Assessment of a psychoeducational group program for enhancing resilience and reducing burnout in primary healthcare workers in Catalonia: A pre-post study

一项针对加泰罗尼亚基层医护人员的心理教育小组项目在增强心理韧性和降低职业倦怠方面的评估:一项前后测研究

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Abstract

OBJECTIVE: To evaluate the feasibility and potential effectiveness of a structured psychoeducational group program aimed at enhancing resilience and reducing burnout among primary healthcare workers. DESIGN: A single-arm pre-post implementation study conducted between September 2022 and February 2024. Trial registration at ClinicalTrials.gov: NCT05720429. SITE: 81 primary care centers of the Catalan Health Institute. PARTICIPANTS: Primary care professionals from all occupational profiles were eligible. INTERVENTIONS: A 11-session program, delivered by community psychologists, combined psychoeducational content, interactive activities, and relaxation techniques. MAIN MEASUREMENTS: Outcomes were measured before and immediately after the intervention using the Connor-Davidson Resilience Scale and the burnout subscale of the Professional Quality of Life Scale. Analyses included effect sizes and multivariate models to identify predictors of change. RESULTS: Of 1419 baseline participants, 387 (87.1% women; median age 47 years) completed both assessments. Resilience increased significantly post-intervention (p=0.001; effect size=0.21), with larger gains in men and younger participants. Burnout decreased significantly (p=0.001; effect size=0.21), particularly among physicians. Higher baseline secondary traumatic stress predicted greater burnout reduction. Program overall assessment, feasibility and satisfaction were high. CONCLUSIONS: This psychoeducational group intervention was feasible, well-received, and associated with modest but significant improvements in resilience and burnout. Targeted benefits were observed for specific subgroups, suggesting value in tailoring content to professional role and baseline emotional burden.

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