Clinical trial NCT02621801: Evaluation of a Mind-body Education Program to Enhance Resiliency and Reduce Burnout in Residents
Official title: Evaluation of a Mind-body Education Program to Enhance Resiliency and Reduce Burnout in Residents
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Resident Burnout
Lead sponsor: Massachusetts General Hospital
Sponsor class: OTHER
Collaborators: name: NYU Langone Health
name: Weill Medical College of Cornell University
First posted: 2015-12-04
Enrollment: 173
Sex: ALL
Minimum age (years): 21
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: SUPPORTIVE_CARE

Brief summary: This prospective, waitlist-control study is evaluating the benefits of a stress management and resiliency training program for residents (SMART-R).

The primary aim of this study is to determine whether the SMART-R is effective at increasing coping skills and reducing stress among residents, reflected by changes in constructs such as emotional growth, perceived stress, optimism, and coping styles. 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.

Detailed description: The investigators adapted the Benson-Henry Institute Stress Management and Resiliency Training Program -- Relaxation Response Resiliency Program (SMART-3RP) to create the SMART-R resident wellness curriculum. The actual SMART-3RP is both a clinical program and research intervention. The three prongs of the SMART-R include 1) elicitation of the relaxation response through mind-body techniques 2) reducing overall stress reactivity and 3) increasing connectedness to self and others.

In a waitlist-control design, the SMART-R was implemented into multiple residents programs at Mass General Hospital, NYU Langone Medical Center, and Weill Cornell Medical College. The primary aim is to evaluate the effectiveness of the SMART-R in increasing coping skills and reducing stress among residents in the participating programs. Participants enrolled will be invited to complete 1) a brief questionnaire before, during (q3months) and after participation in the program (5 questionnaires total). 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.

Additionally, objective indicators of daily workload (page frequency, and quantity of notes authored by a resident during a given period) will help control for residents' schedules and busyness, in evaluating perceived stress, wellbeing and other outcomes.

Eligibility criteria: Inclusion Criteria:

* Residents in the following participating departments: departments of psychiatry, pediatrics, or neurology at MGH, medicine or psychiatry at NYU, or medicine or psychiatry at Cornell

Exclusion Criteria:

* Not a resident in the participating departments

Primary outcomes:
measure: Change in burnout levels post intervention
timeFrame: change between baseline (July 2015), midpoint (week 25), to post intervention (week 52)
Secondary outcomes:
measure: Change in perceived stress post intervention
timeFrame: change between baseline (July 2015), midpoint (week 25), to post intervention (week 52)
measure: Change in continuous physiologic data throughout intervention
timeFrame: change between baseline (July 2015), midpoint (week 25), to post intervention (week 52)
measure: change in mindfulness post intervention
timeFrame: change between baseline (July 2015), midpoint (week 25), to post intervention (week 52)
Other outcomes:
Locations:
city: Boston
country: United States
facility: MGH Benson-Henry Institute for Mind Body Medicine
state: Massachusetts
Study officials:
affiliation: Massachusetts General Hospital
name: John W Denninger, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Chaukos D, Zebrowski JP, Benson NM, Celik A, Chad-Friedman E, Teitelbaum A, Bernstein C, Cook R, Genfi A, Denninger JW. "One size does not fit all" - lessons learned from a multiple-methods study of a resident wellness curriculum across sites and specialties. BMC Med Educ. 2021 Nov 13;21(1):576. doi: 10.1186/s12909-021-02995-z.