Evaluation of system based Psychological First Aid training on the mental health proficiency of emergency medical first responders to natural disasters in China: a cluster randomised controlled trial

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Abstract

Objective To evaluate the effectiveness of a system based psychological first aid (PFA) training programme for emergency medical first responders in China. Design Parallel-group, assessor-blinded, cluster randomised controlled trial. Setting 42 clusters of health workers from various health facilities in China. Participants 1399 health workers who provide emergency service for survivors of disasters. Interventions One-day system based PFA training programme (PFA) or training as usual (TAU). Primary and secondary outcome measures The primary outcome was the PFA skills, knowledge and attitude (SKA-PFA) score at 2 months postintervention. Secondary outcomes included post-traumatic growth, self-efficacy and professional quality of life. Results The intervention group (n=690) had significantly higher SKA-PFA scores than the control group (n=709) at 2 months postintervention (adjusted mean difference=4.44; 95% CI 1.17 to 7.52; p=0.007; Cohen’s d=0.35). The intervention group also had higher scores on post-traumatic growth (p=0.113, d=0.24), self-efficacy (p=0.032, d=0.20) and professional quality of life (p=0.281, d=0.04).

Original languageEnglish
Article numbere078750
Pages (from-to)e078750
JournalBMJ Open
Volume14
Issue number5
DOIs
Publication statusPublished - 6 May 2024

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