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. 2023 May 12;2023(5):CD002892. doi: 10.1002/14651858.CD002892.pub6

Lee 2020.

Study characteristics
Methods Study design: randomised controlled trial
Study grouping: parallel group
Participants Baseline characteristics
Psychotherapy
  • Age in years (mean ± SD): NR

  • Sex (N (% female)): 37 (71.1%)

  • Sample size: 52

  • Years of experience (mean ± SD): NR


Control (no intervention)
  • Age in years (mean ± SD): NR

  • Sex (N (% female)): 41 (68.3%)

  • Sample size: 60

  • Years of experience (mean ± SD): NR


Overall
  • Age in years (mean ± SD): NR

  • Sex (N (% female)): 78 (69.6%)

  • Sample size: 112

  • Years of experience (mean ± SD): NR


Included criteria: the participant must be a practising physician of the primary healthcare system in Almaty (Kazakhstan), he/she should have at least one year of work experience; he/she must provide signed informed consent.
Excluded criteria: incomplete filling out of questionnaires, refusal to participate in the study, lack of informed consent, dismissal from work.
Pretreatment: according to the results, there was no statistically significant difference between age, gender, marital status and speciality of doctors in the two groups.
Type of healthcare worker: exclusively doctors involved in primary healthcare
Response rate: 93%
Compliance rate: 23%
Interventions Intervention characteristics
Psychotherapy
  • Type of the intervention: Intervention type 1 ‐ to focus one’s attention on the experience of stress

  • Description of the intervention: Short‐term psychotherapy based on the coping strategy (Asimov method): 1st step – differentiation and self‐knowledge; 2nd step – awareness of the state through induced images; 3rd step – awareness of the state through spontaneous images with closed eyes; 4th step – awareness of the state through spontaneous images with open eyes; 5th step – environmentally friendly behaviour.

  • The number of sessions: 9 to 12 times a month

  • Duration of each session on average: 50 minutes

  • Duration of the entire intervention: 4 weeks

  • Duration of the entire intervention short vs long: Short

  • Intervention deliverer: NR

  • Intervention form: Individual, video communication


Control (no intervention)
  • Type of the intervention: NA

  • Description of the intervention: NA

  • The number of sessions: NA

  • Duration of each session on average: NA

  • Duration of the entire intervention: NA

  • Duration of the entire intervention short vs long: NA

  • Intervention deliverer: NA

  • Intervention form: NA

Outcomes Maslach Burnout Inventory ‐ Emotional Exhaustion
  • Outcome type: ContinuousOutcome


Maslach Burnout Inventory ‐ Depersonalisation
  • Outcome type: ContinuousOutcome


Maslach Burnout Inventory ‐ Personal accomplishment (lack of)
  • Outcome type: ContinuousOutcome

Identification Sponsorship source: NR
Country: Republic of Kazakhstan
Setting: Two out‐patient‐clinics
Comments: NR
Authors name: Sergey Lee
Institution: S.D. Asfendiyarov Kazakh National Medical University
Email: lee.s.kaznmu@mail.ru
Address: Tole Bi Street 94, Almaty, 050000, Kazakhstan
Time period: 2019
Notes MBI‐EE included in analysis 1.2
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Participants were assigned with an individual number, after which they were randomized using online random tools (experimental and control groups into two groups):
Allocation concealment (selection bias) Unclear risk Insufficient information to understand whether intervention allocations could have been foreseen in advance of, during, enrolment.
Blinding of participants and personnel (performance bias)
All outcomes High risk Participants were not blinded.
Blinding of outcome assessment (detection bias)
All outcomes High risk Participants were not blinded whereas outcomes are self‐reported.
Incomplete outcome data (attrition bias)
All outcomes High risk 112 of the 243 randomised participants included in the analyses. Not reported whether lost to follow‐up was at random.
Selective reporting (reporting bias) Unclear risk No trial protocol reported, nor did we find one online.
Other bias Low risk No indication of other bias.