The kindness COVID-19 toolkit: a mixed-methods evaluation of a programme designed by doctors in training for doctors in training

Objectives The impact of a coronavirus disease (COVID-19)-specific professional development programme on the well-being of obstetrics and gynaecology (O&G) doctors in training (DiT) working during the pandemic.Design A mixed-method evaluation of a single group pre–post test design study.Sett...

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Bibliographic Details
Main Authors: Ryan J Hodges, Rebecca McDonald, Daniel L Rolnik, Madeleine C Ward, Karen Crinall, William Crinall, James Aridas, Cheryl Leung, Danielle Quittner
Format: Article
Language:English
Published: BMJ Publishing Group 2022-11-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/11/e060575.full
Description
Summary:Objectives The impact of a coronavirus disease (COVID-19)-specific professional development programme on the well-being of obstetrics and gynaecology (O&G) doctors in training (DiT) working during the pandemic.Design A mixed-method evaluation of a single group pre–post test design study.Setting Melbourne, Australia between September 2020 and April 2021.Participants 55 O&G DiT working across four healthcare sites of a major tertiary hospital in Victoria, Australia, were included in the programme.Interventions The delivery of a codesigned peer-to-peer programme, which identified and addressed the well-being goals of O&G DiT. Seven interactive workshops were run alongside the implementation of a number of participant-led wellness initiatives.Main outcome measures Repeated-measures analysis of WHO Well-being Index (WHO-5) and Copenhagen Burnout Innovatory (CBI) scores across three time points during the programme. Multilevel generalised linear mixed-effects models with random intercept were fit to the data, both in the entire population (intention-to-treat) and restricted to those who attended the workshop (‘per-protocol’ analysis). Participatory experiences and programme learning were captured using the Most Significant Change (MSC) technique, which included inductive thematic analysis.Results We demonstrated an overall 31.9% improvement in well-being scores (p=0.006). The MSC evaluation captured a shift in workplace culture as a result of the programme, with improvement across the domains of connection, caring, communication, confidence and cooperation.Conclusions We have successfully used a mixed-method approach to contextualise a productive programme to improve the well-being of COVID-19 front-line healthcare workers.
ISSN:2044-6055