Healthy VolunteersNCT03038347
Training of Cross-cultural Competencies in Psychotherapists
A study testing Training and Education only in people with Healthy Volunteers, run by Philipps University Marburg at 1 site in Germany.
Trial 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. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Healthy Volunteers
- What is being tested?
- Training and Education only
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 173 participants
- Where
- 1 siteGermany
- Study dates
- 15 Sep 2020to 31 Aug 2022
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- current psychotherapeutic work
- Internet access
- sufficient German language skills
- ongoing or completed training in Psychotherapy
Who cannot join
- too much previous knowledge about cross-cultural competencies (> 10h training)
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Evaluation of an Internet-based Training Program to Improve Cross-cultural Competencies in Psychotherapists
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.
Read the 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.
- Conditions
- Healthy Volunteers
- Being tested
- Training, Education only
- Keywords
- cross-cultural competencies, internet-based training, cognitive-behavioural therapy (CBT), psychotherapy training, competence training
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TrainingBehavioural
Six modules containing PDF-files with text-based information, video files, case studies with associated questions and practical exercises. Participants can download the modules and associated materials from an online platform they need to register for. They receive access to modules and associated exercises once a week. After six weeks the training is completed.
Education onlyBehavioural
Six modules containing only PDF-files with text-based information. Participants can download the modules and associated materials from an online platform they need to register for. They receive access to modules once a week. After six weeks the education is completed.
| Study group | Role | What they receive |
|---|---|---|
| Training | Experimental | In 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 Receives: Behavioral: Training |
| Education only | Active comparator | In 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. Receives: Behavioral: Education only |
| Waiting control | No intervention | Initially, participants do not receive any training contents. After a six week waiting period, they can participate in the training program as well. Modules are equivalent to those of the training group. Purpose of this group is to determine whether the training program is effective. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Transcultural Competencies of Psychotherapists Questionnaire (TKKP; Reichardt et. al., in prep.)
Change in cross-cultural psychotherapeutic competencies
Measured: pre-training, post-training (6 weeks after the start of the training); follow up (6 month after training completion)
Multicultural Counseling Inventory (MCI; Sodowsky, 1994)
Change in cross-cultural psychotherapeutic competencies
Measured: pre-training, post-training (6 weeks after the start of the training); follow-up (6 month after training completion)
Secondary outcomes (8)
Cultural sensitivity in actual psychotherapeutic work I
Percentage of culturally diverse patients currently in treatment in own actual psychotherapeutic work
Measured: pre-training, post-training (6 weeks after the start of the training), follow-up (6 month after training completion)
Cultural sensitivity in actual psychotherapeutic work II
Willingness to treat culturally diverse patients in own actual psychotherapeutic work (rating scale)
Measured: pre-training, post-training (6 weeks after the start of the training), follow-up (6 month after training completion)
Cultural sensitivity in actual psychotherapeutic work III
Satisfaction with cross-cultural therapies provided in actual psychotherapeutic work (rating scale)
Measured: pre-training, post-training (6 weeks after the start of the training), follow-up (6 month after training completion)
Cultural sensitivity in actual psychotherapeutic work IV
Perceived competence in the currently provided cross-cultural therapies (rating scale)
Measured: pre-training, post-training (6 weeks after the start of the training), follow-up (6 month after training completion)
Knowledge regarding the provision of cross-cultural psychotherapy
Test of specific knowledge gained during the training (knowledge test in multiple choice answer format)
Measured: post-training (6 weeks after the start of the training)
Training satisfaction scale
Satisfaction with the training (rating scale; items assessing satisfaction with contents and structure of the developed training)
Measured: post-training (6 weeks after the start of the training); follow-up (6 month after training completion)
Learning success scale
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)
Measured: post-training (6 weeks after the start of the training); follow-up (6 month after training completion)
Cultural sensitivity in psychotherapeutic work (Behavioural change measure)
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)
Measured: post-training (6 weeks after the start of the training), 2 months after training completion; follow-up (6 month after training completion)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Jan 2017 (estimated)
- Study start15 Sep 2020
- Primary completion31 Dec 2021
- Study completion31 Aug 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (8)Papers the sponsor has linked to this study.
- Other trials for Healthy VolunteersStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 173 participants (actual)
Sponsor and investigators
- Lead sponsor
- Philipps University Marburg
- Sponsor type
- University, hospital or other
- Collaborators
- Humboldt-Universität zu Berlin
- Responsible party
- Principal investigator, Cornelia Weise, Philipps University Marburg
- Investigators
- Cornelia Weise, PhD, Principal investigator, Department of Clinical Psychology and Psychotherapy, Philipps University MarburgWinfried Rief, PhD, Study chair, Department of Clinical Psychology and Psychotherapy, Philipps University MarburgUlrike von Lersner, PhD, Study chair, Department of Transcultural Psychology, Humboldt University BerlinGerhard Andersson, PhD, Study chair, Department of Behavioural Sciences and Learning, Linköping University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03038347
- Sponsor's protocol ID
- Cross-cultural psychotherapy
- Status last verified
- Nov 2022
- First submitted
- 17 Jan 2017
- Last updated
- 8 Nov 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Fazel M, Wheeler J, Danesh J. Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review. Lancet. 2005 Apr 9-15;365(9467):1309-14. doi: 10.1016/S0140-6736(05)61027-6.
PubMed 15823380Gaitanides, S. (2001). Zugangsbarrieren von Migrant (inn) en zu den sozialen und psychosozialen Diensten und Strategien interkultureller Öffnung. In G. Auernheimer (Hrsg.), Migration als Herausforderung für pädagogische Institutionen (pp. 181-194). Wiesbaden: Springer Fachmedien.
Mösko, M., Baschin, K., Längst, G., & von Lersner, U. (2012). Interkulturelle Trainings für die psychosoziale Versorgung. Psychotherapeut, 57(1), 15-21.
Mosko MO, Pradel S, Schulz H. [The care of people with a migration background in psychosomatic rehabilitation]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2011 Apr;54(4):465-74. doi: 10.1007/s00103-011-1245-x. German.
PubMed 21465403Reichardt, J., von Lersner, U., Rief, W., & Weise, C. (in Vorb.). Entwicklung und Validierung des Inventars zur Erfassung transkultureller Kompetenzen bei Psychotherapeuten (TKKP).
Sodowsky, G. R., Taffe, R. C., Gutkin, T. B., & Wise, S. L. (1994). Development of the Multicultural Counseling Inventory: A Self-Report Measure of Multicultural Competencies. Journal of Counseling Psychology, 41(2), 137-148.
Sue, D. W., Arredondo, P., & McDavis, R. J. (1992). Multicultural counseling competencies and standards: A call to the profession. Journal of Counseling & Development, 70(4), 477-486.
Reichardt, J., von Lersner, U., Rief, W., & Weise, C. (2017). Wie lassen sich transkulturelle Kompetenzen bei Psychotherapeuten steigern? Vorstellung eines webbasierten Trainingsprogramms [How to improve cross-cultural competencies in psychotherapists? Introduction of a web-based training program]. Zeitschrift für Psychiatrie, Psychologie und Psychotherapie, 65(3), 155-165. doi:10.1024/1661-4747/a000316
Study at a glance
From the registry record, last updated by the sponsor on 8 Nov 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of an Internet-based Training Program to Improve Cross-cultural Competencies in Psychotherapists
- ClinicalTrials.gov ID
- NCT03038347
- Acronym / sponsor ID
- Cross-cultural psychotherapy
- Conditions
- Healthy Volunteers
- Keywords
- cross-cultural competencies, internet-based training, cognitive-behavioural therapy (CBT), psychotherapy training, competence training
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 173 participants (actual)
- Lead sponsor
- Philipps University MarburgUniversity, hospital or other
- Collaborators
- Humboldt-Universität zu Berlin
- Study start
- 15 Sep 2020 (actual)
- Primary completion
- 31 Dec 2021 (actual)
- Study completion
- 31 Aug 2022 (actual)
- First posted
- 31 Jan 2017 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Training | Experimental | Behavioral: TrainingIn 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 only | Active comparator | Behavioral: Education 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. |
| Waiting control | No intervention | –Initially, participants do not receive any training contents. After a six week waiting period, they can participate in the training program as well. Modules are equivalent to those of the training group. Purpose of this group is to determine whether the training program is effective. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (4 listed)
- current psychotherapeutic work
- Internet access
- sufficient German language skills
- ongoing or completed training in Psychotherapy
Key exclusion criteria (1 listed)
- too much previous knowledge about cross-cultural competencies (> 10h training)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TrainingSix modules containing PDF-files with text-based information, video files, case studies with associated questions and practical exercises. Participants can download the modules and associated materials from an online platform they need to register for. They receive access to modules and associated exercises once a week. After six weeks the training is completed. | Behavioural | Training |
| Education onlySix modules containing only PDF-files with text-based information. Participants can download the modules and associated materials from an online platform they need to register for. They receive access to modules once a week. After six weeks the education is completed. | Behavioural | Education only |
Primary outcome
Transcultural Competencies of Psychotherapists Questionnaire (TKKP; Reichardt et. al., in prep.)
Time frame: 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)
Time frame: 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
8 secondary outcomes
Cultural sensitivity in actual psychotherapeutic work I
Time frame: pre-training, post-training (6 weeks after the start of the training), follow-up (6 month after training completion)
Cultural sensitivity in actual psychotherapeutic work II
Time frame: pre-training, post-training (6 weeks after the start of the training), follow-up (6 month after training completion)
Cultural sensitivity in actual psychotherapeutic work III
Time frame: pre-training, post-training (6 weeks after the start of the training), follow-up (6 month after training completion)
Cultural sensitivity in actual psychotherapeutic work IV
Time frame: pre-training, post-training (6 weeks after the start of the training), follow-up (6 month after training completion)
Knowledge regarding the provision of cross-cultural psychotherapy
Time frame: post-training (6 weeks after the start of the training)
Training satisfaction scale
Time frame: post-training (6 weeks after the start of the training); follow-up (6 month after training completion)
Learning success scale
Time frame: post-training (6 weeks after the start of the training); follow-up (6 month after training completion)
Cultural sensitivity in psychotherapeutic work (Behavioural change measure)
Time frame: post-training (6 weeks after the start of the training), 2 months after training completion; follow-up (6 month after training completion)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Nov 2022.
- Background: PubMed 15823380Fazel M, Wheeler J, Danesh J. Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review. Lancet. 2005 Apr 9-15;365(9467):1309-14. doi: 10.1016/S0140-6736(05)61027-6.
- BackgroundGaitanides, S. (2001). Zugangsbarrieren von Migrant (inn) en zu den sozialen und psychosozialen Diensten und Strategien interkultureller Öffnung. In G. Auernheimer (Hrsg.), Migration als Herausforderung für pädagogische Institutionen (pp. 181-194). Wiesbaden: Springer Fachmedien.
- BackgroundMösko, M., Baschin, K., Längst, G., & von Lersner, U. (2012). Interkulturelle Trainings für die psychosoziale Versorgung. Psychotherapeut, 57(1), 15-21.
- Background: PubMed 21465403Mosko MO, Pradel S, Schulz H. [The care of people with a migration background in psychosomatic rehabilitation]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2011 Apr;54(4):465-74. doi: 10.1007/s00103-011-1245-x. German.
- BackgroundReichardt, J., von Lersner, U., Rief, W., & Weise, C. (in Vorb.). Entwicklung und Validierung des Inventars zur Erfassung transkultureller Kompetenzen bei Psychotherapeuten (TKKP).
- BackgroundSodowsky, G. R., Taffe, R. C., Gutkin, T. B., & Wise, S. L. (1994). Development of the Multicultural Counseling Inventory: A Self-Report Measure of Multicultural Competencies. Journal of Counseling Psychology, 41(2), 137-148.
- BackgroundSue, D. W., Arredondo, P., & McDavis, R. J. (1992). Multicultural counseling competencies and standards: A call to the profession. Journal of Counseling & Development, 70(4), 477-486.
- BackgroundReichardt, J., von Lersner, U., Rief, W., & Weise, C. (2017). Wie lassen sich transkulturelle Kompetenzen bei Psychotherapeuten steigern? Vorstellung eines webbasierten Trainingsprogramms [How to improve cross-cultural competencies in psychotherapists? Introduction of a web-based training program]. Zeitschrift für Psychiatrie, Psychologie und Psychotherapie, 65(3), 155-165. doi:10.1024/1661-4747/a000316
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Cornelia Weise, PhD principal investigator
Department of Clinical Psychology and Psychotherapy, Philipps University Marburg
Winfried Rief, PhD study chair
Department of Clinical Psychology and Psychotherapy, Philipps University Marburg
Ulrike von Lersner, PhD study chair
Department of Transcultural Psychology, Humboldt University Berlin
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Training and Education only in people with Healthy Volunteers, run by Philipps University Marburg at 1 site in Germany.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 8 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Transcultural Competencies of Psychotherapists Questionnaire (TKKP; Reichardt et. al., in prep.) (time frame: pre-training, post-training (6 weeks after the start of the training); follow up (6 month after training completion)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03038347, which also lists 8 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Nov 2022.