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Medical students, especially those in postgraduate training, face a complex array of challenges such as fatigue; work-life balance conflicts; difficulties managing dual hierarchies (hospital and university). Surprisingly, residents receive little to no dedicated training in recognizing and managing psychiatric disorders, except for psychiatry residents. This gap is exacerbated by persistent stigma towards psychiatric conditions. The Mental Health First Aid (MHFA) training approach could offer an innovative solution, addressing the root of the problem. This prospective, single-center cohort study aims to compare (1) the mental well-being of first-year specialty residents in the Lyon subdivision exposed to MHFA-trained peers; with (2) the mental well-being of unexposed second-year specialty residents. The hypothesis is that exposure to peers trained in MHFA improves well-being and reduces symptoms of burnout, depression, and anxiety at 3, 6, 9, and 12 months among peer residents.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exposed | Experimental | Medical residents entering their first year of specialized studies (DES) on November 1, 2025, in the city of Lyon, France. |
|
| Not exposed | No Intervention | Medical residents entering their second year of specialized studies (DES) on November 1, 2025, in the city of Lyon, France. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exposition to trained peer-support registrars for a year | Other | Exposition to trained peer-support registrars for a year |
|
| Measure | Description | Time Frame |
|---|---|---|
| Well-being | As measured by the total score on the WEMWBS (Warwick-Edinburgh Mental Well-being Scale), a self-questionnaire. 5 point Likert scale (1-4); 14 questions | Measured at Month 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Well-being | As measured by the total score on the WEMWBS (Warwick-Edinburgh Mental Well-being Scale), a self-questionnaire. 5 point Likert scale (1-4); 14 questions | Measured at baseline, Month 3, Month 6 and Month 9 |
| Anxiety |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service des Urgences Psychiatriques Hôpital Edouard Herriot, GH Centre | Lyon | France | 69008 | France |
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| ID | Term |
|---|---|
| D000092862 | Psychological Well-Being |
| ID | Term |
|---|---|
| D010549 | Personal Satisfaction |
| D001519 | Behavior |
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As measured by anxiety subscore of the HAD (Hospital Anxiety and Depression scale), a self-questionnaire. 4 point Likert scale (0-3); 7 questions
| Measured at baseline, Month 3, Month 6, Month 9, Month 12 |
| Depression | As measured by depression subscore of the HAD (Hospital Anxiety and Depression scale), a self-questionnaire. 4 point Likert scale (0-3); 7 questions | Measured at baseline, Month 3, Month 6, Month 9, Month 12 |
| Burn-out | As measured by the MBI (Maslach Burnout Inventory), a self-questionnaire. 7 point Likert scale (0-6); 22 questions. | Measured at baseline, Month 3, Month 6, Month 9, Month 12 |
| Impact on well-being according to gender | Differentiated impact on well-being according to gender measured by the total score on the WEMWBS (Warwick-Edinburgh Mental Well-being Scale, a self-questionnaire. 5 point Likert scale (1-4); 14 questions), analyzed via Group x Gender interaction effect. | Measured at baseline, Month 3, Month 6, Month 9, Month 12 |
| Impact on well-being according to speciality | Differentiated impact on well-being according to speciality measured by the total score on the WEMWBS (Warwick-Edinburgh Mental Well-being Scale, a self-questionnaire. 5 point Likert scale (1-4); 14 questions), analyzed via Group x Speciality interaction effect. | Measured at baseline, Month 3, Month 6, Month 9, Month 12 |