Survey of burnout among doctors specializing in anesthesiology in Brazil during the COVID-19 pandemic
| ISRCTN | ISRCTN61736991 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN61736991 |
| Secondary identifying numbers | U1111-1268-1656 |
- Submission date
- 20/09/2021
- Registration date
- 21/09/2021
- Last edited
- 05/04/2023
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Plain English summary of protocol
Background and study aims
Anesthesiology residents are historically at high risk of burnout, and the coronavirus disease 2019 (COVID-19) pandemic could worsen this scenario. The prevalence of burnout risk and its associated factors in anesthesiology residents in Brazil during the COVID-19 pandemic is unknown. The primary goal of this study is to determine the prevalence of burnout risk in anesthesiology residents in Brazil during the COVID-19 pandemic. The secondary objective is to recognize individual and work-related factors related to the pandemic, which could predict the risk of burnout in this population.
Who can participate?
Anesthesiology residents in Brazil who are currently in their 1st, 2nd, and 3rd year of training.
What does the study involve?
It involves answering a survey on the internet. The survey includes five forms: (1) the Oldenburg Burnout Inventory; (2) demographic data; and the pandemic’s impact on (3) behavior and habits, (4) psychosocial information, and (5) work environment.
What are the possible benefits and risks of participating?
There will be no direct benefits related to your participation. Indirect benefits include: contributing to a better understanding of the impact of the COVID-19 pandemic on the mental health of anesthesiology residents, which may help to formulate burnout syndrome prevention strategies to reduce its prevalence.
Participating in this project represents minimal risk. The questions can generate discomfort by including the screening scale for a mental disorder, a questionnaire to detail the social profile, and questions related to the effects of the COVID-19 pandemic.
Where is the study run from?
Hospital Mario Covas (Brazil)
When is the study starting and how long is it expected to run for?
June 2020 to March 2021.
Who is funding the study?
This is a self-funded study by anesthesiologists and anesthesiology residents from the Faculdade de Medicina do ABC (Brazil)
Who is the main contact?
Natanael Pietroski dos Santos, MD, pietroski@gmail.com
Contact information
Scientific
Av. Cons. Rodrigues Alves, 780
AP 173
Sao Paulo
04014000
Brazil
 ORCID ID |
0000-0002-4640-7178 |
|---|---|
| Phone | +55 11963167080 |
| pietroski@gmail.com |
Study information
| Study design | Nationwide observational cross-sectional study |
|---|---|
| Primary study design | Observational |
| Secondary study design | Cross sectional study |
| Study setting(s) | Internet/virtual |
| Study type | Screening |
| Participant information sheet | 40448 PIS.pdf |
| Scientific title | Burnout among anesthesiology residents in Brazil during the COVID-19 pandemic - a cross-sectional survey |
| Study objectives | What is the burnout risk among anesthesiology residents in Brazil increased during the COVID-19 pandemic? |
| Ethics approval(s) | Approved 28/11/2020, Comitê de Ética em Pesquisa Faculdade de Medicina do ABC (Avenida Lauro Gomes, 2000 - 2º andar - prédio: CEPES – Santo André – SP - Brazil; +55 (11) 4993-5453; cep@fmabc.br), ref: CAAE: 39505120.7.0000.0082 |
| Health condition(s) or problem(s) studied | Burnout risk in anesthesiology residents |
| Intervention | Participants will answer an online survey that takes less than 5 minutes to complete. Participants will be stratified for burnout risk based on the Oldenburg Burnout Inventory (OLBI). An overall score above 4.73 will classify residents as being “at risk” of burnout, while scores beyond 2.33 for exhaustion and 2.40 for disengagement will classify residents as “high risk” for burnout. Participants’ individual and work-related factors will be analyzed by two logistic regressions, with the outcomes “at risk” and “high risk” for burnout. Significant results from those regressions will be included in a multiple linear regression model with the OLBI score as the outcome variable. Beta coefficients will be used to standardize the correlations and semi partial correlation will determine the percentage of correlation between each factor and the OLBI score. Beta coefficients above or equal to 0.2 will determine the strength of correlation as moderate to strong, while those below 0.2 as weaker correlations. If a question with adaptive options is significant, a sub-analysis will be conducted by multiple regression or correlation, as appropriate. |
| Intervention type | Other |
| Primary outcome measure | Burnout risk measured using the Oldenburg Burnout Inventory at a single time point. |
| Secondary outcome measures | Measured using self report at a single time point: 1. Age (years) 2. Gender 3. Having children 4. Post-graduate year 5. Country's region 6. Regular physical activity 7. Cigarette smoking 8. Alcohol consumption 9. Drug consumption 10. Presence of emotional support 11. Spirituality considered an important aspect of life 12. Current psychological or psychiatric treatment 13. Access to COVID-19 tests in the residency program 14. Self-perception regarding the risk of COVID-19 contamination in the residency 15. Felt safe with the individual protection equipment provided 16. Referred institutional COVID-19 protection protocol 17. Resident diagnosed with COVID-19 18. Workload change during the pandemic 19. Weekly working time before the pandemic 20. Received practical training to assist COVID-19 patients 21. Felt capable of assisting patients with COVID-19 (or suspected infection) 22. Felt coerced or pushed to assist patients with COVID-19 23. Relocated to COVID-19 ICU/ward 24. Moved to a new house due to the pandemic 25. Considered abandoning the anesthesiology training due to the pandemic |
| Overall study start date | 05/06/2020 |
| Completion date | 02/03/2021 |
Eligibility
| Participant type(s) | Health professional |
|---|---|
| Age group | Adult |
| Sex | Both |
| Target number of participants | 84 |
| Total final enrolment | 205 |
| Key inclusion criteria | 1. Anesthesiology residents in their 1st, 2nd, and 3rd year of training. |
| Key exclusion criteria | 1. Refusal to sign the e-consent form |
| Date of first enrolment | 12/01/2021 |
| Date of final enrolment | 02/03/2021 |
Locations
Countries of recruitment
- Brazil
Study participating centre
Santo André
09060-870
Brazil
Sponsor information
University/education
Av. Lauro Gomes, 2000 - Vila Sacadura Cabral
Santo André
09060-870
Brazil
| Phone | +55(11) 4993-5400 |
|---|---|
| fmabc@fmbac.br | |
| Website | http://www.fmabc.br/ |
"ROR" |
https://ror.org/047s7ag77 |
Funders
Funder type
University/education
Government organisation / Local government
- Alternative name(s)
- ABC Medical School, FMABC
- Location
- Brazil
Results and Publications
| Intention to publish date | 16/02/2022 |
|---|---|
| Individual participant data (IPD) Intention to share | Yes |
| IPD sharing plan summary | Available on request |
| Publication and dissemination plan | Planned publication in a high-impact peer-reviewed journal |
| IPD sharing plan | The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request. The dataset analyzed during the current study will be available to researchers who provide a methodologically sound proposal. The dataset will be available immediately following publication, with no end date. All information will be deidentified and should be used exclusively to achieve aims in the approved proposal. To gain access, data requestors will need to sign a data access agreement. Proposals should be directed to Natanael Pietroski dos Santos, pietroski@gmail.com. |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Participant information sheet | 21/09/2021 | No | Yes | ||
| Protocol file | in Portuguese | 21/09/2021 | No | No | |
| Results article | results | 12/08/2022 | 05/04/2023 | Yes | No |
Additional files
- 40448 PIS.pdf
- 40448 Protocol.pdf
- in Portuguese
Editorial Notes
05/04/2023: Publication reference added.
21/09/2021: Trial's existence confirmed by Comitê de Ética em Pesquisa Faculdade de Medicina do ABC.
