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Self-CompassionCOMPASSIONNCT06598540

Comparison of Two Nutrition-Based Interventions on Physician Well-being

A study testing Kindness-focused and Health-focused in people with Self-Compassion and Self-care, run by Stanford University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Several studies have shown that self-valuation (also known as self-compassion) strongly predicts burnout in physicians. Although effective, existing self-compassion cultivation programs designed for physicians have significant time commitments and, historically, have had low physician participation rates. Read more about this study

Who is it for?
Ages 21 years and olderHealthy volunteers can take part
Conditions the study is for
Self-Compassion, Self-care, Self-care Agency
What is being tested?
Kindness-focused and Health-focused
Could I receive a placebo?
No, everyone receives an active treatment
How many people
177 participants
Where
1 siteUnited States
Study dates
15 Mar 2025to 20 Jul 2025
Phase
Interventional
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 21 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Physicians of all genders and racial/ethnic backgrounds licensed to practice medicine in the US, and
  • Physicians who spend at least 8 hours per week doing clinical work (based on self-report)

Who cannot join

  • Anyone who is not a licensed physician in the US
  • Physicians who are not licensed to practice medicine in the US, and
  • Physicians who spend less than 8 hours per week doing clinical work.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Stanford University

    Stanford, California, 94305

Other trials in United States

About this study

Official title: Comparison of Two Nutrition-Based Interventions on Physician Well-being - A Randomized Controlled Trial

Several studies have shown that self-valuation (also known as self-compassion) strongly predicts burnout in physicians. Although effective, existing self-compassion cultivation programs designed for physicians have significant time commitments and, historically, have had low physician participation rates. With occupational burnout among US physicians at an all-time high, there is a compelling and urgent need to identify pragmatic approaches to address low levels of self-valuation in physicians. This study aims to test the impact of a brief mindset intervention that frames daily food choices as an opportunity to demonstrate self-kindness on self-valuation and burnout in physicians over 6 weeks. Instilling a mindset shift that enables physicians to practice self-valuation as part of their existing, daily routine amidst extreme time pressures is a pragmatic and potentially powerful vehicle to promote self-valuation for physicians.

Read the detailed description

We will conduct a randomized controlled trial to compare the impact on physician well-being outcomes of a brief mindset intervention that frames daily food choices as an opportunity for demonstrating self-kindness to a brief nutrition education intervention among physicians. Surveys will be completed at baseline and in weeks 3 and 6 after the start of the intervention.

If this proof-of-concept intervention is effective, it will not only provide evidence regarding the value of the specific intervention tested for increasing self-valuation in physicians but also provide a novel framework for future interventions evaluating the ability of mindset interventions to foster self-valuation and clinician well-being.

Primary outcome measures: percentage change in mean scores from baseline at week 6 in scores of the measures below.

  1. Self-valuation: We will use two standardized measures to assess self-valuation:

1a. The 4-item Clinician Self-valuation Scale assesses deferment of self-care to meet work demands and harsh responses to personal imperfections and errors during the past two weeks. (1) This assessment will be collected at baseline, week 3, and week 6.

1b. The 3-item self-kindness subscale of the Modified State Self-Compassion Measure, a validated construct developed by Kristin Neff, PhD in 2021 (2). This assessment will be collected at baseline, week 3, and week 6.

  1. We will also evaluate participants' self-reported readiness to practice self-valuation, and the importance and confidence in practicing it on a sliding scale.
  2. Burnout: We will use the burnout sub-scales of the validated Stanford Professional Fulfillment Index which includes 4 items evaluating the Work Exhaustion domain of burnout and 6 items assessing the Interpersonal Disengagement domain of burnout over the past 2 weeks. These assessments will be collected at baseline, week 3, and week 6.(3)

Secondary outcome measure: percentage change in mean score from baseline at week 6 in scores of diet quality assessed by the validated 9-item Mini-EAT dietary questionnaire designed to assess diet quality in clinician practice. (4) This assessment will be collected at baseline, week 3, and week 6.

In the final survey ( week 6) we will collect participant feedback about satisfaction with the program and recommendations for improvement.

References:

  1. Trockel MT, Hamidi MS, Menon NK, et al. Self-valuation: Attending to the Most Important Instrument in the Practice of Medicine. Mayo Clin Proc. 2019;94(10):2022-2031.
  2. Neff, K. D., Tóth-Király, I., Knox, M. C., Kuchar, A., \& Davidson, O. (2021). The Development and Validation of the State Self-Compassion Scale (Long-and Short Form). Mindfulness, 12(1), 121-140.
  3. Trockel M, Bohman B, Lesure E, et al. A Brief Instrument to Assess Both Burnout and Professional Fulfillment in Physicians: Reliability and Validity, Including Correlation with Self-Reported Medical Errors, in a Sample of Resident and Practicing Physicians. Acad Psychiatry. 2018;42(1):11-24.
  4. Lara-Breitinger KM, Medina Inojosa JR, Li Z, et al. Validation of a Brief Dietary Questionnaire for Use in Clinical Practice: Mini-EAT (Eating Assessment Tool). J Am Heart Assoc. 2023;12(1):e025064.
Being tested
Kindness-focused, Health-focused
Keywords
self-compassion, physician well-being, diet, diet quality, self-care, physician burnout, self-valuation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Kindness-focusedBehavioural

    This mindset intervention frames food choices as an opportunity to practice self-kindness. Individuals randomized to this arm will participate in a 15-20-minute live virtual educational session delivered via the Stanford Zoom platform. The recording of the session will be available for 7 days on a private and secure educational web-based platform. After participating in the initial educational session, participants will have the option to engage in brief (less than 10-minute) web-based activities on their own time during weeks 2 and 5. Examples of such activities include sharing their experiences about considering food choices as an act of self-kindness with other study participants or writing an encouraging letter to a study participant and physician colleague through the private and secure message board of a web-based educational platform.

  • Health-focusedBehavioural

    Brief education intervention framing food choices as a component of a healthy lifestyle. Individuals randomized to this arm will participate in a 15-20-minute live virtual educational session. The recording of the session will be available for 7 days on a private and secure educational web-based platform. After participating in the initial educational session, participants will have the option to engage in brief (less than 10-minute) web-based activities on their own time during weeks 2 and 5. Examples of such activities include writing a brief statement about their perspective on the usefulness of healthy eating and sharing it with physician colleagues in their group through the private and secure message board of a web-based educational platform.

Study groups in NCT06598540
Study groupRoleWhat they receive
Kindness-focused intervention armExperimentalMindset intervention framing food choices as an opportunity to practice self-kindness. Individuals randomized to this arm will participate in a 15-20-minute live virtual educational session delivered via the Stanford Zoom platform. The recording of the session will be available for 7 days on a private and secure educational platform for those who cannot attend the live session and for future review. After participating in the initial educational session, participants can engage in brief (less than 10 minutes) web-based activities on their own time during weeks 2 and 5.
Receives: Behavioral: Kindness-focused
Health-focused intervention armActive comparatorBrief education intervention framing food choices as a component of a healthy lifestyle. Individuals randomized to this arm will participate in a 15-20-minute live virtual educational session. The recording of the session will be available for 7 days on a private and secure educational platform for those who cannot attend the live session and for future review. After participating in the initial educational session, participants will have the option to engage in brief (less than 10-minute) web-based activities on their own time during weeks 2 and 5.
Receives: Behavioral: Health-focused

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage change in mean score of self-kindness from baseline at week 6

    The 3-item self-kindness subscale of the Modified State Self-Compassion Measures: A validated construct developed by Kristin Neff, PhD in 2021. This assessment will be collected at baseline, week 3, and week 6. Instructions ask respondents to answer questions about their relevant experience "during the past 2 weeks." An example of an item is "I'm being kind to myself."; Scale items are scored on a 5-point Likert scale (Not at all true for me=1;Very true for me=5).

    The scale range is standardized to 0 to 10. Higher scores are more favorable.

    Measured: 6 weeks

  2. Percentage change in mean score of self-valuation from baseline at week 6

    The 4-item Clinician Self-valuation Scale assesses deferment of self-care to meet work demands and harsh responses to personal imperfections and errors during the past two weeks. This assessment will be collected at baseline, week 3, and week 6. Instructions ask respondents to answer questions about their relevant experience "during the past 2 weeks." Example items are "When I made a mistake, I felt more self-condemnation than self-encouragement to learn from the experience" and "I put off taking care of my own health due to time pressure." Scale items are scored on a 5-point Likert scale (always = 0; never = 4) and reverse scored such that higher scores are more favorable. The scale range is 0 to 10.

    Measured: 6 weeks

  3. Changes in Stage of Change from baseline at week 6

    Perceptions of importance and confidence in practicing self-valuation will be measured on a sliding scale that ranges from 0 to 10 with higher scores being more favorable. Together, indicate how ready the client is to change target behaviors. Lower scores of both ( less than 30) indicate pre-contemplation stage and higher scores ( more than 90) indicate the maintenance stage in terms of four stages of the change: Precontemplation, Contemplation, Action, and Maintenance. We will also evaluate participants' self-reported readiness (5 option Likert scale from not ready to practice: 0, to have been practicing it consistently for 6 months: 4).These assessments will be collected at baseline, week 3 and week 6.

    Measured: 6 weeks

  4. Physician Burnout

    We will use the burnout sub-scales of the validated Stanford Professional Fulfillment Index which includes 4 items evaluating the Work Exhaustion domain of burnout and 6 items assessing the Interpersonal Disengagement domain of burnout over the past 2 weeks. This includes 4 items that assess work exhaustion and 6 items that assess interpersonal disengagement. Items are scored on a 5-point Likert scale from "not at all" to "extremely." The average item score from the 10 work exhaustion items and interpersonal disengagement items is used to derive an overall burnout score ranging from 0 to 10 with lower scores being favorable. This assessment will be collected at baseline, week 3 and week 6.

    Measured: 6 weeks

Secondary outcomes (1)
  1. Percentage change in mean scores from baseline at week 6 in diet quality

    Diet quality: assessed by the validated 9-item Mini-EAT dietary questionnaire designed to assess diet quality in clinician practice. This assessment will be collected at baseline, week 3, and week 6. The scores range from 53 to 72 with scores of less than 61: Unheathy, 61-69: Intermediate, mand ore than 69: Healthy indicating diet qualities respectively.

    Measured: 6 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Sep 2024
  2. Study start15 Mar 2025
  3. Primary completion20 Jul 2025
  4. Study completion20 Jul 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
We will conduct a randomized controlled trial to compare the impact on physician well-being outcomes of a brief mindset intervention that frames daily food choices as an opportunity for demonstrating self-kindness to a brief nutrition education intervention among physicians on burnout, self-compassion, self-kindness, diet quality, and readiness to change in physician during 6-weeks. Surveys will be completed at baseline and in weeks 3 and 6.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
177 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06598540
Sponsor's protocol ID
75576
Acronym
COMPASSION
Status last verified
Apr 2026
First submitted
14 Sep 2024
Last updated
24 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Because the information in this study is collected from practicing physicians in the US, we want to keep the information confidential and will not be sharing individual participant data.

Publications

  • Lara-Breitinger KM, Medina Inojosa JR, Li Z, Kunzova S, Lerman A, Kopecky SL, Lopez-Jimenez F. Validation of a Brief Dietary Questionnaire for Use in Clinical Practice: Mini-EAT (Eating Assessment Tool). J Am Heart Assoc. 2023 Jan 3;12(1):e025064. doi: 10.1161/JAHA.121.025064. Epub 2022 Dec 30.

    PubMed 36583423
  • Trockel M, Bohman B, Lesure E, Hamidi MS, Welle D, Roberts L, Shanafelt T. A Brief Instrument to Assess Both Burnout and Professional Fulfillment in Physicians: Reliability and Validity, Including Correlation with Self-Reported Medical Errors, in a Sample of Resident and Practicing Physicians. Acad Psychiatry. 2018 Feb;42(1):11-24. doi: 10.1007/s40596-017-0849-3. Epub 2017 Dec 1.

    PubMed 29196982
  • Neff, K.D., Tóth-Király, I., Knox, M.C. et al. The Development and Validation of the State Self-Compassion Scale (Long- and Short Form). Mindfulness 12, 121-140 (2021). https://doi.org/10.1007/s12671-020-01505-4

  • Trockel MT, Hamidi MS, Menon NK, Rowe SG, Dudley JC, Stewart MT, Geisler CZ, Bohman BD, Shanafelt TD. Self-valuation: Attending to the Most Important Instrument in the Practice of Medicine. Mayo Clin Proc. 2019 Oct;94(10):2022-2031. doi: 10.1016/j.mayocp.2019.04.040. Epub 2019 Sep 19.

    PubMed 31543254

Questions about this trial

What is this clinical trial studying?

A study testing Kindness-focused and Health-focused in people with Self-Compassion and Self-care, run by Stanford University 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 24 Apr 2026. 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?

Percentage change in mean score of self-kindness from baseline at week 6 (time frame: 6 weeks). The study lists 4 primary outcomes in all. 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 NCT06598540, which also lists 4 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 24 Apr 2026; AzTrials last refreshed its copy on 6 Nov 2026.

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