Final Research Report

View this project's final research report.

Peer-Review Summary

Peer review of PCORI-funded research helps make sure the report presents complete, balanced, and useful information about the research. It also confirms that the research has followed PCORI’s Methodology Standards. During peer review, experts who were not members of the research team read a draft report of the research. These experts may include a scientist focused on the research topic, a specialist in research methods, a patient or caregiver, and a healthcare professional. Reviewers do not have conflicts of interest with the study.

The peer reviewers point out where the draft report may need revision. For example, they may suggest ways to improve how the research team analyzed its results or reported its conclusions. Learn more about PCORI’s peer-review process here.

In response to peer review, the PI made changes including

  • Providing a rationale for structuring the intervention as individual-focused rather than group-focused. The researchers added details about the empirical support for individual-focused interventions.
  • Indicating that although the between-group differences in the outcome measures were statistically significant, the practical significance of the differences was quite small.
  • Describing their sensitivity analyses to determine the impact of key assumptions. As a test of the robustness of the trial results, the investigators asked whether varying the levels of intervention exposure, frequency of use, and perceived helpfulness of specific intervention strategies led to different conclusions about intervention effectiveness.
  • Adding a rationale for including clinicians who were not already experiencing burnout by stating that the intervention could help prevent future burnout, and that there were no empirically validated cut-off points for low-level burnout. The researchers also noted that some patients who had little or no connection to participating clinicians were recruited because it was not possible to know patients’ involvement with specific clinicians until after study enrollment.
  • Discussing the possibility that contamination, where control clinicians had access to the intervention through their interactions with intervention clinicians, contributed to small difference between groups. The researchers elaborated on this issue, but indicated that contamination was unlikely to be the cause of the results because neither study group improved.

Conflict of Interest Disclosures

Project Information

Michelle Salyers, PhD
Indiana University-Purdue University at Indianapolis
The Impact of Burnout on Patient-Centered Care: A Comparative Effectiveness Trial in Mental Health

Key Dates

September 2013
April 2018

Study Registration Information


Has Results
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Health Conditions Health Conditions These are the broad terms we use to categorize our funded research studies; specific diseases or conditions are included within the appropriate larger category. Note: not all of our funded projects focus on a single disease or condition; some touch on multiple diseases or conditions, research methods, or broader health system interventions. Such projects won’t be listed by a primary disease/condition and so won’t appear if you use this filter tool to find them. View Glossary
Populations Populations PCORI is interested in research that seeks to better understand how different clinical and health system options work for different people. These populations are frequently studied in our portfolio or identified as being of interest by our stakeholders. View Glossary
Funding Opportunity Type
Intervention Strategy Intervention Strategies PCORI funds comparative clinical effectiveness research (CER) studies that compare two or more options or approaches to health care, or that compare different ways of delivering or receiving care. View Glossary
Research Priority Area
State State The state where the project originates, or where the primary institution or organization is located. View Glossary
Last updated: March 4, 2022