Clinical trial NCT05561283: Evaluation of the Satisfaction and Relevance of Leadership Training for Residents
Official title: Evaluation of the Satisfaction and Relevance of Leadership Training for Residents - START Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Quality of Life
Medical Residents
Keywords: leadership
meditation
residents
Lead sponsor: Hospices Civils de Lyon
Sponsor class: OTHER
First posted: 2022-09-30
Enrollment: 16
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: Health students are the future actors of the health system. They are exposed to many stressors in their journey. The quality of life of medical students is alarming worldwide: 11.1% of undergraduate and postgraduate residents reportedly have suicidal ideation and 27.2% have depressive symptoms. In addition, 44.2% suffer from burn-out syndrome. In the third cycle, 28.8% suffer from depressive symptoms and 35.1% from burn-out syndrome. This finding is shared internationally among medical residents. Health professionals are facing a global problem which it is crucial to act.

At national level, a survey on the mental health of young doctors carried out in 2017 found, among the 7603 residents who responded a prevalence: 22.8% of depressive symptoms, 59.7% of anxiety symptoms, 23.4% of suicidal thoughts, including 5.0% in the month prior to the survey. In 2018, a French report on the quality of life of health by Dr Donata Marra highlighted a real malaise affecting residents and the need to intervene "for residents, for carers and for patients", through the implementation of specific recommendations. The proposal 6 of the report emphasises the prevention of psychosocial risks through educational interventions such as training in collaborative management. On a personal level, the aim is to the leadership of each individual, in terms of stress management, communication, cross-disciplinary skills or even the introduction of relational simulations in the teaching of an awareness of deviant behaviour and harassment. The stress factors are indeed multiple during health studies confrontation with death, competition, increasing responsibilities... Perceived stress has a negative impact on the quality of life and burnout. Effective stress management strategies could therefore help to improve the quality of life of residents.

In this context, the analysis of the literature highlights three main areas of intervention that could contribute to resident leadership in favour of their quality of life: stress management, healthy living and the construction of a professional identity.

The Junior Leadership programme for residents from the beginning of their professional formation designed to provide basic knowledge and skills in healthcare leadership and to develop cross-disciplinary skills. The aim is to provide the necessary support for the success of the resident's professional project by participating in the improvement of their quality of life and the prevention of psycho-social risks.

The study therefore propose to evaluate the feasibility of training in leadership and meditation on the satisfaction of resident.


Eligibility criteria: Inclusion Criteria:

* residents assigned to the Hospices Civils de Lyon
* Informed consent given by the resident

Exclusion Criteria:

* Pregnant women, women in labour or nursing mothers
* Persons deprived of their liberty by a judicial or administrative decision
* Persons under psychiatric care
* Persons of full age who are subject to a legal protection measure (guardianship, curatorship)
* Persons who are not affiliated to a social security scheme or who are beneficiaries of a similar scheme

Primary outcomes:
measure: Description of the satisfaction on the Junior Leadership programme for residents evaluated by the questionnaire recommanded by the HAS
timeFrame: At 4 months (at the end of the training that lasts around 4 months)
Secondary outcomes:
measure: Change of proportion of burn-out evaluated the Maslach's burn-out inventory scale
timeFrame: Before training (baseline) and 3 months, 6 months and 1 year after training
measure: Change int he presence of symptoms of anxiety and depression evaluated by the HADS scale
timeFrame: Before training (baseline) and 3 months, 6 months and 1 year after training
measure: Change of the real-life stress levels in the professional environment of residents evaluated by the Karasek scale
timeFrame: Before training (baseline) and 3 months, 6 months and 1 year after training
measure: Change of relational skills evaluated by Cungi and Rey's communication scale
timeFrame: Before training (baseline) and 3 months, 6 months and 1 year after training
measure: Change of sleep quality of the residents evaluated by the LEEDS scale
timeFrame: Before training (baseline) and 3 months, 6 months and 1 year after training
measure: Change of the use of psychoactive substances by residents collected by questionnaire
timeFrame: Before training (baseline) and 3 months, 6 months and 1 year after training
measure: Change of the use of medical/psychological by residents collected by questionnaire
timeFrame: Before training (baseline) and 3 months, 6 months and 1 year after training
measure: Change of the number of days off for sikness collected by questionnaire
timeFrame: Before training (baseline) and 3 months, 6 months and 1 year after training
Other outcomes:
Locations:
city: Oullins
country: France
facility: Pôle de simulation en Santé de Lyon Sud (PL3S)
Study officials:
References: