Evidence map›Paper›PMID 35452478›Full record

Trial reportPloS one2022

The impact of Stress Management and Resilience Training (SMART) on academic physicians during the implementation of a new Health Information System: An exploratory randomized controlled trial.

Edward G Spilg, Hanna Kuk, Lesley Ananny, Kylie McNeill, Vicki LeBlanc, Brent A Bauer, Amit Sood, Philip S Wells

Erratum issued Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04384861 (Phase Three), which is not on this map. Cited by 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
5.3field-weighted citation impact, top 4% 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.

NCT04384861 nacompletednot on this map

Phase Three: Improving Physician Empathy, Compassionate Care and Wellness Through the Development of Resilience-building Communities of Practice and Creating a Culture of Empathy.

TypeinterventionalSponsorUniversity of OttawaRan2018 to 2019Enrolled40ConditionsBurnout, Professional, Resilience, Stress, EmotionalArmsMayo Clinic SMART program (Stress Management and Resilience Training)
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 4 syntheses or guidelines pooled it, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Edward G SpilgDepartment of Medicine, University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0002-6012-1571
Hanna KukDepartment of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Lesley AnannyDepartment of Innovation in Medical Education, University of Ottawa, Ottawa, Ontario, Canada.
Kylie McNeillDepartment of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Vicki LeBlancDepartment of Innovation in Medical Education, University of Ottawa, Ottawa, Ontario, Canada.
Brent A BauerDepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota, United States of America.ORCID 0000-0003-3453-6906
Amit SoodDepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota, United States of America.
Philip S WellsDepartment of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
University of Ottawa · CAMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe Stress Management and Resilience Training (SMART) program is an evidence-based intervention designed to build resilience in physicians in clinical practice. The objective of the current study was to assess the impact of the SMART program on academic physicians' levels of resilience, subjective happiness, stress, and anxiety, and specifically during the implementation of a new hospital-wide Health Information System (HIS).

methodsA total of 40 physicians in a tertiary care academic hospital were randomized (allocation ratio 1:1) to either the SMART intervention or the control condition. The SMART intervention consisted of one mandatory two-hour in-person workshop and an optional 24-week online program, designed to support the materials delivered in the workshop. Outcome measures were assessed using validated scales administered online at baseline and at 3-months and 6-months follow-up.

resultsAfter adjusting for baseline levels of each outcome, no statistically significant intervention effect was observed for resilience, subjective happiness, stress or anxiety at 3-months or 6-months follow-up. However, physicians in the intervention group demonstrated improvements in resilience, stress and anxiety at follow-up that were within the range of clinically relevant differences.

conclusionsThe findings of this exploratory study provide modest support that the SMART intervention may be beneficial for proactively addressing physician wellness during the implementation of a new HIS and that larger randomized trials are warranted.

trial registrationNCT04384861.

Indexed as

Health Information SystemsPhysiciansResilience, PsychologicalAnxietyHappinessHumans

Identifiers

PMID35452478
PMCPMC9032401
OpenAlexW4224224249

What OpenQuestion holds

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LicenceCC BY
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.