Randomized controlled trial of the "WISER" intervention to reduce healthcare worker burnout.
Date
2021-08-09
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Abstract
Objective
Test web-based implementation for the science of enhancing resilience (WISER) intervention efficacy in reducing healthcare worker (HCW) burnout.Design
RCT using two cohorts of HCWs of four NICUs each, to improve HCW well-being (primary outcome: burnout). Cohort 1 received WISER while Cohort 2 acted as a waitlist control.Results
Cohorts were similar, mostly female (83%) and nurses (62%). In Cohorts 1 and 2 respectively, 182 and 299 initiated WISER, 100 and 176 completed 1-month follow-up, and 78 and 146 completed 6-month follow-up. Relative to control, WISER decreased burnout (-5.27 (95% CI: -10.44, -0.10), p = 0.046). Combined adjusted cohort results at 1-month showed that the percentage of HCWs reporting concerning outcomes was significantly decreased for burnout (-6.3% (95%CI: -11.6%, -1.0%); p = 0.008), and secondary outcomes depression (-5.2% (95%CI: -10.8, -0.4); p = 0.022) and work-life integration (-11.8% (95%CI: -17.9, -6.1); p < 0.001). Improvements endured at 6 months.Conclusion
WISER appears to durably improve HCW well-being.Clinical trials number
NCT02603133; https://clinicaltrials.gov/ct2/show/NCT02603133.Type
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Publication Info
Profit, Jochen, Kathryn C Adair, Xin Cui, Briana Mitchell, Debra Brandon, Daniel S Tawfik, Joseph Rigdon, Jeffrey B Gould, et al. (2021). Randomized controlled trial of the "WISER" intervention to reduce healthcare worker burnout. Journal of perinatology : official journal of the California Perinatal Association. 10.1038/s41372-021-01100-y Retrieved from https://hdl.handle.net/10161/23669.
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