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. 2020 Jul 5;2020(7):CD012527. doi: 10.1002/14651858.CD012527.pub2

ACTRN12617000290392.

Study name Public title: Doctors working well: a study evaluating an online stress management program for doctors
Scientific title: A randomised controlled trial of an online intervention on resiliency, occupational stress, and burnout among junior medical doctors
Methods Study design: 2‐arm RCT
Study grouping: parallel assignment
Unit of randomisation: individuals
Power (power sample size calculation, level of power achieved): not specified
Imputation of missing data: not specified
Participants Country: Australia
Setting: online, self‐guided intervention
Age: see inclusion criteria; age not specified
Sample size (randomised): 60 (targeted)
Sex: not specified
Comorbidity (mean (SD) of respective measures in indicated, if available) at baseline: not specified
Population description: registered junior medical doctors
Inclusion criteria: 1) registered junior medical doctors (in this study, defined as being an intern, junior house, or senior house doctor); 2) practising in the West Moreton Hospital and Health Service district (Queensland, Australia); 3) aged 18 years or older
Exclusion criteria: 1) aged younger than 18 years; 2) not a medical doctor; 3) practising outside the West Moreton Hospital and Health Service area
Attrition (withdrawals and exclusions): not specified
Reasons for missing data: not specified
Interventions Intervention: Doctors Working Well (n not specified)
  • delivery: online programme/online modules; individual setting; each module including mixture of didactic and interactive learning activities (e.g. readings, quizzes, videos, personal reflections)

  • providers:

    • self‐guided

    • automated email reminders (see compliance)

    • programme developed by clinical psychologist with 6 years treatment experience, with input received from 2 other research team members (both psychologists)

  • duration of treatment period and timing: 6 x 30‐ to 45‐minute modules over 6 weeks (i.e. participants have access to 1 module a week)

  • description:

    • modules focus on stress management techniques, emotion monitoring and regulation techniques, and self‐care

    • designed to target occupational stress and burnout

    • at start of each module, participants are asked small number of questions relating to their mood and engagement with skills learnt in previous module

  • compliance:

    • intervention adherence not assessed as programme content is delivered consistently across participants, due to electronic intervention format

    • participant adherence to the intervention will be assessed through examination of number of log‐ins, time spent using programme, modules completed, and activities completed within each module

    • automated email upon completion of each module to increase participant adherence, commending effort and completion; automated reminder email also if module has not been completed within 2 days of becoming available on weekly cycle

  • integrity of delivery: not specified

  • economic information: not specified

  • theoretical basis: not specified


Control: active control (n not specified)
  • 1 hour a week of protected individual study time over 6‐week study period; access to online programme after 3‐month follow‐up

Outcomes Outcomes collected and reported:
  • stress ‐ stress subscale of DASS‐21

  • burnout ‐ CBI

  • depression ‐ depression subscale of DASS‐21

  • anxiety ‐ anxiety subscale of DASS‐21

  • resilience ‐ BRS

  • affect ‐ PANAS

  • psychological distress ‐ Kessler‐10 scale

  • mindfulness ‐ Cognitive and Affective Mindfulness Scale‐Revised

  • self‐care ‐ Mindful Self‐Care Scale

  • stigma ‐ Stigma of Occupational Stress Scale for Doctors

  • satisfaction with programme ‐ Client Satisfaction Questionnaire


Outcomes reported not specified
Time points measured and reported: 1) pre‐intervention; 2) post‐intervention; 3) 3‐month follow‐up (exception: satisfaction with programme only at post‐intervention);time points reported not specified
Adverse events: not specified
Starting date Study start/end date: March 2017 (date of first enrolment) to July 2018 (anticipated date of last data collection); not yet recruiting according to trial registration
Contact information Principal investigator: Dr Bonnie Clough (according to trial registration); new contact since Dr Clough changed position: Dr Michael Ireland
Address: School of Psychology and Counselling; University of Southern Queensland, Springfield Campus; 37 Sinnathamby Boulevard, Springfield Central, Queensland, 4300 Country Australia
Email: Michael.Ireland@usq.edu.au
Telephone: not specified
Notes Contact with authors: We contacted the authors for the trial status. According to the authors, the trial is still ongoing and there are no results yet (Ireland 2019 [pers comm])
Funding source: University of Southern Queensland; West Moreton Hospital and Health Service
Declaration of interest: not specified
Ethical approval needed/obtained for study: approved by West Moreton Hospital and Health Service Human Research Ethics Committee (HREC/16/QWMS/519) and University of Southern Queensland Human Research Ethics Committee (H17REA025)
Comments by study authors: not specified
Miscellaneous outcomes by the review authors: trial registration number: ACTRN12617000290392 (assigned 24 February 2017)