BREATHE in the VA

描述（由申请人提供）： 背景：不幸的是，人们对减少或预防倦怠及其相关问题严重缺乏关注。特别是，干预方案，特别是那些基于健全的理论或研究，并已被标准化和经验评估的方案非常缺乏。我们的研究团队已经进行了先前的工作，以开发和测试干预-呼吸（减少倦怠：增强意识，工具，讲义和教育）-以减少心理健康提供者的倦怠。在一个准实验设计中，我们发现初步支持该计划的有效性，减少供应商倦怠和改善供应商对他们的消费者群体的态度。然而，它还没有在受控设计中进行测试。此外，我们需要确定组织因素，如果有效的话，可以帮助更广泛地传播该计划。我们的长期目标是制定一个用户友好的计划，不仅有效地减少提供者的倦怠，而且还改善组织/系统的结果，护理质量，并最终，退伍军人的结果。目标：该项目包括几个目标。首先，我们将在随机对照设计中测试基本呼吸训练的有效性。其次，我们将研究影响倦怠的组织因素，以便我们能够更好地设计VA中呼吸的实施支持。研究方法：我们将在当地VA和其他设施招募180名志愿者心理健康提供者，并将他们随机分配到为期一天的培训或对照组，接受为期一天的以人为中心的治疗计划培训或综合双重障碍培训。我们将在基线、培训后6周和培训后6个月收集供应商倦怠和对退伍军人态度的测量结果。我们还将收集有关促进或减少倦怠的组织环境因素的定性数据。将使用重复测量协方差分析（ANCOVA）模型分析倦怠数据，以评估随时间推移的干预效果。

DESCRIPTION (provided by applicant): Background: Unfortunately, there has been a serious lack of attention to reducing or preventing burnout and its associated problems. In particular, there is a paucity of intervention programs, especially those that are based on sound theory or research, and have been standardized and empirically evaluated. Our research team has conducted prior work to develop and test an intervention - BREATHE (Burnout Reduction: Enhanced Awareness, Tools, Handouts, and Education) - to reduce mental health provider burnout. In a quasi- experimental design, we found preliminary support for the program's effectiveness for reducing provider burnout and improving provider attitudes toward their consumer population. However, it has yet to be tested in a controlled design. In addition, we need to identify organizational factors that could help broader dissemination of the program if effective. Our long-term goal is to produce a user-friendly program that is effective not only for reducing provider burnout, but also for improving organizational/system outcomes, quality of care, and, ultimately, veteran outcomes. Objectives: This project includes several objectives. First, we will test the effectiveness of the basic BREATHE training in a randomized, controlled design. Second, we will examine organizational factors that impact burnout so that we can better design implementation supports for BREATHE in the VA. Methods: We will recruit 180 volunteer mental health providers in local VA and other facilities and randomly assign them to the day-long training or the control group receiving a day-long training in either person-centered treatment planning training or integrated dual disorders training. We will collect measures of provider burnout and attitudes toward veterans at baseline, 6-weeks post-training, and 6-months post-training. We will also collect qualitative data on organizational contextual factors that promote or reduce burnout. Burnout data will be analyzed using repeated measures analysis of covariance (ANCOVA) model to evaluate the intervention effect over time.