Mindfulness and Intercare Based Intervention for Physicians Burnout Reduction

Study Overview
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Brief Summary
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During the coronavirus disease 2019 (COVID19) pandemic, many physicians have presented burnout. A range of associated factors need to be considered for effective prevention and intervention. Objective 1: To assess the association of burnout in medical doctors with individual factors, self-reported medical errors, medical leave, and demands of the work environment demand. Objective 2: to assess the effectiveness of a online mindfulness, compassion and intercare based intervention to reduce burnout.

Official Title
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Physicians Burnout: Cause, Consequence and Mindfulness and Intercare Based Intervention for Physicians Burnout Reduction

Conditions
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Burnout, Mental Health Wellness 1

Intervention / Treatment
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* Behavioral: Mindfulness and intercare based intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Physicians enrolled in the database of the medical college of Chile Exclusion Criteria: Recent Grief Severe acute depression disorder Active suicidal ideation Active Psychosis Active addiction Post Traumatic Stres Disorder

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mindfulness, compassion and intercare based Intervention<br>An Eight week mindfulness and intercare group online program. | Behavioral: Mindfulness and intercare based intervention<br>* Eight week online program based on mindfulness, compassion and intercare intervention. A two hour synchronic online session every week plus daily homework based on meditation and journaling exercises. The topics covered in the program are mindfulness meditation, cognitive behavioral therapy exercises, gratitude and acceptance, compassion and self compassion exercises, conservation of resources theory and intercare.<br>|
| No Intervention: Waiting list<br>Psychological support if needed. No other intervention. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maslach Burnout Inventory - Human Services | Burnout was evaluated with Maslach Burnout Inventory for Human Services. Continuous variable for burnout total score, emotional exhaustion, depersonalization and accomplishment. Dichotomous variable was used for burnout syndrome using two common cut-off point criteria and a new proposal. | Baseline | 
| Maslach Burnout Inventory - Human Services | Burnout was evaluated with Maslach Burnout Inventory for Human Services. Continuous variable for burnout total score, emotional exhaustion, depersonalization and accomplishment. Dichotomous variable was used for burnout syndrome using two common cut-off point criteria and a new proposal. | 3 months | 
| Maslach Burnout Inventory - Human Services | Burnout was evaluated with Maslach Burnout Inventory for Human Services. Continuous variable for burnout total score, emotional exhaustion, depersonalization and accomplishment. Dichotomous variable was used for burnout syndrome using two common cut-off point criteria and a new proposal. | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Demands of the work environment - Psychosocial Factors Questionnaire 75. (PFQ-75-SF) | Demands of the work environment were evaluated with an adaptation of the Psychosocial Factors Questionnaire 75. | Baseline | 
| Demands of the work environment - Psychosocial Factors Questionnaire 75. (PFQ-75-SF) | Demands of the work environment were evaluated with an adaptation of the Psychosocial Factors Questionnaire 75. | 3 months | 
| Demands of the work environment - Psychosocial Factors Questionnaire 75. (PFQ-75-SF) | Demands of the work environment were evaluated with an adaptation of the Psychosocial Factors Questionnaire 75. | 6 months | 
| Medical error perception - Medical Error Checklist General (MECG) | Medical error perception was evaluated with an adaptation of the Medical Error Checklist. | Baseline | 
| Medical error perception - Medical Error Checklist General (MECG) | Medical error perception was evaluated with an adaptation of the Medical Error Checklist. | 3 months | 
| Medical error perception - Medical Error Checklist General (MECG) | Medical error perception was evaluated with an adaptation of the Medical Error Checklist. | 6 months | 
| Medical Leave | Days of medical leave if needed | Baseline | 
| Medical Leave | Days of medical leave if needed | 3 months | 
| Medical Leave | Days of medical leave if needed | 6 months | 
| Personality - The Big Five Inventory-2 Short Form (BFI-2-S) | As individual factors were measured Personality with a short version of the Big Five Questionnaire The Big Five Inventory-2 Short Form (BFI-2-S) | Baseline | 
| Mental Health - Mental Health Continuum Scale- Short Form | Mental Health - Mental Health Continuum Scale- Short Form (MHC-14): Mental health can be defined as a state in which an individual realizes his or her own abilities, can cope with the stresses of life, can work productively and can make a contribution,and is described by Corey L. Keyes in 3 main dimensions; emotional well being, psychological well being and social well being. It is a Likert from 0 to 5 with a total of 14 ítems and 3 main subdimensions: emotional well being (BE, 3 ítems), psychological well being (BP, 5 ítems) y social well being.(PS, 6 ítems). It as a total score of 70 and a minium of 0. The higher the better mental health. | Baseline | 
| Mental Health - Mental Health Continuum Scale- Short Form | Mental Health - Mental Health Continuum Scale- Short Form (MHC-14): Mental health can be defined as a state in which an individual realizes his or her own abilities, can cope with the stresses of life, can work productively and can make a contribution,and is described by Corey L. Keyes in 3 main dimensions; emotional well being, psychological well being and social well being. It is a Likert from 0 to 5 with a total of 14 ítems and 3 main subdimensions: emotional well being (BE, 3 ítems), psychological well being (BP, 5 ítems) y social well being.(PS, 6 ítems). It as a total score of 70 and a minium of 0. The higher the better mental health. | 3 months | 
| Mental Health - Mental Health Continuum Scale- Short Form | Mental Health - Mental Health Continuum Scale- Short Form (MHC-14): Mental health can be defined as a state in which an individual realizes his or her own abilities, can cope with the stresses of life, can work productively and can make a contribution,and is described by Corey L. Keyes in 3 main dimensions; emotional well being, psychological well being and social well being. It is a Likert from 0 to 5 with a total of 14 ítems and 3 main subdimensions: emotional well being (BE, 3 ítems), psychological well being (BP, 5 ítems) y social well being.(PS, 6 ítems). It as a total score of 70 and a minium of 0. The higher the better mental health. | 6 months | 
| Five Facet Mindfulness Questionnaire Short Form (FFMQ-SF) | Mindfulness is defined as the ability to pay attention to our own experiences without judging them. The Five Facet Mindfulness Questionnaire Short Form was used, which consists of 24 questions that look for the 5 facets of mindfulness: observe, describe, act aware, non-judge and no-react. | Baseline | 
| Five Facet Mindfulness Questionnaire Short Form (FFMQ-SF) | Mindfulness is defined as the ability to pay attention to our own experiences without judging them. The Five Facet Mindfulness Questionnaire Short Form was used, which consists of 24 questions that look for the 5 facets of mindfulness: observe, describe, act aware, non-judge and no-react. | 3 months | 
| Five Facet Mindfulness Questionnaire Short Form (FFMQ-SF) | Mindfulness is defined as the ability to pay attention to our own experiences without judging them. The Five Facet Mindfulness Questionnaire Short Form was used, which consists of 24 questions that look for the 5 facets of mindfulness: observe, describe, act aware, non-judge and no-react. | 6 months | 
| Self compassion scale Short form (SCS-SF) | Self compassion is understood as maintenance of full attention and opening without disconnecting from self's suffering with the desire to alleviate it in a non judgemental way, comprehending the own experience as a part of the human experience. The Self Compassion Scale Short Form - 12 a scale of 6 sub domains was used. | Baseline | 
| Self compassion scale Short form (SCS-SF) | Self compassion is understood as maintenance of full attention and opening without disconnecting from self's suffering with the desire to alleviate it in a non judgemental way, comprehending the own experience as a part of the human experience. The Self Compassion Scale Short Form - 12 a scale of 6 sub domains was used. | 3 months | 
| Self compassion scale Short form (SCS-SF) | Self compassion is understood as maintenance of full attention and opening without disconnecting from self's suffering with the desire to alleviate it in a non judgemental way, comprehending the own experience as a part of the human experience. The Self Compassion Scale Short Form - 12 a scale of 6 sub domains was used. | 6 months |