Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleOriginal Research

BREATHE OUT: A Randomized Controlled Trial of a Structured Intervention to Improve Clinician Satisfaction With “Difficult” Visits

Jennifer Y. C. Edgoose, Caitlin J. Regner and Larissa I. Zakletskaia
The Journal of the American Board of Family Medicine January 2015, 28 (1) 13-20; DOI: https://doi.org/10.3122/jabfm.2015.01.130323
Jennifer Y. C. Edgoose
From the Department of Family Medicine, University of Wisconsin—Madison (JYCE, LIZ); and the University of Wisconsin School of Medicine and Public Health, Madison (CJR).
MD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Caitlin J. Regner
From the Department of Family Medicine, University of Wisconsin—Madison (JYCE, LIZ); and the University of Wisconsin School of Medicine and Public Health, Madison (CJR).
BS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Larissa I. Zakletskaia
From the Department of Family Medicine, University of Wisconsin—Madison (JYCE, LIZ); and the University of Wisconsin School of Medicine and Public Health, Madison (CJR).
MA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1.
    • Download figure
    • Open in new tab
    Figure 1.

    Study protocol.

Tables

  • Figures
    • View popup
    Table 1. Individual Characteristics of the BREATHE OUT Study Sample (N = 57)
    VariableTotal (N = 57)Control Group (n = 26)Experimental Group (n = 31)P Value
    Sex.19
        Male21 (36.8)12 (46.1)9 (29)
        Female36 (63.2)14 (53.9)22 (71)
    Job title.52
        Fellows/residents29 (51)13 (50)16 (51.6)
        Attendings22 (38.5)11 (42.3)11 (35.4)
        Other (eg, NP, PA)6 (10.5)2 (7.7)4 (13)
    Expertise level.57
        Attendings
            0–5 years' experience5 (8.8)1 (3.9)4 (12.9)
            6–9 years' experience5 (8.8)3 (11.5)2 (6.5)
            ≥10 years' experience12 (21.1)7 (26.9)5 (16.1)
        Other (eg, NP, PA)6 (10.5)2 (7.7)4 (12.9)
        Postgraduate year
            16 (10.5)2 (7.7)4 (12.9)
            211 (19.3)5 (19.2)6 (19.3)
            310 (17.5)6 (23.1)4 (12.9)
        Fellows2 (3.5)0 (0)2 (6.5)
    • Data are n (%). Subjects in the control and experimental groups provided multiple observations for the study outcome measured with Physician Satisfaction Scale.

    • NP, nurse practitioner; PA, physician assistant.

    • View popup
    Table 2. Unadjusted Total Physician Satisfaction Scale Scores by Randomization Group, Sex, and Job Title (N = 112)
    Participants (n)Total PSS Score,* Mean (SD)P Value†
    Randomization group
        Intervention‡6636.6 (7.6)<.001
        Control4642.8 (8.6)
    Sex
        Male3738.7 (8.8).03
        Female7540.4 (8.3)
    Job title
        Attendings5037.5 (9.1).12
        Other (NP, PA)1538.8 (7.3)
        Residents4441.4 (8.2)
        Fellows334.7 (2.5)
    • ↵* A lower Physician Satisfaction Scale (PSS) score indicates more positive/favorable outcomes.

    • ↵† One-way analysis of variance.

    • ↵‡ Subjects provided multiple PSS observations.

    • NP, nurse practitioner; PA, physician assistant; SD, standard deviation.

    • View popup
    Table 3. Hierarchical Linear Model Regression Coefficients for the Intervention's Effect on the Total Score of the Physician Satisfaction Scale in the BREATHE OUT Study After Adjusting for Sex, Experience, Clinic Effects, and Multiple Observations per Clinician (N = 112)
    CharacteristicsRegression CoefficientStandard ErrorP Value
    Intercept42.661.26
    Experimental−5.861.66.02
    Fellow/resident3.993.21.22
    Attending0.823.12.79
    Other (NP, PA)———
    Female sex5.021.83.009
    Male sex———
    • NP, nurse practitioner; PA, physician assistant.

PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 28 (1)
The Journal of the American Board of Family Medicine
Vol. 28, Issue 1
January-February 2015
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
BREATHE OUT: A Randomized Controlled Trial of a Structured Intervention to Improve Clinician Satisfaction With “Difficult” Visits
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
1 + 10 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
BREATHE OUT: A Randomized Controlled Trial of a Structured Intervention to Improve Clinician Satisfaction With “Difficult” Visits
Jennifer Y. C. Edgoose, Caitlin J. Regner, Larissa I. Zakletskaia
The Journal of the American Board of Family Medicine Jan 2015, 28 (1) 13-20; DOI: 10.3122/jabfm.2015.01.130323

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
BREATHE OUT: A Randomized Controlled Trial of a Structured Intervention to Improve Clinician Satisfaction With “Difficult” Visits
Jennifer Y. C. Edgoose, Caitlin J. Regner, Larissa I. Zakletskaia
The Journal of the American Board of Family Medicine Jan 2015, 28 (1) 13-20; DOI: 10.3122/jabfm.2015.01.130323
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Conclusion
    • Acknowledgments
    • Appendix
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Storylines of family medicine IX: people and places--diverse populations and locations of care
  • Practical, Office-based Interventions That Improve Care Today
  • Google Scholar

More in this TOC Section

  • Identifying and Addressing Social Determinants of Health with an Electronic Health Record
  • Integrating Adverse Childhood Experiences and Social Risks Screening in Adult Primary Care
  • A Pilot Comparison of Clinical Data Collection Methods Using Paper, Electronic Health Record Prompt, and a Smartphone Application
Show more Original Research

Similar Articles

Keywords

  • Burnout
  • Professional
  • Communication
  • Doctor–Patient Relations
  • Medical Education
  • Physicians
  • Family

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire