Art Therapy to Address Hospital Clinician Burnout and Psychosocial Distress: a Randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 131
- 试验地点
- 2
- 主要终点
- Change in burnout element 'Emotional Exhaustion' assessed using the Emotional Exhaustion scale of The Maslach Burnout Inventory - Human Services Survey (MBI-HSS)
研究概览
简要总结
A structured group art therapy intervention, comprising six 60 - 90-minute weekly workshops.
详细描述
The CHArt group art therapy intervention builds on a 6-week art therapy group intervention piloted with Barts Health oncology and palliative care doctors (Tjasink, M. 2019). It incorporates elements of workshops delivered for staff support by Barts art therapists during the Covid-19 pandemic (Tjasink, M., Stevens, P. 2022).
The intervention is broadly informed by affective neuroscience and evolutionary psychology theories with an emphasis on compassion-focused and resource-oriented therapeutic practice. Whilst the intervention draws on diverse influences, it aligns with the principles of Compassion Focussed Therapy (CFT), an integrative, bio-physiological psychological model underpinned by evolutionary theory.
Intervention elements include psycho-education, individual art making, collaborative group art making, art making in pairs, exploring a range of art materials and techniques (including clay, paint, natural objects and non-traditional mark - making materials), art-based grounding exercises and reflective discussion.
The intervention manual was developed by the study's Chief Investigator with input from a group of three art therapy experts (Health and Care Professions Council (HCPC) accredited art therapists working in National Health Service (NHS) medical contexts with experience of delivering art therapy - based staff support) and three experts by experience (Health Care professionals with experience of participating in art therapy - based staff support groups at work). Adherence to the intervention will be monitored through two adherence tools (therapist self reported and independent observer).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •• Healthcare professional employed in a patient facing clinical role by Barts Health NHS Trust or Barts Bank partners
- •18 years or older
- •Willing and able to provide informed consent
- •Able to attend the group intervention sessions
- •Moderate to severe risk scored on any of the three MBI - HSS subscales or on the PSS 10:
- •emotional exhaustion score of ≥17, or
- •depersonalization score of ≥7, or
- •personal accomplishment score of ≤ 38 or
- •perceived stress (≥ 14)
排除标准
- •• Unwilling or unable to give consent
- •Diagnosed with or treated for a serious depressive condition, a personality disorder or psychosis in the past 12 months. (Self-reporting through screening.)
- •Attempted suicide or made plans to commit suicide in the past 12 months. (Self-reporting through screening.)
- •Individual does not provide direct patient care for Barts Health NHS Trust
结局指标
主要结局
Change in burnout element 'Emotional Exhaustion' assessed using the Emotional Exhaustion scale of The Maslach Burnout Inventory - Human Services Survey (MBI-HSS)
时间窗: Baseline [T1], post 6-week intervention / post 6-week wait [T2], 12 week post intervention follow up [T3]
The MBI-HSS assesses three elements of burnout syndrome: emotional exhaustion, depersonalization, and lack of personal accomplishment. Each element is measured by a separate scale. The Emotional Exhaustion (EE) scale assesses feelings of being emotionally over-extended and exhausted at work. It includes 9 items which are scored on a 7-item Likert scale from 0 = never to 6 = every day. The scale has a score range of 0-54 with higher scores corresponding to greater experiences of burnout.
次要结局
- Change in burnout element 'depersonalisation' assessed using the Depersonalisation scale of The Maslach Burnout Inventory - Human Services Survey (MBI-HSS)(Baseline [T1], post 6-week intervention / post 6-week wait [T2], 12 week post intervention follow up [T3])
- CHArt Feedback Questionnaire(post 6-week intervention [T2])
- Change in depression assessed using the Personal Health Questionnaire Depression Scale (PHQ 8)(Baseline [T1], post 6-week intervention / post 6-week wait [T2], 12 week post intervention follow up [T3])
- Change in perceived stress assessed using the Perceived Stress Scale (PSS-10)(Baseline [T1], post 6-week intervention / post 6-week wait [T2], 12 week post intervention follow up [T3])
- Change in anxiety assessed using the Generalised Anxiety Disorder Questionnaire (GAD 7)(Baseline [T1], post 6-week intervention / post 6-week wait [T2], 12 week post intervention follow up [T3])
- Change in burnout element 'personal accomplishment' assessed using the Personal Accomplishment scale of The Maslach Burnout Inventory - Human Services Survey (MBI-HSS)(Baseline [T1], post 6-week intervention / post 6-week wait [T2], 12 week post intervention follow up [T3])