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Providing evidence-based, well-designed psychotherapy teaching to train them to get a basic understanding of psychotherapy and to gain required skills for clinical practice would be fundamental to medical students, residency. This study will be a two-arm randomized controlled trial (RCT) to evaluate the effectiveness of multimodal psychotherapy training program for medical students in China.
Background and aims: Providing evidence-based, well-designed psychotherapy teaching for medical students and residents is urgently needed. The aim of this project is to measure the effectiveness of a newly multimodal psychotherapy teaching program for medical students and residents in China.
Design: This study will be a two-arm randomized controlled trial (RCT). The intervention group will receive a two-day multimodal-based intensive educational intervention with 8 weeks follow-up (supervision based online teaching). The wait-list control group will not receive the intervention until the end of the study. Both groups will be followed up to 8 weeks.
Setting: This trial will be conduct at the Sir Run Run Shaw Hospital.
Participants: This study aims to recruit about 160 medical students and residents, with approximately 80 in each group.
Measurements: The primary outcome measure is the changes of the Facilitative Interpersonal Skills task (FIS) scores. Secondary outcome measures include: training program acceptability; trainees' psychotherapy knowledge; utilization of psychotherapy; and self-reported self-efficacy and self-reported motivation for psychotherapy.
Comments: If this CBT-based brief and short-term psychotherapy skill training program is proven effective, the mental health impact of its expansion nation-wide could be enormous.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| the two-day psychotherapy training program with 8-week follow-ups intervention group | Experimental | All participants from the intervention group will receive the two-day psychotherapy training program. They will receive a hard copy booklet of the psychotherapy training program at recruitment. In addition, supervision-based group meeting will be hold at week 1, 2, 4, and 8 during follow-ups, and each meeting will be lasted for approximately two hours. At each follow-up meeting, the teachers, including psychotherapists and psychiatrists, will be prepared to answer any psychotherapy related questions, encourage them to practice psychological interventions, and provide more information for participants' clinical application of psychotherapy. |
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| the wail-list control group | Placebo Comparator | After consent is given, participants who are allocated to the wail-list control group will receive a message encouraging them to complete all questionnaires from baseline to the last follow-up at 8 weeks. They will receive messages via WeChat to thank them for being in the study and reminding them of the time until the completion of the study at 8 weeks follow-up. They will receive a digital booklet of the psychotherapy training program via the WeChat individual messaging platform at recruitment, or a hard copy on request. After the trial ends, participants in the control arm will be able to receive the psychotherapy training program for free. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| psychotherapy training program intervention | Other | The intervention group will receive a two-day multimodal-based intensive educational intervention of CBT with 8 weeks follow-up (supervision based online teaching). |
| Measure | Description | Time Frame |
|---|---|---|
| Facilitative Interpersonal Skills task (FIS) | FIS has eight dimensions: 1) verbal fluency, 2) hope and positive expectations, 3) persuasiveness; 4) emotional expression; 5) warmth, acceptance and understanding; 6) empathy; 7) alliance-bond capacity; and 8) alliance rupture-repair responsiveness. The items are rated on a 5-point Likert scale ranging from 1 (i.e., skill deficit) to 5 (i.e., optimal presence of skill), with high inter-rater agreement and excellent internal consistency. Research indicates that FIS is reliable measure to evaluate performance and psychotherapeutic outcomes in training and assessing therapists, high FIS indicate superior outcomes and better therapeutic processes. It measures therapists' demonstrated ability to convey psychotherapy's common factors, such as hopefulness, warmth, persuasiveness, and emotional engagement. | 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Training program acceptability | program acceptability will be measured for participants from the intervention group by questions for assessing program acceptability | 2 days |
| Trainees' psychotherapy knowledge |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Luyao Zou, MS | Contact | 8615869178144 | ZouLuyao0000@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Tang Jinsong, MD | Sir Run Run Shaw Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yanhui Liao | Recruiting | Hangzhou | Zhejiang | 310016 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39815284 | Derived | Ding Y, Pei T, Peng P, Yao J, Tang J, Liao Y. Attitudes and knowledge for CBT-based psychotherapy among medical students and residents in China: a survey study. BMC Med Educ. 2025 Jan 15;25(1):68. doi: 10.1186/s12909-025-06641-w. | |
| 39752191 | Derived | Pei T, Ding Y, Tang J, Liao Y. Evaluating the Effectiveness of a Multimodal Psychotherapy Training Program for Medical Students in China: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2025 Jan 3;14:e58037. doi: 10.2196/58037. |
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This study data will be shared with other researchers by requirement.
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| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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This study will be a two-arm randomized controlled trial (RCT). The intervention group will receive a two-day multimodal-based intensive educational intervention with 8 weeks follow-up (supervision based online teaching). The wait-list control group will not receive the intervention until the end of the study. Both groups will be followed up to 8 weeks.
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Data will be blinded to intervention assignment by the trial statistician using R software
| the wail-list control intervention | Other | The wail-list control group will receive a message encouraging them to complete all questionnaires from baseline to the last follow-up at 8 weeks. |
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Knowledge about psychotherapy before and after 8 weeks will be on a 5-point scale
| 8 weeks |
| Utilization of psychotherapy | the utilization rate of psychotherapy interventions for patients during 8 weeks follow-up will be measured. | 8 weeks |
| Self-reported self-efficacy | the self-efficacy will be measured by the visual analog scale (VAS) on a 10-cm line that represents a continuum between "no self-efficacy" and "the strongest self-efficacy." | 8 weeks |
| Self-reported motivation | the motivation will be measured by the visual analog scale (VAS) on a 10-cm line that represents a continuum between "no motivation" and "the strongest motivation." | 8 weeks |