Evaluation of a Mind-body Education Program to Enhance Resiliency and Reduce Burnout in Residents
试验速览
- 阶段
- 不适用
- 入组人数
- 173
- 试验地点
- 2
- 主要终点
- Change in burnout levels post intervention
研究概览
简要总结
This prospective, waitlist-control study is evaluating the benefits of a stress management and resiliency training program for residents (SMART-R).
The primary aim of this study is to determine whether the SMART-R is effective at increasing coping skills and reducing stress among residents, reflected by changes in constructs such as emotional growth, perceived stress, optimism, and coping styles. Objective parameters (heart rate, galvanized skin response, sleep duration and quality, exercise and actigraphy) measured with the Basis health tracking device will help correlate objective signs to subjective report of stress.
详细描述
The investigators adapted the Benson-Henry Institute Stress Management and Resiliency Training Program -- Relaxation Response Resiliency Program (SMART-3RP) to create the SMART-R resident wellness curriculum. The actual SMART-3RP is both a clinical program and research intervention. The three prongs of the SMART-R include 1) elicitation of the relaxation response through mind-body techniques 2) reducing overall stress reactivity and 3) increasing connectedness to self and others.
In a waitlist-control design, the SMART-R was implemented into multiple residents programs at Mass General Hospital, NYU Langone Medical Center, and Weill Cornell Medical College. The primary aim is to evaluate the effectiveness of the SMART-R in increasing coping skills and reducing stress among residents in the participating programs. Participants enrolled will be invited to complete 1) a brief questionnaire before, during (q3months) and after participation in the program (5 questionnaires total). The investigators will also collect continuous physiologic data using the Basis Peak Health Tracking device to correlate the physiologic data with self-report measures of stress.
Additionally, objective indicators of daily workload (page frequency, and quantity of notes authored by a resident during a given period) will help control for residents' schedules and busyness, in evaluating perceived stress, wellbeing and other outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Crossover
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Residents in the following participating departments: departments of psychiatry, pediatrics, or neurology at MGH, medicine or psychiatry at NYU, or medicine or psychiatry at Cornell
排除标准
- •Not a resident in the participating departments
结局指标
主要结局
Change in burnout levels post intervention
时间窗: change between baseline (July 2015), midpoint (week 25), to post intervention (week 52)
Maslach Burnout Inventory (MBI), a validated 22-item self-report measure of professional burnout in human services. The MBI consists of 3 subscales of burnout: emotional exhaustion, depersonalization, and low sense of personal accomplishment.
次要结局
- Change in perceived stress post intervention(change between baseline (July 2015), midpoint (week 25), to post intervention (week 52))
- Change in continuous physiologic data throughout intervention(change between baseline (July 2015), midpoint (week 25), to post intervention (week 52))
- change in mindfulness post intervention(change between baseline (July 2015), midpoint (week 25), to post intervention (week 52))
研究者
John W. Denninger, MD, PhD
Principle Investigator
Massachusetts General Hospital