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Objective  General practitioners ( GP s) and general practice registrars report work‐related stress.  B alint groups may improve coping mechanisms. However, attendance at a face‐to‐face  B alint group is difficult for rural doctors due to distance constraints. The study aim was to evaluate online  B alint groups for rural doctors and determine effect size for a full‐scale trial.    Design  A mixed‐methods approach, including a pre–post controlled trial and thematic analysis of qualitative data.    Setting  Rural primary care.    Participants  Thirteen  GP s and 8 general practice registrars completed the study.    Interventions   B alint groups were delivered over 8–9 fortnightly online sessions.  GPs  and  GP  registrars participated in separate groups. Data were collected on work‐related affect, psychological medicine skills and professional isolation using the  W arr's  W ork‐ R elated  A ffect  S cale, the  P sychological  M edicine  I nventory, and a professional isolation scale.    Main outcome measures  Change scores on  W arr's  W ork‐ R elated  A ffect  S cale, the  P sychological  M edicine  I nventory, and a professional isolation scale.    Results   B alint participants' scores were significantly higher post‐intervention on the  P sychological  M edicine  I nventory (mean 6.49 (±0.20) versus 5.43 (±0.26);  P  < 0.01) and  W arr's  W ork‐ R elated  A ffect (mean 4.09 (±0.09) versus 3.60 (±0.12);  P  < 0.01) scales than control group scores. Effect size on these scales ranged from 0.46 to 0.50. The greatest challenge was technical problems related to insufficient broadband speed.    Conclusions  Online  B alint groups appear to improve rural doctors' psychological medicine skills and work‐related affect. New data on effect size will inform a full‐scale trial. Improved national broadband infrastructure may enhance online support opportunities for rural doctors.

australian journal of rural health

How effective and acceptable is  W eb 2.0  B alint group participation for general practitioners and general practitioner registrars in regional  A ustralia? A pilot study