The INSPIRE Study: INvestigation of Swiss Physicians Inner-life, Resilience, and Emotions

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

450 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-15

Study Completion Date

2027-03-15

Brief Summary

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The goal of this clinical trial, nested within an observational cohort study, is to evaluate whether two positive psychology web-based interventions can reduce emotional exhaustion and improve overall well-being in practicing physicians in Switzerland. The main questions it aims to answer are:

Does participation in positive psychology interventions reduce emotional exhaustion at three months post-intervention? How do these interventions impact physician wellness, job satisfaction, comfort with end-of-life communication and other aspects of physicians' emotional well-being?

Researchers will compare the effects of two intervention arms (general reflection vs. work-specific reflection) to a control group to determine whether focusing on work-specific aspects leads to greater improvements in emotional exhaustion and job-related outcomes.

Participants will:

* Complete an 8-day intervention consisting of positive psychology activities delivered online.
* Complete baseline and follow-up assessments over the study period

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Detailed Description

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Burnout, emotional exhaustion, and moral distress are widespread among physicians, negatively impacting patient care, job satisfaction, and physician retention in the workforce. While interventions targeting burnout exist, many require significant time commitments or institutional support, limiting accessibility.

Positive psychology interventions, which emphasize strengths-based approaches such as self-reflection, gratitude, and self-compassion, have shown promise in enhancing resilience and well-being.

The INSPIRE study is a randomized controlled trial (RCT) nested within an observational cohort using a Trial within Cohort (TwiC) design. It evaluates two web-based positive psychology interventions aimed at reducing emotional exhaustion and improving physician well-being.

A subset of cohort participants is randomized into one of three arms: a control group, a general life reflection intervention, or a work-focused reflection intervention. The interventions consist of an 8-day structured self-reflection program delivered online.

The study employs automated randomization, triple masking (participants, investigators, and outcome assessors), and longitudinal assessments over one year. Findings will inform the scalability of low-burden interventions for physician burnout prevention.

Conditions

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Burnout, Professional Emotional Exhaustion Emotions Wellness, Psychological Satisfaction, Personal

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Participants: Control participants are aware of the trial but do not know they are assigned to the control arm, as they are treated as part of the larger cohort and do not receive the intervention.

Investigators: Investigators are masked because recruitment and assignment are automated, ensuring they do not know which participants are in the intervention or control arms.

Outcome Assessors: Researchers analyzing the data remain blinded to group allocation to minimize bias in data interpretation.

Study Groups

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Intervention 1 - General Positive Psychology Reflection

Participants engage in an 8-day web-based intervention involving positive psychology exercises focused on general life situations.

Group Type EXPERIMENTAL

INSPIRE Life Reflection

Intervention Type BEHAVIORAL

An 8-day web-based positive psychology intervention encouraging participants to reflect on positive aspects of their daily lives. Activities include gratitude exercises, self-compassion writing, and recognizing meaningful moments.

Intervention 2 - Work-Specific Positive Psychology Reflection

Participants engage in the same 8-day web-based intervention, but the focus is specifically on positive reflections related to work and patient interactions.

Group Type EXPERIMENTAL

INSPIRE Work Reflection

Intervention Type BEHAVIORAL

An 8-day web-based positive psychology intervention encouraging participants to reflect on positive aspects of their work experiences. Activities include gratitude exercises, self-compassion writing, and recognizing meaningful professional interactions.

Control group

Participants complete assessments but do not receive the intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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INSPIRE Life Reflection

An 8-day web-based positive psychology intervention encouraging participants to reflect on positive aspects of their daily lives. Activities include gratitude exercises, self-compassion writing, and recognizing meaningful moments.

Intervention Type BEHAVIORAL

INSPIRE Work Reflection

An 8-day web-based positive psychology intervention encouraging participants to reflect on positive aspects of their work experiences. Activities include gratitude exercises, self-compassion writing, and recognizing meaningful professional interactions.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. Be a practicing physician in Switzerland
2. Working at least 40% in a clinical capacity
3. Be willing and able to provide informed consent
4. Expecting to be professionally active until 2028

Exclusion Criteria

1. Retired physician or physician seeking retirement within 3 years from first participation in the study
2. Physician unable to participate in one of the study languages: English, German, or French

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes