Table 3.
Rank-ordered resident preferences for stated barriers to seeking counseling (if the residency program offered one-on-one counseling for stress and burnout from work, what do you think could affect your participation?).
| Surveyed factors | Aggregate data | Latent class segmentation (rank order) | ||||||||||||||||||
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Number of times selected (maximum possible: 308) | Best-worst score | MNLa utility score (SD)b | Rank order | Segment 1: “Time/ money,” (49%) | Segment 2 “Time/ money/ don’t find it helpful,” (20%) | Segment 3: “confidentiality and future job concerns” (13%) | Segment 4: “Time/ don’t find it helpful” (11%) | Segment 5: “High self-/ social-stigma” (8%) | |||||||||||
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Most important |
Least important |
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| I wouldn’t have enough time | 231 | 14 | 0.705 | 2.528 (0.150)A | 1 | 1 | 1 | 4 | 1 | 1 | ||||||||||
| I wouldn’t want to pay for it | 109 | 64 | 0.146 | 1.009 (0.133)B | 2 | 2 | 2 | 3 | 7 | 7 | ||||||||||
| I'm concerned that seeing a therapist will reflect poorly on my standing as a resident or impact my future job opportunities | 58 | 75 | −0.056 | 0.454 (0.131)C | 3 | 4 | 7 | 1 | 4 | 4 | ||||||||||
| I’m concerned about the confidentiality of talking about my issues to a therapist | 53 | 78 | −0.081 | 0.416 (0.133)C | 4 | 3 | 6 | 2 | 3 | 5 | ||||||||||
| I don’t think it would help for addressing my wellness | 56 | 81 | −0.081 | 0.406 (0.132)C | 5 | 5 | 3 | 6 | 2 | 6 | ||||||||||
| I would be ashamed or embarrassed if my peers knew I was seeing a therapist | 16 | 89 | −0.237 | 0 (N/Ac)C,D | 6 | 6 | 5 | 5 | 6 | 2 | ||||||||||
| I would think I’m a weak person for seeing a therapist for stress or burnout | 16 | 138 | −0.396 | −0.407 (0.129)D | 7 | 7 | 4 | 7 | 5 | 3 | ||||||||||
aMNL: multinomial logit.
bFour statistically significant groupings (A-D) were found for the 7 surveyed factors when comparing multinomial logit utility scores with Tukey honest significant difference posthoc testing. Mean utility scores followed by the same letter did not differ significantly (Tukey honest significant difference test, P>.05); exact P values for multiple comparisons are shown in Table S1 in Multimedia Appendix 1.
cN/A: not applicable.