Feasibility of a tailored, combined intervention with mind-body elements to prevent burnout in healthcare professionals (LAGOM) in a mixed-methods multicenter single-arm trial
Abstract Healthcare professionals (HCPs) face high occupational stress, rendering them highly vulnerable to burnout. Given the significant individual and societal impacts, there is an urgent need for tailored approaches to prevent burnout. This study investigated the acceptability and feasibility of...
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2025-07-01
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| author | Marleen Schröter Anna K. Koch Julia Berschick Julia K. Schiele Martin Bogdanski Melanie Steinmetz Judith Czakert Wiebke Stritter Christian S. Kessler Georg Seifert |
| author_facet | Marleen Schröter Anna K. Koch Julia Berschick Julia K. Schiele Martin Bogdanski Melanie Steinmetz Judith Czakert Wiebke Stritter Christian S. Kessler Georg Seifert |
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| description | Abstract Healthcare professionals (HCPs) face high occupational stress, rendering them highly vulnerable to burnout. Given the significant individual and societal impacts, there is an urgent need for tailored approaches to prevent burnout. This study investigated the acceptability and feasibility of a person-and organization-directed 9-week program (LAGOM) with mind-body elements designed to mitigate burnout among HCPs. This single-arm, multicenter study employed a mixed-methods sequential explanatory design. Descriptive analyses evaluated recruitment, adherence, attrition, data collection completeness, and safety. A pre-post online survey assessed demographic and occupational variables, burnout symptoms (using the Maslach Burnout Inventory) and work-related self-efficacy (using the German BSW-5 questionnaire). The feasibility of electrophysiological measures like pulse and respiration activity was assessed. Semi-structured interviews with a subgroup were qualitatively analyzed following a qualitative content analysis approach. Pre to post changes in burnout symptoms and self-efficacy were exploratively analyzed with paired sample t-tests. Out of 29 HCPs screened, 24 (91.3% females, 65.2% nurses, 26.1% physicians) working at the Charité – Universitätsmedizin Berlin or the Immanuel Hospital Berlin, were included. The drop-out rate was 8%, intervention adherence was 79%. Of training completers, 86% filled out the post-assessments and 94.7% would recommend the program. Pre-post exploratory analyses revealed improvement on burnout scales emotional exhaustion (∆±SD=-2.79 ± 5.63, Cohen´s d = 0.5, 95% Confidence Interval (CI) 0.01;0.97), depersonalization (∆±SD=-1.47 ± 3.20, d = 0.46, 95%CI -0.02;0.93), personal accomplishment (∆±SD = 0.16 ± 3.93, d = 0.04, 95%CI -0.41;0.49), and work-related self-efficacy (∆±SD = 0.17 ± 0.39, d = 0.43, 95%CI -0.05;0.90). Semi-structured interviews (n = 4) revealed that participants valued the course content and collegial exchange but suggested allowing more time for discussion and reducing theoretical input. Electrophysiological measures (n = 14) were deemed feasible. The study supports the acceptability and feasibility of implementing LAGOM in the healthcare setting, with initial indications of effectiveness. Program sessions need to be modified to increase time for participant exchange. Securing visible leadership commitment and sufficient resources will be critical for future success. Trial Registration: German Clinical Trials Register: DRKS00032014, registered 17/10/2023, https://drks.de/search/de/trial/DRKS00032014. |
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| spelling | doaj-art-ad1b2e233b7d4dab815c3e4e25020b172025-08-20T03:05:18ZengNature PortfolioScientific Reports2045-23222025-07-0115111410.1038/s41598-025-12543-0Feasibility of a tailored, combined intervention with mind-body elements to prevent burnout in healthcare professionals (LAGOM) in a mixed-methods multicenter single-arm trialMarleen Schröter0Anna K. Koch1Julia Berschick2Julia K. Schiele3Martin Bogdanski4Melanie Steinmetz5Judith Czakert6Wiebke Stritter7Christian S. Kessler8Georg Seifert9Charité Competence Center for Traditional and Integrative Medicine (CCCTIM), Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of HealthCharité Competence Center for Traditional and Integrative Medicine (CCCTIM), Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of HealthCharité Competence Center for Traditional and Integrative Medicine (CCCTIM), Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of HealthCharité Competence Center for Traditional and Integrative Medicine (CCCTIM), Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of HealthCharité Competence Center for Traditional and Integrative Medicine (CCCTIM), Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of HealthCharité Competence Center for Traditional and Integrative Medicine (CCCTIM), Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of HealthCharité Competence Center for Traditional and Integrative Medicine (CCCTIM), Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of HealthCharité Competence Center for Traditional and Integrative Medicine (CCCTIM), Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of HealthCharité Competence Center for Traditional and Integrative Medicine (CCCTIM), Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of HealthCharité Competence Center for Traditional and Integrative Medicine (CCCTIM), Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of HealthAbstract Healthcare professionals (HCPs) face high occupational stress, rendering them highly vulnerable to burnout. Given the significant individual and societal impacts, there is an urgent need for tailored approaches to prevent burnout. This study investigated the acceptability and feasibility of a person-and organization-directed 9-week program (LAGOM) with mind-body elements designed to mitigate burnout among HCPs. This single-arm, multicenter study employed a mixed-methods sequential explanatory design. Descriptive analyses evaluated recruitment, adherence, attrition, data collection completeness, and safety. A pre-post online survey assessed demographic and occupational variables, burnout symptoms (using the Maslach Burnout Inventory) and work-related self-efficacy (using the German BSW-5 questionnaire). The feasibility of electrophysiological measures like pulse and respiration activity was assessed. Semi-structured interviews with a subgroup were qualitatively analyzed following a qualitative content analysis approach. Pre to post changes in burnout symptoms and self-efficacy were exploratively analyzed with paired sample t-tests. Out of 29 HCPs screened, 24 (91.3% females, 65.2% nurses, 26.1% physicians) working at the Charité – Universitätsmedizin Berlin or the Immanuel Hospital Berlin, were included. The drop-out rate was 8%, intervention adherence was 79%. Of training completers, 86% filled out the post-assessments and 94.7% would recommend the program. Pre-post exploratory analyses revealed improvement on burnout scales emotional exhaustion (∆±SD=-2.79 ± 5.63, Cohen´s d = 0.5, 95% Confidence Interval (CI) 0.01;0.97), depersonalization (∆±SD=-1.47 ± 3.20, d = 0.46, 95%CI -0.02;0.93), personal accomplishment (∆±SD = 0.16 ± 3.93, d = 0.04, 95%CI -0.41;0.49), and work-related self-efficacy (∆±SD = 0.17 ± 0.39, d = 0.43, 95%CI -0.05;0.90). Semi-structured interviews (n = 4) revealed that participants valued the course content and collegial exchange but suggested allowing more time for discussion and reducing theoretical input. Electrophysiological measures (n = 14) were deemed feasible. The study supports the acceptability and feasibility of implementing LAGOM in the healthcare setting, with initial indications of effectiveness. Program sessions need to be modified to increase time for participant exchange. Securing visible leadership commitment and sufficient resources will be critical for future success. Trial Registration: German Clinical Trials Register: DRKS00032014, registered 17/10/2023, https://drks.de/search/de/trial/DRKS00032014.https://doi.org/10.1038/s41598-025-12543-0BurnoutPreventionHealthcare professionalsMixed-methodsMind-body medicine |
| spellingShingle | Marleen Schröter Anna K. Koch Julia Berschick Julia K. Schiele Martin Bogdanski Melanie Steinmetz Judith Czakert Wiebke Stritter Christian S. Kessler Georg Seifert Feasibility of a tailored, combined intervention with mind-body elements to prevent burnout in healthcare professionals (LAGOM) in a mixed-methods multicenter single-arm trial Scientific Reports Burnout Prevention Healthcare professionals Mixed-methods Mind-body medicine |
| title | Feasibility of a tailored, combined intervention with mind-body elements to prevent burnout in healthcare professionals (LAGOM) in a mixed-methods multicenter single-arm trial |
| title_full | Feasibility of a tailored, combined intervention with mind-body elements to prevent burnout in healthcare professionals (LAGOM) in a mixed-methods multicenter single-arm trial |
| title_fullStr | Feasibility of a tailored, combined intervention with mind-body elements to prevent burnout in healthcare professionals (LAGOM) in a mixed-methods multicenter single-arm trial |
| title_full_unstemmed | Feasibility of a tailored, combined intervention with mind-body elements to prevent burnout in healthcare professionals (LAGOM) in a mixed-methods multicenter single-arm trial |
| title_short | Feasibility of a tailored, combined intervention with mind-body elements to prevent burnout in healthcare professionals (LAGOM) in a mixed-methods multicenter single-arm trial |
| title_sort | feasibility of a tailored combined intervention with mind body elements to prevent burnout in healthcare professionals lagom in a mixed methods multicenter single arm trial |
| topic | Burnout Prevention Healthcare professionals Mixed-methods Mind-body medicine |
| url | https://doi.org/10.1038/s41598-025-12543-0 |
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