The INSPIRE Study: INvestigation of Swiss Physicians Inner-life, Resilience, and Emotions
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 450
- 试验地点
- 1
- 主要终点
- Change from baseline in Emotional Exhaustion
研究概览
简要总结
The goal of this clinical trial, nested within an observational cohort study, is to evaluate whether two positive psychology web-based interventions can reduce emotional exhaustion and improve overall well-being in practicing physicians in Switzerland. The main questions it aims to answer are:
Does participation in positive psychology interventions reduce emotional exhaustion at three months post-intervention? How do these interventions impact physician wellness, job satisfaction, comfort with end-of-life communication and other aspects of physicians' emotional well-being?
Researchers will compare the effects of two intervention arms (general reflection vs. work-specific reflection) to a control group to determine whether focusing on work-specific aspects leads to greater improvements in emotional exhaustion and job-related outcomes.
Participants will:
- Complete an 8-day intervention consisting of positive psychology activities delivered online.
- Complete baseline and follow-up assessments over the study period
详细描述
Burnout, emotional exhaustion, and moral distress are widespread among physicians, negatively impacting patient care, job satisfaction, and physician retention in the workforce. While interventions targeting burnout exist, many require significant time commitments or institutional support, limiting accessibility.
Positive psychology interventions, which emphasize strengths-based approaches such as self-reflection, gratitude, and self-compassion, have shown promise in enhancing resilience and well-being.
The INSPIRE study is a randomized controlled trial (RCT) nested within an observational cohort using a Trial within Cohort (TwiC) design. It evaluates two web-based positive psychology interventions aimed at reducing emotional exhaustion and improving physician well-being.
A subset of cohort participants is randomized into one of three arms: a control group, a general life reflection intervention, or a work-focused reflection intervention. The interventions consist of an 8-day structured self-reflection program delivered online.
The study employs automated randomization, triple masking (participants, investigators, and outcome assessors), and longitudinal assessments over one year. Findings will inform the scalability of low-burden interventions for physician burnout prevention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
盲法说明
Participants: Control participants are aware of the trial but do not know they are assigned to the control arm, as they are treated as part of the larger cohort and do not receive the intervention.
Investigators: Investigators are masked because recruitment and assignment are automated, ensuring they do not know which participants are in the intervention or control arms.
Outcome Assessors: Researchers analyzing the data remain blinded to group allocation to minimize bias in data interpretation.
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
- •Be a practicing physician in Switzerland
- •Working at least 40% in a clinical capacity
- •Be willing and able to provide informed consent
- •Expecting to be professionally active until 2028
排除标准
- •Retired physician or physician seeking retirement within 3 years from first participation in the study
- •Physician unable to participate in one of the study languages: English, German, or French
研究组 & 干预措施
Intervention 1 - General Positive Psychology Reflection
Participants engage in an 8-day web-based intervention involving positive psychology exercises focused on general life situations.
干预措施: INSPIRE Life Reflection (Behavioral)
Intervention 2 - Work-Specific Positive Psychology Reflection
Participants engage in the same 8-day web-based intervention, but the focus is specifically on positive reflections related to work and patient interactions.
干预措施: INSPIRE Work Reflection (Behavioral)
Control group
Participants complete assessments but do not receive the intervention.
结局指标
主要结局
Change from baseline in Emotional Exhaustion
时间窗: 3 months post-intervention
Emotional Exhaustion subscale of the MBI-HSS
次要结局
- Change in Emotional Exhaustion(Baseline to 2 weeks, 1 month, 6 months, 1 year)
- Change in Depersonalization(Baseline to 2 weeks, 1 month, 3 months, 6 months, 1 year)
- Change in Personal Accomplishment(Baseline to 2 weeks, 1 month, 3 months, 6 months, 1 year)
- Change in Physician wellbeing(Baseline to 2 weeks, 1 month, 3 months, 6 months, 1 year)
- Change in Job Satisfaction(Baseline to 2 weeks, 1 month, 3 months, 6 months, 1 year)
- Change in comfort with End-of-Life Communication(Baseline to 1 month, 3 months, 6 months, 1 year)
- Change in Mindfulness(Baseline to 2 weeks, 1 month, 3 months, 6 months, 1 year)
- Change in Compassionate Care(Baseline to 2 weeks, 1 month, 3 months, 6 months, 1 year)
- Change in Emotion Regulation(Baseline to 1 month, 3 months, 6 months, 1 year)
- Change in Positive and Negative Affect(Baseline to 2 weeks, 1 month, 3 months, 6 months, 1 year)
- Resilience(Baseline to 2 weeks, 1 month, 3 months, 6 months, 1 year)
- Change in Authenticity(Baseline to 3 months, 6 months, 1 year)