Effectiveness of a multimodal training programme to improve general practitioners' burnout, job satisfaction and psychological well-being
Barcons, Carles (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)
García Alarcón, Belén (Psychiatry Medical Residency Training Programme, CASM Benito Menni)
Sarri, Carmen (CASM Benito Menni)
Rodríguez Cano, Elena (CASM Benito Menni)
Cunillera, O (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Parellada, Neus (Institut Català de la Salut)
Fernández Fernández, Bárbara (Institut Català de la Salut)
Alvarado Montesdeoca, Carlos Enrique (Institut Català de la Salut)
Barrio Ruiz, Carmen (Institut Català de la Salut)
Fleta Portero, Juan Carlos (Institut Català de la Salut)
Ruiz Jiménez, Dulze (Institut Català de la Salut. Direcció d'Atenció Primària Costa de Ponent)
Torrúbia, Rafael (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)

Date:	2019
Abstract:	BACKGROUND: The changes in the models of care for mental disorders towards a community focus and deinstitutionalisation might have risen General practitioners' (GPs) workload, increasing their mental health concerns and the need for solutions. Pragmatic research into improving GPs' work-related health and psychological well-being is limited by focusing mainly on stressors and through not providing systematic attention to the development of positive mental health via interventions that develop psychological resources and capacities. The aim of this study was twofold: a) to determine the effectiveness of an intensive multimodal training programme for GPs designed to improve their management of mental-health patients; and b) to ascertain if the program could be also useful to improve the GPs management of their own burnout, job satisfaction and psychological well-being. METHOD: Eighteen GPs constituted a control group that underwent the routine clinical Mental health support programme for primary care. An experimental group (N = 20) additionally received a Multimodal training programme (MTP) with an Integrated Brief Systemic Therapy (IBST) approach. Through questionnaires and a clinical interview, level of burnout, professional satisfaction, psychopathological state and various indicators of the quality of administrative and healthcare management were analysed at baseline and 10 months after the programme. RESULTS: In relation to government of mental-health patients indicators, on the one hand MTP group showed statistically significant improvements in certain administrative health parameters, but on the other it did not improve opinions and attitudes towards mental illness. Regarding GPs management of their own burnout, job satisfaction and psychological well-being assessments, the MTP presented better scores on global psychopathological state and better evolution of satisfaction at work; psychopharmacology use dropped in both groups; in contrast, the MTP did not improve burnout levels. CONCLUSIONS: Findings of this preliminary study are promising for the MTP (with an IBST approach) practice in primary care. More research evidence is required from larger samples and randomized controlled trials to support both the hypothetical adoption of MTP (with an IBST approach) as a part of a continuing professional-training programme for GPs' management of mental-health patients and its positive effects on work-related health factors.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Brief systemic therapy ; Burnout ; General practitioners ; Job satisfaction ; Primary care ; Psychological well-being
Published in:	BMC family practice, Vol. 20 Núm. 1 (december 2019) , p. 155, ISSN 1471-2296

DOI: 10.1186/s12875-019-1036-2
PMID: 31718542

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