Primary Care Physicians (PCPs) are integral to the health of all people in the U.S. Many PCPs experience burnout, and declines in well-being. We conducted a randomized controlled trial of a six-session positive psychology-based coaching intervention to improve PCP personal and work-related well-being and decrease stress and burnout. Fifty-nine U.S.-based PCPs were randomized into a primary (n = 29) or a waitlisted control group (n = 30). Outcome measures were assessed preintervention, postintervention, and at three and six months post-intervention. Hypotheses 1a-1h were for a randomized controlled trial test of coaching on PCP burnout (a), stress (b), turnover intentions (c), work engagement (d), psychological capital (e), compassion (f), job self-efficacy (g), and job satisfaction (h). Results from 50 PCPs who completed coaching and follow-up assessments indicated significantly decreased burnout (H1a) and increased work engagement (H1d), psychological capital (H1e), and job satisfaction (H1h) for the primary group from pre- to postcoaching, compared to changes between comparable time points for the waitlisted group. Hypotheses 2a-2h were for stability of positive effects and were tested using follow-up data from participants in the primary and waitlisted groups combined. Results from 39 PCPs who completed the intervention and the six-month follow-up indicated that positive changes observed for H1a, H1d, H1e, and H1h were sustained during a six-month follow-up (supporting H2a, H2d, H2e, and H2h). Results indicate that coaching is a viable and effective intervention for PCPs in alleviating burnout and improving well-being. We recommend that employers implement coaching for PCPs alongside systemic changes to work factors driving PCP burnout. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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初级保健医生福祉指导：一项随机试验和后续分析。

在美国，初级保健医生 (PCP) 是所有人健康不可或缺的一部分。许多 PCP 都经历过倦怠和幸福感下降。我们进行了一项随机对照试验，对一项为期六次的基于积极心理学的辅导干预进行了随机对照试验，以改善 PCP 个人和工作相关的幸福感并减少压力和倦怠。59 名美国 PCP 被随机分为主要 (n = 29) 或等候名单对照组 (n = 30)。对干预前、干预后以及干预后三个月和六个月的结果指标进行评估。假设 1a-1h 是针对 PCP 倦怠 (a)、压力 (b)、离职意向 (c)、工作投入 (d)、心理资本 (e)、同情心 (f)、工作自我的随机对照试验测试-效率（g）和工作满意度（h）。完成辅导和后续评估的 50 名 PCP 的结果表明，从辅导前到辅导后，初级组的倦怠 (H1a) 显着减少，工作投入 (H1d)、心理资本 (H1e) 和工作满意度 (H1h) 增加，相比之下等待名单组的可比时间点之间的变化。假设 2a-2h 是关于积极效应的稳定性，并使用来自主要组和候补组的参与者的后续数据进行了测试。来自完成干预和六个月随访的 39 名 PCP 的结果表明，观察到的 H1a、H1d、H1e 和 H1h 的积极变化在六个月的随访期间持续（支持 H2a、H2d、H2e 和 H2h ）。结果表明，辅导是 PCP 在减轻倦怠和改善幸福感方面可行且有效的干预措施。我们建议雇主对 PCP 实施辅导，同时对导致 PCP 倦怠的工作因素进行系统性改变。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。