Evidence map›Paper›PMID 30898795›Full record

ArticleBMJ open2019

Forty-five good things: a prospective pilot study of the Three Good Things well-being intervention in the USA for healthcare worker emotional exhaustion, depression, work-life balance and happiness.

J Bryan Sexton, Kathryn C Adair

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  5. "WISER" intervention to reduce healthcare worker burnout - 1 year follow up.Journal of perinatology : official journal of the California Perinatal Association · 2024
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  9. Randomized controlled trial of the "WISER" intervention to reduce healthcare worker burnout.Journal of perinatology : official journal of the California Perinatal Association · 2021
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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

J Bryan SextonDuke Center for Healthcare Safety and Quality, Duke University Health System, Durham, North Carolina, USA.
Kathryn C AdairDuke Center for Healthcare Safety and Quality, Duke University Health System, Durham, North Carolina, USA.

Funding

The WISER StudyR01HD084679 · NICHD · STANFORD UNIVERSITY · PI PROFIT, JOCHEN, SEXTON, JOHN BRYAN · 2015 to 2018
$2.2M
NICHD NIH HHS R01 HD084679
6 · The paper itself

Abstract

objectivesHigh rates of healthcare worker (HCW) burn-out have led many to label it an 'epidemic' urgently requiring interventions. This prospective pilot study examined the efficacy, feasibility and evaluation of the 'Three Good Things' (3GT) intervention for HCWs, and added burn-out and work-life balance to the set of well-being metrics.

methods228 HCWs participated in a prospective, repeated measures study of a web-based 15-day long 3GT intervention. Assessments were collected at baseline and 1, 6 and 12-month post-intervention. The primary measure of efficacy was a derivative of the emotional exhaustion subscale of the Maslach Burnout Inventory. The secondary measures were validated instruments assessing depression symptoms, subjective happiness, and work-life balance. Paired samples t-tests and Cohen's d effect sizes for correlated samples were used to examine the efficacy of the intervention.

results3GT participants exhibited significant improvements from baseline in emotional exhaustion, depression symptoms and happiness at 1 month, 6 months and 12 months, and in work-life balance at 1 month and 6 months (effect sizes 0.16-0.52). Exploratory subgroup analyses of participants meeting 'concerning' criteria at baseline revealed even larger effects at all assessment points (0.55-1.57). Attrition rates were similar to prior 3GT interventions.

conclusion3GT appears a promising low-cost and brief intervention for improving HCW well-being. ETHICS AND DISSEMINATION: This study is approved by the Institutional Review Board of Duke University Health System (Pro00063703). All participants are required to give their informed consent prior to any study procedure.

Indexed as

HappinessWork-Life BalanceBurnout, ProfessionalDepressionFemaleHealth PersonnelHealth PromotionHumansMalePilot ProjectsProspective StudiesQualitative ResearchResilience, PsychologicalSurveys and Questionnairesburnoutburnout interventiondepressionhappinessthree good thingswork-life balance

Identifiers

PMID30898795
PMCPMC6475256

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.