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Intervention Trial to Increase Meaning in Work and Reduce Burnout

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04466423
Recruitment Status : Completed
First Posted : July 10, 2020
Last Update Posted : July 10, 2020
Sponsor:
Information provided by (Responsible Party):
Colin West, Mayo Clinic

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) Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 125 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Two-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 : September 1, 2013
Actual Primary Completion Date : October 1, 2014
Actual Study Completion Date : October 1, 2014

Resource links provided by the National Library of Medicine


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.




Primary Outcome Measures :
  1. Burnout [ Time Frame: 12 month outcomes ]
    Maslach Burnout Inventory results


Secondary Outcome Measures :
  1. Depressive symptoms [ Time Frame: 12 month outcomes ]
    PRIME-MD

  2. Quality of life [ Time Frame: 12 month outcomes ]
    LASA QOL

  3. Job satisfaction [ Time Frame: 12 month outcomes ]
    PJSS

  4. Meaning at work [ Time Frame: 12 month outcomes ]
    EWS

  5. Social support [ Time Frame: 12 month outcomes ]
    Social Provisions Scale

  6. Social isolation [ Time Frame: 12 month outcomes ]
    PROMIS Social Isolation

  7. Job turnover [ Time Frame: 12 month outcomes ]
    Single item asking about 2-year plans to leave current practice



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

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.

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): NCT04466423


Sponsors and Collaborators
Mayo Clinic
Investigators
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Principal Investigator: Colin West, MD Mayo Clinic
Additional Information:
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Responsible Party: Colin West, Principal Investigator, Mayo Clinic
ClinicalTrials.gov Identifier: NCT04466423    
Other Study ID Numbers: 13-004834
First Posted: July 10, 2020    Key Record Dates
Last Update Posted: July 10, 2020
Last Verified: July 2020
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
Keywords provided by Colin West, Mayo Clinic:
well-being
burnout
Additional relevant MeSH terms:
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Burnout, Professional
Burnout, Psychological
Stress, Psychological
Behavioral Symptoms
Occupational Stress
Occupational Diseases
Sulfamethazine
Anti-Infective Agents