The Effect of Psychological First Aid Training on Disaster Response Self-Efficacy: A Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 132
- 试验地点
- 2
- 主要终点
- Disaster Response Self-Efficacy Scale
研究概览
简要总结
This randomized controlled trial aimed to evaluate the effect of psychological first aid (PFA) training on disaster response and psychological first aid application self-efficacy among nursing students. The study included 132 participants, with 72 in the intervention group and 60 in the control group. The intervention group received six 60-minute online PFA training sessions over three weeks. Data were collected using the Personal Information Form, Disaster Response Self-Efficacy Scale (DRSES), and the Psychological First Aid Application Self-Efficacy Scale. After the training and follow-up, the intervention group showed significantly higher self-efficacy scores across all DRSES sub-dimensions and in applying PFA, compared to the control group. Findings suggest that integrating PFA training into nursing education can enhance students' readiness and competence in disaster response.
详细描述
Disasters pose significant challenges to healthcare systems and frontline professionals, particularly nurses. Psychological first aid (PFA) is a fundamental psychosocial support approach that aims to reduce stress, promote adaptive functioning, and improve psychological well-being in individuals affected by disasters. However, nursing students often lack formal training in disaster preparedness and psychosocial interventions.
This randomized controlled trial was conducted to evaluate the effect of psychological first aid training on disaster response self-efficacy and psychological first aid application self-efficacy among senior nursing students. The study was designed according to the CONSORT guidelines and included a total of 132 participants, with 72 students in the intervention group and 60 in the control group. Students in the intervention group received a total of six 60-minute online PFA training sessions delivered twice a week for three weeks. The training content was based on internationally recognized PFA principles.
Data collection tools included the Personal Information Form, the Disaster Response Self-Efficacy Scale (DRSES), and the Psychological First Aid Application Self-Efficacy Scale. Measurements were taken before the training, immediately after the training, and at 3 months follow-up. Results showed significant improvements in the intervention group's scores across all sub-dimensions of disaster response self-efficacy (on-site rescue competency, disaster psychological nursing competency, quality of role undertaken, and adaptation competency) and in their perceived self-efficacy to apply PFA, compared to the control group.
These findings emphasize the importance of integrating structured PFA training into nursing education to enhance disaster preparedness and psychosocial intervention competencies among future healthcare professionals.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
盲法说明
Open-label design; no blinding was used.
入排标准
- 年龄范围
- 21 Years 至 24 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Volunteered to participate after being informed about the study
- •Were fourth-year nursing students at the participating universities
- •Had not previously participated in similar training that could bias results
- •Had not received any prior psychological first aid (PFA) training or services
- •Had no internet access problems during the intervention period -
排除标准
- •Individuals who did not complete the post-training or follow-up assessments
- •Students who withdrew from the study voluntarily during the intervention process
- •Participants who experienced technical issues that prevented their attendance in most training sessions
- •Individuals with prior experience in psychological first aid or formal training in disaster response
研究组 & 干预措施
Control Group
Participants in this group did not receive any training during the study period. They continued with their standard nursing curriculum without any additional intervention.
Intervention Group
This group received online psychological first aid (PFA) training. Students were randomly divided into four subgroups. Each group received six 60-minute sessions over three weeks. Sessions included slides, videos, Q&A, role-plays, and case-based discussions. Group members shared thoughts, asked questions, and practiced PFA scenarios. A 17-minute PFA video was also shown. The training was delivered by the researcher and emphasized core PFA principles such as safety, calmness, and self-efficacy.
干预措施: Psychological First Aid Training (Other)
结局指标
主要结局
Disaster Response Self-Efficacy Scale
时间窗: aseline, post-intervention (Week 3), and follow-up (Month 3)
Developed by Hong-Yan Li et al. (2017), this scale assesses individuals' perceived self-efficacy in effectively responding to disasters. The Turkish adaptation, including validity and reliability studies, was conducted by Koca et al. (2018). The scale consists of 19 items across three sub-dimensions, rated on a five-point Likert scale ranging from 1 (No self-confidence) to 5 (Full self-confidence). Higher total scores reflect greater self-efficacy in disaster response. The original study reported excellent internal consistency, with a Cronbach's alpha of 0.96 for the overall scale, and 0.93 for each sub-dimension: On-site Rescue Competence, Psychological Nursing Competence in Disaster, and Quality of Role Undertaken in Disaster and Adaptation Competence.21 In the present study, Cronbach's alpha values ranged from 0.87 to 0.93 across groups and time points, confirming the scale's reliability in this sample
Psychological First Aid Application Self-Efficacy Scale
时间窗: aseline, post-intervention (Week 3), and follow-up (Month 3)
Developed by Kılıç Bayageldi and Şimşek (2022), this scale assesses self-efficacy in applying Psychological First Aid (PFA). It consists of 35 items within a single sub-dimension, rated on a five-point Likert scale from 1 (Not at all appropriate) to 5 (Completely appropriate). Total scores range from 35 to 175, with no reverse-scored items. Higher scores indicate greater self-efficacy in PFA application. The scale demonstrated excellent reliability, with a Cronbach's alpha of 0.95 and a test-retest correlation coefficient of 0.93.22 In this study, internal consistency remained high across all measurements, with Cronbach's alpha values between 0.89 and 0.96.
Disaster Response Self-Efficacy Scale
时间窗: aseline, post-intervention (Week 3), and follow-up (Month 3)
Developed by Hong-Yan Li et al. (2017), this scale assesses individuals' perceived self-efficacy in effectively responding to disasters. The Turkish adaptation, including validity and reliability studies, was conducted by Koca et al. (2018). The scale consists of 19 items across three sub-dimensions, rated on a five-point Likert scale ranging from 1 (No self-confidence) to 5 (Full self-confidence). Higher total scores reflect greater self-efficacy in disaster response. The original study reported excellent internal consistency, with a Cronbach's alpha of 0.96 for the overall scale, and 0.93 for each sub-dimension: On-site Rescue Competence, Psychological Nursing Competence in Disaster, and Quality of Role Undertaken in Disaster and Adaptation Competence.21 In the present study, Cronbach's alpha values ranged from 0.87 to 0.93 across groups and time points, confirming the scale's reliability in this sample
Psychological First Aid Application Self-Efficacy Scale
时间窗: aseline, post-intervention (Week 3), and follow-up (Month 3)
Developed by Kılıç Bayageldi and Şimşek (2022), this scale assesses self-efficacy in applying Psychological First Aid (PFA). It consists of 35 items within a single sub-dimension, rated on a five-point Likert scale from 1 (Not at all appropriate) to 5 (Completely appropriate). Total scores range from 35 to 175, with no reverse-scored items. Higher scores indicate greater self-efficacy in PFA application. The scale demonstrated excellent reliability, with a Cronbach's alpha of 0.95 and a test-retest correlation coefficient of 0.93.22 In this study, internal consistency remained high across all measurements, with Cronbach's alpha values between 0.89 and 0.96.
次要结局
未报告次要终点
研究者
Nurhayat Kiliç Bayageldi
Assistant Professor
Artvin Coruh University