<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT04474080</url>
  </required_header>
  <id_info>
    <org_study_id>11136</org_study_id>
    <nct_id>NCT04474080</nct_id>
  </id_info>
  <brief_title>Reducing Burnout Among Frontline Healthcare Workers During COVID-19</brief_title>
  <acronym>RESTORE</acronym>
  <official_title>The Role of Virtual Peer Support Platforms for Reducing Stress and Burnout Among Frontline Healthcare Workers During COVID-19: A Randomized Controlled Trial</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>St. Joseph's Healthcare Hamilton</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
  </sponsors>
  <source>St. Joseph's Healthcare Hamilton</source>
  <oversight_info>
    <has_dmc>No</has_dmc>
    <is_fda_regulated_drug>No</is_fda_regulated_drug>
    <is_fda_regulated_device>No</is_fda_regulated_device>
  </oversight_info>
  <brief_summary>
    <textblock>
      Physician burnout has a significant impact on the wellness and productivity of physicians as&#xD;
      well as patient health outcomes. Managing burnout among frontline workers is critical to&#xD;
      Canada's response to the COVID-19 pandemic, in order to support frontline workers and reduce&#xD;
      inefficiencies and medical errors frequently linked to burnout, ultimately improving our&#xD;
      ability to detect, treat and manage COVID-19 cases. Therefore, this trial aims to assess the&#xD;
      effects of an 8-session intervention over 3 months for burnout in physician residents in&#xD;
      residency programs in Canada and the United States of America during the COVID-19 pandemic.&#xD;
      This trial will provide evidence to inform health system management and public health&#xD;
      response early and effectively so as to maintain the integrity of our workforce during and&#xD;
      post-pandemic. The virtual delivery platform renders the proposed intervention easily&#xD;
      disseminated internationally, in low- middle- and high- income countries and across urban and&#xD;
      rural cities.&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      Physician burnout has come to the forefront of discourse within the medical field due to its&#xD;
      significant impact on the wellness and productivity of physicians as well as patient health&#xD;
      outcomes. Burnout is defined as physical, mental and emotional exhaustion resulting from&#xD;
      persistent exposure to an emotionally demanding trigger, and is comprised of three&#xD;
      dimensions: emotional exhaustion (EE), depersonalization (DP) and lack of personal&#xD;
      accomplishment (PA). Residency is a particularly stressful time; the junior physician is&#xD;
      tasked with a tremendous responsibility of providing high quality care while learning and&#xD;
      integrating new skills during training. Adapting to these job demands has a direct&#xD;
      consequence on one's emotional reserve and ability to establish a healthy home-work&#xD;
      interface. Recent data indicates 47% of residents around the world suffer from burnout, and&#xD;
      that rates are highest in North America.&#xD;
&#xD;
      During times of lethal pandemics, healthcare workers (HCWs) have a duty to serve on the&#xD;
      frontlines. Within three months of the first report of COVID-19, a global pandemic was&#xD;
      declared and social separation and economic shutdowns were enforced around the globe.&#xD;
      Meanwhile, resident physicians were redeployed to the frontlines by their training&#xD;
      institutions, inevitably jeopardizing their speciality training. In addition to the&#xD;
      detrimental personal and substantial financial stressors generally incurred by persons during&#xD;
      a pandemic, residents bear the burden of caring for others and witnessing tragic outcomes&#xD;
      thus putting them at risk of &quot;accelerated burnout&quot;. HCWs on the frontlines during times of&#xD;
      crisis and natural disaster historically suffer from more severe emotional distress,&#xD;
      depression, anxiety, and social isolation. This is consistent with findings from a recent&#xD;
      study of frontline workers in Wuhan, China during the COVID-19 pandemic, and reports of&#xD;
      suicide among frontline workers attributed to COVID-19 associated stressors.&#xD;
&#xD;
      Many studies have aimed to delineate contributors of burnout and common themes that have&#xD;
      emerged include excessive workloads, feeling unsupported, lack of autonomy, and lack of&#xD;
      work-home integration. In addition to traditional causes of burnout, the heightened risk of&#xD;
      occupational exposure to infection, process inefficiencies, limited resources, and financial&#xD;
      instability have been established as additional stressors among HCWs during COVID-19. These&#xD;
      factors, in addition to social stigmatization and ostracism by family and the fearful public&#xD;
      have also been cited as major contributors to stress among HCWs during the SARS pandemic, the&#xD;
      Ebola epidemic, and among HCWs caring for AIDS patients during the late 1980s.&#xD;
&#xD;
      Addressing burnout among frontline workers is essential to supporting Canada's response to&#xD;
      the COVID-19 pandemic, in order to 1) keep our frontline workers on the frontlines, and 2)&#xD;
      reduce inefficiencies and medical errors frequently linked to burnout, ultimately improving&#xD;
      our ability to detect, treat and manage COVID-19 cases. Therefore, this trial aims to test&#xD;
      the effects of a 3 month, 8-session intervention to reduce burnout in physician residents in&#xD;
      residency programs in Canada and the United States of America during the COVID-19 pandemic.&#xD;
      This trial will provide evidence to inform health system management and public health&#xD;
      response early and effectively so as to maintain the integrity of our workforce during and&#xD;
      post-pandemic.&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Unknown status</overall_status>
  <last_known_status>Not yet recruiting</last_known_status>
  <start_date type="Anticipated">January 15, 2021</start_date>
  <completion_date type="Anticipated">July 2021</completion_date>
  <primary_completion_date type="Anticipated">July 2021</primary_completion_date>
  <phase>N/A</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>Randomized</allocation>
    <intervention_model>Crossover Assignment</intervention_model>
    <intervention_model_description>The following trial uses a nested stepped-wedge RCT design. Specialty residency programs will be the unit of randomization, with each program being randomized to receive the virtual peer support intervention across varying time-points.</intervention_model_description>
    <primary_purpose>Prevention</primary_purpose>
    <masking>None (Open Label)</masking>
  </study_design_info>
  <primary_outcome>
    <measure>Assess and measure overall burnout</measure>
    <time_frame>Change from baseline at month 3 and 6.</time_frame>
    <description>Maslach Burnout Inventory (MBI) will be administered to measure overall burnout. The MBI is a 22-item measure of the three dimensions of burnout: emotional exhaustion (EE), depersonalization (DP) and lack of personal accomplishment (PA) on a 7-point Likert scale ranging from 0 to 6. High scores on EE (≥26) or DP (≥9), and low scores on PA (≤34) are indicative of burnout.</description>
  </primary_outcome>
  <secondary_outcome>
    <measure>Assess stress</measure>
    <time_frame>Change from baseline at month 3 and 6.</time_frame>
    <description>Instrument/method of measurement: Stress will be measured using the Perceived Stress Scale, a 10-item scale ranging from 0-4 representing never to very often, with total scores between 0-40.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Assess depression</measure>
    <time_frame>Change from baseline at month 3 and 6.</time_frame>
    <description>depression will be measured using a feasible two question approach developed by Spitzer et. al, validated by Whooley et. al.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Assess quality of life</measure>
    <time_frame>Change from baseline at month 3 and 6.</time_frame>
    <description>Instrument/method of measurement: Single item linear analog scale. A score of 5 or less on this scale has known association with poor outcomes across clinical research of burnout.</description>
  </secondary_outcome>
  <number_of_arms>2</number_of_arms>
  <enrollment type="Anticipated">1080</enrollment>
  <condition>Burnout</condition>
  <arm_group>
    <arm_group_label>Virtual Peer Support Platform</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>The intervention program content will be informed by &quot;the BASICS&quot;-a guide for supporting resilience against burnout, developed by the Ontario Medical Association Physician Health Program, as well as the Person-Environment-Occupation (PEO) model, a transactive approach to modelling occupational performance issues in the field of Occupational Therapy. &quot;The BASICS&quot; highlights six fundamental domains will underly the focus of group therapy sessions, where participants will be encouraged to consider how they may incorporate healthy physical and emotional practices both on their own (Person), and during the practice of medicine (Occupation), in addition to identifying barriers to adopting these practices within the healthcare environment (Environment).</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Control period</arm_group_label>
    <arm_group_type>Active Comparator</arm_group_type>
    <description>Residents receive a 30 minutes break during their weekly academic half-day.</description>
  </arm_group>
  <intervention>
    <intervention_type>Behavioral</intervention_type>
    <intervention_name>Virtual Peer Support Platform</intervention_name>
    <description>The intervention program will consist of 8 virtual 30-minute sessions delivered across three months. Sessions will follow a structured format including: check-in, issue identification &amp; context, facilitated discussion, environmental strategies, occupational strategies, experiential component, as well as summary and sign-out. Meetings will finish with a stress relieving activity, to be performed together on the web-based platform. The facilitated discussions will follow important themes including focus on self, patients, and external stressors.</description>
    <arm_group_label>Virtual Peer Support Platform</arm_group_label>
  </intervention>
  <intervention>
    <intervention_type>Behavioral</intervention_type>
    <intervention_name>Control Period</intervention_name>
    <description>The control period will be the time prior to randomization and commencement of the intervention, whereby residents will receive a 30 minute break each week during their academic half-day.</description>
    <arm_group_label>Control period</arm_group_label>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          -  Physician residents across all medical specialties at McMaster University, McGill&#xD;
             University, and Stanford University.&#xD;
&#xD;
          -  Must be able to provide written informed consent&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          -  Residents who are on prolonged leave (&gt;4 weeks)&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>18 Years</minimum_age>
    <maximum_age>N/A</maximum_age>
    <healthy_volunteers>Accepts Healthy Volunteers</healthy_volunteers>
  </eligibility>
  <overall_official>
    <last_name>Zainab Samaan, MBChB, PhD</last_name>
    <role>Principal Investigator</role>
    <affiliation>St. Joseph's Healthcare Hamilton</affiliation>
  </overall_official>
  <overall_contact>
    <last_name>Jacqueline Hudson</last_name>
    <phone>9055221155</phone>
    <phone_ext>39215</phone_ext>
    <email>jhudson@mcmaster.ca</email>
  </overall_contact>
  <overall_contact_backup>
    <last_name>Zainab Samaan, MBChB, PhD</last_name>
    <email>samaanz@mcmaster.ca</email>
  </overall_contact_backup>
  <location>
    <facility>
      <name>St. Joseph's Healthcare Hamilton</name>
      <address>
        <city>Hamilton</city>
        <state>Ontario</state>
        <zip>L4E4S4</zip>
        <country>Canada</country>
      </address>
    </facility>
  </location>
  <location_countries>
    <country>Canada</country>
  </location_countries>
  <reference>
    <citation>Zis P, Anagnostopoulos F, Sykioti P. Burnout in medical residents: a study based on the job demands-resources model. ScientificWorldJournal. 2014;2014:673279. doi: 10.1155/2014/673279. Epub 2014 Oct 30.</citation>
    <PMID>25531003</PMID>
  </reference>
  <reference>
    <citation>Grobler L, Mehtar S, Dheda K, Adams S, Babatunde S, van der Walt M, Osman M. The epidemiology of tuberculosis in health care workers in South Africa: a systematic review. BMC Health Serv Res. 2016 Aug 20;16(1):416. doi: 10.1186/s12913-016-1601-5.</citation>
    <PMID>27544429</PMID>
  </reference>
  <reference>
    <citation>Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, Wu J, Du H, Chen T, Li R, Tan H, Kang L, Yao L, Huang M, Wang H, Wang G, Liu Z, Hu S. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020 Mar 2;3(3):e203976. doi: 10.1001/jamanetworkopen.2020.3976.</citation>
    <PMID>32202646</PMID>
  </reference>
  <reference>
    <citation>Montemurro N. The emotional impact of COVID-19: From medical staff to common people. Brain Behav Immun. 2020 Jul;87:23-24. doi: 10.1016/j.bbi.2020.03.032. Epub 2020 Mar 30. No abstract available.</citation>
    <PMID>32240766</PMID>
  </reference>
  <reference>
    <citation>Ishak W, Nikravesh R, Lederer S, Perry R, Ogunyemi D, Bernstein C. Burnout in medical students: a systematic review. Clin Teach. 2013 Aug;10(4):242-5. doi: 10.1111/tct.12014.</citation>
    <PMID>23834570</PMID>
  </reference>
  <reference>
    <citation>Thomas NK. Resident burnout. JAMA. 2004 Dec 15;292(23):2880-9. doi: 10.1001/jama.292.23.2880.</citation>
    <PMID>15598920</PMID>
  </reference>
  <reference>
    <citation>Sasangohar F, Jones SL, Masud FN, Vahidy FS, Kash BA. Provider Burnout and Fatigue During the COVID-19 Pandemic: Lessons Learned From a High-Volume Intensive Care Unit. Anesth Analg. 2020 Jul;131(1):106-111. doi: 10.1213/ANE.0000000000004866. No abstract available.</citation>
    <PMID>32282389</PMID>
  </reference>
  <reference>
    <citation>Shiao JS, Koh D, Lo LH, Lim MK, Guo YL. Factors predicting nurses' consideration of leaving their job during the SARS outbreak. Nurs Ethics. 2007 Jan;14(1):5-17. doi: 10.1177/0969733007071350.</citation>
    <PMID>17334166</PMID>
  </reference>
  <reference>
    <citation>Koh D, Lim MK, Chia SE, Ko SM, Qian F, Ng V, Tan BH, Wong KS, Chew WM, Tang HK, Ng W, Muttakin Z, Emmanuel S, Fong NP, Koh G, Kwa CT, Tan KB, Fones C. Risk perception and impact of Severe Acute Respiratory Syndrome (SARS) on work and personal lives of healthcare workers in Singapore: what can we learn? Med Care. 2005 Jul;43(7):676-82. doi: 10.1097/01.mlr.0000167181.36730.cc.</citation>
    <PMID>15970782</PMID>
  </reference>
  <reference>
    <citation>Li Y, Wang H, Jin XR, Li X, Pender M, Song CP, Tang SL, Cao J, Wu H, Wang YG. Experiences and challenges in the health protection of medical teams in the Chinese Ebola treatment center, Liberia: a qualitative study. Infect Dis Poverty. 2018 Aug 16;7(1):92. doi: 10.1186/s40249-018-0468-6.</citation>
    <PMID>30134982</PMID>
  </reference>
  <reference>
    <citation>Barbour RS. Responding to a challenge: nursing care and AIDS. Int J Nurs Stud. 1995 Jun;32(3):213-23. doi: 10.1016/0020-7489(95)00003-g.</citation>
    <PMID>7665310</PMID>
  </reference>
  <reference>
    <citation>Whooley MA, Avins AL, Miranda J, Browner WS. Case-finding instruments for depression. Two questions are as good as many. J Gen Intern Med. 1997 Jul;12(7):439-45. doi: 10.1046/j.1525-1497.1997.00076.x.</citation>
    <PMID>9229283</PMID>
  </reference>
  <reference>
    <citation>Spitzer RL, Williams JB, Kroenke K, Linzer M, deGruy FV 3rd, Hahn SR, Brody D, Johnson JG. Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. JAMA. 1994 Dec 14;272(22):1749-56.</citation>
    <PMID>7966923</PMID>
  </reference>
  <verification_date>October 2020</verification_date>
  <study_first_submitted>July 8, 2020</study_first_submitted>
  <study_first_submitted_qc>July 15, 2020</study_first_submitted_qc>
  <study_first_posted type="Actual">July 16, 2020</study_first_posted>
  <last_update_submitted>October 21, 2020</last_update_submitted>
  <last_update_submitted_qc>October 21, 2020</last_update_submitted_qc>
  <last_update_posted type="Actual">October 22, 2020</last_update_posted>
  <responsible_party>
    <responsible_party_type>Principal Investigator</responsible_party_type>
    <investigator_affiliation>St. Joseph's Healthcare Hamilton</investigator_affiliation>
    <investigator_full_name>Zainab Samaan (Zena)</investigator_full_name>
    <investigator_title>Associate Professor</investigator_title>
  </responsible_party>
  <keyword>physician</keyword>
  <keyword>burnout</keyword>
  <keyword>COVID-19</keyword>
  <keyword>public health response</keyword>
  <keyword>stress</keyword>
  <keyword>depression</keyword>
  <keyword>virtual peer support platforms</keyword>
  <keyword>frontline healthcare workers</keyword>
  <condition_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>COVID-19</mesh_term>
    <mesh_term>Burnout, Psychological</mesh_term>
  </condition_browse>
  <patient_data>
    <sharing_ipd>No</sharing_ipd>
  </patient_data>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT04474080
org study id: 11136
nct id: NCT04474080
lead sponsor: 
has dmc: No
is fda regulated drug: No
is fda regulated device: No
Physician burnout has a significant impact on the wellness and productivity of physicians as
      well as patient health outcomes. Managing burnout among frontline workers is critical to
      Canada's response to the COVID-19 pandemic, in order to support frontline workers and reduce
      inefficiencies and medical errors frequently linked to burnout, ultimately improving our
      ability to detect, treat and manage COVID-19 cases. Therefore, this trial aims to assess the
      effects of an 8-session intervention over 3 months for burnout in physician residents in
      residency programs in Canada and the United States of America during the COVID-19 pandemic.
      This trial will provide evidence to inform health system management and public health
      response early and effectively so as to maintain the integrity of our workforce during and
      post-pandemic. The virtual delivery platform renders the proposed intervention easily
      disseminated internationally, in low- middle- and high- income countries and across urban and
      rural cities.
Physician burnout has come to the forefront of discourse within the medical field due to its
      significant impact on the wellness and productivity of physicians as well as patient health
      outcomes. Burnout is defined as physical, mental and emotional exhaustion resulting from
      persistent exposure to an emotionally demanding trigger, and is comprised of three
      dimensions: emotional exhaustion (EE), depersonalization (DP) and lack of personal
      accomplishment (PA). Residency is a particularly stressful time; the junior physician is
      tasked with a tremendous responsibility of providing high quality care while learning and
      integrating new skills during training. Adapting to these job demands has a direct
      consequence on one's emotional reserve and ability to establish a healthy home-work
      interface. Recent data indicates 47% of residents around the world suffer from burnout, and
      that rates are highest in North America.

      During times of lethal pandemics, healthcare workers (HCWs) have a duty to serve on the
      frontlines. Within three months of the first report of COVID-19, a global pandemic was
      declared and social separation and economic shutdowns were enforced around the globe.
      Meanwhile, resident physicians were redeployed to the frontlines by their training
      institutions, inevitably jeopardizing their speciality training. In addition to the
      detrimental personal and substantial financial stressors generally incurred by persons during
      a pandemic, residents bear the burden of caring for others and witnessing tragic outcomes
      thus putting them at risk of "accelerated burnout". HCWs on the frontlines during times of
      crisis and natural disaster historically suffer from more severe emotional distress,
      depression, anxiety, and social isolation. This is consistent with findings from a recent
      study of frontline workers in Wuhan, China during the COVID-19 pandemic, and reports of
      suicide among frontline workers attributed to COVID-19 associated stressors.

      Many studies have aimed to delineate contributors of burnout and common themes that have
      emerged include excessive workloads, feeling unsupported, lack of autonomy, and lack of
      work-home integration. In addition to traditional causes of burnout, the heightened risk of
      occupational exposure to infection, process inefficiencies, limited resources, and financial
      instability have been established as additional stressors among HCWs during COVID-19. These
      factors, in addition to social stigmatization and ostracism by family and the fearful public
      have also been cited as major contributors to stress among HCWs during the SARS pandemic, the
      Ebola epidemic, and among HCWs caring for AIDS patients during the late 1980s.

      Addressing burnout among frontline workers is essential to supporting Canada's response to
      the COVID-19 pandemic, in order to 1) keep our frontline workers on the frontlines, and 2)
      reduce inefficiencies and medical errors frequently linked to burnout, ultimately improving
      our ability to detect, treat and manage COVID-19 cases. Therefore, this trial aims to test
      the effects of a 3 month, 8-session intervention to reduce burnout in physician residents in
      residency programs in Canada and the United States of America during the COVID-19 pandemic.
      This trial will provide evidence to inform health system management and public health
      response early and effectively so as to maintain the integrity of our workforce during and
      post-pandemic.
allocation: Randomized
intervention model: Crossover Assignment
intervention model description: The following trial uses a nested stepped-wedge RCT design. Specialty residency programs will be the unit of randomization, with each program being randomized to receive the virtual peer support intervention across varying time-points.
primary purpose: Prevention
masking: None (Open Label)
measure: Assess and measure overall burnout
time frame: Change from baseline at month 3 and 6.
description: Maslach Burnout Inventory (MBI) will be administered to measure overall burnout. The MBI is a 22-item measure of the three dimensions of burnout: emotional exhaustion (EE), depersonalization (DP) and lack of personal accomplishment (PA) on a 7-point Likert scale ranging from 0 to 6. High scores on EE (≥26) or DP (≥9), and low scores on PA (≤34) are indicative of burnout.
measure: Assess stress
time frame: Change from baseline at month 3 and 6.
description: Instrument/method of measurement: Stress will be measured using the Perceived Stress Scale, a 10-item scale ranging from 0-4 representing never to very often, with total scores between 0-40.
measure: Assess depression
time frame: Change from baseline at month 3 and 6.
description: depression will be measured using a feasible two question approach developed by Spitzer et. al, validated by Whooley et. al.
measure: Assess quality of life
time frame: Change from baseline at month 3 and 6.
description: Instrument/method of measurement: Single item linear analog scale. A score of 5 or less on this scale has known association with poor outcomes across clinical research of burnout.
arm group label: Virtual Peer Support Platform
arm group type: Experimental
description: The intervention program content will be informed by "the BASICS"-a guide for supporting resilience against burnout, developed by the Ontario Medical Association Physician Health Program, as well as the Person-Environment-Occupation (PEO) model, a transactive approach to modelling occupational performance issues in the field of Occupational Therapy. "The BASICS" highlights six fundamental domains will underly the focus of group therapy sessions, where participants will be encouraged to consider how they may incorporate healthy physical and emotional practices both on their own (Person), and during the practice of medicine (Occupation), in addition to identifying barriers to adopting these practices within the healthcare environment (Environment).
arm group label: Control period
arm group type: Active Comparator
description: Residents receive a 30 minutes break during their weekly academic half-day.
intervention type: Behavioral
intervention name: Virtual Peer Support Platform
description: The intervention program will consist of 8 virtual 30-minute sessions delivered across three months. Sessions will follow a structured format including: check-in, issue identification & context, facilitated discussion, environmental strategies, occupational strategies, experiential component, as well as summary and sign-out. Meetings will finish with a stress relieving activity, to be performed together on the web-based platform. The facilitated discussions will follow important themes including focus on self, patients, and external stressors.
arm group label: Virtual Peer Support Platform
intervention type: Behavioral
intervention name: Control Period
description: The control period will be the time prior to randomization and commencement of the intervention, whereby residents will receive a 30 minute break each week during their academic half-day.
arm group label: Control period
criteria: 
gender: All
minimum age: 18 Years
maximum age: N/A
healthy volunteers: Accepts Healthy Volunteers
last name: Zainab Samaan, MBChB, PhD
role: Principal Investigator
affiliation: St. Joseph's Healthcare Hamilton
last name: Jacqueline Hudson
phone: 9055221155
phone ext: 39215
email: jhudson@mcmaster.ca
last name: Zainab Samaan, MBChB, PhD
email: samaanz@mcmaster.ca
facility: 
country: Canada
citation: Zis P, Anagnostopoulos F, Sykioti P. Burnout in medical residents: a study based on the job demands-resources model. ScientificWorldJournal. 2014;2014:673279. doi: 10.1155/2014/673279. Epub 2014 Oct 30.
PMID: 25531003
citation: Grobler L, Mehtar S, Dheda K, Adams S, Babatunde S, van der Walt M, Osman M. The epidemiology of tuberculosis in health care workers in South Africa: a systematic review. BMC Health Serv Res. 2016 Aug 20;16(1):416. doi: 10.1186/s12913-016-1601-5.
PMID: 27544429
citation: Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, Wu J, Du H, Chen T, Li R, Tan H, Kang L, Yao L, Huang M, Wang H, Wang G, Liu Z, Hu S. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020 Mar 2;3(3):e203976. doi: 10.1001/jamanetworkopen.2020.3976.
PMID: 32202646
citation: Montemurro N. The emotional impact of COVID-19: From medical staff to common people. Brain Behav Immun. 2020 Jul;87:23-24. doi: 10.1016/j.bbi.2020.03.032. Epub 2020 Mar 30. No abstract available.
PMID: 32240766
citation: Ishak W, Nikravesh R, Lederer S, Perry R, Ogunyemi D, Bernstein C. Burnout in medical students: a systematic review. Clin Teach. 2013 Aug;10(4):242-5. doi: 10.1111/tct.12014.
PMID: 23834570
citation: Thomas NK. Resident burnout. JAMA. 2004 Dec 15;292(23):2880-9. doi: 10.1001/jama.292.23.2880.
PMID: 15598920
citation: Sasangohar F, Jones SL, Masud FN, Vahidy FS, Kash BA. Provider Burnout and Fatigue During the COVID-19 Pandemic: Lessons Learned From a High-Volume Intensive Care Unit. Anesth Analg. 2020 Jul;131(1):106-111. doi: 10.1213/ANE.0000000000004866. No abstract available.
PMID: 32282389
citation: Shiao JS, Koh D, Lo LH, Lim MK, Guo YL. Factors predicting nurses' consideration of leaving their job during the SARS outbreak. Nurs Ethics. 2007 Jan;14(1):5-17. doi: 10.1177/0969733007071350.
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responsible party type: Principal Investigator
investigator affiliation: St. Joseph's Healthcare Hamilton
investigator full name: Zainab Samaan (Zena)
investigator title: Associate Professor
mesh term: COVID-19
mesh term: Burnout, Psychological
sharing ipd: No