TY - JOUR
T1 - Feasibility and acceptability of a culturally adapted psychological first aid training intervention (Preparing Me) to support the mental health and well-being of front-line healthcare workers in China
T2 - a feasibility randomized controlled trial
AU - Wang, Ling
AU - Norman, Ian
AU - Xiao, Tao
AU - Li, Yamin
AU - Li, Xizhao
AU - Liu, Ting
AU - Wang, Jianjian
AU - Zeng, Lina
AU - Zhong, Ziqing
AU - Jian, Chengzhu
AU - Leamy, Mary
N1 - Funding Information:
This study is supported by the Health Research Project from Health Commission of Hunan Province [20190365] and the innovative education project of Central South University [2018CXKZ06]. The authors would like to express their gratitude to all healthcare professionals and their clinical ward managers on the front-line who took part in this study and generously shared their valuable experiences. The authors also appreciate the invaluable administrative support of the Nursing Department, Medical Department, Academic Affairs Department, Clinical Skill Training Center, Medical Simulation Center, and Department of Psychiatry at the Second Xiangya Hospital.
Publisher Copyright:
© 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2024
Y1 - 2024
N2 - Background: Psychological first aid (PFA) training helps to prepare healthcare workers (HCWs) to manage trauma and stress during healthcare emergencies, yet evidence regarding its effectiveness and implementation is lacking. Method: A two-arm feasibility randomized controlled trial design was conducted in a Chinese tertiary hospital. Participants were randomly allocated to receive either a culturally adapted PFA training (the intervention arm) or psychoeducation (the control arm). Feasibility indicators and selected outcomes were collected. Results: In total, 215 workers who expressed an interest in participating in the trial were screened for eligibility, resulting in 96 eligible participants being randomly allocated to the intervention arm (n = 48) and control arm (n = 48). There was a higher retention rate for the face-to-face PFA training session than for the four online group PFA sessions. Participants rated the PFA training as very helpful (86%), with a satisfaction rate of 74.25%, and 47% reported being able to apply their PFA skills in responding to public health emergencies or providing front-line clinical care. Positive outcome changes were observed in PFA knowledge, skills, attitudes, resilience, self-efficacy, compassion satisfaction, and post-traumatic growth. Their scores on depression, anxiety, stress, and burnout measures all declined. Most of these changes were sustained over 3 months (p <.05). Repeated measures analysis of variance found statistically significant interaction effects on depression (F2,232 = 2.874, p =.046, ηp2 =.031) and burnout (F2,211 = 3.729, p =.018, ηp2 =.037), indicating a greater reduction in symptoms of depression and burnout with PFA compared to psychoeducation training. Conclusion: This culturally adapted PFA training intervention was highly acceptable among Chinese HCWs and was feasible in a front-line care setting. Preliminary findings indicated positive changes for the PFA training intervention on knowledge, skills, attitudes, resilience, self-efficacy, compassion satisfaction, and post-traumatic growth, especially a reduction of depression and burnout. Further modifications are recommended and a fully powered evaluation of PFA training is warranted.
AB - Background: Psychological first aid (PFA) training helps to prepare healthcare workers (HCWs) to manage trauma and stress during healthcare emergencies, yet evidence regarding its effectiveness and implementation is lacking. Method: A two-arm feasibility randomized controlled trial design was conducted in a Chinese tertiary hospital. Participants were randomly allocated to receive either a culturally adapted PFA training (the intervention arm) or psychoeducation (the control arm). Feasibility indicators and selected outcomes were collected. Results: In total, 215 workers who expressed an interest in participating in the trial were screened for eligibility, resulting in 96 eligible participants being randomly allocated to the intervention arm (n = 48) and control arm (n = 48). There was a higher retention rate for the face-to-face PFA training session than for the four online group PFA sessions. Participants rated the PFA training as very helpful (86%), with a satisfaction rate of 74.25%, and 47% reported being able to apply their PFA skills in responding to public health emergencies or providing front-line clinical care. Positive outcome changes were observed in PFA knowledge, skills, attitudes, resilience, self-efficacy, compassion satisfaction, and post-traumatic growth. Their scores on depression, anxiety, stress, and burnout measures all declined. Most of these changes were sustained over 3 months (p <.05). Repeated measures analysis of variance found statistically significant interaction effects on depression (F2,232 = 2.874, p =.046, ηp2 =.031) and burnout (F2,211 = 3.729, p =.018, ηp2 =.037), indicating a greater reduction in symptoms of depression and burnout with PFA compared to psychoeducation training. Conclusion: This culturally adapted PFA training intervention was highly acceptable among Chinese HCWs and was feasible in a front-line care setting. Preliminary findings indicated positive changes for the PFA training intervention on knowledge, skills, attitudes, resilience, self-efficacy, compassion satisfaction, and post-traumatic growth, especially a reduction of depression and burnout. Further modifications are recommended and a fully powered evaluation of PFA training is warranted.
KW - feasibility randomized controlled trial
KW - front-line healthcare workers
KW - mental health and well-being
KW - Psychological first aid training
UR - http://www.scopus.com/inward/record.url?scp=85183166165&partnerID=8YFLogxK
U2 - 10.1080/20008066.2023.2299195
DO - 10.1080/20008066.2023.2299195
M3 - Article
C2 - 38269751
AN - SCOPUS:85183166165
SN - 2000-8198
VL - 15
JO - European journal of psychotraumatology
JF - European journal of psychotraumatology
IS - 1
M1 - 2299195
ER -