Evidence map›Paper›PMID 39716202›Full record

ArticleBMC health services research2024

Protocol of randomized-controlled trial to examine the effectiveness of three different interventions to reduce healthcare provider burnout.

Catalina Ruple, John Brodhead, Lila Rabinovich, Doerte U Junghaenel, Tiffany Nakamura, Jonathan Wong, Sophia De-Oliveira, Joan Brown, Phuong Nguyen, Jenny Horn and 9 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05780892 (A Randomized-Controlled Trial to Reduce Clinician Burnout), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT05780892 naunknown statusnot on this map

A Randomized-Controlled Trial to Reduce Clinician Burnout

TypeinterventionalSponsorUniversity of Southern CaliforniaRan2023 to 2025Enrolled400ConditionsBurnoutArmsEmotional Wellbeing, EHR Skills Optimization, Performance Improvement, control
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

19 authors.

Catalina RupleCenter for Economic and Social Research, University of Southern California, Los Angeles, USA.
John BrodheadDepartment of Internal Medicine, University of Southern California, Los Angeles, United States.
Lila RabinovichCenter for Economic and Social Research, University of Southern California, Los Angeles, USA.
Doerte U JunghaenelCenter for Economic and Social Research, University of Southern California, Los Angeles, USA.
Tiffany NakamuraDepartment of Psychiatry and the Behavioral Sciences, University of Southern California, Los Angeles, United States.
Jonathan WongDepartment of Psychiatry and the Behavioral Sciences, University of Southern California, Los Angeles, United States.
Sophia De-OliveiraKeck Medicine of USC, University of Southern California, Los Angeles, USA.
Joan BrownDepartment of Surgery, University of Southern California, Los Angeles, United States.
Phuong NguyenKeck Medicine of USC, University of Southern California, Los Angeles, USA.
Jenny HornKeck School of Medicine, University of Southern California, Los Angeles, USA.
Renee MiddletonKeck School of Medicine, University of Southern California, Los Angeles, USA.
Michelle BraheKeck School of Medicine, University of Southern California, Los Angeles, USA.
Cheng WenCenter for Economic and Social Research, University of Southern California, Los Angeles, USA.
Sujeet RaoUSC Dornsife Public Exchange, University of Southern California, Los Angeles, USA.
Caroline NguyenUSC Dornsife Public Exchange, University of Southern California, Los Angeles, USA.
Gil ShlamovitzKeck School of Medicine, University of Southern California, Los Angeles, USA.
Dara MarinoKeck Medicine of USC, University of Southern California, Los Angeles, USA.
Felipe OsornoKeck Medicine of USC, University of Southern California, Los Angeles, USA.
Steven SiegelDepartment of Psychiatry and the Behavioral Sciences, University of Southern California, Los Angeles, United States. steven.siegel@med.usc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBurnout is among the greatest challenges facing healthcare today. Healthcare providers have been found to experience burnout at significant rates, with COVID-19 exacerbating the challenge. Burnout in the healthcare setting has been associated with decreases in job satisfaction, productivity, professionalism, quality of care, and patient satisfaction, as well as increases in career choice regret, intent to leave, and patient safety incidents. In this context, there is a growing need to reduce provider burnout through targeted interventions, yet little is known about what types of interventions may be most effective. The present study aims to contribute to and extend prior literature by using rigorous randomized controlled trial (RCT) methodology with a parallel group design to examine the effectiveness of different interventions in decreasing mental distress, increasing self-efficacy and attenuating inefficiencies and dissatisfiers in the work environment to achieve sustainable improvement.'

methodsThe present study is an ongoing randomized controlled trial (RCT) that examines the effectiveness of three different types of interventions to reduce provider burnout: an intervention targeting emotional wellbeing and resilience, Electronic Health Record (EHR) skills training, and performance improvement training, relative to a no-treatment control group. This study aims to enroll a total of 400 healthcare providers in a large urban hospital system. Outcomes will be assessed at post-treatment and 6-month follow-up. Key outcomes include burnout, emotional health, intent to leave, EHR mastery, and confidence in performance improvement. Changes in outcome measurements from baseline to post-intervention across the intervention and control groups will be conducted using linear mixed-effects models (LMM). DISCUSSION: This study is novel in that it compares several interventions addressing both personal as well as system-level drivers of provider burnout that have been theorized to operate among healthcare providers. In addition, post-treatment and longer-term follow-up assessments will provide insight into the maintenance of effects. Another innovation is the inclusion of different types of patient-facing providers in the study population (doctors, nurses, and therapists).

trial registrationThis study was registered at ClinicalTrials.gov (NCT05780892) on March 10th, 2023.

Indexed as

Burnout, ProfessionalCOVID-19Health PersonnelAdultFemaleHumansJob SatisfactionMaleMiddle AgedRandomized Controlled Trials as TopicSARS-CoV-2Self EfficacyBurnoutElectronic health recordsEmotional resilienceHealthcareInterventionsPerformance improvementRandomized Controlled Trial

Identifiers

PMID39716202
PMCPMC11667980

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.