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Evaluation of a Daily Brief Exercise Intervention on Resident Physician Personal Resiliency and Burnout

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ClinicalTrials.gov Identifier: NCT03489720
Recruitment Status : Completed
First Posted : April 5, 2018
Last Update Posted : January 9, 2019
Sponsor:
Information provided by (Responsible Party):
Sandy An, Vanderbilt University Medical Center

Brief Summary:
This study seeks to evaluate the prevalence and characterize predictors of physician burnout in the anesthesia residency at Vanderbilt University Medical Center. The study also seeks to evaluate the effect of an exercise intervention on burnout and personal resiliency (i.e., less individual stress given the same workload).

Condition or disease Intervention/treatment Phase
Burnout, Professional Burnout Syndrome Behavioral: Prescribed Exercise Program Behavioral: Usual Exercise Program Not Applicable

Detailed Description:

A cross-sectional evaluation of burnout, perceived stress, average sleep propensity, and social support and coping mechanisms will be assessed from four years of Vanderbilt University Medical Center (VUMC) Anesthesia residents. Burnout will be assessed using the Maslach Burnout Inventory (MBI-HSS).

Participating interns, Anesthesia Residency Class 1 (CA-1), and Anesthesia Residency Class 2 (CA-2) classes will be randomized to 8 weeks of an exercise intervention (15 min of activity at 70% of max heart rate or higher, 5 days a week) to meet the activity recommendations of the Office of Disease Prevention and Health Promotion or 8 weeks of continuing their baseline activity level prior to the study.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 46 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Intervention Model Description: balanced order-randomized, 16-week within-subject crossover study
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Evaluation of a Daily Brief Exercise Intervention on Resident Physician Personal Resiliency and Burnout
Actual Study Start Date : June 1, 2018
Actual Primary Completion Date : December 26, 2018
Actual Study Completion Date : December 26, 2018

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
No Intervention: No Exercise Program
Anesthesia Residency Class 3 (CA-3)
Experimental: Usual Exercise Program and Prescribed Exercise Program
Interns and Anesthesia Residency Classes 1 and 2
Behavioral: Prescribed Exercise Program

Brief cardiovascular exercise training (>70% of maximum heart rate) for 15 minutes a day, 5 days a week for 8 weeks.

The exercise intervention will be a 15-minute per day of vigorous exercise that as monitored by a Fitbit Charge 2.

Examples of possible 15-minute exercise regimens to be used include:

  • Walking quickly or running up and down stairs
  • Plyometric exercises such as jumping jacks, high knees, squats, lunges, speed skaters, froggers, etc
  • Walking up an incline on a treadmill
  • Jogging or running on a treadmill or elliptical
  • Stationary cycling or rowing

Behavioral: Usual Exercise Program
Usual exercise activity for 8 weeks




Primary Outcome Measures :
  1. The change in the burnout score(as measured by the Maslach Burnout Inventory (MBI))from baseline to end of each exercise phase. [ Time Frame: Baseline to 8 weeks ]

    The change in the burnout score(as measured by the Maslach Burnout Inventory (MBI))from baseline to end of each exercise phase.

    MBI-HSS is a survey to measure burnout in professionals in human services. MBI-HSS includes 22 items to evaluate emotional exhaustion (EE), depersonalization (DP), and personal fulfillment (PF), with scores ranging from 0 to 6 on the Likert scale. We consider a high degree of burnout in the case of EE ≥ 27 points, DP ≥ 10, and PF <33. Moderate burnout will be considered in the case of 26<EE<19 points, 6<DP<9 points, and 34<PF<39 points. Low levels will be considered for EE≤18 points, DP≤5 points, and PF≥40 points.


  2. The change in the burnout score(as measured by the Maslach Burnout Inventory (MBI))from baseline to end of each exercise phase stratified by training level. [ Time Frame: Baseline to 8 weeks ]

    The change in the burnout score(as measured by the Maslach Burnout Inventory (MBI))from baseline to end of each exercise phase stratified by training level.

    The degree of burnout among VUMC anesthesia interns and residents as quantified by baseline MBI-HSS scores broken down by level of residency training completed.

    MBI-HSS is a survey to measure burnout in professionals in human services. MBI-HSS includes 22 items to evaluate emotional exhaustion (EE), depersonalization (DP), and personal fulfillment (PF), with scores ranging from 0 to 6 on the Likert scale. We consider a high degree of burnout in the case of EE ≥ 27 points, DP ≥ 10, and PF <33. Moderate burnout will be considered in the case of 26<EE<19 points, 6<DP<9 points, and 34<PF<39 points. Low levels will be considered for EE≤18 points, DP≤5 points, and PF≥40 points.


  3. The degree of burnout among VUMC anesthesia interns and residents as quantified by baseline MBI-HSS scores broken down by level of residency training completed. [ Time Frame: Baseline ]

    The degree of burnout among VUMC anesthesia interns and residents as quantified by baseline MBI-HSS scores broken down by level of residency training completed.

    MBI-HSS is a survey to measure burnout in professionals in human services. MBI-HSS includes 22 items to evaluate emotional exhaustion (EE), depersonalization (DP), and personal fulfillment (PF), with scores ranging from 0 to 6 on the Likert scale. We consider a high degree of burnout in the case of EE ≥ 27 points, DP ≥ 10, and PF <33. Moderate burnout will be considered in the case of 26<EE<19 points, 6<DP<9 points, and 34<PF<39 points. Low levels will be considered for EE≤18 points, DP≤5 points, and PF≥40 points.



Secondary Outcome Measures :
  1. Comparison of the change in the burnout score(as measured by the MBI-HSS)from baseline to end of exercise intervention period, and baseline to end of no intervention period in all participants adjusted for quantity of exercise intervention completed. [ Time Frame: Baseline, 8 weeks,16 weeks ]

    Comparison of the change in the burnout score(as measured by the Maslach Burnout Inventory (MBI-HSS))from baseline to end of exercise intervention period, and baseline to end of no intervention period in all participants adjusted for quantity of exercise intervention completed.

    MBI-HSS is a survey to measure burnout in professionals in human services. MBI-HSS includes 22 items to evaluate emotional exhaustion (EE), depersonalization (DP), and personal fulfillment (PF), with scores ranging from 0 to 6 on the Likert scale. We consider a high degree of burnout in the case of EE ≥ 27 points, DP ≥ 10, and PF <33. Moderate burnout will be considered in the case of 26<EE<19 points, 6<DP<9 points, and 34<PF<39 points. Low levels will be considered for EE≤18 points, DP≤5 points, and PF≥40 points.




Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 50 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Vanderbilt University Medical Center Anesthesiology residents (intern, Class 1(CA-1), Class 2 (CA-2), Class 3 (CA-3)

Exclusion Criteria:

  • Failure to sign informed consent
  • Will not be in town and available for the full duration of the study (e.g., 2 or more weeks of vacation or absence)
  • Physical inability to perform the exercise intervention (including health indications)

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03489720


Locations
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United States, Tennessee
Vanderbilt Unversity Medical Center
Nashville, Tennessee, United States, 37232
Sponsors and Collaborators
Vanderbilt University Medical Center
Investigators
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Principal Investigator: Si S An, MD, PhD Vanderbilt University Medical Center

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Responsible Party: Sandy An, MD, PhD; Resident Physician, PGY 4, CA-3, Vanderbilt University Medical Center
ClinicalTrials.gov Identifier: NCT03489720    
Other Study ID Numbers: 180313
First Posted: April 5, 2018    Key Record Dates
Last Update Posted: January 9, 2019
Last Verified: January 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Occupational Stress
Burnout, Professional
Burnout, Psychological
Stress, Psychological
Behavioral Symptoms
Occupational Diseases