TY  - JOUR
PY  - 2024//
TI  - 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: a feasibility randomized controlled trial
JO  - European journal of psychotraumatology
A1  - Wang, Ling
A1  - Norman, Ian
A1  - Xiao, Tao
A1  - Li, Yamin
A1  - Li, Xizhao
A1  - Liu, Ting
A1  - Wang, Jianjian
A1  - Zeng, Lina
A1  - Zhong, Ziqing
A1  - Jian, Chengzhu
A1  - Leamy, Mary
SP  - e2299195
EP  - e2299195
VL  - 15
IS  - 1
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.<br><br>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.<br><br>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 (F(2,232) = 2.874, p = .046, ηp2 = .031) and burnout (F(2,211) = 3.729, p = .018, ηp2 = .037), indicating a greater reduction in symptoms of depression and burnout with PFA compared to psychoeducation training.<br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 2000-8198
UR  - http://dx.doi.org/10.1080/20008066.2023.2299195
ID  - ref1
ER  -