Effect Psychological Triaging Intervention on Students' Psychological Distress and Resilience Capacity

Psychological Distress Clinical Trial

— Triaging  

Official title:

Psychological Triaging Intervention: Rescue From Psychological Distress and Improving Senior Nursing Students' Resilience Capacity During COVID-19 Crisis

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04822285
• Other study ID #: 1522112020
• Status: Completed
• Phase: N/A
• Start date: January 22, 2020
• Est. completion date: March 21, 2021

Study information

• Verified date: March 2021
• Source: Alexandria University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study aimed to investigate the effect of the psychological triaging intervention (PTI) on the psychological distress and resilience capacity levels among the intern-nursing students during the COVID-19 crisis.

Research Hypothesis

Intern-nursing students who attend PTI exhibit lower COVID-19 related psychological distress level and higher resilience capacity than those who receive routine psychological support.

Description:

The intern-nursing students' psychological well-being and resilience are of indispensable significance during these unprecedented days. 64 Intern-nursing students. Sixty-four intern-nursing students who completed a preliminary survey and demonstrated both high level of psychological distress and low resilience capacity as a result of their exposure to patients with COVID-19 during their internship period were randomly assigned to two equal groups and the study group were engaged in the PTI intervention which followed the path of RAPID Psychological First Aid model.

The PTI intervention followed the path of RAPID Psychological First Aid model of John Hopkins University (Everly& Lating 2012). The content of the PTI represents a simple structure that is revolved around five core phases including (R: establishing rapport and reflective listening, A: assessment, P: prioritization, I: intervention and D: disposition& follow up).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 64
• Est. completion date: March 21, 2021
• Est. primary completion date: April 22, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Exposed to patients with COVID-19

Exclusion Criteria:

• Did not exposed to patients with COVID-19

Related Conditions & MeSH terms

• Psychological Distress
• Resilience

Intervention

Behavioral:
• Psychological Triaging Intervention
The PTI intervention followed the path of RAPID Psychological First Aid model of John Hopkins University (Everly& Lating 2012). The content of the PTI represents a simple structure that is revolved around five core phases including (R: establishing rapport and reflective listening, A: assessment, P: prioritization, I: intervention and D: disposition& follow up).
• Routine psychological support
For the comparison group, the researchers provided them with routine psychological support that mainly revolved around enhancing their self-compassion, practicing mindfulness exercises, keeping them socially connected with their family and peers. Moreover, adopt a healthy lifestyle such as; engage in physical activity, eating a well-balanced diet, and sleeping well.

Locations

Country	Name	City	State
Egypt	Faculty of Nursing	Alexandria

Sponsors (1)

Lead Sponsor	Collaborator
Alexandria University

Country where clinical trial is conducted

Egypt, 

References & Publications (6)

Bozdag F, Ergün N. Psychological Resilience of Healthcare Professionals During COVID-19 Pandemic. Psychol Rep. 2020 Oct 13:33294120965477. doi: 10.1177/0033294120965477. [Epub ahead of print] — View Citation

Eweida RS, Rashwan ZI, Desoky GM, Khonji LM. Mental strain and changes in psychological health hub among intern-nursing students at pediatric and medical-surgical units amid ambience of COVID-19 pandemic: A comprehensive survey. Nurse Educ Pract. 2020 Nov;49:102915. doi: 10.1016/j.nepr.2020.102915. Epub 2020 Nov 10. — View Citation

Farkas D, Orosz G. Ego-resiliency reloaded: a three-component model of general resiliency. PLoS One. 2015 Mar 27;10(3):e0120883. doi: 10.1371/journal.pone.0120883. eCollection 2015. — View Citation

Maben J, Bridges J. Covid-19: Supporting nurses' psychological and mental health. J Clin Nurs. 2020 Aug;29(15-16):2742-2750. doi: 10.1111/jocn.15307. Epub 2020 Jun 2. — View Citation

Prime H, Wade M, Browne DT. Risk and resilience in family well-being during the COVID-19 pandemic. Am Psychol. 2020 Jul-Aug;75(5):631-643. doi: 10.1037/amp0000660. Epub 2020 May 21. Review. — View Citation

Shultz JM, Forbes D. Psychological First Aid: Rapid proliferation and the search for evidence. Disaster Health. 2013 Aug 2;2(1):3-12. doi: 10.4161/dish.26006. eCollection 2014 Jan-Mar. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Resilience Capacity	It consists of 25-item to assess the resilience capacity. The CD-RISC was abridged to 10 items to reflect the individuals' ability to tolerate painful experience. Such as; ability to adapt to change, tendency to bounce back after hardship and ability to stay focused under pressure.	" 2 weeks "
Primary	severity of psychological distress	The General Health Questionnaire (GHQ-12) was developed by (Goldberg, 1972). The questionnaire comprises 12- self-report items to measure the severity of psychological distress. The presence the symptoms was rated on 4- points Likert-type scale; (0="not at all present", 1="same as usual present"; 2="rather more than usual present"; 3="much more than usual present"). The tool demonstrated high reliability as Cronbach's alpha coefficient was 0.87. The total score ranged from 0-36. The higher score representing higher level of psychological distress.	" 2 weeks "