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The Surprising Effectiveness of Coaching in Diminishing Burnout Symptoms

The Surprising Effectiveness of Coaching in Diminishing Burnout Symptoms

Quick Hits
Daily brief research updates from the cognitive sciences

A pilot program that successfully reduced burnout among female medical residents has shown even greater results on a national level in the USA.

You are a coach so is this really surprising?

As a coach I have seen how effective coaching can be in multiple areas in life. But this is surprising for numerous reasons.

Firstly, the larger follow up study was more effective than the initial pilot study.

Secondly, the effectiveness is in reducing signs of burnout which some may believe are harder to impact with coaching (not me though).

Thirdly, because of how the intervention was carried out with virtual and filmed group sessions – so not just one-on-one which may would think has the potential to be more effective.

Oh wow! So how was this carried out then?

Well, first off let’s understand the population group. This was targeted at female medical residents. As I’m sure most of us are aware the medical professions are at high risk of burnout for multiple reasons: workload, responsibility, long and changing working hours, high regulatory hurdles, etc. Women more so for additional reasons such as discrimination in the workplace.

The pilot programme in 2021 had positive outcomes with improved ratings by participants on imposter syndrome and personal compassion. The expansion of this programme by Adrienne Mann et al. University of Colorado Anschutz Medical Campus was conducted in 26 institutions across 19 states with a total of 1017 participants.

That’s an impressive study size – what were the results then?

Very good. Very good indeed. Those that participated in the four-month programme saw substantial reduction in all levels of professional distress including burnout (using the Maslach Burnout Inventory with its sub scales), moral injury, and imposter syndrome; and improvements in wellbeing such as self-compassion, and flourishing.

That’s excellent news! Note that just a one point increase in the Maslach Burnout inventory has been associated with a 7% increase in suicidal ideation and a 5-6% increase in major medical errors. So good for the individual but also good for the medical system and institution.

You mentioned this was group coaching – how was this done?

This is also interesting because this was done in group coaching scenarios but also with some participants being passive i.e. just listening in. Participants could take part in group coaching session on any topic with up to five coachees. However, other participants could also log in to follow the session. The sessions were also recorded for participants to view privately at a later date if they so wished.

In addition they also had access to and could participate in anonymous written coaching in which they could write a narrative reflection and this was then responded to by a coach.

That’s interesting and this was obviously effective?!

Yes, indeed it obviously was effective. I found it fascinating that this combination seems so effective. And that is also good news it shows that access to coaching is the key factor and that alternative, and also more efficient and cost effective methods can also be very impactful.

And on a side note aren’t you also doing study into wellbeing in the workplace in healthcare are professions?

Yes, correct. We already have good results for the English version of the SCOAP-profile (based on our SCOAP theory) and are doing a study in German now. We are also including a cohort of healthcare workers precisely because it is profession that has high susceptibility to burnout.

And German speakers can take part here – as a thank you, you will get your full SCOAP report and be the first to get the results of the study.

We also hope this will point to more effective interventions.

But for now, we can say that we know that coaching interventions seem to be highly effective for female medical residents

Yes, great to have that solid data in – I strongly suspect it is not just for female medical residents but broad population groups as well!

 

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Andy Habermacher

Andy Habermacher

Andy is author of leading brains Review, Neuroleadership, and multiple other books. He has been intensively involved in writing and research into neuroleadership and is considered one of Europe’s leading experts. He is also a well-known public speaker, speaking on the brain and human behaviour.

Andy is also a masters athlete (middle distance running) and competes regularly at international competitions (and holds a few national records in his age category).

twitter / LinkedIn

Reference

Adrienne Mann, Ami N. Shah, Pari Shah Thibodeau, Liselotte Dyrbye, Adnan Syed, Maria A. Woodward, Kerri Thurmon, Christine D. Jones, Kimiko S. Dunbar, Tyra Fainstad.
Online Well-Being Group Coaching Program for Women Physician Trainees.
JAMA Network Open, 2023; 6 (10): e2335541
DOI: 10.1001/jamanetworkopen.2023.35541

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When Love Overrides Other Needs

When Love Overrides Other Needs

Quick Hits
Daily brief research updates from the cognitive sciences

Of course love overrides everything – how could you think differently?!

Well, no it wouldn’t make sense for love to override everything – we need to be alive to love. The question though, is how do competing needs play out in our brain.

If you’re thirst and hungry, or hungry and afraid, what do you prioritise and how does the brain do this?

And what’s this got to do with love?

Well, it’s not really love but potential love (or unromantically: potential mating partner) – and in this piece of research it’s in birds, zebra finches to be precise.

In birds?

Yes, it’s not just mice in neuroscience labs. Andrea Roemer et al. of Cornell University wanted to find out how needs compete with each other in animal models. There is plenty of research into motivation for single needs but little on competing needs.

“Love” is also a bit of a stretch of the imagination, or a very human interpretation. Specifically in this case brain signals of a lone male thirsty zebra finch were measured using optogenetics (i.e. very precise measurement of neuronal activity in real time).

First they were recorded as the thirsty finch was given water and trained to recognise signals for water – but then the researcher added a female zebra finch to see what would happen.

Oh, interesting and what did happen?

First off, we know that dopamine, you will have likely heard for me previously, is triggered by small rewards such as drinking and eating. Dopamine is also considered a motivation transmitter in the brain – triggering motivation to engage in an activity such as getting said drink or food. It is also involved in addiction.

The question now is does adding an extra need, or motivation, mix up dopamine systems, or switch between them, or something else. And then what is prioritised?

…and…

And when the female finch was added to the scenario what happened is that the male zebra finch, who had been trained to recognise a signal for water, ignored the signal and this was accompanied by the dopamine signal being switched off.

So the dopamine system stopped activating to thirst?

Precisely – and it is important to understand that this is biological. We often talk of “psychological” mechanisms but here we can see that this is not “psychological”, switching to another focus, but the signalling mechanism in the brain being deactivated when a new potential reward is added.

And is this really love?

Well, no. But maybe in zebra finch terms it is. What it shows is that attraction to the other sex can trump a simple emotion such as thirst – but this may depend on how severe that other need is.

But it also neatly explain some phenomenon such as how we can ignore certain needs under certain conditions – later the finch may have felt doubly thirsty because of his brain switching from one need to another.

In this case it also shows that there was no real competition in the brain – it wasn’t different dopamine networks fighting it out with each other, rather a damping of the dopamine response in one area of the brain.

It also shows that our brains are constantly rebalancing our needs according to current environmental conditions.

And that male zebra finches prioritise crumpet over other needs

Or prioritise love!


For a deep dive into the brain and love see Your Brain on Love

Andy Habermacher

Andy Habermacher

Andy is author of leading brains Review, Neuroleadership, and multiple other books. He has been intensively involved in writing and research into neuroleadership and is considered one of Europe’s leading experts. He is also a well-known public speaker, speaking on the brain and human behaviour.

Andy is also a masters athlete (middle distance running) and competes regularly at international competitions (and holds a few national records in his age category).

twitter / LinkedIn

Reference

Andrea Roeser, Vikram Gadagkar, Anindita Das, Pavel A. Puzerey, Brian Kardon, Jesse H. Goldberg.
Dopaminergic error signals retune to social feedback during courtship.
Nature, 2023
DOI: 10.1038/s41586-023-06580-w

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