Evidence-Based Quality Improvement to Reduce VA Primary Care Burnout

Part of paid clinical trials in Bakersfield, California.

Sponsor
VA Greater Los Angeles Healthcare System
Study ID
NCT07031245
Status
Recruiting
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Conditions

  • Burnout
  • Burnout Syndrome

Eligibility Criteria

Sex
ALL
Age
N/A - N/A
Healthy Volunteers
Accepted

Interventions

  • Evidence-based quality improvement (EBQI) — BEHAVIORAL
    Evidence-based quality improvement (EBQI) is a multi-level implementation strategy that aids in the development and implementation of evidence-based interventions to reduce burnout. Preliminary survey, interview, and systematic review data on burnout, turnover intent, burnout drivers, and burnout interventions will be presented to an expert panel for each intervention site. These panels will collectively decide on the top categories of burnout drivers to target and burnout interventions to implement. These top drivers and intervention categories will be presented to site-level providers and staff and proposals will be solicited for quality improvement (QI) interventions to reduce burnout that reflect these categories and address these drivers. The expert panels will then choose one or more of these QI interventions to implement and evaluate at each intervention site.

Study Details

Burnout is highly prevalent among VA primary care providers and staff, impairing productivity and retention, as well as safety, quality, and patient experience. In this pilot trial, the investigators will facilitate the development of burnout reduction interventions using an evidence-based quality improvement (EBQI) approach, and then evaluate the feasibility, acceptability and effectiveness of a pilot EBQI-facilitated burnout reduction intervention in a modified stepped wedge design in one VA region.

Key Dates

Start date
Oct 1, 2025
Status verified
Jul 2025
Primary completion
Sep 30, 2028
Completion
Sep 30, 2028

Study Design

Enrollment
203 participants (estimated)
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: Evidence-based quality improvement (EBQI)
    Evidence-based quality improvement (EBQI) to facilitate the development and implementation of one or more burnout reduction interventions. The EBQI-facilitated interventions will be actively managed my the research team for one year, and may be passively continue by clinic leadership, providers, and staff for the following years.
  • No Intervention: Usual care
    Researchers will have no interaction with the clinics beyond survey administration.

Primary Outcome Measure

Burnout [ Time Frame: Annually, from enrollment until the end of the study, three years later (4 survey administrations). ]

Central Contacts

Locations (5)

FacilityCityStateZIPSite coordinators
Bakersfield VA Clinic, VA Greater Los Angeles Healthcare SystemBakersfieldCalifornia93301
Eric A Apaydin, PhD
[email protected]
3104783711
Tibor Rubin VA Medical Center, VA Long Beach Healthcare SystemLong BeachCalifornia90822
Eric A Apaydin, PhD
[email protected]
310-478-3711
West Los Angeles VA Medical Center, VA Greater Los Angeles Healthcare SystemLos AngelesCalifornia90073
Eric A Apaydin, PhD
[email protected]
310-478-3711
Sepulveda VA Medical Center, VA Greater Los Angeles Healthcare SystemNorth HillsCalifornia91343
Eric A Apaydin, PhD
[email protected]
310-478-3711
Santa Maria VA Clinic, VA Greater Los Angeles Healthcare SystemSanta MariaCalifornia93454
Eric A Apaydin, PhD
[email protected]
3104783711

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By research site
Bakersfield VA Clinic, VA Greater Los Angeles Healthcare System· Bakersfield, CATibor Rubin VA Medical Center, VA Long Beach Healthcare System· Long Beach, CAWest Los Angeles VA Medical Center, VA Greater Los Angeles Healthcare System· Los Angeles, CASepulveda VA Medical Center, VA Greater Los Angeles Healthcare System· North Hills, CASanta Maria VA Clinic, VA Greater Los Angeles Healthcare System· Santa Maria, CA

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