Decreasing Physician Burnout With Professional Coaching

Burnout, Professional Clinical Trial

Official title:

Decreasing Physician Burnout With Professional Coaching

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT05583435
• Other study ID #: 22-001542
• Status: Active, not recruiting
• Phase: N/A
• Start date: January 12, 2023
• Est. completion date: May 31, 2024

Study information

• Verified date: April 2024
• Source: University of California, Los Angeles
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of this randomized control trial is to learn if professional coaching can help reduce physician burnout among physicians at UCLA. The main aims of the study are: - To reduce burnout among physicians with professional coaching - Improve work satisfaction and engagement, sense of self-efficacy and social support with professional coaching - Determine the efficacy of one-on-one professional coaching and small group professional coaching combined with behavioral interventions/activities in reducing physician burnout and comparing these groups to one another and to a delayed-entry (control) group Participants will be randomly assigned into one of three groups: - Intervention Group 1: One-on-one coaching (N=30). Six one-on-one coaching sessions via Zoom with one of two private professional coaches every other week for 3-4 months. - Intervention Group 2: Coach-facilitated group sessions and coach-guided activities/behavioral interventions (N=30). Six small-group coaching sessions via Zoom with one of two private professional coaches and three physician participants in each group, every other week for 3-4 months. - Delayed-Entry Group 3 (N=30): No intervention during duration of study period. Note: once participation in the pilot study has been completed for Groups 1 and 2, physicians participating in Group 3 will be offered to participate in six one-on-one sessions with a private professional coach over a 3-4 month period. Participants will complete several surveys that assess for burnout, work engagement and satisfaction, sense of social support and isolation, and areas of worklife) before the start, upon completion of the intervention and again at 6 months upon completion of the sessions for the delayed-entry group. Each group also received coach-guided activities/behavioral interventions during coaching sessions. These activities will be sent by coaches to participates throughout the 3 month period and include, but are not limited to: Wheel of Life, visioning exercise, one page miracle: core values, purpose, and goals, buckets and mental models.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 79
• Est. completion date: May 31, 2024
• Est. primary completion date: April 13, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Actively practicing UCLA department of medicine physicians who were hired before July 2020

Exclusion Criteria:

• Current or anticipated (in the next 6 months) participation in one-on-one or group coaching provided by a professional coach. Participation in peer-to-peer UCLA DOM coaching program (note: coaches in the peer-to-peer UCLA DOM coaching program are not to be excluded)

Related Conditions & MeSH terms

• Burnout, Professional
• Burnout, Psychological

Intervention

Behavioral:
• One-on-one professional coaching
One-on-one professional coaching
• Small-group professional coaching
Small-group professional coaching

Locations

Country	Name	City	State
United States	University of California, Los Angeles	Los Angeles	California

Sponsors (1)

Lead Sponsor	Collaborator
University of California, Los Angeles

Country where clinical trial is conducted

United States, 

References & Publications (10)

Dyrbye LN, Shanafelt TD, Gill PR, Satele DV, West CP. Effect of a Professional Coaching Intervention on the Well-being and Distress of Physicians: A Pilot Randomized Clinical Trial. JAMA Intern Med. 2019 Oct 1;179(10):1406-1414. doi: 10.1001/jamainternmed.2019.2425. — View Citation

Dyrbye LN, Varkey P, Boone SL, Satele DV, Sloan JA, Shanafelt TD. Physician satisfaction and burnout at different career stages. Mayo Clin Proc. 2013 Dec;88(12):1358-67. doi: 10.1016/j.mayocp.2013.07.016. — View Citation

Hahn EA, DeWalt DA, Bode RK, Garcia SF, DeVellis RF, Correia H, Cella D; PROMIS Cooperative Group. New English and Spanish social health measures will facilitate evaluating health determinants. Health Psychol. 2014 May;33(5):490-9. doi: 10.1037/hea0000055. Epub 2014 Jan 20. — View Citation

Han S, Shanafelt TD, Sinsky CA, Awad KM, Dyrbye LN, Fiscus LC, Trockel M, Goh J. Estimating the Attributable Cost of Physician Burnout in the United States. Ann Intern Med. 2019 Jun 4;170(11):784-790. doi: 10.7326/M18-1422. Epub 2019 May 28. — View Citation

Leiter MP, Maslach C. Six areas of worklife: a model of the organizational context of burnout. J Health Hum Serv Adm. 1999 Spring;21(4):472-89. — View Citation

Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory. 4th ed. Menlo Park, CA: Mind Garden; 2016

New General Self Efficacy Scale: Chen, G., Gully, S. M., & Eden, D. (2001). Validation of a new general self-efficacy scale. Organizational research methods, 4(1), 62-83

Panagioti M, Panagopoulou E, Bower P, Lewith G, Kontopantelis E, Chew-Graham C, Dawson S, van Marwijk H, Geraghty K, Esmail A. Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. JAMA Intern Med. 2017 Feb 1;177(2):195-205. doi: 10.1001/jamainternmed.2016.7674. — View Citation

Social Provisions Scale: Cutrona CE, Russell DW. The provisions of social relationships and adaptation to stress. Advances in Personal Relationships. 1987;1:37-67.

Utrecht Work Engagement Scale: Schaufeli W, Bakker A. UWES: Utrecht Work Engagement Scale: preliminary manual [version 1.1, December 2004]. https://www.wilmarschaufeli.nl/publications/Schaufeli/Test%20Manuals/Test_manual_UWES_English.pdf.

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Burnout	Physician burnout (as measured by emotional exhaustion, depersonalization and personal accomplishment) evaluated with the Maslach Inventory Scale	90 days
Secondary	Areas of Worklife	Workload, control, reward, community, fairness and values as measured by the Areas of Worklife Survey	90 days
Secondary	Self-efficacy	Sense of self-efficacy as measured by New General Self-Efficacy Scale	90 days
Secondary	Work Engagmement and Satisfaction	Measured by the Utrecht Work Engagement Scale	90 days
Secondary	Social Support	Sense of social support and isolation as measured by the PROMIS Social Isolation Subscale and Social Provisions Scale	90 days