Evidence map›Paper›PMID 40721794›Full record

Trial reportBMC surgery2025

Acceptance and commitment therapy- based intervention to improve psychological skills and resilience in surgical trainees: a randomised waitlist-controlled trial.

Maddy Greville-Harris, Agata Wezyk, Kevin Thomas, Stephen Richer, Helen Bolderston, Nyssa Purchase, Sine McDougall, Kevin J Turner

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03759795 (Ameliorating the Impact of Complications and Errors on Surgeons), 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.

NCT03759795 nacompletednot on this map

Ameliorating the Impact of Complications and Errors on Surgeons: Resilience Training for Surgeons.

TypeinterventionalSponsorBournemouth UniversityRan2018 to 2022Enrolled68ConditionsEffect of TrainingArmsACTr (Acceptance and Commitment Training)
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

8 authors.

Maddy Greville-HarrisDepartment of Psychology, Poole House, Bournemouth University, Fern Barrow, Poole, BH12 5BB, UK.
Agata WezykDepartment of Psychology, Poole House, Bournemouth University, Fern Barrow, Poole, BH12 5BB, UK.
Kevin ThomasDepartment of Psychology, Poole House, Bournemouth University, Fern Barrow, Poole, BH12 5BB, UK.
Stephen RicherDepartment of Psychology, Poole House, Bournemouth University, Fern Barrow, Poole, BH12 5BB, UK.
Helen BolderstonDepartment of Psychology, Poole House, Bournemouth University, Fern Barrow, Poole, BH12 5BB, UK.
Nyssa PurchaseDepartment of Psychology, Poole House, Bournemouth University, Fern Barrow, Poole, BH12 5BB, UK.
Sine McDougallDepartment of Psychology, Poole House, Bournemouth University, Fern Barrow, Poole, BH12 5BB, UK.
Kevin J TurnerDepartment of Psychology, Poole House, Bournemouth University, Fern Barrow, Poole, BH12 5BB, UK. kevin.turner@uhd.nhs.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh levels of burnout, psychological distress and suicidal ideation are well documented in surgeons. The need for supporting wellbeing of surgical trainees and preparing them for the inevitable occupational stress have also been identified in the literature. ACT-based interventions have been successfully utilised in other populations to help develop psychological skills and improve wellbeing. However, there has been no research focusing on such interventions for surgical trainees. Therefore, this randomised controlled trial (RCT) examined the impact of an Acceptance and Commitment Therapy (ACT) based intervention on key psychological skills and wellbeing outcomes in surgical trainees.

methodsSurgical trainees (n = 68) were randomised to a three-session ACT-based intervention or waitlist control group. Validated scales were used to measure change in psychological skills (values consistency, psychological flexibility) and wellbeing outcomes (resilience, self-compassion and emotional distress) pre, during and post intervention, and at 3-month follow-up.

resultsTwo-factor mixed analyses of variance (ANOVAs) with post hoc pairwise comparisons indicated significant improvements in values consistency (p <.001), resilience (p <.001) and self-compassion (p <.001) for the ACT-based intervention compared with controls from baseline to follow-up. No such improvements were observed for psychological flexibility or emotional distress.

conclusionsThis RCT suggests that a short ACT-based intervention is useful for surgical trainees, showing promise in facilitating improvements in values consistency, resilience and self-compassion. Future research is needed to explore the scalability of such interventions, as well as the potential need for more tailored mindfulness training within such trainings, to specifically target psychological flexibility and reduce emotional distress.

trial registrationPreregistered with CLINICALTRIALS.gov Protocol Registration and Results System, NCT03759795, first posted 30

Indexed as

Acceptance and Commitment TherapyBurnout, ProfessionalGeneral SurgeryResilience, PsychologicalSurgeonsAdultFemaleHumansMalePsychological DistressAcceptance and commitment therapyACTSurgeon wellbeingWellbeing intervention

Identifiers

PMID40721794
PMCPMC12302558

What OpenQuestion holds

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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.