Ignite Creation Date:
2024-10-26 @ 3:40 PM
Last Modification Date:
2024-10-26 @ 3:40 PM
Study NCT ID:
NCT06598540
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-09-14
Brief Title:
Comparison of Two Nutrition-Based Interventions on Physician Well-being
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Comparison of Two Nutrition-Based Interventions on Physician Well-being - a Randomized Controlled Trial
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
COMPASSION
Brief Summary:
Several studies have shown that self-valuation also known as self-compassion strongly predicts burnout in physicians Although effective existing self-compassion cultivation programs designed for physicians have significant time commitments and historically have had low physician participation rates With occupational burnout among US physicians at an all-time high there is a compelling and urgent need to identify pragmatic approaches to address low levels of self-valuation in physicians This study aims to test the impact of a brief mindset intervention that frames daily food choices as an opportunity to demonstrate self-kindness on self-valuation and burnout in physicians over 6 weeks Instilling a mindset shift that enables physicians to practice self-valuation as part of their existing daily routine amidst extreme time pressures is a pragmatic and potentially powerful vehicle to promote self-valuation for physicians
Detailed Description:
We will conduct a randomized controlled trial to compare the impact on physician well-being outcomes of a brief mindset intervention that frames daily food choices as an opportunity for demonstrating self-kindness to a brief nutrition education intervention control among physicians Surveys will be completed at baseline and in weeks 2 4 and 6 after the start of the intervention
If this proof-of-concept intervention is effective it will not only provide evidence regarding the value of the specific intervention tested for increasing self-valuation in physicians but also provide a novel framework for future interventions evaluating the ability of mindset interventions to foster self-valuation and clinician well-being
Primary outcome measures percentage change in mean scores from baseline at week 6 in scores of the measures below
I Self-valuation We will use two standardized measures to assess self-valuation
1 The 4-item Clinician Self-valuation Scale assesses deferment of self-care to meet work demands and harsh responses to personal imperfections and errors during the past two weeks 1 This assessment will be collected at baseline week 2 week 4 and week 6 1 23-item self-kindness subscale of the Modified State Self-Compassion Measures A validated construct developed by Kristin Nef PhD in 2021 3 1 This assessment will be collected at baseline week 2 week 4 and week 6
We will also evaluate participants39 readiness to practice self-valuation and the importance and confidence in practicing it on a sliding scale
II Burnout We will use the burnout sub-scales of the validated Stanford Professional Fulfillment Index which includes 4 items evaluating the Work Exhaustion domain of burnout and 6 items assessing the Interpersonal Disengagement domain of burnout over the past 2 weeks 4
Secondary outcome measures percentage change in mean score from baseline at week 4 in scores of the measures below
IV Diet quality assessed by the validated 9-item Mini-EAT dietary questionnaire designed to assess diet quality in clinician practice 6
In the final survey week 6 we will collect participant feedback about satisfaction with the program and recommendations for improvement
References
1 Trockel MT Hamidi MS Menon NK et al Self-valuation Attending to the Most Important Instrument in the Practice of Medicine Mayo Clin Proc 201994102022-2031
2 Gilbert P McEwan K Matos M Rivis A Fears of compassion development of three self-report measures Psychol Psychother 2011843239-255
3 Neff K D Tóth-Király I Knox M C Kuchar A amp Davidson O 2021 The Development and Validation of the State Self-Compassion Scale Long-and Short Form Mindfulness 121 121-140
4 Trockel M Bohman B Lesure E et al A Brief Instrument to Assess Both Burnout and Professional Fulfillment in Physicians Reliability and Validity Including Correlation with Self-Reported Medical Errors in a Sample of Resident and Practicing Physicians Acad Psychiatry 201842111-24
5 Shanafelt TD Dyrbye LN Sinsky C et al Imposter Phenomenon in US Physicians Relative to the US Working Population Mayo Clin Proc 202297111981-1993
6 Lara-Breitinger KM Medina Inojosa JR Li Z et al Validation of a Brief Dietary Questionnaire for Use in Clinical Practice Mini-EAT Eating Assessment Tool J Am Heart Assoc 2023121e025064
If this proof-of-concept intervention is effective it will not only provide evidence regarding the value of the specific intervention tested for increasing self-valuation in physicians but also provide a novel framework for future interventions evaluating the ability of mindset interventions to foster self-valuation and clinician well-being
Primary outcome measures percentage change in mean scores from baseline at week 6 in scores of the measures below
I Self-valuation We will use two standardized measures to assess self-valuation
1 The 4-item Clinician Self-valuation Scale assesses deferment of self-care to meet work demands and harsh responses to personal imperfections and errors during the past two weeks 1 This assessment will be collected at baseline week 2 week 4 and week 6 1 23-item self-kindness subscale of the Modified State Self-Compassion Measures A validated construct developed by Kristin Nef PhD in 2021 3 1 This assessment will be collected at baseline week 2 week 4 and week 6
We will also evaluate participants39 readiness to practice self-valuation and the importance and confidence in practicing it on a sliding scale
II Burnout We will use the burnout sub-scales of the validated Stanford Professional Fulfillment Index which includes 4 items evaluating the Work Exhaustion domain of burnout and 6 items assessing the Interpersonal Disengagement domain of burnout over the past 2 weeks 4
Secondary outcome measures percentage change in mean score from baseline at week 4 in scores of the measures below
IV Diet quality assessed by the validated 9-item Mini-EAT dietary questionnaire designed to assess diet quality in clinician practice 6
In the final survey week 6 we will collect participant feedback about satisfaction with the program and recommendations for improvement
References
1 Trockel MT Hamidi MS Menon NK et al Self-valuation Attending to the Most Important Instrument in the Practice of Medicine Mayo Clin Proc 201994102022-2031
2 Gilbert P McEwan K Matos M Rivis A Fears of compassion development of three self-report measures Psychol Psychother 2011843239-255
3 Neff K D Tóth-Király I Knox M C Kuchar A amp Davidson O 2021 The Development and Validation of the State Self-Compassion Scale Long-and Short Form Mindfulness 121 121-140
4 Trockel M Bohman B Lesure E et al A Brief Instrument to Assess Both Burnout and Professional Fulfillment in Physicians Reliability and Validity Including Correlation with Self-Reported Medical Errors in a Sample of Resident and Practicing Physicians Acad Psychiatry 201842111-24
5 Shanafelt TD Dyrbye LN Sinsky C et al Imposter Phenomenon in US Physicians Relative to the US Working Population Mayo Clin Proc 202297111981-1993
6 Lara-Breitinger KM Medina Inojosa JR Li Z et al Validation of a Brief Dietary Questionnaire for Use in Clinical Practice Mini-EAT Eating Assessment Tool J Am Heart Assoc 2023121e025064
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None