Randomized controlled trial of the "WISER" intervention to reduce healthcare worker burnout.

dc.contributor.author

Profit, Jochen

dc.contributor.author

Adair, Kathryn C

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Cui, Xin

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Mitchell, Briana

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Brandon, Debra

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Tawfik, Daniel S

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Rigdon, Joseph

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Gould, Jeffrey B

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Lee, Henry C

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Timpson, Wendy L

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McCaffrey, Martin J

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Davis, Alexis S

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Pammi, Mohan

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Matthews, Melissa

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Stark, Ann R

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Papile, Lu-Ann

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Thomas, Eric

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Cotten, Michael

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Khan, Amir

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Sexton, J Bryan

dc.date.accessioned

2021-09-01T13:41:31Z

dc.date.available

2021-09-01T13:41:31Z

dc.date.issued

2021-08-09

dc.date.updated

2021-09-01T13:41:31Z

dc.description.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.
dc.identifier

10.1038/s41372-021-01100-y

dc.identifier.issn

0743-8346

dc.identifier.issn

1476-5543

dc.identifier.uri

https://hdl.handle.net/10161/23669

dc.language

eng

dc.publisher

Springer Science and Business Media LLC

dc.relation.ispartof

Journal of perinatology : official journal of the California Perinatal Association

dc.relation.isversionof

10.1038/s41372-021-01100-y

dc.title

Randomized controlled trial of the "WISER" intervention to reduce healthcare worker burnout.

dc.type

Journal article

duke.contributor.orcid

Adair, Kathryn C|0000-0003-4886-0002

duke.contributor.orcid

Sexton, J Bryan|0000-0002-0578-2924

pubs.organisational-group

School of Medicine

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Psychiatry & Behavioral Sciences, General Psychiatry

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Duke

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Psychiatry & Behavioral Sciences

pubs.organisational-group

Clinical Science Departments

pubs.organisational-group

Staff

pubs.publication-status

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