Clinical trial NCT04070456: Clinician Burnout and Social Determinants
Official title: Addressing Social Determinants of Health to Reduce Physician Burnout
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Burnout, Professional
Keywords: Physician Burnout
social determinants of health
Mini-Z
Lead sponsor: Wake Forest University Health Sciences
Sponsor class: OTHER
First posted: 2019-08-28
Enrollment: 34
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Although clinicians recognize the impact of the social determinants of health (SDH) on patient care, clinicians feel they do not have the time or knowledge to effectively address patients' unmet social needs in the clinic. This can lead to feelings of distress and helplessness. The objective of this study is to test the impact of a tablet-based platform that enhances the role of support staff to address SDH on clinician burnout.

Detailed description: Clinician burnout has risen over the last decade, and studies have found that almost 50% of U.S. physicians show signs of burnout. Burnout is characterized by emotional exhaustion, feelings of cynicism, and patient detachment. Clinicians at the front lines of care, such as family medicine and internal medicine, are at highest risk, and burnout is associated with an increased risk of cardiovascular disease, alcoholism, and suicide. Burnout also negatively impacts patient care. The drivers of burnout are complex, and a growing body of research has focused on developing strategies to address both clinician and organizational factors. One potential contributor to clinician burnout that has received less attention is their patients' SDH.

The SDH, or the circumstances in which people are born, grow, live, and age, have a profound impact on morbidity and mortality. Increasingly, national organizations have called for healthcare systems to address SDH, such as food and housing insecurity, to improve population health. Although clinicians recognize the importance of SDH on patient care, clinicians feel they do not have the time, knowledge, or tools to effectively address SDH, which can leading to feelings of distress and helplessness in addressing patients' unmet social needs. The SDH can lead to increased patient complexity and clinician workload. Also, the seemingly insurmountable social needs faced by many patients are a major contributor to the decline in medicine residents choosing a career in primary care. Thus, the lack of a tool to assist the primary care team in addressing SDH is a critical problem that can negatively affect both patients and clinicians.

Our long-term goal is to enhance the primary care teams' ability to address the SDH by utilizing a mobile health tool that can assist the team in addressing patients' unmet social needs in clinical settings. Mobile health tools, such as tablets, have shown promise in reducing disparities in care and addressing unmet social needs in pediatric practices. However, there is little data about how addressing SDH affects physician burnout. Mobile health tools have the potential to collect patient-reported data and connect patients to appropriate support personnel without interfering with clinic workflow and enhance the primary care teams' ability to provide patients with resources. The objective of this study is to test the impact of a tablet-based platform that enhances the role of support staff to address SDH on clinician burnout.

Eligibility criteria: Inclusion Criteria:

* All clinicians and primary care teams at participating sites will be eligible

Exclusion Criteria:

* There are no specific exclusion criteria

Primary outcomes:
measure: Mini-Z Scale
timeFrame: Baseline
measure: Mini-Z Scale
timeFrame: 6 month post baseline
measure: Mini-Z Scale
timeFrame: 12 month post baseline
Secondary outcomes:
measure: The number of clinicians who report a joyful workplace
timeFrame: Baseline
measure: The number of clinicians who report a joyful workplace
timeFrame: 6 months post baseline
measure: The number of clinicians who report a joyful workplace
timeFrame: 12 months post baseline
measure: The number of clinicians who report a supportive practice
timeFrame: Baseline
measure: The number of clinicians who report a supportive practice
timeFrame: 6 months post baseline
measure: The number of clinicians who report a supportive practice
timeFrame: 12 months post baseline
measure: The number of clinicians who report a good work pace
timeFrame: Baseline
measure: The number of clinicians who report a good work pace
timeFrame: 6 months post baseline
measure: The number of clinicians who report a good work pace
timeFrame: 12 months post baseline
Other outcomes:
Locations:
city: Winston-Salem
country: United States
facility: Wake Forest Downtown Health Plaza (DHP)
state: North Carolina
city: Winston-Salem
country: United States
facility: Family Medicine-Piedmont Plaza
state: North Carolina
city: Winston-Salem
country: United States
facility: Internal Medicine-Janeway Tower
state: North Carolina
Study officials:
affiliation: Wake Forest University Health Sciences
name: Deepak Palakshappa, MD
role: PRINCIPAL_INVESTIGATOR
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