Resident Well-being and Performance (ResiWell)

University of Wisconsin (UW)

Status: Completed

Conditions: Burnout, Psychological

Treatments: Behavioral: Well-being Resources; Behavioral: Healthy Minds Program App

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06149156

IRB Approval 2/9/2024 (Other Identifier)

A171600 (Other Identifier)

2023-1432

Details and patient eligibility

About

This project aims to investigate the effectiveness of a meditation intervention utilizing a smart phone-based meditation app on resident burnout, well-being, and performance self-efficacy in a randomized clinical trial. 500 participants will be enrolled for a 4 week intervention.

Full description

Burnout is an increasingly prevalent challenge in the medical field and especially prominent in residency. Burnout negatively affects learning and decision-making, physician performance, and patient outcomes. Studies have shown that mindfulness-based interventions are effective at reducing burnout and strengthening well-being in physicians. Furthermore, mobile health mindfulness-based interventions have similar benefits to in-person interventions while offering the advantages of increased scalability, lack of physical constraint, and lower costs. This project will use a novel mobile health MBI and measure resident burnout, well-being, and self-efficacy in performance.

Enrollment: 508 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Resident in a high burnout rate specialty: family medicine, internal medicine, obstetrics and gynecology, emergency medicine, general surgery, or surgical sub-specialty (plastic surgery, urology, neurosurgery, orthopedic surgery, vascular surgery, cardiothoracic surgery, otolaryngology, ophthalmology)

Exclusion criteria

• Participants who have previously used the HMP (a version of HMP has been freely available to the public since 2020)
• Participants who have been practicing meditation daily or almost daily for the prior six months

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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508 participants in 2 patient groups

Healthy Minds Program (HMP) intervention

Experimental group

Description:

Participants will receive access to the 4-week HMP Foundations module. The HMP app is a meditation-based smartphone app designed to promote and protect psychological well-being through sustainable skills training. The program is grounded in constituents of psychological well-being identified in empirical literature. HMP provides core content, with instruction administered through a curriculum of guided practices. HMP is based on research on eudaimonic well-being (e.g., environmental mastery, purpose) and brain-based skills that underlie these qualities (e.g., regulation of attention, mental flexibility). The full HMP has guided audio practices that address 4 constituents of well-being: awareness, connection, insight, and purpose. At post-treatment, participants will be given access to additional HMP content to support their continued practice.

Treatment:

Behavioral: Healthy Minds Program App

Waitlist Control

Active Comparator group

Description:

Participants will receive a list of well-being resources. They will be given access to HMP at the end of the study.

Treatment:

Behavioral: Well-being Resources