The Counselor Led Resident Wellness Study

NCT ID: NCT07053111

Last Updated: 2025-10-01

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-11

Study Completion Date

2026-06-30

Brief Summary

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Residency is a challenging time in a physician's career. The investigators hope this study will provide a new wellness support model for residency programs to use for resident physicians. The purpose of this study is to examine the impact of a wellness support model for residency programs that is lead by licensed counselors. The investigators expect that participating resident physicians will feel and perform better in their job and your life with this additional support.

Detailed Description

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Residency training has been identified as a challenging time in a physician's career. Prior studies have identified the positive effects of wellness support services on resident and attending physician wellbeing and burnout. A recent systematic review in PLoS One identified only one study in which counselors or psychologists, as opposed to peer mentors or other professionals including coaches, were utilized for the mental health wellness intervention. These studies show a benefit for some but not all metrics studied. Professional therapists may have additional skills or insight that may enhance wellness interventions. To help improve physician wellness at the University Health (UNR Plumas) Clinic, the investigators have developed an evidence based counselor wellness support group. The study will be a parallel group randomized controlled trial that seeks to build upon the above literature but also introduce additional novel components. Specifically, the study will utilize trained mental health counselors, instead of online or in person coaches or trained peer support, to provide in person physician wellness services to resident physicians. It will track the efficacy of a longitudinal, evidence-based curriculum by collecting data on wellness, depression, and anxiety using standard metrics, with the goal of increasing physician wellness in a cost-effective manner.

Conditions

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Burnout, Healthcare Workers Anxiety Wellness Program Depression Not Otherwise Specified

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Counselor Wellness Intervention

Evidenced based, counselor lead wellness intervention that will provide psychoeducational peer support/peer process groups. Topics may include: work/life balance, resilience building, stress management, self- care practices, imposter syndrome, psychological effects, compassion fatigue, peer support, and mindfulness practices. Other evidence based therapeutic concepts, such as Cognitive Behavior Therapy (CBT) and Dialectical Behavior Therapy (DBT), may also be introduced as appropriate. The intervention group will also receive standard access to all mental health and wellness interventions at the university.

Group Type EXPERIMENTAL

Wellness Intervention

Intervention Type BEHAVIORAL

Licensed counselors will provide evidence based curricula on the following: work/life balance, resilience building, stress management, self- care practices, imposter syndrome, psychological effects, compassion fatigue, peer support, and mindfulness practices.

Control Group

Standard access to all mental health and wellness interventions at the university.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Wellness Intervention

Licensed counselors will provide evidence based curricula on the following: work/life balance, resilience building, stress management, self- care practices, imposter syndrome, psychological effects, compassion fatigue, peer support, and mindfulness practices.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

-All internal medicine residents at the University of Nevada, Reno whose continuity clinic site is the University Health (UNR Plumas) Clinic for the 2025-2026 academic year will be offered the opportunity to participate.

Exclusion Criteria

* Must be a UNR internal medicine resident as described above
* Residents must be interested/willing to participate
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Nevada, Reno

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sean Kandel, DO

Role: PRINCIPAL_INVESTIGATOR

University of Nevada, Reno

Locations

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University Health Internal Medicine Clinic

Reno, Nevada, United States

Site Status

Countries

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United States

References

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Topp CW, Ostergaard SD, Sondergaard S, Bech P. The WHO-5 Well-Being Index: a systematic review of the literature. Psychother Psychosom. 2015;84(3):167-76. doi: 10.1159/000376585. Epub 2015 Mar 28.

Reference Type BACKGROUND
PMID: 25831962 (View on PubMed)

Kroenke K, Spitzer RL, Williams JB, Monahan PO, Lowe B. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med. 2007 Mar 6;146(5):317-25. doi: 10.7326/0003-4819-146-5-200703060-00004.

Reference Type BACKGROUND
PMID: 17339617 (View on PubMed)

Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001 Sep;16(9):606-13. doi: 10.1046/j.1525-1497.2001.016009606.x.

Reference Type BACKGROUND
PMID: 11556941 (View on PubMed)

Butler AC, Chapman JE, Forman EM, Beck AT. The empirical status of cognitive-behavioral therapy: a review of meta-analyses. Clin Psychol Rev. 2006 Jan;26(1):17-31. doi: 10.1016/j.cpr.2005.07.003. Epub 2005 Sep 30.

Reference Type BACKGROUND
PMID: 16199119 (View on PubMed)

Eskander J, Rajaguru PP, Greenberg PB. Evaluating Wellness Interventions for Resident Physicians: A Systematic Review. J Grad Med Educ. 2021 Feb;13(1):58-69. doi: 10.4300/JGME-D-20-00359.1. Epub 2020 Dec 31.

Reference Type BACKGROUND
PMID: 33680302 (View on PubMed)

Underdahl L, Ditri M, Duthely LM. Physician Burnout: Evidence-Based Roadmaps to Prioritizing and Supporting Personal Wellbeing. J Healthc Leadersh. 2024 Jan 4;16:15-27. doi: 10.2147/JHL.S389245. eCollection 2024.

Reference Type BACKGROUND
PMID: 38192639 (View on PubMed)

Boet S, Etherington C, Dion PM, Desjardins C, Kaur M, Ly V, Denis-LeBlanc M, Andreas C, Sriharan A. Impact of coaching on physician wellness: A systematic review. PLoS One. 2023 Feb 7;18(2):e0281406. doi: 10.1371/journal.pone.0281406. eCollection 2023.

Reference Type BACKGROUND
PMID: 36749760 (View on PubMed)

Mann A, Shah AN, Thibodeau PS, Dyrbye L, Syed A, Woodward MA, Thurmon K, Jones CD, Dunbar KS, Fainstad T. Online Well-Being Group Coaching Program for Women Physician Trainees: A Randomized Clinical Trial. JAMA Netw Open. 2023 Oct 2;6(10):e2335541. doi: 10.1001/jamanetworkopen.2023.35541.

Reference Type BACKGROUND
PMID: 37792378 (View on PubMed)

Palamara K, Chu JT, Chang Y, Yu L, Cosco D, Higgins S, Tulsky A, Mourad R, Singh S, Steinhauser K, Donelan K. Who Benefits Most? A Multisite Study of Coaching and Resident Well-being. J Gen Intern Med. 2022 Feb;37(3):539-547. doi: 10.1007/s11606-021-06903-5. Epub 2021 Jun 7.

Reference Type BACKGROUND
PMID: 34100238 (View on PubMed)

Solms L, van Vianen A, Koen J, Theeboom T, de Pagter APJ, De Hoog M; Challenge & Support Research Network. Turning the tide: a quasi-experimental study on a coaching intervention to reduce burn-out symptoms and foster personal resources among medical residents and specialists in the Netherlands. BMJ Open. 2021 Jan 25;11(1):e041708. doi: 10.1136/bmjopen-2020-041708.

Reference Type BACKGROUND
PMID: 33495254 (View on PubMed)

Sofka S, Lerfald N, Reece J, Davisson L, Howsare J, Thompson J. Universal Well-Being Assessment Associated With Increased Resident Utilization of Mental Health Resources and Decrease in Professionalism Breaches. J Grad Med Educ. 2021 Feb;13(1):83-88. doi: 10.4300/JGME-D-20-00352.1. Epub 2020 Dec 31.

Reference Type BACKGROUND
PMID: 33680305 (View on PubMed)

Raimo J, LaVine S, Spielmann K, Akerman M, Friedman KA, Katona K, Chaudhry S. The Correlation of Stress in Residency With Future Stress and Burnout: A 10-Year Prospective Cohort Study. J Grad Med Educ. 2018 Oct;10(5):524-531. doi: 10.4300/JGME-D-18-00273.1.

Reference Type BACKGROUND
PMID: 30386477 (View on PubMed)

Salyers MP, Bonfils KA, Luther L, Firmin RL, White DA, Adams EL, Rollins AL. The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis. J Gen Intern Med. 2017 Apr;32(4):475-482. doi: 10.1007/s11606-016-3886-9. Epub 2016 Oct 26.

Reference Type BACKGROUND
PMID: 27785668 (View on PubMed)

Neumann M, Edelhauser F, Tauschel D, Fischer MR, Wirtz M, Woopen C, Haramati A, Scheffer C. Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med. 2011 Aug;86(8):996-1009. doi: 10.1097/ACM.0b013e318221e615.

Reference Type BACKGROUND
PMID: 21670661 (View on PubMed)

Harvey SB, Epstein RM, Glozier N, Petrie K, Strudwick J, Gayed A, Dean K, Henderson M. Mental illness and suicide among physicians. Lancet. 2021 Sep 4;398(10303):920-930. doi: 10.1016/S0140-6736(21)01596-8.

Reference Type BACKGROUND
PMID: 34481571 (View on PubMed)

Other Identifiers

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23347451

Identifier Type: -

Identifier Source: org_study_id

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