A Comparative Effectiveness Trial to Reduce Burnout and Improve Quality of Care

  • Michelle P. SalyersEmail author
  • Jennifer M. Garabrant
  • Lauren Luther
  • Nancy Henry
  • Sadaaki Fukui
  • Dawn Shimp
  • Wei Wu
  • Tim Gearhart
  • Gary Morse
  • Mary M. York
  • Angela L. Rollins
Original Article


Clinician burnout is presumed to negatively impact healthcare quality; yet scant research has rigorously addressed this hypothesis. Using a mixed-methods, randomized, comparative effectiveness design, we tested two competing approaches to improve care—one addressing clinician burnout and the other addressing how clinicians interact with consumers—with 192 clinicians and 469 consumers at two community mental health centers. Although qualitative reports were promising, we found no comparative effectiveness for either intervention on burnout, patient-centered processes, or other outcomes. Discussion includes identifying ways to strengthen approaches to clinician burnout.


Burnout Randomized comparative effectiveness Quality of care Mental health 



Research reported in this publication was funded through a Patient-Centered Outcomes Research Institute (PCORI) Award (# IH-1304-6597).

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest.


The statements in this publication are solely the responsibility of the authors and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute (PCORI), its Board of Governors or Methodology Committee.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Supplementary material

10488_2018_908_MOESM1_ESM.docx (23 kb)
Supplementary material 1 (DOCX 23 KB)


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Michelle P. Salyers
    • 1
    • 2
    Email author
  • Jennifer M. Garabrant
    • 1
    • 2
  • Lauren Luther
    • 1
    • 2
  • Nancy Henry
    • 1
    • 2
  • Sadaaki Fukui
    • 3
  • Dawn Shimp
    • 1
    • 2
  • Wei Wu
    • 1
    • 2
  • Tim Gearhart
    • 4
  • Gary Morse
    • 5
    • 6
  • Mary M. York
    • 7
  • Angela L. Rollins
    • 1
    • 2
    • 8
    • 9
  1. 1.Department of PsychologyIndiana University-Purdue University Indianapolis (IUPUI)IndianapolisUSA
  2. 2.ACT Center of IndianaIndianapolisUSA
  3. 3.Department of Social Work, School of Social Work and Center for Social Health and Well-being, IU and ACT Center of IndianaIUPUIIndianapolisUSA
  4. 4.Pulaski Memorial HospitalWinamacUSA
  5. 5.Places for People, Inc.St. LouisUSA
  6. 6.Department of PsychologyUniversity of Missouri-St. LouisSt. LouisUSA
  7. 7.Department of PsychologySouthern Illinois University-CarbondaleCarbondaleUSA
  8. 8.Center for Health Information and CommunicationRichard L. Roudebush VAMCIndianapolisUSA
  9. 9.Regenstrief Institute, Inc.IndianapolisUSA

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