Trial document





This trial has been registered retrospectively.
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  DRKS00012677

Trial Description

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Title

Participatory intervention to improve the psychological well-being in medical practice teams: a model for structural and behavioral prevention in small and medium-sized enterprises

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Trial Acronym

IMPROVEjob

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URL of the Trial

https://www.improvejob.de

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Brief Summary in Lay Language

Physicians and non-physician personnel in general practices are known to have a higher prevalence of high chronic stress than the general population. This IMPROVEjob study is conducted by a collaboration of scientists from the universities of Bonn, Tuebingen, Duisburg-Essen, and Bochum who develop an intervention for the prevention of such psychological, work-related distress. The IMPROVEjob intervention was conceptualized by analysing working conditions in primary care practices. Subsequently, setting-specific approaches under participation of the members of the target group were developed and tested for its feasibility. This current study evaluates the effectiveness of the newly developed IMPROVEjob intervention on job satisfaction of physicians and practice assistants from 56 general practices. After successful testing for its effectiveness, the intervention will be disseminated in other (physician) practices. In addition, transfer strategies to small and medium-sized enterprises will be evaluated.

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Brief Summary in Scientific Language

Using general practices as a model, the inter- and transdisciplinary IMPROVEjob study is conducted by scientists of the Universities of Bonn, Tuebingen, Duisburg-Essen, and Bochum to develop a multimodal, participatory intervention for the prevention of psychological, work-related distress. The IMPROVEjob intervention was developed after analysing working conditions in general practices. Setting-specific approaches were conceptualized and tested for feasibility in a small sample. The current cluster-randomized controlled trial will evaluate the effectiveness of the newly developed IMPROVEjob-intervention on the job satisfaction of physicians and practice assistants from 56 general practices.
After successful testing for effectiveness, the intervention will be disseminated in other (physician) practices and transfer strategies to small- and medium-sized enterprises will be evaluated.

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Organizational Data

  •   DRKS00012677
  •   2019/10/16
  •   [---]*
  •   yes
  •   Approved
  •   057/19, Ethik-Kommission der Medizinischen Fakultät der Rheinischen Friedrich-Wilhelms-Universität Bonn
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Secondary IDs

  • [---]*
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Health Condition or Problem studied

  •   job satisfaction, chronic stress
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Interventions/Observational Groups

  •   Intervention arm: Practice personnel (physicians, practice assistants) of general practices which participate in the IMPROVEjob-intervention
  •   Waiting-list control arm: Practice personnel (physicians, practice assistants) of general practices which receive the IMPROVEjob-intervention after the follow-up data collection.
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Characteristics

  •   Interventional
  •   [---]*
  •   Randomized controlled trial
  •   Open (masking not used)
  •   [---]*
  •   Control group receives no treatment
  •   Prevention
  •   Parallel
  •   N/A
  •   N/A
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Primary Outcome

Change in job satisfaction after 9 month follow-up measured with the job satisfaction scale of the German version of the Copenhagen Psychosocial Questionnaire (COPSOQ)

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Secondary Outcome

Changes on the level of the individual, the practice team and the practice organization, i.e., waiting times, team communication, perception of work-related strain measured by selected COPSOQ scales

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Countries of Recruitment

  •   Germany
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Locations of Recruitment

  • University Medical Center 
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Recruitment

  •   Actual
  •   2019/09/05
  •   336
  •   Monocenter trial
  •   National
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Inclusion Criteria

  •   Both, male and female
  •   no minimum age
  •   no maximum age
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Additional Inclusion Criteria

on practice level: primary care activity; practice owner is willing to participate in the workshops

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Exclusion Criteria

On practice level: practice not primarily active in Primary care (e.g. active in psychotherapy or pain therapy); participation in the development of the intervention or feasibility study; foreseeable exceptional situation (i.e. maternity leave, retirement of the practice owner)

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Addresses

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    • Institut für HausarztmedizinUniversitätsklinikum Essen
    • Ms.  Prof. Dr. med., MPH (USA)  Birgitta  Weltermann 
    • Venusberg-Campus 1
    • 53127  Bonn
    • Germany
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    • Institut für Arbeitsmedizin, Sozialmedizin und Versorgungsforschung, Eberhard Karls Universität Tübingen
    • Ms.  Prof. Dr. med.  Monika A.  Rieger 
    • Wilhelmstr. 27
    • 72074  Tübingen
    • Germany
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    • Institut für Medizinische Informatik, Biometrie und Epidemiologie (IMIBE), Universitätsklinikum Essen (AöR)
    • Mr.  Prof. Dr.  Karl-Heinz  Jöckel 
    • Hufelandstr. 55
    • 45147  Essen
    • Germany
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    • Zentrum für Klinische Studien Essen (ZKSE), Universitätsklinikum Essen (AöR)
    • Mr.  Prof. Dr.  Karl-Heinz  Jöckel 
    • Hufelandstr. 55
    • 45147  Essen
    • Germany
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    • Abteilung für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Tübingen, Eberhard Karls Universität Tübingen
    • Mr.  PD Dr. med.  Florian  Junne 
    • Osianderstraße 5
    • 72076  Tübingen
    • Germany
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    • Institut für Unternehmensführung, Ruhr-Universität Bochum
    • Ms.  Prof. Dr.  Brigitte  Werners 
    • Universitätsstr. 150
    • 44801  Bochum
    • Germany
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    • Institut für HausarztmedizinUniversitätsklinikum Bonn
    • Ms.  Prof. Dr.med., MPH(USA)  Birgitta  Weltermann 
    • Venusberg-Campus 1
    • 53127  Bonn
    • Germany
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    • Intitut für HausarztmedizinUniversitätsklinikum Bonn
    • Ms.  Prof. Dr.med., MPH(USA)  Birgitta  Weltermann 
    • Venusberg-Campus 1
    • 53127  Bonn
    • Germany
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Sources of Monetary or Material Support

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    • Bundeministerium für Bildung und Forschung (BMBF)
    • 10117  Berlin
    • Germany
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Status

  •   Recruiting ongoing
  •   [---]*
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Trial Publications, Results and other Documents

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* This entry means the parameter is not applicable or has not been set.