Clinician Burnout and Social Determinants

Burnout, Professional Clinical Trial

Official title:

Addressing Social Determinants of Health to Reduce Physician Burnout

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04070456
• Other study ID #: IRB00059798
• Secondary ID: 1902014
• Status: Completed
• Phase: N/A
• Start date: November 18, 2019
• Est. completion date: October 29, 2021

Study information

• Verified date: June 2021
• Source: Wake Forest University Health Sciences
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Although clinicians recognize the impact of the social determinants of health (SDH) on patient care, clinicians feel they do not have the time or knowledge to effectively address patients' unmet social needs in the clinic. This can lead to feelings of distress and helplessness. The objective of this study is to test the impact of a tablet-based platform that enhances the role of support staff to address SDH on clinician burnout.

Description:

Clinician burnout has risen over the last decade, and studies have found that almost 50% of U.S. physicians show signs of burnout. Burnout is characterized by emotional exhaustion, feelings of cynicism, and patient detachment. Clinicians at the front lines of care, such as family medicine and internal medicine, are at highest risk, and burnout is associated with an increased risk of cardiovascular disease, alcoholism, and suicide. Burnout also negatively impacts patient care. The drivers of burnout are complex, and a growing body of research has focused on developing strategies to address both clinician and organizational factors. One potential contributor to clinician burnout that has received less attention is their patients' SDH.

The SDH, or the circumstances in which people are born, grow, live, and age, have a profound impact on morbidity and mortality. Increasingly, national organizations have called for healthcare systems to address SDH, such as food and housing insecurity, to improve population health. Although clinicians recognize the importance of SDH on patient care, clinicians feel they do not have the time, knowledge, or tools to effectively address SDH, which can leading to feelings of distress and helplessness in addressing patients' unmet social needs. The SDH can lead to increased patient complexity and clinician workload. Also, the seemingly insurmountable social needs faced by many patients are a major contributor to the decline in medicine residents choosing a career in primary care. Thus, the lack of a tool to assist the primary care team in addressing SDH is a critical problem that can negatively affect both patients and clinicians.

Our long-term goal is to enhance the primary care teams' ability to address the SDH by utilizing a mobile health tool that can assist the team in addressing patients' unmet social needs in clinical settings. Mobile health tools, such as tablets, have shown promise in reducing disparities in care and addressing unmet social needs in pediatric practices. However, there is little data about how addressing SDH affects physician burnout. Mobile health tools have the potential to collect patient-reported data and connect patients to appropriate support personnel without interfering with clinic workflow and enhance the primary care teams' ability to provide patients with resources. The objective of this study is to test the impact of a tablet-based platform that enhances the role of support staff to address SDH on clinician burnout.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 34
• Est. completion date: October 29, 2021
• Est. primary completion date: July 31, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• All clinicians and primary care teams at participating sites will be eligible

Exclusion Criteria:

• There are no specific exclusion criteria

Related Conditions & MeSH terms

• Burnout, Professional
• Burnout, Psychological

Intervention

Other:
• Tablet-based SDH tool
A tablet-based SDH tool, which integrates responses into the EpicCare electronic health record (EHR).

Locations

Country	Name	City	State
United States	Family Medicine-Piedmont Plaza	Winston-Salem	North Carolina
United States	Internal Medicine-Janeway Tower	Winston-Salem	North Carolina
United States	Wake Forest Downtown Health Plaza (DHP)	Winston-Salem	North Carolina

Sponsors (1)

Lead Sponsor	Collaborator
Wake Forest University Health Sciences

Country where clinical trial is conducted

United States, 

References & Publications (38)

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* Note: There are 38 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Mini-Z Scale	This scales measures clinician satisfaction. Total score 10 to 45. Higher scores denotes better outcome.	Baseline
Primary	Mini-Z Scale	This scales measures clinician satisfaction. Total score 10 to 45. Higher scores denotes better outcome.	6 month post baseline
Primary	Mini-Z Scale	This scales measures clinician satisfaction. Total score 10 to 45. Higher scores denotes better outcome.	12 month post baseline
Secondary	The number of clinicians who report a joyful workplace		Baseline
Secondary	The number of clinicians who report a joyful workplace		6 months post baseline
Secondary	The number of clinicians who report a joyful workplace		12 months post baseline
Secondary	The number of clinicians who report a supportive practice		Baseline
Secondary	The number of clinicians who report a supportive practice		6 months post baseline
Secondary	The number of clinicians who report a supportive practice		12 months post baseline
Secondary	The number of clinicians who report a good work pace		Baseline
Secondary	The number of clinicians who report a good work pace		6 months post baseline
Secondary	The number of clinicians who report a good work pace		12 months post baseline