Burnout Reduction: Enhanced Awareness, Tools, Handouts, and Education (BREATHE)

Burnout Reduction: Enhanced Awareness, Tools, Handouts, and Education (BREATHE)

Clinician burnout is presumed to negatively impact healthcare quality; yet scant research has rigorously addressed this hypothesis. Using a mixed-methods, randomized, comparative effectiveness design, we tested two competing approaches to improve care—one addressing clinician burnout and the other addressing how clinicians interact with consumers—with 192 clinicians and 469 consumers at two community mental health centers. Although qualitative reports were promising, we found no comparative effectiveness for either intervention on burnout, patient-centered processes, or other outcomes. Discussion includes identifying ways to strengthen approaches to clinician burnout.

Rank: 40
First Author: Salyers
Outcome: Emot. Exhaust./Comp. Fatig.,Burnout,Turnover Intentions,Work Functioning,Job Satisfaction
Outcome p-value: Emotional Exhaustion/Compassion Fatigue:●, Burnout:●, Turnover Intentions:●, Work Functioning:●, Job Satisfaction:●
Intervention Category: Mindfulness,Coping Skills Development,Reflection and Relaxation
Time per Employee (hours): 9
Hours per Employee: 9
D&B Study Quality Rating: 17.5
Reviewer Confidence: 2
Country: US
Study Design Type: Quasi-experimental
Materials Available to Implement: Intervention uses a relapse prevention conceptual format; a toolkit is provided. The interventions is described in the publication. Corresponding author: mpsalyer@iupui.edu. Contact Gary Morse <garyamorsephd@gmail.com for access to materials and consultation.
Materials Available: yes
Organiz./Individ. Focus: Individual
Prevention Category: Primary,Secondary
Effect size Small:
Effect size Medium:
Reference: Salyers, Michelle P., Jennifer M. Garabrant, Lauren Luther, Nancy Henry, Sadaaki Fukui, Dawn Shimp, Wei Wu, et al. “A Comparative Effectiveness Trial to Reduce Burnout and Improve Quality of Care.” Administration and Policy in Mental Health and Mental Health Services Research 46, no. 2 (March 2019): 238–54. https://doi.org/10.1007/s10488-018-0908-4.