Dyrbye Liselotte N, West Colin P, Wilton Angelina R, Satele Daniel V, Athreya Arjun P
Department of Medicine, University of Colorado School of Medicine, Denver.
Department of Medicine, Mayo Clinic, Rochester, Minnesota.
JAMA Netw Open. 2025 Aug 1;8(8):e2527275. doi: 10.1001/jamanetworkopen.2025.27275.
Burnout remains prevalent among physicians and can negatively affect quality, safety, and cost of patient care. Few randomized studies on interventions to address burnout have been conducted to date.
To determine whether wearing a smartwatch and having access to its physiological data (eg, sleep, step count, and heart rate) improves physician well-being (and if so, which dimensions of well-being).
DESIGN, SETTING, AND PARTICIPANTS: This randomized clinical trial included physicians at 2 US medical centers (Mayo Clinic and the University of Colorado School of Medicine) who volunteered to wear a provided smartwatch beginning June 7, 2023. The study concluded on June 27, 2024.
Six months of wearing a smartwatch.
Burnout, resilience, quality of life, depressive symptoms, stress, and sleepiness were measured using validated scales. Participants completed electronic surveys at baseline and 3, 6, 9, and 12 months. An intention-to-treat analysis was conducted.
This study included 184 physicians (mean [SD] age, 37.5 [9.3] years; 107 females [58.8%]). A total of 83 of 183 physicians (45.4%) were residents or fellows, 103 of 184 (56.0%) lived in Colorado, and 99 of 182 (54.4%) worked in non-primary care settings. Baseline levels of well-being across the measured dimensions were similar for the 2 study arms. At 6 months, 35 of 85 physicians (41.2%) in the intervention arm had burnout compared with 46 of 91 (50.5%) in the control arm (P = .21). Mean (SD) resilience scores at 6 months were 31.9 (5.0) and 29.5 (6.2) among physicians in the intervention and control arms, respectively (P = .01). In multivariable analysis adjusting for baseline score, demographics, specialty, and work hours, the prevalence of burnout was lower (odds ratio, 0.46 [95% CI, 0.21-0.99]; P = .046) and mean resilience score was higher (parameter estimate [scale, 0-40], 1.20 points [95% CI, 0.11-2.28 points]; P = .03; Cohen d = 0.17) among physicians in the intervention arm vs the control arm after 6 months.
In this randomized clinical trial to evaluate the effect of wearing a smartwatch and having access to its physiological data on physician well-being, physicians who wore a smartwatch experienced improvements in burnout and resilience. Future research should explore whether engagement with smartwatch data leads to actual behavior change (eg, adaptive coping or reflective habits) that reduces burnout risk and enhances resilience.
ClinicalTrials.gov Identifier: NCT05463250.
职业倦怠在医生中仍然普遍存在，并且会对患者护理的质量、安全性和成本产生负面影响。迄今为止，针对解决职业倦怠的干预措施进行的随机研究很少。
确定佩戴智能手表并获取其生理数据（如睡眠、步数和心率）是否能改善医生的幸福感（如果是，幸福感的哪些方面）。
设计、设置和参与者：这项随机临床试验纳入了美国2家医疗中心（梅奥诊所和科罗拉多大学医学院）的医生，他们自愿从2023年6月7日开始佩戴提供的智能手表。研究于2024年6月27日结束。
佩戴智能手表6个月。
使用经过验证的量表测量职业倦怠、心理韧性、生活质量、抑郁症状、压力和嗜睡情况。参与者在基线以及第3、6、9和12个月完成电子调查问卷。进行了意向性分析。
本研究纳入了184名医生（平均[标准差]年龄为37.5[9.3]岁；107名女性[58.8%]）。183名医生中有83名（45.4%）是住院医师或研究员，184名中有103名（56.0%）居住在科罗拉多州，182名中有99名（54.4%）在非初级保健机构工作。两个研究组在所有测量维度上的基线幸福感水平相似。6个月时，干预组85名医生中有35名（41.2%）出现职业倦怠，而对照组91名中有46名（50.5%）（P = 0.21）。干预组和对照组医生在6个月时的平均（标准差）心理韧性得分分别为31.9（5.0）和29.5（6.2）（P = 0.01）。在对基线得分、人口统计学、专业和工作时间进行调整的多变量分析中，干预组医生在6个月后的职业倦怠患病率较低（优势比，0.46[95%置信区间，0.21 - 0.99]；P = 0.046），平均心理韧性得分较高（参数估计[量表，0 - 40]，1.20分[95%置信区间，0.11 - 2.28分]；P = 0.03；科恩d = 0.17）。
在这项评估佩戴智能手表并获取其生理数据对医生幸福感影响的随机临床试验中，佩戴智能手表的医生在职业倦怠和心理韧性方面有所改善。未来的研究应探索与智能手表数据的互动是否会导致实际行为改变（如适应性应对或反思习惯），从而降低职业倦怠风险并增强心理韧性。
ClinicalTrials.gov标识符：NCT05463250。
