Primary Feasibility
| Outcome | Specific measure |
|---|
| Recruitment rate | % of eligible PGY4 residents who consent |
| Dyadic enrollment rate | % of consenting residents who enroll a loved one |
| Retention rate | % of enrolled who complete the T1 assessment |
| Adherence | Module completion + daily engagement, from app/platform backend |
Primary Acceptability, appropriateness & feasibility recommended set
Validated Weiner et al. triad: three 4-item scales, each rated 1 (completely disagree)–5 (completely agree), administered at T1 for both arms. Keeps acceptability cleanly separable from the efficacy signal.
| Measure (4 items, 5-pt) | Item stems — "The PQ program…" |
|---|
| AIM — Acceptability | …meets my approval · is appealing to me · I like it · I welcome it |
| IAM — Appropriateness | …seems fitting · seems suitable · seems applicable · seems like a good match |
| FIM — Feasibility | …seems implementable · seems possible · seems doable · seems easy to use |
| NPS (retained) | "How likely are you to recommend this program to a colleague or fellow resident?" (0–10) |
| Open-ended (retained) | Most beneficial? · Suggested improvements? · Single biggest barrier to completion? |
References. Weiner BJ, et al. Implement Sci. 2017;12:108. PMID 28851459. · Proctor E, et al. Adm Policy Ment Health. 2011;38(2):65–76. PMID 20957426.
Secondary Preliminary psychological — T0→T1 change by arm (Cohen's d)
| Measure | Construct | Format |
|---|
| SCS-SF | Self-compassion (planned primary outcome of the future trial) | 12 items, 5-pt |
| MBI-GS (abbrev.) | Burnout: exhaustion, cynicism, professional efficacy | Likert frequency |
| PHQ-8 | Depressive symptoms | 8 items, 0–3 |
| GAD-7 | Anxiety symptoms | 7 items, 0–3 |
Analysis is descriptive: feasibility/acceptability as percentages; psychological change as effect sizes (Cohen's d, 95% CI). p-values exploratory only (pilot, no a priori power analysis).
Johanna Lee, MD
PI & first author
MGH Anesthesia, Assistant PD. Owns IRB, MyCAP build, recruitment, analysis, and manuscript. Slavin grant PI.
Jimin Kim, MD
BWH site PI
Incoming BWH Anesthesiology PD (7/1/26). Advising + BWH recruitment; limited bandwidth for execution.
Dan Saddawi-Konefka, MD, MBA
Senior author / co-I
Mentor. Methodology, framing, writing, and air cover for resident recruitment via the APD team.
Ariel Mueller
ARC Director
MGH Anesthesia Research Center. Route to research coordinator + biostatistician (both Slavin-funded). Meeting 6/1.
Positive Intelligence, Inc.
Vendor
Provides the PQ platform free for this and future studies. Data Use Agreement in progress.
Shirzad Chamine
External stakeholder
PQ creator. Not on protocol (kept independent). Milestone-only updates; Dan owns that channel.