Intervention Trial to Increase Meaning in Work and Reduce Burnout

Sponsor

Mayo Clinic (Other)

Overall Status

Completed

CT.gov ID

NCT04466423

Collaborator

(none)

125

Enrollment

Arms

Actual Duration (Months)

Study Details

Study Description

Brief Summary

Collegiality is a one of the great virtues of physician-hood. Mutual support from colleagues to help deal with the challenges of being a physician has long helped physicians manage the stress related to practicing medicine and helped physicians derive meaning from their work. Unfortunately, increased productivity expectations and other changes to the practice of medicine over the last several decades have decreased the time physicians have to interact with colleagues and eroded the fabric of collegiality. Recent studies suggest burnout affects nearly half of U.S. physicians at any given point in time and has substantial personal and professional consequences. The steps organizations can take to promote collegiality are unknown. The goal of the present study is to evaluate the ability of an organizational intervention to encourage collegiality, shared experience, connectedness, and mutual support. This study builds on two prior intervention studies directed by the Mayo Clinic Department of Medicine Program on Physician Well-Being, the first focusing on a small group facilitated well-being curriculum and the second focusing on individual electronic tasks to prompt positive reflection and gratitude.

Condition or Disease	Intervention/Treatment	Phase
Burnout, Professional	Behavioral: Small group meetings (COMPASS: COlleagues Meeting to Promote And Sustain Satisfaction)	N/A

Study Design

Study Type:

Interventional

Actual Enrollment :

125 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

Two-arm randomized controlled trialTwo-arm randomized controlled trial

Masking:

Single (Outcomes Assessor)

Masking Description:

Groups labeled "1" or "2" with random order assignment.

Primary Purpose:

Treatment

Official Title:

Intervention Trial Designed to Promote Collegiality and Mutual Support at Work as a Way to Increase Meaning in Work and Reduce Burnout

Actual Study Start Date :

Sep 1, 2013

Actual Primary Completion Date :

Oct 1, 2014

Actual Study Completion Date :

Oct 1, 2014

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Small group intervention Those randomized to the immediate intervention arm will be asked to meet approximately every other week for 6 months, covering 12 sessions. We will ask each group to meet in a relatively private setting (e.g., a restaurant near campus or a reserved meeting room), rather than more public spaces (e.g. river room, cafeteria) where interruptions are more likely.	Behavioral: Small group meetings (COMPASS: COlleagues Meeting to Promote And Sustain Satisfaction) The first 15 minutes of each session will be semi-structured discussion involving i) check in and ii) dialogue about the assigned question. Group leaders will be provided 3-4 discussion questions for each session. The group (or the leader) can choose the one they are most interested in and will then spend 10-15 minutes discussing the question together. Questions will touch on key themes for discussion (see the attached topics list) and are derived from our previous intervention studies. The remainder of the time can be used for socializing and building relationships with colleagues.
Placebo Comparator: Control Participants randomized to Arm 2 (delayed intervention) will be "wait listed" to begin sessions 6 months after the start of the study. This participation will be optional.	Behavioral: Small group meetings (COMPASS: COlleagues Meeting to Promote And Sustain Satisfaction) The first 15 minutes of each session will be semi-structured discussion involving i) check in and ii) dialogue about the assigned question. Group leaders will be provided 3-4 discussion questions for each session. The group (or the leader) can choose the one they are most interested in and will then spend 10-15 minutes discussing the question together. Questions will touch on key themes for discussion (see the attached topics list) and are derived from our previous intervention studies. The remainder of the time can be used for socializing and building relationships with colleagues.

Arm

Intervention/Treatment

Experimental: Small group intervention

Those randomized to the immediate intervention arm will be asked to meet approximately every other week for 6 months, covering 12 sessions. We will ask each group to meet in a relatively private setting (e.g., a restaurant near campus or a reserved meeting room), rather than more public spaces (e.g. river room, cafeteria) where interruptions are more likely.

Behavioral: Small group meetings (COMPASS: COlleagues Meeting to Promote And Sustain Satisfaction)

The first 15 minutes of each session will be semi-structured discussion involving i) check in and ii) dialogue about the assigned question. Group leaders will be provided 3-4 discussion questions for each session. The group (or the leader) can choose the one they are most interested in and will then spend 10-15 minutes discussing the question together. Questions will touch on key themes for discussion (see the attached topics list) and are derived from our previous intervention studies. The remainder of the time can be used for socializing and building relationships with colleagues.

Placebo Comparator: Control

Participants randomized to Arm 2 (delayed intervention) will be "wait listed" to begin sessions 6 months after the start of the study. This participation will be optional.

Behavioral: Small group meetings (COMPASS: COlleagues Meeting to Promote And Sustain Satisfaction)

Outcome Measures

Primary Outcome Measures

Burnout [12 month outcomes]
Maslach Burnout Inventory results

Secondary Outcome Measures

Depressive symptoms [12 month outcomes]
PRIME-MD
Quality of life [12 month outcomes]
LASA QOL
Job satisfaction [12 month outcomes]
PJSS
Meaning at work [12 month outcomes]
EWS
Social support [12 month outcomes]
Social Provisions Scale
Social isolation [12 month outcomes]
PROMIS Social Isolation
Job turnover [12 month outcomes]
Single item asking about 2-year plans to leave current practice

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

Senior Associate Consultants and Consultants in the Mayo Clinic Department of Medicine will be eligible for this study.

Exclusion Criteria:

None beyond inclusion criteria.

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

Mayo Clinic

Investigators

Principal Investigator: Colin West, MD, Mayo Clinic

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Mayo Clinic Clinical Trials

Publications

None provided.

Responsible Party:

Colin West, Principal Investigator, Mayo Clinic

ClinicalTrials.gov Identifier:

NCT04466423

Other Study ID Numbers:

13-004834

First Posted:

Jul 10, 2020

Last Update Posted:

Jul 10, 2020

Last Verified:

Jul 1, 2020

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Colin West, Principal Investigator, Mayo Clinic

well-being

burnout

Additional relevant MeSH terms:

Burnout, Professional

Burnout, Psychological

Sulfamethazine

Study Results

No Results Posted as of Jul 10, 2020