An interventional study of Prescribed Exercise Program and Usual Exercise Program in Burnout, Professional and Burnout Syndrome, sponsored by Vanderbilt University Medical Center. Completed at 1 site in United States. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-04-14.
Sponsored by Vanderbilt University Medical Center · Not applicable, Interventional, and Prevention
This study seeks to evaluate the prevalence and characterize predictors of physician burnout in the anesthesia residency at Vanderbilt University Medical Center. The study also seeks to evaluate the effect of an exercise intervention on burnout and personal resiliency (i.e., less individual stress given the same workload).
A cross-sectional evaluation of burnout, perceived stress, average sleep propensity, and social support and coping mechanisms will be assessed from four years of Vanderbilt University Medical Center (VUMC) Anesthesia residents. Burnout will be assessed using the Maslach Burnout Inventory (MBI-HSS).
Participating interns, Anesthesia Residency Class 1 (CA-1), and Anesthesia Residency Class 2 (CA-2) classes will be randomized to 8 weeks of an exercise intervention (15 min of activity at 70% of max heart rate or higher, 5 days a week) to meet the activity recommendations of the Office of Disease Prevention and Health Promotion or 8 weeks of continuing their baseline activity level prior to the study.
Exclusion Criteria:
8 weeks of exercise intervention followed by 8 weeks of usual exercise program
Behavioral: Prescribed Exercise Program · Behavioral: Usual Exercise Program
8 weeks of usual exercise program followed by 8 weeks of exercise intervention
Behavioral: Prescribed Exercise Program · Behavioral: Usual Exercise Program
Brief cardiovascular exercise training (\>70% of maximum heart rate) for 15 minutes a day, 5 days a week for 8 weeks. The exercise intervention will be a 15-minute per day of vigorous exercise that as monitored by a Fitbit Charge 2. Examples of possible 15-minute exercise regimens to be used include: * Walking quickly or running up and down stairs * Plyometric exercises such as jumping jacks, high knees, squats, lunges, speed skaters, froggers, etc * Walking up an incline on a treadmill * Jogging or running on a treadmill or elliptical * Stationary cycling or rowing
Usual exercise activity for 8 weeks
The Change in the Emotional Exhaustion (EE) Burnout Score(as Measured by the Maslach Burnout Inventory (MBI)From Baseline to End of Each Exercise Phase.
The change in the Emotional Exhaustion (EE) burnout score(as measured by the Maslach Burnout Inventory (MBI)from baseline to end of each exercise phase. MBI-HSS is a survey to measure burnout in professionals in human services. MBI-HSS EE score includes 9 items to evaluate emotional exhaustion (EE), with scores ranging from 0 to 6 on the Likert scale. MBI-HSS EE total score ranges from 0 to 54 points. We consider a high degree of burnout in the case of EE ≥ 27 points. Moderate burnout will be considered in the case of 26\<EE\<19 points. Low levels will be considered for EE≤18 points.
Time frame: Baseline to 8 weeks
The Change in the Depersonalization (DP) Burnout Score(as Measured by the Maslach Burnout Inventory (MBI))From Baseline to End of Each Exercise Phase.
The change in the Depersonalization (DP) burnout score(as measured by the Maslach Burnout Inventory (MBI))from baseline to end of each exercise phase. MBI-HSS is a survey to measure burnout in professionals in human services. MBI-HSS DP score includes 5 items to evaluate depersonalization (DP) with scores ranging from 0 to 6 on the Likert scale. MBI-HSS DP total score ranges from 0 to 30 points. We consider a high degree of burnout in the case of DP≥ 13 points. Moderate burnout will be considered in the case of 7-12 DP points. Low levels will be considered for DP ≤6 points.
Time frame: Baseline to 8 weeks
The Change in the Personal Accomplishment (PA) Burnout Score(as Measured by the Maslach Burnout Inventory (MBI))From Baseline to End of Each Exercise Phase.
The change in the Personal Accomplishment (PA) burnout score(as measured by the Maslach Burnout Inventory (MBI))from baseline to end of each exercise phase. MBI-HSS is a survey to measure burnout in professionals in human services. MBI-HSS PA score includes 8 items to evaluate Personal Accomplishment (PA) with scores ranging from 0 to 6 on the Likert scale. MBI-HSS PA total score ranges from 0 to 48 points. We consider a high degree of burnout in the case of PA≥ 39 points. Moderate burnout will be considered in the case of 32-38 PA points. Low levels will be considered for PA ≤31 points.
Time frame: Baseline to 8 weeks
Change in the Emotional Exhaustion (EE) Burnout Score(as Measured by MBI From Baseline to End of Each Exercise Phase Stratified by Training Level (Post Graduate Year 1 (PGY1), Post Graduate Year 2 (PGY2), and Post Graduate Year 3 (PGY3))
The change in the Emotional Exhaustion burnout score(as measured by the Maslach Burnout Inventory (MBI)from baseline to end of each exercise phase stratified by training level. MBI-HSS is a survey to measure burnout in professionals in human services. MBI-HSS includes 9 items to evaluate emotional exhaustion (EE) with scores ranging from 0 to 6 on the Likert scale. MBI-HSS EE total score ranges from 0 to 54 points. We consider a high degree of burnout in the case of EE ≥ 27 points. Moderate burnout will be considered in the case of 26\<EE\<19 points. Low levels will be considered for EE≤18 points.
Time frame: Baseline to 8 weeks
The Change in the Depersonalization (DP) Burnout Score(as Measured by the Maslach Burnout Inventory (MBI))From Baseline to End of Each Exercise Phase Stratified by Training Level.
The change in the Depersonalization (DP) burnout score(as measured by the Maslach Burnout Inventory (MBI))from baseline to end of each exercise phase stratified by training level. MBI-HSS is a survey to measure burnout in professionals in human services. DP MBI-HSS includes 5 items to evaluate depersonalization (DP) with scores ranging from 0 to 6 on the Likert scale. MBI-HSS DP total score ranges from 0 to 30 points. We consider a high degree of burnout in the case of DP ≥ 10. Moderate burnout will be considered in the case of 6\<DP\<9 points. Low levels will be considered for DP≤5 points.
Time frame: Baseline to 8 weeks
The Change in the Personal Accomplishment (PA) Burnout Score(as Measured by the Maslach Burnout Inventory (MBI))From Baseline to End of Each Exercise Phase Stratified by Training Level.
The change in the PA burnout score(as measured by the Maslach Burnout Inventory (MBI))from baseline to end of each exercise phase stratified by training level. MBI-HSS is a survey to measure burnout in professionals in human services. PA MBI-HSS includes 8 items to evaluate personal accomplishment (PA), with scores ranging from 0 to 6 on the Likert scale. MBI-HSS PA total score ranges from 0 to 48 points. We consider a high degree of burnout in the case of PA≥ 39 points. Moderate burnout will be considered in the case of 32-38 PA points. Low levels will be considered for PA ≤31 points.
Time frame: Baseline to 8 weeks
The Degree of Burnout Among VUMC Anesthesia Interns and Residents as Quantified by Baseline Emotional Exhaustion (EE) MBI-HSS Scores Broken Down by Level of Residency Training Completed.
The degree of burnout among VUMC anesthesia interns and residents as quantified by baseline Emotional Exhaustion MBI-HSS scores broken down by level of residency training completed. MBI-HSS is a survey to measure burnout in professionals in human services. MBI-HSS EE score includes 9 items to evaluate emotional exhaustion (EE), with scores ranging from 0 to 6 on the Likert scale. MBI-HSS EE total score ranges from 0 to 54 points. We consider a high degree of burnout in the case of EE ≥ 27 points. Moderate burnout will be considered in the case of 26\<EE\<19 points. Low levels will be considered for EE≤18 points.
Time frame: Baseline
The Degree of Burnout Among VUMC Anesthesia Interns and Residents as Quantified by Baseline Depersonalization MBI-HSS Scores Broken Down by Level of Residency Training Completed.
The degree of burnout among VUMC anesthesia interns and residents as quantified by baseline Depersonalization MBI-HSS scores broken down by level of residency training completed. MBI-HSS is a survey to measure burnout in professionals in human services. MBI-HSS DP score includes 5 items to evaluate depersonalization (DP) with scores ranging from 0 to 6 on the Likert scale. MBI-HSS DP total score ranges from 0 to 30 points. We consider a high degree of burnout in the case of DP≥ 13 points. Moderate burnout will be considered in the case of 7-12 DP points. Low levels will be considered for DP ≤6 points.
Time frame: Baseline
The Degree of Burnout Among VUMC Anesthesia Interns and Residents as Quantified by Baseline Personal Accomplishment (PA) MBI-HSS Scores Broken Down by Level of Residency Training Completed.
The degree of burnout among VUMC anesthesia interns and residents as quantified by baseline Personal Accomplishment MBI-HSS scores broken down by level of residency training completed. MBI-HSS is a survey to measure burnout in professionals in human services. MBI-HSS PA score includes 8 items to evaluate Personal Accomplishment (PA) with scores ranging from 0 to 6 on the Likert scale. MBI-HSS PA total score ranges from 0 to 48 points. We consider a high degree of burnout in the case of PA≥ 39 points. Moderate burnout will be considered in the case of 32-38 DP points. Low levels will be considered for DP ≤31 points.
Time frame: Baseline
| Milestone | Arm A: Exercise Intervention Then Usual Exercise Program | Arm B: Usual Exercise Program Then Exercise Intervention |
|---|---|---|
| Started | 24 | 22 |
| Completed | 22 | 22 |
| Not completed | 2 | 0 |
| Withdrew: Withdrawal by subject | 2 | 0 |
The change in the Emotional Exhaustion (EE) burnout score(as measured by the Maslach Burnout Inventory (MBI)from baseline to end of each exercise phase. MBI-HSS is a survey to measure burnout in professionals in human services. MBI-HSS EE score includes 9 items to evaluate emotional exhaustion (EE), with scores ranging from 0 to 6 on the Likert scale. MBI-HSS EE total score ranges from 0 to 54 points. We consider a high degree of burnout in the case of EE ≥ 27 points. Moderate burnout will be considered in the case of 26\<EE\<19 points. Low levels will be considered for EE≤18 points.
| units on a scale | Exercise Intervention | Usual Exercise Program |
|---|---|---|
| Baseline | 20.95348837 ± 9.756447168 | 20.93023256 ± 10.40694674 |
| Change after 8 weeks of exercise phase | -0.976190476 ± 7.416159335 | -0.095238095 ± 6.472491599 |
The change in the Depersonalization (DP) burnout score(as measured by the Maslach Burnout Inventory (MBI))from baseline to end of each exercise phase. MBI-HSS is a survey to measure burnout in professionals in human services. MBI-HSS DP score includes 5 items to evaluate depersonalization (DP) with scores ranging from 0 to 6 on the Likert scale. MBI-HSS DP total score ranges from 0 to 30 points. We consider a high degree of burnout in the case of DP≥ 13 points. Moderate burnout will be considered in the case of 7-12 DP points. Low levels will be considered for DP ≤6 points.
| units on a scale | Exercise Intervention | Usual Exercise Program |
|---|---|---|
| Baseline | 8.465116279 ± 4.762696501 | 8.181818182 ± 5.077413402 |
| Change after 8 weeks of usual exercise program | 0.139534884 ± 3.412731034 | -0.727272727 ± 3.743916842 |
The change in the Personal Accomplishment (PA) burnout score(as measured by the Maslach Burnout Inventory (MBI))from baseline to end of each exercise phase. MBI-HSS is a survey to measure burnout in professionals in human services. MBI-HSS PA score includes 8 items to evaluate Personal Accomplishment (PA) with scores ranging from 0 to 6 on the Likert scale. MBI-HSS PA total score ranges from 0 to 48 points. We consider a high degree of burnout in the case of PA≥ 39 points. Moderate burnout will be considered in the case of 32-38 PA points. Low levels will be considered for PA ≤31 points.
| units on a scale | Exercise Intervention | Usual Exercise Program |
|---|---|---|
| Baseline | 34.13636364 ± 6.729286596 | 34.95348837 ± 7.107854436 |
| Change after 8 weeks of usual exercise program | 0.209302326 ± 6.235681272 | 0.738095238 ± 5.355915461 |
The change in the Emotional Exhaustion burnout score(as measured by the Maslach Burnout Inventory (MBI)from baseline to end of each exercise phase stratified by training level. MBI-HSS is a survey to measure burnout in professionals in human services. MBI-HSS includes 9 items to evaluate emotional exhaustion (EE) with scores ranging from 0 to 6 on the Likert scale. MBI-HSS EE total score ranges from 0 to 54 points. We consider a high degree of burnout in the case of EE ≥ 27 points. Moderate burnout will be considered in the case of 26\<EE\<19 points. Low levels will be considered for EE≤18 points.
| units on a scale | Exercise Intervention | Usual Exercise Program |
|---|---|---|
| Post graduate year 1: Baseline | 21.2 ± 10.37992568 | 20.125 ± 11.43022309 |
| Post graduate year 1: Change after 8 weeks | -2.266666667 ± 5.66274374 | -2.0625 ± 6.287222492 |
| Post graduate year 2: Baseline | 20.84615385 ± 9.948585778 | 20.84615385 ± 10.07344822 |
| Post graduate year 2: Change after 8 weeks | 1.846153846 ± 8.434513954 | 0.833333333 ± 5.89067059 |
| Post graduate year 3: Baseline | 20.8 ± 9.637723501 | 21.92857143 ± 10.17889435 |
| Post graduate year 3: Change after 8 weeks | -2.214285714 ± 7.856193749 | 2.071428571 ± 6.521730371 |
The change in the Depersonalization (DP) burnout score(as measured by the Maslach Burnout Inventory (MBI))from baseline to end of each exercise phase stratified by training level. MBI-HSS is a survey to measure burnout in professionals in human services. DP MBI-HSS includes 5 items to evaluate depersonalization (DP) with scores ranging from 0 to 6 on the Likert scale. MBI-HSS DP total score ranges from 0 to 30 points. We consider a high degree of burnout in the case of DP ≥ 10. Moderate burnout will be considered in the case of 6\<DP\<9 points. Low levels will be considered for DP≤5 points.
| units on a scale | Exercise Intervention | Usual Exercise Program |
|---|---|---|
| Post graduate year 1: Baseline | 6.866666667 ± 4.596064569 | 6.3125 ± 5.055937104 |
| Post graduate year 1: Change after 8 weeks | -1.266666667 ± 2.865226659 | -1.8125 ± 4.354595274 |
| Post graduate year 2: Baseline | 9.461538462 ± 4.502136245 | 9.615384615 ± 4.233565509 |
| Post graduate year 2: Change after 8 weeks | 0.846153846 ± 3.262058497 | -0.076923077 ± 2.985005261 |
| Post graduate year 3: Baseline | 9.2 ± 5.031330412 | 8.933333333 ± 5.470265946 |
| Post graduate year 3: Change after 8 weeks | 0.933333333 ± 3.788453636 | 0.4 ± 3.581699517 |
The change in the PA burnout score(as measured by the Maslach Burnout Inventory (MBI))from baseline to end of each exercise phase stratified by training level. MBI-HSS is a survey to measure burnout in professionals in human services. PA MBI-HSS includes 8 items to evaluate personal accomplishment (PA), with scores ranging from 0 to 6 on the Likert scale. MBI-HSS PA total score ranges from 0 to 48 points. We consider a high degree of burnout in the case of PA≥ 39 points. Moderate burnout will be considered in the case of 32-38 PA points. Low levels will be considered for PA ≤31 points.
| units on a scale | Exercise Intervention | Usual Exercise Program |
|---|---|---|
| Post graduate year 1: Baseline | 33 ± 7.456540753 | 34.2 ± 7.775419144 |
| Post graduate year 1: Change after 8 weeks | -0.2 ± 6.635402884 | 1.428571429 ± 5.243520334 |
| Post graduate year 2: Baseline | 36.15384615 ± 6.2695847 | 36.38461538 ± 6.776656766 |
| Post graduate year 2: Change after 8 weeks | 1 ± 4.795831523 | 1 ± 5.016638981 |
| Post graduate year 3: Baseline | 33.6 ± 6.344851681 | 34.46666667 ± 6.998639324 |
| Post graduate year 3: Change after 8 weeks | 0.466666667 ± 7.199867724 | -0.133333333 ± 5.962581735 |
The degree of burnout among VUMC anesthesia interns and residents as quantified by baseline Emotional Exhaustion MBI-HSS scores broken down by level of residency training completed. MBI-HSS is a survey to measure burnout in professionals in human services. MBI-HSS EE score includes 9 items to evaluate emotional exhaustion (EE), with scores ranging from 0 to 6 on the Likert scale. MBI-HSS EE total score ranges from 0 to 54 points. We consider a high degree of burnout in the case of EE ≥ 27 points. Moderate burnout will be considered in the case of 26\<EE\<19 points. Low levels will be considered for EE≤18 points.
| units on a scale | Post Graduate Year 1 | Post Graduate Year 2 | Post Graduate Year 3 |
|---|---|---|---|
| The Degree of Burnout Among VUMC Anesthesia Interns and Residents as Quantified by Baseline Emotional Exhaustion (EE) MBI-HSS Scores Broken Down by Level of Residency Training Completed. | 20.29412 ± 8.858363 | 16.80000 ± 10.255312 | 27.64286 ± 12.481415 |
The degree of burnout among VUMC anesthesia interns and residents as quantified by baseline Depersonalization MBI-HSS scores broken down by level of residency training completed. MBI-HSS is a survey to measure burnout in professionals in human services. MBI-HSS DP score includes 5 items to evaluate depersonalization (DP) with scores ranging from 0 to 6 on the Likert scale. MBI-HSS DP total score ranges from 0 to 30 points. We consider a high degree of burnout in the case of DP≥ 13 points. Moderate burnout will be considered in the case of 7-12 DP points. Low levels will be considered for DP ≤6 points.
| units on a scale | Post Graduate Year 1 | Post Graduate Year 2 | Post Graduate Year 3 |
|---|---|---|---|
| The Degree of Burnout Among VUMC Anesthesia Interns and Residents as Quantified by Baseline Depersonalization MBI-HSS Scores Broken Down by Level of Residency Training Completed. | 7.647059 ± 5.086025 | 6.266667 ± 4.817626 | 9.357143 ± 6.570413 |
The degree of burnout among VUMC anesthesia interns and residents as quantified by baseline Personal Accomplishment MBI-HSS scores broken down by level of residency training completed. MBI-HSS is a survey to measure burnout in professionals in human services. MBI-HSS PA score includes 8 items to evaluate Personal Accomplishment (PA) with scores ranging from 0 to 6 on the Likert scale. MBI-HSS PA total score ranges from 0 to 48 points. We consider a high degree of burnout in the case of PA≥ 39 points. Moderate burnout will be considered in the case of 32-38 DP points. Low levels will be considered for DP ≤31 points.
| units on a scale | Post Graduate Year 1 | Post Graduate Year 2 | Post Graduate Year 3 |
|---|---|---|---|
| The Degree of Burnout Among VUMC Anesthesia Interns and Residents as Quantified by Baseline Personal Accomplishment (PA) MBI-HSS Scores Broken Down by Level of Residency Training Completed. | 34.41176 ± 6.828788 | 34.60000 ± 8.584038 | 33.35714 ± 9.352969 |
Collected over 16 weeks of study participation. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Exercise Intervention | 0/46 (0%) | 0/46 (0%) | 0/46 (0%) |
| Usual Exercise Program | 0/44 (0%) | 0/44 (0%) | 0/44 (0%) |
| Age, Categorical(Participants) | Exercise Intervention Then Usual Exercise Program | Usual Exercise Program Then Exercise Intervention | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 24 | 22 | 46 |
| >=65 years | 0 | 0 | 0 |
| Sex/Gender, Customized(Participants) | Exercise Intervention Then Usual Exercise Program | Usual Exercise Program Then Exercise Intervention | Total |
|---|---|---|---|
| Female | 11 | 12 | 23 |
| Male | 10 | 10 | 20 |
| Not reported | 3 | 0 | 3 |
| Race and Ethnicity Not Collected(Participants) | Exercise Intervention Then Usual Exercise Program | Usual Exercise Program Then Exercise Intervention | Total |
|---|---|---|---|
| Count of participants | — | — | 0 |
| Region of Enrollment(participants) | Exercise Intervention Then Usual Exercise Program | Usual Exercise Program Then Exercise Intervention | Total |
|---|---|---|---|
| United States | 24 | 22 | 46 |
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Vanderbilt University Medical Center