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The proposed study will develop and pilot a fourteen-day assessment tailored for the high-demand schedule of residents through a smart phone intervention, EmoTrak.EmoTrak uses ecological measurement assessment (EMA), which solicits real-time user feedback at various time points across a series of days or weeks.
The investigators will perform a randomized controlled trial that compares residents, using EmoTrak with a wait list control group. After two weeks, the active control group becomes the treatment group. All participants will be evaluated four times from at baseline to two months. The measures to explore for any pre and post change are stress reduction on the emotional exhaustion scale of the Maslach Burnout Inventory (MBI) and improved resilience on the Perceived Stress Scale (PSS).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment | Experimental | The EMA intervention uses twice-a-day interactive questions for emotion tracking including type of emotion, intensity of emotion, trigger to emotion and response to emotion through an Iphone app designed for the study. The study users receive individualized feedback about their daily reporting of emotions, sleep and stress.The study tracking is for 14 days. |
|
| Control | No Intervention | The control arm does nothing for 14 days and then receives the 14 day emotion tracking listed above. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EmoTrak | Behavioral | Ecological Momentary Assessment of Emotion through Iphone App |
|
| Measure | Description | Time Frame |
|---|---|---|
| Retention of Participants Iphone App for Residents | Quantify amount of drop out through out the 14 day study and how many reports are responded two daily | 14 days |
| Acceptability of Iphone App for Residents Online Evaluation and Mini Interviews | Evaluate online questions and qualitative mini interviews about the usability of the app | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Real Time Assessment Comparison to Standardized Measures | Compare Pre, Post and Midway Assessments of Stress, Burnout and Emotion Awareness with daily, longitudinal measures to explore relationships between these sources of data. | 35 days |
| Ecological Assessment of Emotions Compared to Standardized Emotion Awareness Measures, PANAS |
| Measure | Description | Time Frame |
|---|---|---|
| Exploratory Analysis of Reduction in Pre and Post Reported Emotional Exhaustion on the MBI | Exploratory analysis of pre and post reduction of participants using EmoTrak versus wait list control on Emotional Exhaustion subscale of Burnout. | 30 days |
| Exploratory Analysis of Reduction in Pre and Post Reported Stress on PSS and MBI |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Eve Ekman, PhD | University of California, San Francisco | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California | San Francisco | California | 94114 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22549298 | Background | Riess H, Kelley JM, Bailey RW, Dunn EJ, Phillips M. Empathy training for resident physicians: a randomized controlled trial of a neuroscience-informed curriculum. J Gen Intern Med. 2012 Oct;27(10):1280-6. doi: 10.1007/s11606-012-2063-z. Epub 2012 May 2. |
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| ID | Term |
|---|---|
| D013315 | Stress, Psychological |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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Comparing the daily reports of emotions in comparison to the PANAS scale of last week of experienced emotions |
| 14 days |
| Ecological Assessment of Stress Compared to Standardized Perceived Stress and Emotional Exhaustion from the Maslach Burnout Inventory | Comparing the daily reports of stress s in comparison to the week of stress as measured by PSS and MBI. | 14 days |
Exploratory analysis of pre and post improvements of participants using EmoTrak versus wait list control on Perceived Stress. |
| 30 days |
| Exploratory Analysis of Increase in Pre and Post Reported Resilience on the CDRisc | Exploratory analysis of pre and post improvements of participants using EmoTrak versus wait list control on a measure of resilience to dealing with stress. | 30 days |