Can Participants’ Characteristics Predict Benefit from a Multimodal Burnout Prevention Program? Secondary Analysis of a Randomized Controlled Trial Conducted in Germany

Abstract

Chronic psychological distress appears to be increasing markedly among the working population. A recent randomized controlled trial (RCT) supported the effectiveness of a threeweek outpatient burnout prevention program-comprised of stress management interventions, relaxation, physical exercise and moor baths followed by massage-in reducing perceived stress and emotional exhaustion. However, the effectiveness of treatments in the real-world that were shown to be efficacious in RCTs is related to the appropriate selection of individuals who are most likely to yield sustainable gains. Therefore, factors predicting the intensity of response and nonresponse of individuals to treatment are of interest. This secondary data analysis aims to explore predictors of response to the outpatient burnout prevention program in a sample of eighty employed persons at high risk of burnout. Hierarchical linear regression was performed to identify predictors of successful response-defined by lower perceived stress at last follow up. Nutritional behavior, symptoms of eating disorder syndrome and well-being were significant predictors of perceived stress at last follow up, when adjusted for age, sex, education level, baseline stress values and timing of intervention. Persons with low levels of well-being, poor nutritional behavior and higher symptoms of eating disorders should be given special care and attention to ensure that they respond well to the outpatient burnout prevention program.

Socioeconomic Factors Associated With Burnout Among Oncology Trainees

“…13 At the individual physician level, the cost can range from $4,100 to $10,200 per physician. 13 The costs of burnout come from reduced professional work effort, 14 resignation/physician turnover, [15][16][17] worker disability, and decreased efficiency, 15,18,19 with many of these financial losses going unnoticed, particularly for academic centers. 15 Although the specific criteria for burnout vary across studies, among medical oncologists, levels of burnout have been reported to range between 32% and 45%.…”

Time Is the Fire in Which We Burn (Out): How Time Perspectives Affect Burnout Tendencies in Health Care Professionals Via Perceived Stress and Self-Efficacy

“…The original three dimensional structure is well confirmed (Schaufeli et al, 1996) and was also replicated for the German version (Bu ¨ssing & Glaser, 1998). Vanajan et al (2020) reported sufficient strong internal consistencies of the three dimensions of the MBI-GS-D with Cronbach's alpha = 0.86 (emotional exhaustion), Cronbach's alpha = 0.85 (cynicism) and Cronbach's alpha = 0.84 (personal accomplishments).…”

“…The one dimensional model as used in the current study showed strong internal consistency of Cronbach's alpha = 0.95 (cf. Vanajan et al, 2020).…”