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Training of Cross-cultural Competencies in Psychotherapists

Not Applicable
Completed
Conditions
Healthy Volunteers
Interventions
Behavioral: Training
Behavioral: Education only
Registration Number
NCT03038347
Lead Sponsor
Philipps University Marburg Medical Center
Brief Summary

The purpose of this study is to determine whether a web-based training program with text-based information as well as practical exercises can improve cross-cultural competencies in therapists.

Detailed Description

As the number of patients from diverse cultures increases in psychotherapeutic care, cross-cultural competencies of therapists become increasingly important. In particular, mental health care of patients with immigration background needs to be improved as studies show that these patients drop out of treatment more often and benefit less from therapy. In addition, patients with immigration background and refugees show higher prevalences in mental illnesses. Nevertheless, evaluated training programs to improve cross-cultural competencies in psychotherapists are lacking. In particular, web-based training programs, which allow therapists to work time-flexible and at their own pace on a training, are, to date, missing completely.

For the current study, a web-based training program to improve therapists' cross-cultural competencies was developed. It is based on existing conceptions of cross-cultural competencies. The developed program consists of six modules with the following contents: definitions and conceptions of culture, the role of cross-cultural competencies in psychotherapy, the influence of prejudices and discrimination as well as the role of migration and acculturation, and culturally sensitive diagnostics. The modules contain PDF-files with text-based information, video files, case studies with associated questions as well as practical exercises. The main focus of the training is the participants' self-reflection concerning their conceptions of (their own) culture and their beliefs about culturally diverse patients. The training group will be compared to two other groups, i.e. an education only and a waitlist control group. Whereas the waitlist control group will not receive any training materials, the education only group will receive a slimmed down version of the training consisting only of text-based information files.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
173
Inclusion Criteria
  • current psychotherapeutic work
  • Internet access
  • sufficient German language skills
  • ongoing or completed training in Psychotherapy
Exclusion Criteria
  • too much previous knowledge about cross-cultural competencies (> 10h training)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
TrainingTrainingIn the training group, participants work six weeks on the training program, one module per week. The modules contain PDF-files with text-based information, video files, case studies with associated questions as well as practical exercises that participants perform independently. The main purpose of this intervention is the improvement of cross-cultural competencies in psychotherapists
Education onlyEducation onlyIn the education only group, participants work six weeks on a slimmed down version of the training program. The modules only contain text-based information without any exercises. After completion, participants receive access to the practical exercises, case studies and video files as well. Main purpose of the education only group is to determine whether the practical part of the training program can offer additional benefit.
Primary Outcome Measures
NameTimeMethod
Transcultural Competencies of Psychotherapists Questionnaire (TKKP; Reichardt et. al., in prep.)pre-training, post-training (6 weeks after the start of the training); follow up (6 month after training completion)

Change in cross-cultural psychotherapeutic competencies

Multicultural Counseling Inventory (MCI; Sodowsky, 1994)pre-training, post-training (6 weeks after the start of the training); follow-up (6 month after training completion)

Change in cross-cultural psychotherapeutic competencies

Secondary Outcome Measures
NameTimeMethod
Knowledge regarding the provision of cross-cultural psychotherapypost-training (6 weeks after the start of the training)

Test of specific knowledge gained during the training (knowledge test in multiple choice answer format)

Cultural sensitivity in actual psychotherapeutic work Ipre-training, post-training (6 weeks after the start of the training), follow-up (6 month after training completion)

Percentage of culturally diverse patients currently in treatment in own actual psychotherapeutic work

Cultural sensitivity in actual psychotherapeutic work IIpre-training, post-training (6 weeks after the start of the training), follow-up (6 month after training completion)

Willingness to treat culturally diverse patients in own actual psychotherapeutic work (rating scale)

Cultural sensitivity in actual psychotherapeutic work IIIpre-training, post-training (6 weeks after the start of the training), follow-up (6 month after training completion)

Satisfaction with cross-cultural therapies provided in actual psychotherapeutic work (rating scale)

Cultural sensitivity in actual psychotherapeutic work IVpre-training, post-training (6 weeks after the start of the training), follow-up (6 month after training completion)

Perceived competence in the currently provided cross-cultural therapies (rating scale)

Training satisfaction scalepost-training (6 weeks after the start of the training); follow-up (6 month after training completion)

Satisfaction with the training (rating scale; items assessing satisfaction with contents and structure of the developed training)

Learning success scalepost-training (6 weeks after the start of the training); follow-up (6 month after training completion)

Rating of competencies achieved through the training for the treatment of culturally diverse patients (rating scale, rating of the degree to which certain competencies have been achieved)

Cultural sensitivity in psychotherapeutic work (Behavioural change measure)post-training (6 weeks after the start of the training), 2 months after training completion; follow-up (6 month after training completion)

Rating of different case examples with focus on expected difficulty and effectiveness of psychotherapy (given different cases with different disorders, severity levels, and cultural backgrounds)

Trial Locations

Locations (1)

Philipps University Marburg

🇩🇪

Marburg, Hessen, Germany

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