Burnout Reduction and Engagement App-based Trial of Headspace (BREATHE)
Study Details
Study Description
Brief Summary
The purpose of this research is to develop a mobile app-based intervention to reduce burnout and improve well-being using human-centered design principles and stakeholder feedback.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Recent studies of professional burnout among physicians have highlighted urology as a worrisome outlier: 39% of practicing urologists and 64% of urology residents reported high levels of depersonalization and emotional exhaustion. Despite the known association of burnout with adverse clinical outcomes, psychological distress, and career dissatisfaction, rigorous studies of physician-focused interventions remain limited.
Pilot studies of well-being mobile applications (e.g. headspace ®) have demonstrated better outcomes compared to traditionally delivered mindfulness interventions (e.g. in-person guided meditation). Nevertheless, a rigorous assessment of the impact of an app-based intervention on burnout is needed.
Therefore, the present study will assess the effectivity of a mobile app-based intervention to reduce burnout among healthcare professionals.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Controlled App Group Subjects will receive access to the Headspace app and will receive weekly reminders to complete activities from the "Inspiration, Ideation, Implementation" block model of human-centered design in the app. |
Other: Headspace App
A mobile-application ("app") focusing on teaching and sustaining mental well-being.
|
| Experimental: Ad lib App Group Subjects will receive access to the Headspace app and be encouraged to use it ad lib. |
Other: Headspace App
A mobile-application ("app") focusing on teaching and sustaining mental well-being.
|
Outcome Measures
Primary Outcome Measures
- Change in burnout syndrome [Baseline, Week 12, Week 24]
Burnout levels among study population will be screened using the single-item burnout assessment tool for health care workers (West, Dyrbye, et.al. 2012) and the Professional Fulfillment Index (Trockel, et.al. 2018) . The single-item burnout tool has 2 questions with a 7-point Likert-type, frequency response scale (0 = never, 1 = a few times a year or less, 2 = once a month or less, 3 = a few times a month, 4 = once a week, 5 = a few times a week, 6 = every day) and cutoff values of 27 and 10 points, respectively. The Professional Fulfillment Index scales the answers of the items 7 to 16 from 0 to 4 (0 = not at all, 1 = very little, 2 = moderately, 3 = a lot, 4 = extremely) with a cutoff value of 1.33 points.
- Change in professional fulfillment [Baseline, Week 12, Week 24]
Baseline professional fulfillment levels among study population will be screened using the 16-item Professional Fulfillment Index (Trockel, et.al. 2018) scaling the answers 1 to 6 from 0 to 4 (0 = not at all, 1 = somewhat true, 2 = moderately, 3 = very true, 4 = completely true) with a cutoff value of 3 points.
Secondary Outcome Measures
- User engagement metrics [Through study completion, approx. 24 weeks]
App-usage metrics will be characterized (user's platform usage), tracked continuously and compared between the intervention and control groups from baseline to follow-up phase (Week 24)
- Qualitative knowledge and experience with app-based mindfulness practices [24 Weeks]
Subject qualitative knowledge will measured by a self-reported questionnaire which asks participants to describe their previous experiences with well-being apps
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Being a health-professional at the Urology Department of Mayo Clinic, RST
-
Sign the informed consent and agreed to share data from the app to the research team.
Exclusion Criteria:
-
Using an alternate app designed with the same purpose at the beginning, part and/or entire duration of the study.
-
Not provide any data despite being included in the study
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Mayo Clinic in Rochester | Rochester | Minnesota | United States | 55905 |
Sponsors and Collaborators
- Mayo Clinic
Investigators
- Principal Investigator: Candace Granberg, MD, Mayo Clinic
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- 21-007153