Effects of 12 Weeks of At-Home, App-Based Exercise on Healthcare Workers’ Depressive Symptoms, Burnout, and Absenteeism: A Randomised Controlled Trial

Boucher, Vincent; Haight, Brook L.; Hives, Benjamin A; Zumbo, Bruno D.; Merali-Dewji, Aaliya; Hutton, Stacey; Liu, Yan; Nguyen, Suzanne; Beauchamp, Mark R.; Black, Agnes; Puterman, Eli

doi:10.2139/ssrn.4356796

Cited by 3 publications

(4 citation statements)

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“…Our research indicates that engaging in moderate exercise (once to twice a week) post-epidemic can considerably reduce burnout risk among frontline nurses, corroborating the outcomes of a recent study [ 35 ]. Intriguingly, we did not identify a direct correlation between extremely high or low exercise frequencies and burnout prevalence.…”

Section: Discussionsupporting

confidence: 89%

Factors associated with burnout among frontline nurses in the post-COVID-19 epidemic era: a multicenter cross-sectional study

Wang,

Luo,

Ding

et al. 2024

BMC Public Health

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Background The COVID-19 pandemic has significantly increased the risk of burnout among frontline nurses. However, the prevalence of burnout and its associated factors in the post-pandemic era remain unclear. This research aims to investigate burnout prevalence among frontline nurses in the post-pandemic period and pinpoint associated determinants in China. Methods From April to July 2023, a cross-sectional study was carried out across multiple centers, focusing on frontline nurses who had been actively involved in the COVID-19 pandemic. The data collection was done via an online platform. The Maslach Burnout Inventory-Human Services Survey was utilized to evaluate symptoms of burnout. A multivariable logistic regression analysis was used to pinpoint factors associated with burnout. Results Of the 2210 frontline nurses who participated, 75.38% scored over the cut-off for burnout. Multivariable logistic regression revealed that factors like being female [odds ratio (OR) = 0.41, 95%CI = 0.29–0.58] and exercising 1–2 times weekly[OR = 0.53, 95%CI = 0.42–0.67] were protective factors against burnout. Conversely, having 10 or more night shifts per month[OR = 1.99, 95%CI = 1.39–2.84], holding a master’s degree or higher[OR = 2.86, 95% CI = 1.59–5.15], poor health status[OR = 2.43, 95% CI = 1.93–3.08] and [OR = 2.82, 95%CI = 1.80–4.43], under virus infection[OR = 7.12, 95%CI = 2.10-24.17], and elevated work-related stress[OR = 1.53, 95% CI = 1.17-2.00] were all associated with an elevated risk of burnout. Conclusion Our findings indicate that post-pandemic burnout among frontline nurses is influenced by several factors, including gender, monthly night shift frequency, academic qualifications, weekly exercise frequency, health condition, and viral infection history. These insights can inform interventions aimed at safeguarding the mental well-being of frontline nurses in the post-pandemic period.

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Section: Discussionsupporting

confidence: 89%

Factors associated with burnout among frontline nurses in the post-COVID-19 epidemic era: a multicenter cross-sectional study

Wang,

Luo,

Ding

et al. 2024

BMC Public Health

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“…The University of Pennsylvania utilized resilience coaches (healthcare worker volunteers) to provide support for first year resident physicians 32. Other examples of interventions include mobile application-based interventions focusing on exercise and targeted mental health interventions 33,34. Further research is needed to determine if these interventions are sustainable and effective postpandemic.…”

Section: Discussionmentioning

confidence: 99%

“…32 Other examples of interventions include mobile applicationbased interventions focusing on exercise and targeted mental health interventions. 33,34 Further research is needed to determine if these interventions are sustainable and effective postpandemic.…”

Section: Future Researchmentioning

confidence: 99%

Small Patients but a Heavy Lift

Dye,

Runyan,

Scott

et al. 2024

Journal of Perinatal &Amp; Neonatal Nursing

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Objective: This study explored the association between workload and the level of burnout reported by clinicians in our neonatal intensive care unit (NICU). A qualitative analysis was used to identify specific factors that contributed to workload and modulated clinician workload in the NICU. Study Design: We conducted a study utilizing postshift surveys to explore workload of 42 NICU advanced practice providers and physicians over a 6-month period. We used multinomial logistic regression models to determine associations between workload and burnout. We used a descriptive qualitative design with an inductive thematic analysis to analyze qualitative data. Results: Clinicians reported feelings of burnout on nearly half of their shifts (44%), and higher levels of workload during a shift were associated with report of a burnout symptom. Our study identified 7 themes related to workload in the NICU. Two themes focused on contributors to workload, 3 themes focused on modulators of workload, and the final 2 themes represented mixed experiences of clinicians’ workload. Conclusion: We found an association between burnout and increased workload. Clinicians in our study described common contributors to workload and actions to reduce workload. Decreasing workload and burnout along with improving clinician well-being requires a multifaceted approach on unit and systems levels.

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“…In response, health systems created online wellness platforms, which offer a variety of resources and content, 9,10 for their clinical and nonclinical employees. These platforms can offer basic information, self-help resources, and more involved connection to expert mental health care, such as therapy.…”

Section: Introductionmentioning

confidence: 99%

Digital Engagement Strategy and Health Care Worker Mental Health

Agarwal,

Southwick,

Gonzales

et al. 2024

JAMA Netw Open

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ImportanceThe health care workforce continues to experience high rates of depression and anxiety. Finding ways to effectively support the mental health and well-being of health care workers is challenging.ObjectiveTo test the effectiveness of remote, pushed digital assessments and engagement to improve depression and anxiety among health care workers compared with usual care.Design, Setting, and ParticipantsThis was a 9-month randomized clinical trial with a 6-month intervention period. Participants were health care workers with self-reported daily access to a smartphone and at least 4 clinical hours per week. Participants were randomized to usual care or the intervention between January 2022 and March 2023. Data analyses were conducted between May and July 2023.InterventionsAll participants completed baseline, 6-month, and 9-month mental health, well-being, and burnout assessments. The control group had open access to a web-based mental health platform. Participants in the intervention group received monthly text messaging about mental health, mental health assessments, and linkages to care.Main Outcomes and MeasuresThe primary outcomes were mean change in depression and anxiety scores at 6 months from baseline. Secondary outcomes include mean change in well-being, burnout, and self-reported workplace productivity.ResultsIn this study, 1275 participants were randomized (642 [50.4%] to the intervention group and 633 [49.6%] to control group). Participants had a mean (SD) age of 38.6 (10.9) years, 1063 participants (83.4%) were female, 320 (25.1%) self-identified as Black, and 793 (62.2%) self-identified as White. Across the groups, the mean difference in depression score was significantly different at 6 months (−0.96 [95% CI, −1.52 to −0.40]) and at 9 months (−1.14 [95% CI, −1.69 to −0.58]). The mean difference in anxiety score from baseline to 6 months was statistically significantly larger for those in the intervention group vs usual care (−0.71 [95% CI, −1.25 to −0.17]) and held true at 9 months (−1.06 [95% CI, −1.59 to −0.52]).Conclusions and RelevanceIn a trial of health care workers, a proactive digital engagement strategy, including pushed text messaging, mobile mental health assessments, and connection to care, improved depression and anxiety over a 6-month period compared with simply making the same resources available for individuals to find and use.Trial RegistrationClinicalTrials.gov Identifier: NCT05028075

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Effects of 12 Weeks of At-Home, App-Based Exercise on Healthcare Workers’ Depressive Symptoms, Burnout, and Absenteeism: A Randomised Controlled Trial

Cited by 3 publications

References 0 publications

Factors associated with burnout among frontline nurses in the post-COVID-19 epidemic era: a multicenter cross-sectional study

Factors associated with burnout among frontline nurses in the post-COVID-19 epidemic era: a multicenter cross-sectional study

Small Patients but a Heavy Lift

Digital Engagement Strategy and Health Care Worker Mental Health

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