Effectiveness of a multimodal training programme to improve general practitioners’ burnout, job satisfaction and psychological well-being

Abstract

BackgroundThe changes in the models of care for mental disorders towards a community focus and deinstitutionalisation might have risen General practitioners’ (GPs) workload, increasing their mental health concerns and the need for solutions. Pragmatic research into improving GPs’ work-related health and psychological well-being is limited by focusing mainly on stressors and through not providing systematic attention to the development of positive mental health via interventions that develop psychological resources and capacities. The aim of this study was twofold: a) to determine the effectiveness of an intensive multimodal training programme for GPs designed to improve their management of mental-health patients; and b) to ascertain if the program could be also useful to improve the GPs management of their own burnout, job satisfaction and psychological well-being.MethodEighteen GPs constituted a control group that underwent the routine clinical Mental health support programme for primary care. An experimental group (N = 20) additionally received a Multimodal training programme (MTP) with an Integrated Brief Systemic Therapy (IBST) approach. Through questionnaires and a clinical interview, level of burnout, professional satisfaction, psychopathological state and various indicators of the quality of administrative and healthcare management were analysed at baseline and 10 months after the programme.ResultsIn relation to government of mental-health patients indicators, on the one hand MTP group showed statistically significant improvements in certain administrative health parameters, but on the other it did not improve opinions and attitudes towards mental illness. Regarding GPs management of their own burnout, job satisfaction and psychological well-being assessments, the MTP presented better scores on global psychopathological state and better evolution of satisfaction at work; psychopharmacology use dropped in both groups; in contrast, the MTP did not improve burnout levels.ConclusionsFindings of this preliminary study are promising for the MTP (with an IBST approach) practice in primary care. More research evidence is required from larger samples and randomized controlled trials to support both the hypothetical adoption of MTP (with an IBST approach) as a part of a continuing professional-training programme for GPs’ management of mental-health patients and its positive effects on work-related health factors.

Strategies for primary care providers in British Columbia's community primary care practice settings to prevent burnout

“…Of the eight articles selected for this review, six were primary studies (Barcons et al, 2019;Fortney et al, 2013;McGonagle et al, 2020;Rees et al, 2020;Verweij et al, 2016;West et al, 2014), and two were systematic reviews (Panagioti et al, 2017;Wiederhold et al,2018).…”

“…Some studies also measured the individual domains of burnout. Various burnout measurement scales were used including the MBI (Barcons et al, 2019;Fortney et al, 2013;McGonagle et al, 2020;West et al, 2013), 10-item Burnout Measure Short Version (Rees et al, 2020), and the Utrecht Burnout Scale for Contactual Occupations (Verweij et al, 2016). A small subset of the studies used mixed methods to collect quantitative and qualitative data.…”

“…Three of the primary studies included in this ILR were conducted in the United States of America (USA; Fortney et al, 2013;McGonagle et al, 2020;West et al, 2013). Single studies were conducted in each Spain (Barcons et al, 2019), the Netherlands (Verweij et al, 2016), and Australia (Rees at al., 2020). One of the systematic reviews did not specify what countries the included studies were from (Wiederhold et al, 2018).…”

“…Interventions aimed at enhancing job competencies seek to improve proficiencies in the PCP's practice that are thought to impact burnout risk factors (Barcons et al, 2019;West et al, 2014). These interventions aimed to improve competencies related to communication, collaboration, or difficult diagnoses and patient management (Barcons et al, 2019;West et al, 2014). Poor communication skills can negatively affect the PCP's relationships with patients (Barcons et al, 2019).…”

“…These interventions aimed to improve competencies related to communication, collaboration, or difficult diagnoses and patient management (Barcons et al, 2019;West et al, 2014). Poor communication skills can negatively affect the PCP's relationships with patients (Barcons et al, 2019). As such, poor communication can negatively impact the burnout risk factors of workload (Maslach & Leiter, 2016) and reward (Kim et al, 2020).…”