate intervention group and Month 0; Month 3; Month 6; Month 9 for the delayed intervention group The scores for the depersonalization dimension of the Maslach Burnout Inventory (MBI) range from 0 to 30. A higher score indicates a higher level of depersonalization. For the personal accomplishment dimension, scores range from 0 to 48, where a lower score signifies reduced personal accomplishment.
Perceived stress assessed by the Perceived Stress Scale (PSS-14) Month 0; Month 3; Month 6 for the immediate intervention group and Month 0; Month 3; Month 6; Month 9 for the delayed intervention group Individual scores on the PSS can range from 0 to 40 with higher scores indicating higher perceived stress.
Anxiety and depression assessed by the Hospital Anxiety and Depression Scale (HADS). Month 0; Month 3; Month 6 for the immediate intervention group and Month 0; Month 3; Month 6; Month 9 for the delayed intervention group The Hospital Anxiety and Depression Scale (HADS) assesses two dimensions: anxiety (HADS-A) and depression (HADS-D), each with a minimum score of 0 and a maximum score of 21. Higher score indicates significant clinical symptoms of anxiety or depression.
Rumination assessed by the Rumination Response Scale. (RRS) Month 0; Month 3; Month 6 for the immediate intervention group and Month 0; Month 3; Month 6; Month 9 for the delayed intervention group Individual scores on the RSS can range from 5 to 20 for each subscale. (Brooding and reflexion) Higher score reflects a high tendency to ruminate.
Quality of life at work assessed by the Professional Quality of Life (ProQOL) Scale. Month 0; Month 3; Month 6 for the immediate intervention group and Month 0; Month 3; Month 6; Month 9 for the delayed intervention group Individual scores on the ProQOL can range from 0 to 30. Higher score indicates the following: for Compassion Satisfaction (CS), it reflects a strong joy in helping others; for Burnout (BO), it signifies a high level of professional exhaustion; and for Secondary Traumatic Stress (STS), it denotes a significant level of secondary traumatic stress related to others' experiences.
working conditions questionnaire Month 0; Month 3; Month 6 for the immediate intervention group and Month 0; Month 3; Month 6; Month 9 for the delayed intervention group Individual scores on the working conditions questionnaire can range from 0 to 90. Higher score indicates good working conditions.
socio-demographic data questionnaire Month 0; Month 3; Month 6 for the immediate intervention group and Month 0; Month 3; Month 6; Month 9 for the delayed intervention group Age, gender, type of hospital service...
A questionnaire on program satisfaction and adherence. Month 3; Month 6 for the immediate intervention group and Month 6; Month 9 for the delayed intervention group It will assess participants' level of satisfaction with the program (e.g., content relevance, usefulness, delivery format) and their engagement (e.g., attendance, completion of exercises). This questionnaire will help identify areas for improvement and better understand participants' experience with the intervention.
Coping flexibility Month 0; Month 3; Month 6 for the immediate intervention group and Month 0; Month 3; Month 6; Month 9 for the delayed intervention group 12-item self-report measure assessing individuals' ability to evaluate and adjust their coping strategies based on their effectiveness. It reflects the dynamic process of stress management, where a person may modify or abandon a strategy if it proves ineffective or harmful. Participants rate each item on a 4-point scale (0 = not applicable to 3 = very applicable).
The scale includes three subdimensions:
Abandonment - ability to discontinue ineffective coping strategies Re-coping - ability to generate and apply alternative strategies Meta-coping - awareness and evaluation of coping effectiveness
A higher total score indicates greater coping flexibility.1 item measuring sleep quality. Month 0; Month 3; Month 6 for the immediate intervention group and Month 0; Month 3; Month 6; Month 9 for the delayed intervention group "Over the past month, how would you rate the overall quality of your sleep?" 0 = Very poor to 10 = Very good
2 items measuring social support: Month 0; Month 3; Month 6 for the immediate intervention group and Month 0; Month 3; Month 6; Month 9 for the delayed intervention group "Overall, to what extent do you feel supported outside of work (family, friends, etc.)?"( 0 = Very little support to 10 = Very well supported)
"Overall, to what extent do you feel supported at work?" ( 0 = Very little support to 10 = Very well supported)
Trial Locations
- Locations (2)
Centre Hospitalier Métropole Savoie (CHMS)
🇫🇷Chambéry, France
Centre hospitalier Grenoble Alpes (CHUGA)
🇫🇷Grenoble, France