Symptoms and General Pathology

All Conditions

Behaviors and Mental Disorders

Occupational Diseases

Fatigue

Compassion Fatigue

Burnout, Psychological

Stress, Psychological

Behavioral Symptoms

Mental Fatigue

Occupational Stress

During the first meeting, before the planned training, data will be collected face to face using the personal information form, Compassion Fatigue Brief Scale, Maslach Burnout Scale, Psychological Well-Being Scale. Physicians and nurses in the intervention group were given group counseling sessions by the researcher, in groups of 10-15 people, for 20 minutes once a week for 8 weeks. An online meditation practice will be provided for a long time. At the end of the mindfulness meditation application (in the 8th week) and four weeks after the end of the application (in the 12th week) for follow-up purposes, data will be collected through an online survey for physicians and nurses using Compassion Fatigue Brief Scale, Maslach Burnout Scale, Psychological Well-Being Scale.

During the first meeting, data will be collected face to face using the personal information form, MY-KÖ, MTÖ and PİÖÖ. In the 8th and 12th weeks of the research, the data will be re-administered to the physicians and nurses in the control group via an online survey using Compassion Fatigue Brief Scale, Maslach Burnout Scale, Psychological Well-Being Scale. After the implementation process of the research is completed, mindfulness meditation application will be applied online once to the physicians and nurses in the control group.

Mindfulness Meditation application will be implemented online by the researcher in 20-minute group sessions once a week for 8 weeks. Participants will be asked to provide a quiet, ventilated, dimly lit environment for the practice. The researcher will start the application when the participants take their places as they feel comfortable. In the first stage, the researcher will teach physicians and nurses to take deep diaphragmatic breaths through the nose and out through the mouth.

Mindfulness Meditation

Cancer is a disease that causes the most deaths worldwide and is challenging for patients and caregivers both physically and psychosocially. Physicians and nurses working in oncology clinics perform a demanding profession providing compassionate care and treatment to patients struggling with life-threatening diseases. The emotional cost of caring for patients diagnosed with cancer can lead to compassion fatigue, burnout, and decreased psychological well-being among healthcare professionals. For this reason, this research is planned as a randomized controlled study to examine the effect of Mindfulness meditation practice on compassion fatigue, burnout, and psychological well-being in physicians and nurses working in oncology units.

The Effect of Mindfulness Meditation

The Effect of Mindfulness Meditation Practice on Compassion Fatigue, Burnout, and Psychological Well-Being of Health Professionals Working in Oncology Units: Randomized Controlled Study

At the end of the mindfulness meditation practice in oncology physicians and nurses the Compassion Fatigue Brief Scale will be used to measure the changes in compassion fatigue. As the scores obtained from the compassion fatigue brief scale increase, the perceived level of compassion fatigue in individuals increases. The lowest score from the scale is 13 and the highest score is 130.

At the end of the mindfulness meditation practice in oncology physicians and nurses the Maslach Burnout Scale will be used to measure the changes in the level of burnout. Increasing Maslach Burnout Scale "Depersonalization" and "Emotional exhaustion" subscale scores indicate that burnout increases, while increasing the "personal success" subscale score indicates that burnout decreases.

At the end of the mindfulness meditation practice in oncology physicians and nurses and the Psychological Well-Being Scale will be used to evaluate the changes in the level of psychological well-being. A high score on the psychological well-being scale indicates that the person is at a positive level psychologically. The highest score from the scale is 56, while the minimum score is 8.

Four weeks after the end of the mindfulness meditation practice in oncology physicians and nurses the Compassion Fatigue Brief Scale will be used to measure the changes in compassion fatigue. As the scores obtained from the compassion fatigue brief scale increase, the perceived level of compassion fatigue in individuals increases. The lowest score from the scale is 13 and the highest score is 130.

Four weeks after the end of the mindfulness meditation practice in oncology physicians and nurses the Maslach Burnout Scale will be used to measure the changes in the level of burnout. Increasing Maslach Burnout Scale "Depersonalization" and "Emotional exhaustion" subscale scores indicate that burnout increases, while increasing the "personal success" subscale score indicates that burnout decreases.

Four weeks after the end of the mindfulness meditation practice in oncology physicians and nurses and the Psychological Well-Being Scale will be used to evaluate the changes in the level of psychological well-being. A high score on the psychological well-being scale indicates that the person is at a positive level psychologically. The highest score from the scale is 56, while the minimum score is 8.

Gulhane Training and Research Hospital

Phd Student

Each oncologist will have a total of three intervention days with a psychologist sitting in and observing the doctor-patient consultations and subsequently providing feedback.

Oncologists in the control group will conduct consultations as usual.

On-site supportive communication training

Kerstin Kiis Antonsen, MD

The goal of this randomized, controlled clinical trial is to test a new concept for communication skills training (on-site supportive communication training (on-site SCT) in cancer care. The study aims to determine the impact of on-site SCT on patients' rating of oncologists' communication abilities.

Oncologists participating in the study will be randomly allocated to the intervention or control group. In the intervention group each doctor will have a total of three intervention days at intervals of 3-4 weeks. On an intervention day, a psychologist will sit in and observe doctor-patient consultations. After the first consultations, 30 minutes are allocated for feedback to the doctor by the psychologist. After the last consultation of the day, 60 minutes are allocated for thorough feedback and establishment of learning goals to focus on until the next intervention day. Doctor's in the control group will conduct communication as usual.

Researchers will compare the control and intervention groups to see if patients' rating of doctors' interpersonal and communication skills increase when the doctors have participated in on-site SCT. The 15-item Communication Assessment Tool (CAT) will be used.

It will also be investigated whether on-site SCT increases the doctors' rating of themselves in relation to communication efficacy and job satisfaction and decrease their experience of burnout.

Oncologists carry a heavy responsibility when delivering information to cancer patients and helping them navigate through decisions about life-altering treatments, survivorship, and end-of-life care. Comprehensive person-centered psychosocial cancer care should be adapted to the individual patient, which is obviously a challenging task (Dilworth, et al. 2014). Individualized and empathic communication, on the other hand, is of substantial importance to patient satisfaction, adherence to treatment, empowerment, and the ability to navigate in the disease trajectory (Gattellari, et al. 2001; Stewart 1995; Vogel, et al. 2009).

The quality of the communication in medical care has been shown to influence health outcomes, as it increases the risk of unnecessary treatment and is linked to insufficient pain relief and higher anxiety levels (Thorne, et al. 2005). Therefore, considerable effort has been dedicated to interventions that may improve the communication skills of healthcare professionals involved in cancer care (Moore, et al. 2018). The primary purpose has been to improve the quality of the doctor-patient-communication including the doctors' interpersonal skills.

Previous papers have suggested direct feedback on observed situations as an ideal method for improving communication skills (Anderson 2012; Burgess, et al. 2020), but to the best of our knowledge, no randomized clinical trials have used patient feedback during on-site training. Studies on communication skills training courses with recorded consultations/role-play have shown significant effect on key communication skills (Fallowfield, et al. 2002) and increased self-efficacy (Ammentorp, et al. 2007). Two studies have demonstrated long-term maintenance of acquired skills (Finset, et al. 2003; Gulbrandsen, et al. 2013). Until now, no effect on burnout has been demonstrated (Bragard, et al. 2010a; Bragard, et al. 2010b).

Clinical supervision and training aims to develop clinical practice and provide a protected space to allow an educational and reflective process to occur. Although there is still no empirical definition of the term supervision (Milne 2007), in 2004 Bernard and Goodyear defined it as "an intervention provided by a more senior member of a profession to a more junior member or members of that same profession"(Bernard 2004). On this premise, psychologists cannot formally supervise doctors and other terms must be used. In this project we therefore use the term "on-site supportive communication training" (on-site SCT) when referring to the intervention given by the psychologists.

Psychologists have a long tradition of working with communication, creating a reflective learning space, making observations and providing feedback. It is therefore highly relevant to use dedicated psychologists to investigate the effect of on-site SCT on the doctors' communication and on their experienced level of self-efficacy, satisfaction and burn-out.

Oncologists will be randomized between the intervention and usual practice.

On-site Supportive Communication Training in Doctor-patient Communication

On-site Supportive Communication Training in Doctor-patient Communication: A Randomized, Controlled Trial

Patients rate the doctor's communication skills right after the consultation.

The Self-efficacy in Health Communication tool consists of 12 questions eliciting the healthcare professionals' perceived self-efficacy in communication with patients using a 10-point scale from "very uncertain" (1) to "very certain" (10).

The reply options in relation to burnout range from 1 (To a very high degree/always), to 5 (To a very low degree/never-almost never)

Job satisfaction is measured in Denmark every other year at the nation-wide employee satisfaction survey, which survey offers a large amount of comparable data. Five items directly concerning job satisfaction will be extracted from the survey.

Zealand University Hospital

Aalborg University Hospital

Vejle Hospital

Caregiver Burden

12-week, supervised twice weekly circuit-based resistance training program.

12-week, supervised twice weekly circuit-based resistance training program plus home-based (unsupervised) brisk walking/light jogging program 3 days/week.

12-week self-paced walking at home (unsupervised) 3 days/week.

Participants will engage in a 12-week, twice weekly circuit-based resistance training program. Each supervised session will last about 25 minutes and will consist of 5 resistance exercises. Each exercise will be completed for 1 minute for a total of 5 minutes followed by a 1-minute rest. The circuit will then repeated 3 additional times (total of 4 circuits). All resistance sessions will be supervised by a certified fitness professionals.

Circuit-based Resistance Training

Participants will engage in a 12-week, twice weekly circuit-based resistance training program. Each supervised session will last about 25 minutes and will consist of 5 resistance exercises. Each exercise will be completed for 1 minute for a total of 5 minutes followed by a 1-minute rest. The circuit will then repeated 3 additional times (total of 4 circuits). All resistance sessions will be supervised by a certified fitness professionals.

Participants will also be asked to engage in 25 minutes of brisk power walking or light jogging at home (unsupervised) 3 days/week for 25 minutes on days when they have not engaged in resistance training.

Circuit-based Resistance Training + Home-based Walking

Participants will be asked to engage in 25 minutes of self-paced walking at home (unsupervised) 3 days/week.

Home-based Walking

Melanie Keats, PhD

The goal of this preference-based pilot study will be to assess the feasibility, acceptability, and impact of a 12-week exercise intervention on oncology care provider burnout, compassion fatigue, and well-being. Participants will be divided into one of three exercise groups. Group assignment will be based on participant preference.

Group 1: Supervised circuit-based resistance exercise (2 days/week)

Group 2: Supervised circuit-based resistance exercise (2 days/week) + moderate-to-high intensity home-based walking/light jogging program (3 days/week)

Group 3: Self-paced home-based walking program (3 days/week)

Exercise for Oncology Care Professionals

The Cost of Caring: Examining the Role of Exercise in Mitigating Oncology Care Provider Burnout (C4C+)

Participant accrual as defined as the number of eligible participants who consent to participate.

Participant adherence to prescribed exercise intervention

Percentage of participants who complete the 12-week intervention

Exit interview is used to assess factors influencing participant selection of intervention type/setting, adherence to and satisfaction with the selected intervention.

Attendance is calculated as the percentage of exercise sessions completed by the total number of available exercise sessions over the 12-week intervention.

The MBI-MP is used to assess burnout in medical professionals. The 22-item, 7-point Likert scale (0 = never to 6 = everyday) assesses burnout across three dimensions: emotional exhaustion (9 items), personal accomplishment (8 items), and depersonalization (5-items).

The 30-item ProQOL is used to assess compassion fatigue (10 items), compassion satisfaction (10 items), and burnout (10 items). Items are scored on a 5-point Likert scale (1 = never to 5 = very often).

The 21-item DASS is used to assess symptoms associated with three negative emotional states: depression, anxiety, and stress. Each scale contains 7-items scored on a 4-point severity/frequency scale.

Participants asked to record their daily step counts using a wrist worn activity monitor.

Self-reported physical activity is assessed by the Godin Leisure Time Exercise Questionnaire. Higher scores indicate higher levels of physical activity. Participants reporting moderate-to-strenuous Leisure Score Index ≥ 24 are classified as active; those reporting moderate-to-strenuous Leisure Score Index ≤ 23 are classified as insufficiently active.

Resting systolic and diastolic blood pressure

The six-minute walk test is used to assess aerobic capacity.

A hand-held dynamometer is used to assess upper body strength.

The 30-second sit-to-stand is used to assess lower body muscular endurance.

Height and weight is used to assess body mass index

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
The Effect of Mindfulness Meditation	NCT06282913	Burnout Compassion Fati... Psychological W...	Mindfulness Med...	18 Years -	Gulhane Training and Research Hospital
On-site Supportive Communication Training in Doctor-patient Communication	NCT05842083	Communication P... Communication, ... Communication R... Oncology Doctor Patient ... Job Stress Burnout Satisfaction, P... Efficacy, Self	On-site support...	18 Years - 100 Years	Vejle Hospital
Exercise for Oncology Care Professionals	NCT05884073	Burnout, Caregi... Compassion Fati...	Circuit-based R... Circuit-based R... Home-based Walk...	18 Years -	Nova Scotia Health Authority
The Effect of Mindfulness Meditation	NCT06282913	Burnout Compassion Fati... Psychological W...	Mindfulness Med...	18 Years -	Gulhane Training and Research Hospital
On-site Supportive Communication Training in Doctor-patient Communication	NCT05842083	Communication P... Communication, ... Communication R... Oncology Doctor Patient ... Job Stress Burnout Satisfaction, P... Efficacy, Self	On-site support...	18 Years - 100 Years	Vejle Hospital

Spots Global Cancer Trial Database for burnout

Every month we try and update this database with for burnout cancer trials from around the world to help patients and their families find trials that might be right for them.
We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.

Spots Global Cancer Trial Database for burnout

Every month we try and update this database with for burnout cancer trials from around the world to help patients and their families find trials that might be right for them. We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.

Every month we try and update this database with for burnout cancer trials from around the world to help patients and their families find trials that might be right for them.
We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.