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“WISER” intervention to reduce healthcare worker burnout – 1 year follow up

  • Jochen Profit,
  • Xin Cui,
  • Daniel Tawfik,
  • Kathryn C. Adair,
  • J. Bryan Sexton

摘要

Objective

Test sustainability of Web-based Implementation for the Science of Enhancing Resilience (WISER) intervention efficacy in reducing healthcare worker (HCW) emotional exhaustion (EE), a key component of burnout.

Design

One-year follow-up of WISER RCT using two cohorts (one waitlist control with shortened intervention period) of HCWs of four NICUs each, to improve HCW well-being (primary outcome: EE).

Results

In Cohorts 1 and 2, 194 and 312 WISER initiators were identified by 1-year, and 99 and 80 completed 1-year follow-up, respectively. Combined cohort results showed that relative to baseline, at 1-year WISER decreased EE (−7.07 (95%CI: −10.22, −3.92), p < 0.001), depression (−4.49 (−6.81, −2.16), p = <0.001), and improved work-life integration (6.08 (4.25, 7.90), p = <0.001). EE continued to decline between 6-month and 1-year follow-up (p = 0.022). The percentage of HCWs reporting concerning outcomes was significantly decreased for EE (−10.9% (95%CI: −17.9%, −4.9%); p < 0.001), and secondary outcomes depression and work-life integration.

Conclusion

WISER improves HCW well-being for at least 1 year.

Clinical Trials Number

NCT02603133; https://clinicaltrials.gov/ct2/show/NCT02603133