566 - Effects of a Text-Based Wellness Alert and Intervention Program on Well-Being and Burnout Among Pediatric Residents

Poster Number: 566
Publication Number: 566.116

Rebecca J. Hart, University of Louisville/Norton Children's Medical Group, Louisville, KY, United States; Adam C. Patterson, University of Louisville School of Medicine, Crestwood, KY, United States

Background: Burnout is common among pediatric residents, and various wellness curricula have attempted to combat this issue; however, such programming does not typically respond to acute stressors that may impact resident well-being.

Objective: To assess the effects of a novel just-in-time text message-based wellness “check-in” system on resident well-being, satisfaction with wellness programming, and burnout levels.

Design/Methods: We designed and implemented a text message-based wellness “check-in” system for pediatric residents. Any resident or faculty member could activate the system during/after any event affecting resident well-being (e.g. deaths, codes, etc.). We documented the number of texts requested, and responses/requests for resources from residents. We surveyed residents to determine satisfaction with wellness programming, support from the training program/leadership/mentors, and levels of burnout using the abbreviated Maslach Burnout Index (aMBI). Data were analyzed using standard descriptive statistics. Satisfaction and burnout scores were compared between residents who had received a wellness text and those who had not.

Results: Since July 2021, 39 wellness text alerts were received related to 35 different residents. 61/98 (62.2%) of residents completed at least part of the survey; 51/61 (83.6%) completed all questions. 26/61 (42.6%) of survey participants received a wellness text check-in; 24/26 (92.3%) felt the check-in somewhat or significantly improved their well-being (Fig 1). Most residents reported satisfaction with overall wellness support and programming. Those receiving a check-in text were significantly more likely to report being “completely” or “somewhat” satisfied with wellness programming (p = 0.022) and satisfaction with overall support for wellness (p = 0.031) (Table 1). Proportion of residents with aMBI scores indicating low/moderate/high burnout across domains of personal accomplishment, depersonalization, and emotional exhaustion were not significantly different between those receiving and not receiving check-ins (Table 1). Qualitative comments from residents were positive, indicating feelings of being cared for and improved sense of community and morale (Table 2).Conclusion(s): This pilot of a text-based wellness alert system was well-received by residents. Those receiving a text indicated improvements in well-being and increased satisfaction with wellness programming. Further interventions, including focus groups, are planned to assess how the program can be improved to better address burnout.
Perceived Improvement in Well-Being Among Residents Receiving a Wellness Check-in, by PGY-level
Perceived Satisfaction with Wellness and Mentorship ProgrammingPerceived satisfaction with programming and aMBI burnout scores among residents receiving and not receiving a wellness check-in text