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| ID | Type | Description | Link |
|---|---|---|---|
| 1902014 | Other Grant/Funding Number | American Medical Association |
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Although clinicians recognize the impact of the social determinants of health (SDH) on patient care, clinicians feel they do not have the time or knowledge to effectively address patients' unmet social needs in the clinic. This can lead to feelings of distress and helplessness. The objective of this study is to test the impact of a tablet-based platform that enhances the role of support staff to address SDH on clinician burnout.
Clinician burnout has risen over the last decade, and studies have found that almost 50% of U.S. physicians show signs of burnout. Burnout is characterized by emotional exhaustion, feelings of cynicism, and patient detachment. Clinicians at the front lines of care, such as family medicine and internal medicine, are at highest risk, and burnout is associated with an increased risk of cardiovascular disease, alcoholism, and suicide. Burnout also negatively impacts patient care. The drivers of burnout are complex, and a growing body of research has focused on developing strategies to address both clinician and organizational factors. One potential contributor to clinician burnout that has received less attention is their patients' SDH.
The SDH, or the circumstances in which people are born, grow, live, and age, have a profound impact on morbidity and mortality. Increasingly, national organizations have called for healthcare systems to address SDH, such as food and housing insecurity, to improve population health. Although clinicians recognize the importance of SDH on patient care, clinicians feel they do not have the time, knowledge, or tools to effectively address SDH, which can leading to feelings of distress and helplessness in addressing patients' unmet social needs. The SDH can lead to increased patient complexity and clinician workload. Also, the seemingly insurmountable social needs faced by many patients are a major contributor to the decline in medicine residents choosing a career in primary care. Thus, the lack of a tool to assist the primary care team in addressing SDH is a critical problem that can negatively affect both patients and clinicians.
Our long-term goal is to enhance the primary care teams' ability to address the SDH by utilizing a mobile health tool that can assist the team in addressing patients' unmet social needs in clinical settings. Mobile health tools, such as tablets, have shown promise in reducing disparities in care and addressing unmet social needs in pediatric practices. However, there is little data about how addressing SDH affects physician burnout. Mobile health tools have the potential to collect patient-reported data and connect patients to appropriate support personnel without interfering with clinic workflow and enhance the primary care teams' ability to provide patients with resources. The objective of this study is to test the impact of a tablet-based platform that enhances the role of support staff to address SDH on clinician burnout.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention sites-Tablet-based SDH tool | Experimental | All clinicians and primary care teams at a practice that are randomized to the intervention will receive the tablet-based SDH tool. |
|
| Control sites | No Intervention | Care as usual, no tablet-based SDH tool. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tablet-based SDH tool | Other | A tablet-based SDH tool, which integrates responses into the EpicCare electronic health record (EHR). |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mini-Z Scale | This scales measures clinician satisfaction. Total score 10 to 45. Higher scores denotes better outcome. | Baseline |
| Mini-Z Scale | This scales measures clinician satisfaction. Total score 10 to 45. Higher scores denotes better outcome. | 6 month post baseline |
| Mini-Z Scale | This scales measures clinician satisfaction. Total score 10 to 45. Higher scores denotes better outcome. | 12 month post baseline |
| Measure | Description | Time Frame |
|---|---|---|
| The number of clinicians who report a joyful workplace | Baseline | |
| The number of clinicians who report a joyful workplace | 6 months post baseline | |
| The number of clinicians who report a joyful workplace |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Deepak Palakshappa, MD | Wake Forest University Health Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Wake Forest Downtown Health Plaza (DHP) | Winston-Salem | North Carolina | 27101 | United States | ||
| Family Medicine-Piedmont Plaza |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22911330 | Background | Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D, West CP, Sloan J, Oreskovich MR. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012 Oct 8;172(18):1377-85. doi: 10.1001/archinternmed.2012.3199. | |
| 26653297 | Background | Shanafelt TD, Hasan O, Dyrbye LN, Sinsky C, Satele D, Sloan J, West CP. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clin Proc. 2015 Dec;90(12):1600-13. doi: 10.1016/j.mayocp.2015.08.023. |
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All of the individual participant data collected during the trial, after deindentification
Immediately following publication, no end date
Researchers who provide a methodologically sound proposal
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| ICF | No | No | Yes | Informed Consent Form | Nov 15, 2019 | Dec 17, 2021 | ICF_000.pdf |
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| ID | Term |
|---|---|
| D002055 | Burnout, Professional |
| ID | Term |
|---|---|
| D000073397 | Occupational Stress |
| D009784 | Occupational Diseases |
| D000077062 | Burnout, Psychological |
| D013315 | Stress, Psychological |
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| 12 months post baseline |
| The number of clinicians who report a supportive practice | Baseline |
| The number of clinicians who report a supportive practice | 6 months post baseline |
| The number of clinicians who report a supportive practice | 12 months post baseline |
| The number of clinicians who report a good work pace | Baseline |
| The number of clinicians who report a good work pace | 6 months post baseline |
| The number of clinicians who report a good work pace | 12 months post baseline |
| Winston-Salem |
| North Carolina |
| 27104 |
| United States |
| Internal Medicine-Janeway Tower | Winston-Salem | North Carolina | 27157 | United States |
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| D001526 | Behavioral Symptoms |
| D001519 | Behavior |