Mental Health Wellness 1NCT03183687
Resident Wellness Initiative: Improving Physical Activity, Nutrition Education and Mental Health of Residents
An observational study of Mental Health Wellness 1, run by University of Wisconsin, Madison at 1 site in United States.
Trial summary
This wellness initiative is aimed to assess the activity level, sleep habits and nutrition status of resident physicians. The investigators will monitor for improvement in these areas with initiation of an exercise program suited to the lifestyle needs of resident physicians. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Mental Health Wellness 1
- How many people
- 14 participants
- Where
- 1 siteUnited States
- Study dates
- 23 Jun 2017to 30 Nov 2018
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Current residents within the Neurosurgery Program in the Department of Neurological Surgery at the University of Wisconsin-Madison, provided they are willing to participate based on completion of informed consent. Participants will likely be young adults in relatively good health status. The study will be presented to the resident population as a group, as well as incoming residents in the future, with the hope that all are willing to participate.
Who may be able to join
- resident within the Neurosurgery Program in the Department of Neurological Surgery at the University of Wisconsin-Madison
- ability to participate in light activity, and being willing to participate.
Who cannot join
- Unable to participate in planned activities
- those not willing to participate
- non-resident department employees.
Trial locations and contacts
1 site in 1 country.
United States1 site
University of Wisconsin-Madison
Madison, Wisconsin, 53715
About this study
This wellness initiative is aimed to assess the activity level, sleep habits and nutrition status of resident physicians. The investigators will monitor for improvement in these areas with initiation of an exercise program suited to the lifestyle needs of resident physicians.
Read the detailed description
The health and mental health benefits of physical activity, quality sleep and optimal nutritional habits are innumerable and widely reported. Unfortunately, resident physicians report participation in physical activity at reduced rates compared with the general population. Reasons for limited physical activity include fatigue and lack of free time to dedicate to exercise. The lack of exercise is combined with variable sleep patterns due to call schedules, as well as deterioration of nutritional habits, leads to weight gain and overall decline in the health of the resident physician population. Another neurosurgery department has implemented a similar program for their resident physicians and found improvements in weight, biometric markers and increased cardiovascular tolerance of physical activity.
The activity goals are derived from the 2013 the American Heart Association/American College of Cardiology Guidelines on lifestyle management to reduce cardiovascular risk, with considerations made for different levels of ability among the participants, as well as limitations time.
Fitness Protocol: The investigators will view any activity as better than no activity. The program will begin with activities geared toward the least fit/active resident to encourage participation from all levels of ability. The investigators will need options to increase intensity or difficulty for more advanced participants. Prior to introduction of the fitness regimen, the investigators would discuss appropriate progression of activity with a fitness expert. The proposed progression through various fitness goals is noted by type and timeline below.
Step Goal: Each participant will be asked to wear a fitness tracker to quantify steps walked per day, among other health parameters. Goals will be set for number of steps per day and per week, with incremental increase through the course of the program.
Cardiac Activity: Goals will be suggested for participants to complete cardiac activity through the course of their week. This may be running, which would overlap with the step goals, biking, or another cardiac exercise of the participants' preference. The goal will increase gradually over the course of the program.
Daily Challenge: A physical challenge will be extended to each participant to be completed every day, increasing in difficulty or repetitions through the month. This will be a simple task that could be performed without any equipment, such as (but not limited to) a plank hold, pushups or jumping jacks.
Weekly Workout: Workouts will be created by colleagues from appropriate departments (Kinesiology, Sports Performance) to be completed in a single ~30 minute setting or small 5-10 minute increments in order to be integrated into the physician lifestyle. These workouts will be completed on an individual basis and will be simple enough for completion in a small space, such as the call rooms, with access to hand weights, resistance bands and the stairwell.
Group Activities: Group activities will be planned once per month, with a focus on team building and physical activity. These group activities will be made available to non-study participants to encourage family attendance and participation in physical fitness. Some examples of proposed activities include soccer, sand volleyball, basketball.
Education: Colleagues from nutrition, neuropsychology and kinesiology will be invited for guest lectures on a monthly basis to improve resident education on topics such as making nutritionally smart choices and appropriate meal preparation, improving sleep hygiene, and how to incorporate activity into our currently lifestyles.
Study Timeline Pre-Program - distribution of surveys; biometric data obtained Month 1 - goal for steps. Group activity: movement safety. Month 2 - goal for steps + cardiac activity. Group activity. Month 3 - goal for steps + cardiac activity + daily challenge + improve sleep hygiene. Group activity. Repeat health surveys.
Month 4 - increase goal for steps + cardiac activity + daily challenge + weekly workout. Group activity.
Month 5 - goal for steps + cardiac activity + daily challenge + weekly workout + improve sleep habits. Group activity.
Month 6 - continuation of above goals + setting individual goals. Group activity.
Post-Program - distribution of surveys; biometric follow up data obtained.
- Conditions
- Mental Health Wellness 1
- Keywords
- neurosurgery, resident wellness, health, mental health, physical activity, physician health
- Medical subject headings
- Psychological Well-Being, Motor Activity
What is being measured
The primary outcome is the main question the study is designed to answer.
Evaluate the activity level of the resident physician population.
Resident physicians report participation in physical activity at reduced rates compared with the general population. Activity data will be obtained through the fitness tracker worn by each resident. The goal is to find improvements in weight (kg or Lb).
Measured: 3 years
Secondary outcomes (2)
Evaluate the mental health and sleep quality of the resident physician population.
Reasons for limited physical activity include fatigue and lack of free time to dedicate to exercise. The lack of exercise is combined with variable sleep patterns due to call schedules, leading to the overall decline in the health of the resident physician population. Sleep data will be obtained through the fitness tracker worn by each resident to monitor on a regular basis the sleep quality of the resident physician.
Measured: 3 years
Monitor for improvement in basic health parameters with the implementation of a scheduled physical activity program and improved nutritional education
The activity goals are derived from the 2013 AHA/ACC Guidelines on lifestyle management to reduce cardiovascular risk, with considerations made for different levels of ability among the participants, as well as limitations of time.
Measured: 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jun 2017
- Study start23 Jun 2017
- Primary completion30 Nov 2018
- Study completion30 Nov 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Mental Health Wellness 1Studies of the same condition, open and under way.
- More trials run by University of Wisconsin, MadisonThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Retrospective
- Enrolment
- 14 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Wisconsin, Madison
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Nathaniel P Brooks, MD, Principal investigator, University of Wisconsin, Madison
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03183687
- Sponsor's protocol ID
- 2016-1522
- Status last verified
- Jan 2019
- First submitted
- 7 Jun 2017
- Last updated
- 12 Jun 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Eckel RH, Jakicic JM, Ard JD, de Jesus JM, Houston Miller N, Hubbard VS, Lee IM, Lichtenstein AH, Loria CM, Millen BE, Nonas CA, Sacks FM, Smith SC Jr, Svetkey LP, Wadden TA, Yanovski SZ, Kendall KA, Morgan LC, Trisolini MG, Velasco G, Wnek J, Anderson JL, Halperin JL, Albert NM, Bozkurt B, Brindis RG, Curtis LH, DeMets D, Hochman JS, Kovacs RJ, Ohman EM, Pressler SJ, Sellke FW, Shen WK, Smith SC Jr, Tomaselli GF; American College of Cardiology/American Heart Association Task Force on Practice Guidelines. 2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Jun 24;129(25 Suppl 2):S76-99. doi: 10.1161/01.cir.0000437740.48606.d1. Epub 2013 Nov 12. No abstract available.
PubMed 24222015Fargen KM, Spiotta AM, Turner RD, Patel S. The Importance of Exercise in the Well-Rounded Physician: Dialogue for the Inclusion of a Physical Fitness Program in Neurosurgery Resident Training. World Neurosurg. 2016 Jun;90:380-384. doi: 10.1016/j.wneu.2016.03.024. Epub 2016 Mar 19.
PubMed 27001240Goetz K, Musselmann B, Szecsenyi J, Joos S. The influence of workload and health behavior on job satisfaction of general practitioners. Fam Med. 2013 Feb;45(2):95-101.
PubMed 23378076Lebensohn P, Dodds S, Benn R, Brooks AJ, Birch M, Cook P, Schneider C, Sroka S, Waxman D, Maizes V. Resident wellness behaviors: relationship to stress, depression, and burnout. Fam Med. 2013 Sep;45(8):541-9.
PubMed 24129866Levey RE. Sources of stress for residents and recommendations for programs to assist them. Acad Med. 2001 Feb;76(2):142-50. doi: 10.1097/00001888-200102000-00010.
PubMed 11158832Stanford FC, Durkin MW, Blair SN, Powell CK, Poston MB, Stallworth JR. Determining levels of physical activity in attending physicians, resident and fellow physicians and medical students in the USA. Br J Sports Med. 2012 Apr;46(5):360-4. doi: 10.1136/bjsports-2011-090299. Epub 2011 Dec 22.
PubMed 22194220Williams AS, Williams CD, Cronk NJ, Kruse RL, Ringdahl EN, Koopman RJ. Understanding the exercise habits of residents and attending physicians: a mixed methodology study. Fam Med. 2015 Feb;47(2):118-23.
PubMed 25646983
Study at a glance
From the registry record, last updated by the sponsor on 12 Jun 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Resident Wellness Initiative: Improving Physical Activity, Nutrition Education and Mental Health of Residents
- ClinicalTrials.gov ID
- NCT03183687
- Acronym / sponsor ID
- 2016-1522
- Conditions
- Mental Health Wellness 1
- Keywords
- neurosurgery, resident wellness, health, mental health, physical activity, physician health
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 14 participants (actual)
- Lead sponsor
- University of Wisconsin, MadisonUniversity, hospital or other
- Study start
- 23 Jun 2017 (actual)
- Primary completion
- 30 Nov 2018 (actual)
- Study completion
- 30 Nov 2018 (actual)
- First posted
- 12 Jun 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This wellness initiative is aimed to assess the activity level, sleep habits and nutrition status of resident physicians. The investigators will monitor for improvement in these areas with initiation of an exercise program suited to the lifestyle needs of resident physicians.
Detailed description
The health and mental health benefits of physical activity, quality sleep and optimal nutritional habits are innumerable and widely reported. Unfortunately, resident physicians report participation in physical activity at reduced rates compared with the general population. Reasons for limited physical activity include fatigue and lack of free time to dedicate to exercise. The lack of exercise is combined with variable sleep patterns due to call schedules, as well as deterioration of nutritional habits, leads to weight gain and overall decline in the health of the resident physician population. Another neurosurgery department has implemented a similar program for their resident physicians and found improvements in weight, biometric markers and increased cardiovascular tolerance of physical activity.
The activity goals are derived from the 2013 the American Heart Association/American College of Cardiology Guidelines on lifestyle management to reduce cardiovascular risk, with considerations made for different levels of ability among the participants, as well as limitations time.
Fitness Protocol: The investigators will view any activity as better than no activity. The program will begin with activities geared toward the least fit/active resident to encourage participation from all levels of ability. The investigators will need options to increase intensity or difficulty for more advanced participants. Prior to introduction of the fitness regimen, the investigators would discuss appropriate progression of activity with a fitness expert. The proposed progression through various fitness goals is noted by type and timeline below.
Step Goal: Each participant will be asked to wear a fitness tracker to quantify steps walked per day, among other health parameters. Goals will be set for number of steps per day and per week, with incremental increase through the course of the program.
Cardiac Activity: Goals will be suggested for participants to complete cardiac activity through the course of their week. This may be running, which would overlap with the step goals, biking, or another cardiac exercise of the participants' preference. The goal will increase gradually over the course of the program.
Daily Challenge: A physical challenge will be extended to each participant to be completed every day, increasing in difficulty or repetitions through the month. This will be a simple task that could be performed without any equipment, such as (but not limited to) a plank hold, pushups or jumping jacks.
Weekly Workout: Workouts will be created by colleagues from appropriate departments (Kinesiology, Sports Performance) to be completed in a single ~30 minute setting or small 5-10 minute increments in order to be integrated into the physician lifestyle. These workouts will be completed on an individual basis and will be simple enough for completion in a small space, such as the call rooms, with access to hand weights, resistance bands and the stairwell.
Group Activities: Group activities will be planned once per month, with a focus on team building and physical activity. These group activities will be made available to non-study participants to encourage family attendance and participation in physical fitness. Some examples of proposed activities include soccer, sand volleyball, basketball.
Education: Colleagues from nutrition, neuropsychology and kinesiology will be invited for guest lectures on a monthly basis to improve resident education on topics such as making nutritionally smart choices and appropriate meal preparation, improving sleep hygiene, and how to incorporate activity into our currently lifestyles.
Study Timeline Pre-Program - distribution of surveys; biometric data obtained Month 1 - goal for steps. Group activity: movement safety. Month 2 - goal for steps + cardiac activity. Group activity. Month 3 - goal for steps + cardiac activity + daily challenge + improve sleep hygiene. Group activity. Repeat health surveys.
Month 4 - increase goal for steps + cardiac activity + daily challenge + weekly workout. Group activity.
Month 5 - goal for steps + cardiac activity + daily challenge + weekly workout + improve sleep habits. Group activity.
Month 6 - continuation of above goals + setting individual goals. Group activity.
Post-Program - distribution of surveys; biometric follow up data obtained.
Study design
- Observational model
- Cohort
- Time perspective
- Retrospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Current residents within the Neurosurgery Program in the Department of Neurological Surgery at the University of Wisconsin-Madison, provided they are willing to participate based on completion of informed consent. Participants will likely be young adults in relatively good health status. The study will be presented to the resident population as a group, as well as incoming residents in the future, with the hope that all are willing to participate.
Key inclusion criteria (2 listed)
- resident within the Neurosurgery Program in the Department of Neurological Surgery at the University of Wisconsin-Madison
- ability to participate in light activity, and being willing to participate.
Key exclusion criteria (3 listed)
- Unable to participate in planned activities
- those not willing to participate
- non-resident department employees.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Evaluate the activity level of the resident physician population.
Time frame: 3 years
Resident physicians report participation in physical activity at reduced rates compared with the general population. Activity data will be obtained through the fitness tracker worn by each resident. The goal is to find improvements in weight (kg or Lb).
2 secondary outcomes
Evaluate the mental health and sleep quality of the resident physician population.
Time frame: 3 years
Monitor for improvement in basic health parameters with the implementation of a scheduled physical activity program and improved nutritional education
Time frame: 3 years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Jun 2023.
- Background: PubMed 24222015Eckel RH, Jakicic JM, Ard JD, de Jesus JM, Houston Miller N, Hubbard VS, Lee IM, Lichtenstein AH, Loria CM, Millen BE, Nonas CA, Sacks FM, Smith SC Jr, Svetkey LP, Wadden TA, Yanovski SZ, Kendall KA, Morgan LC, Trisolini MG, Velasco G, Wnek J, Anderson JL, Halperin JL, Albert NM, Bozkurt B, Brindis RG, Curtis LH, DeMets D, Hochman JS, Kovacs RJ, Ohman EM, Pressler SJ, Sellke FW, Shen WK, Smith SC Jr, Tomaselli GF; American College of Cardiology/American Heart Association Task Force on Practice Guidelines. 2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Jun 24;129(25 Suppl 2):S76-99. doi: 10.1161/01.cir.0000437740.48606.d1. Epub 2013 Nov 12. No abstract available.
- Background: PubMed 27001240Fargen KM, Spiotta AM, Turner RD, Patel S. The Importance of Exercise in the Well-Rounded Physician: Dialogue for the Inclusion of a Physical Fitness Program in Neurosurgery Resident Training. World Neurosurg. 2016 Jun;90:380-384. doi: 10.1016/j.wneu.2016.03.024. Epub 2016 Mar 19.
- Background: PubMed 23378076Goetz K, Musselmann B, Szecsenyi J, Joos S. The influence of workload and health behavior on job satisfaction of general practitioners. Fam Med. 2013 Feb;45(2):95-101.
- Background: PubMed 24129866Lebensohn P, Dodds S, Benn R, Brooks AJ, Birch M, Cook P, Schneider C, Sroka S, Waxman D, Maizes V. Resident wellness behaviors: relationship to stress, depression, and burnout. Fam Med. 2013 Sep;45(8):541-9.
- Background: PubMed 11158832Levey RE. Sources of stress for residents and recommendations for programs to assist them. Acad Med. 2001 Feb;76(2):142-50. doi: 10.1097/00001888-200102000-00010.
- Background: PubMed 22194220Stanford FC, Durkin MW, Blair SN, Powell CK, Poston MB, Stallworth JR. Determining levels of physical activity in attending physicians, resident and fellow physicians and medical students in the USA. Br J Sports Med. 2012 Apr;46(5):360-4. doi: 10.1136/bjsports-2011-090299. Epub 2011 Dec 22.
- Background: PubMed 25646983Williams AS, Williams CD, Cronk NJ, Kruse RL, Ringdahl EN, Koopman RJ. Understanding the exercise habits of residents and attending physicians: a mixed methodology study. Fam Med. 2015 Feb;47(2):118-23.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Nathaniel P Brooks, MD principal investigator
University of Wisconsin, Madison
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Mental Health Wellness 1, run by University of Wisconsin, Madison at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Evaluate the activity level of the resident physician population. (time frame: 3 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03183687, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jun 2023.