Evaluation of Mind-body Educational Program to Enhance Resiliency and Reduce Burnout in First Year Residents

Study Overview
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Brief Summary
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This prospective pilot study evaluated the benefits of a stress management and resiliency training program for residents (SMART-R). The primary objective of this study is to determine whether the SMART-R effectively reduces burnout and stress and enhances coping skills in first year residents. Objective parameters (heart rate, galvanized skin response, sleep duration and quality, exercise and actigraphy) measured with the Basis health tracking device will help correlate objective signs to subjective report of stress. The investigators' hypothesis is that the SMART-R, a curriculum designed to teach first year residents (in the department of Medicine and Psychiatry) relaxation skills, will enhance residents' emotional and physical well being, reduce reports of stress, anxiety, depression, and physical complaints, as well as increase overall resiliency.

Detailed Description
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The SMART-R has been developed by the Benson-Henry Institute (BHI) of Mind Body Medicine and is aimed at reducing the impact of stress through a variety of skill building exercises. The exercises incorporated into the program have been shown to improve physical symptoms, mood and wellbeing in medical patient populations. However, very little work has focused on healthcare providers, and there are no studies that look at mindfulness interventions for resident physicians specifically. Participants enrolled will be invited to complete a set of questionnaire before and after participation in the program. The investigators will also collect continuous physiologic data using the Basis Peak Health Tracking device to correlate the physiologic data with self-report measures of stress.

Official Title
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Evaluation of Mind-body Educational Program to Enhance Resiliency and Reduce Burnout in First Year Residents

Conditions
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Stress

Intervention / Treatment
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* Behavioral: Stress Management and Resiliency Training for Residents (SMART-R)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Massachusetts General Hospital first year resident in Department of Medicine or Department of Psychiatry 21 years of age or older consenting to participate in 3RP-1 Exclusion Criteria: -

Ages Eligible for Study
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Minimum Age: 21 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: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: First Year Residents<br>Stress Management and Resiliency Training for Residents (SMART-R) delivered to first year residents in the departments of medicine and psychiatry at Massachusetts General Hospital | Behavioral: Stress Management and Resiliency Training for Residents (SMART-R)<br>* The SMART-R is a mind-body Educational Program for residents that is aimed at reducing the impact of stress and enhancing coping strategies through skill building exercises. The intervention consists of 3, 2 hour sessions over the course of 12 months.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in burnout levels post intervention | Maslach Burnout Inventory (MBI), a validated 22-item self-report measure of professional burnout in human services. The MBI consists of 3 subscales of burnout: emotional exhaustion, depersonalization, and low sense of personal accomplishment. | change between baseline (week 0) and post intervention (week 52) | 
| Change in perceived stress post intervention | Perceived Stress Scale (PSS-10) | change between baseline (week 0) and post intervention (week 52) | 
| Change in continuous physiologic data throughout intervention | Basis Peak Health Tracking device collects continuous physiologic data (heart rate, galvanized skin response, sleep duration and quality, exercise and actigraphy) | change between baseline (week 0) and post intervention (week 52) | 
| change in coping abilities post intervention | Measure of Coping Status-Revised (MOCS-R) | change between baseline (week 0) and post intervention (week 52) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in self-reported anxiety and depression | Beck Anxiety Inventory (BAI) and Patient Health Questionnaire 9-item | change between baseline (week 0) and post intervention (week 52) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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mind/body medicine, 3RP, stress management, resident burnout