Evidence map›Paper›PMID 31718542›Full record

ArticleBMC family practice2019

Effectiveness of a multimodal training programme to improve general practitioners' burnout, job satisfaction and psychological well-being.

C Barcons, B García, C Sarri, E Rodríguez, O Cunillera, N Parellada, B Fernández, C E Alvarado, C Barrio, J C Fleta and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC family practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% of its field
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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
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

12 authors at 3 institutions in 2 countries.

C BarconsHospital Sagrat Cor, Serveis de Salut Mental Martorell, Centre de Salut Mental d'Adults del Berguedà, Plaça dels Països Catalans, núm. 4, 2a planta Berga, 08600, Barcelona, Spain. barcons@hotmail.com.ORCID 0000-0002-5856-1607
B GarcíaPsychiatry Medical Residency Training Programme, CASM Benito Menni, C/ Dr Pujadas, 36 Sant Boi de Llobregat, 08830, Barcelona, Spain.
C SarriCASM Benito Menni, St. Boi de LLobregat, C/ Dr Pujadas, 36 Sant Boi de Llobregat, 08830, Barcelona, Spain.
E RodríguezCASM Benito Menni, St. Boi de LLobregat, C/ Dr Pujadas, 36 Sant Boi de Llobregat, 08830, Barcelona, Spain.
O CunilleraUnitat de Suport a la Recerca Costa de Ponent, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), C/ Bellaterra, 41 Cornellà de Llobregat, 08940, Barcelona, Spain.
N ParelladaQuality, Assessment and Technology, Direcció d'Atenció Primària Costa de Ponent, Institut Català de la Salut, C/ Bellaterra, 41 Cornellà de Llobregat, 08940, Barcelona, Spain.
B FernándezBaix Llobregat Centre Primary Care Medical Center. Direcció d'Atenció Primària Costa de Ponent, Institut Català de la Salut, Carrer de Bellaterra, 41, 1r Cornellà de Llobregat, 08940, Barcelona, Spain.
C E AlvaradoMolí Nou Primary Care Medical Center, Direcció d'Atenció Primària Costa de Ponent, Institut Català de la Salut, Ciutat Cooperativa, s/n, Sant Boi de Llobregat, 08830, Barcelona, Spain.
C BarrioCamps Blancs Primary Care Medical Center, Direcció d'Atenció Primària Costa de Ponent, Institut Català de la Salut, Pl. d'Euskadi s/n, Sant Boi de Llobregat, 08830, Barcelona, Spain.
J C FletaMontclar Primary Care Medical Center, Direcció d'Atenció Primària Costa de Ponent, Institut Català de la Salut, C/ Pi i Margall, 115 Sant Boi de Llobregat, 08830, Barcelona, Spain.
D RuizVinyets Primary Care Medical Center. Direcció d'Atenció Primària Costa de Ponent, Institut Català de la Salut, Ronda de Sant Ramón, 187 Sant Boi de Llobregat, 08830, Barcelona, Spain.
R TorrubiaPsychiatry and Medical Psychology, Unitat de Psicologia Mèdica, Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona (UAB), Bellaterra, 08193, Barcelona, Spain.
Institut Català de la Salut · ESCornell University · USUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe changes in the models of care for mental disorders towards a community focus and deinstitutionalisation might have risen General practitioners' (GPs) workload, increasing their mental health concerns and the need for solutions. Pragmatic research into improving GPs' work-related health and psychological well-being is limited by focusing mainly on stressors and through not providing systematic attention to the development of positive mental health via interventions that develop psychological resources and capacities. The aim of this study was twofold: a) to determine the effectiveness of an intensive multimodal training programme for GPs designed to improve their management of mental-health patients; and b) to ascertain if the program could be also useful to improve the GPs management of their own burnout, job satisfaction and psychological well-being.

methodEighteen GPs constituted a control group that underwent the routine clinical Mental health support programme for primary care. An experimental group (N = 20) additionally received a Multimodal training programme (MTP) with an Integrated Brief Systemic Therapy (IBST) approach. Through questionnaires and a clinical interview, level of burnout, professional satisfaction, psychopathological state and various indicators of the quality of administrative and healthcare management were analysed at baseline and 10 months after the programme.

resultsIn relation to government of mental-health patients indicators, on the one hand MTP group showed statistically significant improvements in certain administrative health parameters, but on the other it did not improve opinions and attitudes towards mental illness. Regarding GPs management of their own burnout, job satisfaction and psychological well-being assessments, the MTP presented better scores on global psychopathological state and better evolution of satisfaction at work; psychopharmacology use dropped in both groups; in contrast, the MTP did not improve burnout levels.

conclusionsFindings of this preliminary study are promising for the MTP (with an IBST approach) practice in primary care. More research evidence is required from larger samples and randomized controlled trials to support both the hypothetical adoption of MTP (with an IBST approach) as a part of a continuing professional-training programme for GPs' management of mental-health patients and its positive effects on work-related health factors.

Indexed as

Emotional AdjustmentJob SatisfactionBurnout, ProfessionalEducationFemaleGeneral PractitionersHumansInterviews as TopicMalePsychiatric Status Rating ScalesSurveys and QuestionnairesBrief systemic therapyBurnoutGeneral practitionersJob satisfactionPrimary carePsychological well-being

Identifiers

PMID31718542
PMCPMC6849226
OpenAlexW2987759714

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.