4.3 Article

Can an online mental health training programme improve physician supervisors' behaviour towards trainees?

Journal

INTERNAL MEDICINE JOURNAL
Volume 51, Issue 9, Pages 1441-1449

Publisher

WILEY
DOI: 10.1111/imj.15207

Keywords

supervisor training; physician; workplace mental health; mental health education; online intervention

Funding

  1. Australian Government Department of Health through The Prevention Hub [4-81K7SSM]
  2. iCare Foundation

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This study tested the feasibility and effectiveness of an online mental health training program for physician supervisors. Results showed that most participants found the program engaging, interesting and useful, and it was associated with improved confidence and behaviors to support the mental health needs of trainees.
Background Physician trainees have elevated rates of psychological distress, mental disorders and suicide. Physician supervisors can support the mental health needs of trainees. Aims To test the feasibility and acceptability of a tailored online mental health training programme and to ascertain the potential effectiveness of the programme to alter the confidence and behaviours of physician supervisors. Methods Thirty Australian hospital-based physicians who were supervising physician trainees participated in this quasi-experimental pre-post pilot study. All received the intervention that comprised 12 5-min modules to complete over a 3-week period. Baseline and post-intervention data were collected. The primary outcome evaluated participants' confidence to respond to trainees experiencing mental ill-health and promote a mentally healthy workplace. Secondary outcomes evaluated change in self-reported behaviour, mental health knowledge and stigmatising attitudes. Differences in mean scale scores for each outcome measure from baseline and post-intervention were compared using paired sample t-tests. Results Thirty physicians completed the baseline assessment and 23 (76.7%) completed all programme modules. Most participants found the programme engaging, interesting and useful. Post-intervention data, available for 25 (83.3%) participants, showed a significant increase in participants' knowledge of their role in supporting trainees under their supervision (P = 0.002), confidence to initiate conversations about mental health with staff (P < 0.001), and application of preventive and responsive supervisory behaviours to support the mental health needs of those they supervise (P < 0.001). Conclusions This online mental health training programme for physician supervisors was feasible and associated with improved confidence and behaviour to support the mental health needs of trainees they supervised.

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