Fainstad Tyra, Syed Adnan, Thibodeau Pari Shah, Vinaithirthan Vall, Jones Christine D, Mann Adrienne
Division of General Internal Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
University of Colorado School of Medicine, Aurora, Colorado.
J Healthc Manag. 2024;69(6):414-423. doi: 10.1097/JHM-D-23-00232. Epub 2024 Nov 14.
To evaluate long-term outcomes of Better Together Physician Coaching, a digital life-coaching program to improve resident well-being.
We performed a secondary analysis of survey data from the pilot program implementation between January 2021 and June 2022. An intention-to-treat analysis was completed for baseline versus post-6 months and baseline versus post-12 months for all outcome measures.
Of 101 participants, 95 completed a baseline survey (94%), 66 completed a 6-month survey (65%) and 36 completed a 12-month survey (35%). There were no significant differences in burnout scale scores between baseline to 6 or 12 months. Self-compassion scores (i.e., means) improved after 6 months, from 33.2 to 38.2 (p < .001) and remained improved after 12 months at 36.7 (p = .020). Impostor syndrome score means decreased after 6 months, from 5.41 to 4.38 (p = .005) but were not sustained after 12 months (4.66, p = .081). Moral injury score means decreased from baseline to 6 months from 41.2 to 37.0 (p = .018), but reductions were not sustained at 12 months (38.1, p = .166).
This study showed significant, sustained improvement in self-compassion for coaching program participants.
评估“携手共进医生辅导”（Better Together Physician Coaching）这一旨在改善住院医师幸福感的数字生活辅导项目的长期效果。
我们对2021年1月至2022年6月试点项目实施期间的调查数据进行了二次分析。对所有结果指标完成了基线与6个月后以及基线与12个月后的意向性分析。
101名参与者中，95人完成了基线调查（94%），66人完成了6个月调查（65%），36人完成了12个月调查（35%）。从基线到6个月或12个月，职业倦怠量表得分无显著差异。自我同情得分（即均值）在6个月后有所改善，从33.2提高到38.2（p <.001），12个月后仍保持在36.7（p =.020）。冒名顶替综合症得分均值在6个月后下降，从5.41降至4.38（p =.005），但12个月后未持续下降（4.66，p =.081）。道德伤害得分均值从基线到6个月从41.2降至37.0（p =.018），但12个月时下降未持续（38.1，p =.166）。
本研究表明，辅导项目参与者的自我同情有显著且持续的改善。
