Department of Psychology, Division of Clinical Psychology and Psychotherapy, Philipps-University Marburg, Marburg, Germany.
Department of Psychology, Emma Eccles Jones College of Education and Human Services, Utah State University, 6405 Old Main Hill, Logan, UT, 84321, USA.
Trials. 2024 Jan 20;25(1):71. doi: 10.1186/s13063-023-07878-w.
In mental health care, the number of patients with diverse cultural backgrounds is growing. Nevertheless, evaluated training programs for transcultural competence are missing. Barriers for engaging in transcultural therapy can be identified in patients as well as in therapists. Besides language barriers, clinical psychologists report insecurities, for example, fear of additional expenses when involving a language mediator, ethical concerns such as power imbalances, or fear of lack of knowledge or incorrect handling when working with patients from other cultures. Divergent values and concepts of disease, prejudices, and stereotyping are also among the issues discussed as barriers to optimal psychotherapy care. The planned study aims to empower clinical psychologists to handle both their own as well as patients' barriers through a web-based training on transcultural competence.
The training includes 6 modules, which are unlocked weekly. A total of N = 174 clinical psychologists are randomly assigned to two groups: the training group (TG) works through the complete training over 6 weeks, which includes a variety of practical exercises and self-reflections. In addition, participants receive weekly written feedback from a trained psychologist. The waitlist control group (WL) completes the training after the end of the waiting period (2 months after the end of the TG's training). The primary outcome is transcultural competence. Secondary outcomes consist of experiences in treating people from other cultures (number of patients, satisfaction and experience of competence in treatment, etc.). Data will be collected before and after the training as well as 2 and 6 months after the end of the training.
This randomized controlled trial tests the efficacy of and satisfaction with a web-based training on transcultural competence for German-speaking clinical psychologists. If validated successfully, the training can represent a time- and place-flexible training opportunity that could be integrated into the continuing education of clinical psychologists in the long term.
DRKS00031105. Registered on 21 February 2023.
在精神卫生保健领域，具有不同文化背景的患者人数不断增加。然而，目前缺乏针对跨文化能力的评估培训项目。在患者和治疗师中都可以发现参与跨文化治疗的障碍。除了语言障碍外，临床心理学家还报告存在不安全感，例如，担心涉及语言调解员会增加额外费用、涉及权力失衡等伦理问题、或担心在与来自其他文化的患者合作时缺乏知识或处理不当。不同的价值观和疾病观念、偏见和刻板印象也是最佳心理治疗护理的障碍之一。计划中的研究旨在通过基于网络的跨文化能力培训，使临床心理学家能够应对自身和患者的障碍。
培训包括 6 个模块，每周解锁一个。共有 174 名临床心理学家被随机分配到两个组：培训组（TG）在 6 周内完成整个培训，其中包括各种实践练习和自我反思。此外，参与者每周都会收到一名经过培训的心理学家的书面反馈。候补对照组（WL）在等待期结束后（TG 培训结束后 2 个月）完成培训。主要结果是跨文化能力。次要结果包括治疗其他文化背景的人的经验（患者人数、治疗满意度和能力体验等）。培训前后以及培训结束后 2 个月和 6 个月收集数据。
这项随机对照试验测试了针对德语临床心理学家的基于网络的跨文化能力培训的效果和满意度。如果验证成功，该培训可以代表一种灵活的时间和地点的培训机会，可以长期纳入临床心理学家的继续教育中。
DRKS00031105。于 2023 年 2 月 21 日注册。
