Ameliorating the Impact of Complications and Errors on Surgeons: Resilience Training for Surgeons.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 68
- 试验地点
- 2
- 主要终点
- Resilience - Brief Resilience Scale (BRS)
研究概览
简要总结
The challenges that characterise surgical practice may result in a myriad of stressors that impact upon the personal and professional lives of surgeons. This includes a high likelihood that surgeons will have to deal with adverse patient outcomes due to surgical complications and errors, sometime during their careers. Such stressors can have undesirable effects on the surgeon in terms of quality of life and psychological well-being (e.g. anxiety, feelings of regret), as well as lowered professional confidence and impaired perceptions of professional competence. Furthermore, there is evidence that these kinds of negative impacts can also lead to burnout and depression. As well as the detrimental effects on surgeons and those around them, this in turn may lead to more errors and poorer outcomes for patients. This study will examine the efficacy of an ACT based training intervention to enhance resilience and psychological flexibility.
详细描述
Research in a range of occupational settings has indicated that resilience plays an important role in ameliorating the impact of adverse events in high pressure environments. This project will use a randomised controlled trial research design to assess the efficacy of brief one-to-one Acceptance and Commitment Training (ACTr), designed to enhance surgeons' psychological resilience. According to the model ACTr is based on, psychopathology is primarily the consequence of psychological inflexibility i.e. inability to persist or change behaviour according to long-term values due to language and cognition skills, which has particular significance when an individual is confronted with stress or adversity.
The main aim of this research is to assess the efficacy of a brief one-to-one Acceptance and Commitment Training course. Researchers wish to ascertain whether such a course can increase surgeons' resilience by increasing psychological flexibility, valuing and self-compassion (all of which are expected to be positively impacted by this training). This research will fill a gap in the relevant research literature; namely that no research project as far as we are aware has evaluated ACTr as a means to enhance resilience in surgeons. In fact any research conducted on resilience training with a surgical population is rare.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
盲法说明
Randomised Controlled Trial. Wait-list control for half participants. Other half receive ACTr (acceptance and commitment training) intention.
入排标准
- 年龄范围
- 21 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Trainee surgeons and consultant surgeons
排除标准
- 未提供
研究组 & 干预措施
Wait-list control
No intervention during trial. Participants in this group will be offered the training once the study is complete.
Intervention Group
Acceptance and Commitment Training (ACTr)
干预措施: ACTr (Acceptance and Commitment Training) (Behavioral)
结局指标
主要结局
Resilience - Brief Resilience Scale (BRS)
时间窗: 20 weeks
A self-report measure of psychological resilience. Higher values represent a better outcome.
General Health - General Health Questionnaire (GHQ-12).
时间窗: 20 weeks
A self reported measure of minor psychological symptomology in a non-clinical population.
次要结局
- CBI (Copenhagen Burnout Inventory)(20 weeks)
- DASS21 (Depression Anxiety and Stress Scale)(20 weeks)
- VLQ (Value Living Questionnaire)(20 weeks)
- WAAQ (Work related Acceptance and Action Questionnaire)(20 weeks)
- AAQII (Acceptance and Action Questionnaire)(20 weeks)
- SCS (Self Compassion Scale)(20 weeks)
- SPS (Sense of Preparedness Scale)(20 weeks)