Evidence map›Paper›PMID 34366432›Full record

Trial reportJournal of perinatology : official journal of the California Perinatal Association2021

Randomized controlled trial of the "WISER" intervention to reduce healthcare worker burnout.

Jochen Profit, Kathryn C Adair, Xin Cui, Briana Mitchell, Debra Brandon, Daniel S Tawfik, Joseph Rigdon, Jeffrey B Gould, Henry C Lee, Wendy L Timpson and 10 more

2 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of perinatology : official journal of the California Perinatal Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 33 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 4 pooled it
10.4field-weighted citation impact, top 2% 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.

NCT02603133 nacompletednot on this map

Web-based Implementation for the Science of Enhancing Resilience Study

TypeinterventionalSponsorStanford UniversityRan2016 to 2019Enrolled2,650ConditionsBurnout, Professional, Resilience, PsychologicalArmsThree Good Things, Gratitude, Random Acts of Kindess, Awe, 1 Good Chat
NCT05636072 narecruitingnot on this mapstarted 2022, after this paper: background citation

The WISER Study: Web Based Methods for Enhancing Resilience

TypeinterventionalSponsorDuke UniversityRan2022 to 2027Enrolled8,000ConditionsBurnoutArmsWISER
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 4 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
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  6. "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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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

20 authors at 11 institutions in 1 country.

Jochen ProfitDivision of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0002-3782-9248
Kathryn C AdairDepartment of Psychiatry, Duke University School of Medicine, Duke University Health System, Durham, NC, USA.
Xin CuiDivision of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0002-4277-7972
Briana MitchellDivision of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA.
Debra BrandonDuke University School of Nursing, Durham, USA.
Daniel S TawfikDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA.
Joseph RigdonDepartment of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, NC, USA.ORCID http://orcid.org/0000-0001-6265-0752
Jeffrey B GouldDivision of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0002-8495-077X
Henry C LeeDivision of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0001-8383-1720
Wendy L TimpsonDepartment of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Martin J McCaffreyDivision of Neonatal-Perinatal Medicine, University of North Carolina Chapel Hill School of Medicine and University of North Carolina Children's Hospital, Chapel Hill, NC, USA.
Alexis S DavisDivision of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA.
Mohan PammiSection of Neonatology, Baylor College of Medicine and Texas Children's Hospital, Houston, TX, USA.
Melissa MatthewsDepartment of Pediatrics-Neonatology, The University of Texas Health Science Center and Children's Memorial Hermann Hospital, Houston, TX, USA.
Ann R StarkDepartment of Pediatrics, Division of Newborn Medicine, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-6051-1190
Lu-Ann PapileDivision of Neonatology, Department of Pediatrics, The University of New Mexico School of Medicine, Albuquerque, NM, USA.
Eric ThomasDepartment of Internal Medicine, The University of Texas Health Science Center and Memorial Hermann Medical Center, Houston, TX, USA.
Michael CottenDivision of Pediatrics-Neonatology, Duke University School of Medicine and Duke University Hospital, Durham, NC, USA.
Amir KhanDivision of Neonatology, Department of Pediatrics, The University of New Mexico School of Medicine, Albuquerque, NM, USA.
J Bryan SextonDepartment of Psychiatry, Duke University School of Medicine, Duke University Health System, Durham, NC, USA. Bryan.Sexton@Duke.edu.
Lucile Packard Children's Hospital · USDuke University Health System · USMemorial Hermann · USUniversity of New Mexico · USBaylor College of Medicine · USBeth Israel Deaconess Medical Center · USDuke University · USDuke University Hospital · USHarvard University · USUniversity of North Carolina Hospitals · USWake Forest University · US

Funding

The WISER StudyR01HD084679 · NICHD · STANFORD UNIVERSITY · PI PROFIT, JOCHEN, SEXTON, JOHN BRYAN · 2015 to 2018
$2.2M
Development and Validation of a Prediction Model to Address Physician BurnoutK08HS027837 · AHRQ · STANFORD UNIVERSITY · PI TAWFIK, DANIEL · 2020 to 2024
$762k
Improving the Safety and Quality of Pediatric Health CareK24HD053771 · NICHD · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI THOMAS, ERIC J · 2009 to 2013
$714k
AHRQ HHS K08 HS027837NICHD NIH HHS K24 HD053771NICHD NIH HHS R01 HD084679U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) R01 HD084679-01
6 · The paper itself

Abstract

objectiveTest web-based implementation for the science of enhancing resilience (WISER) intervention efficacy in reducing healthcare worker (HCW) burnout.

designRCT using two cohorts of HCWs of four NICUs each, to improve HCW well-being (primary outcome: burnout). Cohort 1 received WISER while Cohort 2 acted as a waitlist control.

resultsCohorts were similar, mostly female (83%) and nurses (62%). In Cohorts 1 and 2 respectively, 182 and 299 initiated WISER, 100 and 176 completed 1-month follow-up, and 78 and 146 completed 6-month follow-up. Relative to control, WISER decreased burnout (-5.27 (95% CI: -10.44, -0.10), p = 0.046). Combined adjusted cohort results at 1-month showed that the percentage of HCWs reporting concerning outcomes was significantly decreased for burnout (-6.3% (95%CI: -11.6%, -1.0%); p = 0.008), and secondary outcomes depression (-5.2% (95%CI: -10.8, -0.4); p = 0.022) and work-life integration (-11.8% (95%CI: -17.9, -6.1); p < 0.001). Improvements endured at 6 months.

conclusionWISER appears to durably improve HCW well-being. CLINICAL TRIALS NUMBER: NCT02603133; https://clinicaltrials.gov/ct2/show/NCT02603133.

Indexed as

Burnout, ProfessionalBurnout, PsychologicalFemaleHealth PersonnelHumansMale

Identifiers

PMID34366432
PMCPMC8440181
OpenAlexW3192495254

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.