AzTrials
AzTrials

Mental DisorderNCT06808893

The Effects of Documentary and Psychiatric Interviewing Methods in Psychiatric Nursing Education

A study testing Psychiatric interview and documentary and Psychiatric interview in people with Mental Disorder and Stigma of Mental Illness, run by Sakarya University at 1 site in Turkey (Türkiye).

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Negative attitudes towards mental illnesses are an important problem that negatively affects both the social lives of individuals and the effectiveness of health services. Addressing these prejudices, developing empathy and promoting a patient-centred care approach are key goals that can be achieved through clinical… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
Psychiatric interview and documentary and Psychiatric interview
Could I receive a placebo?
No, everyone receives an active treatment
How many people
44 participants
Where
1 siteTurkey (Türkiye)
Study dates
18 Nov 2024to 2 Feb 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • being a third-year undergraduate student; (2) doing clinical practice in an adult inpatient psychiatric ward; (3) showing normal cognitive functions; (4) having the ability to make sense of visual materials

Who cannot join

  • being in clinical practice in community mental health centers and addiction treatment centers; (2) being in clinical practice in special education institutions; (3) having 80% or more absenteeism from clinical practice in adult inpatient psychiatric ward; (4) having 75% or more absenteeism from mental health and psychiatric nursing course; (5) having a psychiatric diagnosis and receiving active treatment

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site

  • Sakarya University

    Sakarya, 54050

Other trials in Turkey (Türkiye)

About this study

Official title: The Effects of Documentary and Psychiatric Interviewing Methods on Empathy, Attitude and Implicit Association in Psychiatric Nursing Education: A Randomized Controlled Study

Negative attitudes towards mental illnesses are an important problem that negatively affects both the social lives of individuals and the effectiveness of health services. Addressing these prejudices, developing empathy and promoting a patient-centred care approach are key goals that can be achieved through clinical experiences and structured educational programmes for nursing students. This single-centre, single-blind, randomised controlled trial aims to examine the effects of documentaries and psychiatric interviews on nursing students' implicit associations, discriminatory attitudes and empathy skills towards mental illnesses. Within the scope of the study, nursing students working in a psychiatric ward will be divided into two groups: one group will work with documentaries including psychiatric interviews and patient narratives, while the other group will only conduct psychiatric interviews. The Implicit Association Test (IAT) and the Attitudes Towards Mental Patients Scale will be used to assess students' implicit associations and attitudes towards psychiatric patients, and the Jefferson Empathy Scale will assess their level of empathy. Data analysis will be performed using SPSS 25.0 software. Given the widespread stigmatisation of psychiatric patients, this study is expected to make a significant contribution to improving the quality of care provided by nursing students in psychiatric settings.

Read the detailed description

Discrimination and stigmatization towards psychiatric patients remain significant challenges, negatively impacting both individuals' quality of life and their access to healthcare services. These attitudes are not limited to the general public but are also observed among healthcare professionals, including nursing students. Such biases can affect the quality of care provided to psychiatric patients, as nursing students often perceive these individuals as aggressive or dangerous, leading to fear and hesitation in interacting with them. However, studies have shown that clinical placements and mental health education programs can reduce these negative attitudes by fostering empathy and understanding, supporting the development of a patient-centered care approach.

Psychiatric interviews and patient-centered documentaries are effective educational tools to address stigmatization and enhance empathy. Psychiatric interviews provide nursing students with structured opportunities to understand patients' biopsychosocial history, mental health needs, and coping strategies, fostering therapeutic communication skills. Similarly, documentaries featuring personal narratives of psychiatric patients help challenge stereotypes, promote empathy, and deepen students' understanding of mental illnesses. Research shows that combining such methods with academic content, concept mapping, and short films can significantly reduce stigmatization, improve social attitudes, and encourage inclusive practices in healthcare.

This study investigates how psychiatric nursing students' prejudices, discriminatory attitudes, and empathy skills towards mental illnesses can be improved through the use of psychiatric interviews and documentaries. By integrating these innovative approaches into nursing education, the study aims to reduce stigmatization, enhance empathy, and equip future healthcare professionals with the skills necessary to provide inclusive, high-quality care to psychiatric patients. This initiative ultimately seeks to contribute to the long-term improvement of mental health services and patient outcomes.

Being tested
Psychiatric interview and documentary, Psychiatric interview
Keywords
Baccalaureate Nursing Education, Documentaries and Factual Films, Implicit Bias, Nursing Students, Mentally Ill
Medical subject headings
Mental Disorders, Bias, Implicit

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Psychiatric interview and documentaryOther

    Nursing students who interview psychiatric patients will be provided with an "Interaction Form" to systematically evaluate and record their interviews. This form consists of the following columns: date of interview, duration of interview, duration of interview, verbal/non-verbal statements of the nurse and patient, effective communication technique and evaluation. The duration of the interview is expected to be between 30 and 45 minutes. Another component of the combination is the documentary "Us, You, Them" prepared by the Federation of Schizophrenia Associations of Turkey, which deals with the life stories of schizophrenia patients and lasts approximately 56 minutes.

  • Psychiatric interviewOther

    Nursing students who interview psychiatric patients will be provided with an "Interaction Form" to systematically evaluate and record their interviews. This form consists of the following columns: date of interview, duration of interview, duration of interview, verbal/non-verbal statements of the nurse and patient, effective communication technique and evaluation. The duration of the interview is expected to be between 30 and 45 minutes.

Study groups in NCT06808893
Study groupRoleWhat they receive
Control group (psychiatric interview)Active comparatorNursing students who interview psychiatric patients will be provided with an "Interaction Form" to systematically evaluate and record their interviews. The form is designed to help students analyze their communication processes and document their clinical practice. Before the clinical practice, training on the use of the form will be provided and the points that students should pay attention to in the interviews will be explained. This form consists of the following columns: date and duration of the interview, purpose of the interview, verbal/non-verbal statements of the nurse and patient, effective communication technique and evaluation. During the 6-week psychiatric service practice, students are expected to conduct three psychiatric interviews. After the interviews, students will document the process in detail and will be evaluated by the mentor nurses. Guiding nurses will give feedback to the students, indicating their strengths and areas to improve, and guidance will be provid
Receives: Other: Psychiatric interview
Experimental group (psychiatric interview and documentary)ExperimentalThe experimental group was expected to conduct three psychiatric interviews and watch the documentary "Biz,Siz,Onlar" during the 6-week psychiatric service practice. Psychiatric interviews will be carried out with the "Interaction Form" consisting of interview date and duration, purpose of the interview, verbal/nonverbal expressions of the nurse and the patient, effective communication technique and evaluation columns. In addition, students will be shown the documentary "Biz,Siz,Onlar" prepared by the Federation of Schizophrenia Associations of Turkey, which deals with the life stories of schizophrenia patients. The guide nurse will inform the students about the content of the documentary and the viewing process, and students will be encouraged to take notes during the viewing. The documentary, which lasts 56 minutes, will be watched in a quiet environment and then an interactive discussion session will be organized on the themes in the documentary on the clinical practice day.
Receives: Other: Psychiatric interview and documentary

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Implicit Association Test (IAT)

    The Implicit Association Test (IAT), part of Harvard University's Project Implicit, is designed to measure whether psychiatric patients are perceived as dangerous. This test aims to reveal associations that individuals have at an automatic and unconscious level that they do not consciously express. This test, which is especially used for stigmatization studies related to mental health, implicitly measures how dangerous or harmless the participants find psychiatric patients. It examines how quickly participants mentally associate psychiatric patients with positive or negative concepts such as danger or trust. The concepts that are matched faster reflect the implicit attitudes of the person, revealing their unconscious perceptions towards individuals with mental illness.

    Measured: Within 24 hours after 3 psychiatric interviews and documentary for the experimental group and after 3 psychiatric interviews for the control group

  2. The Attitudes Towards Mental Patients Scale

    The Attitude Towards Mental Patients Scale, developed by Sedat Işıklı in 1998, was prepared to measure a specific psychological construct. The scale consists of 22 items and includes two factors: 'short-term relationships' and 'long-term relationships'. The short-term relationship factors include items 2, 6, 7, 8, 9, 15, 17, 18, 20, 21, and 22. These items reflect attitudes towards shorter-term social relationships in general and towards situations that do not threaten the respondent's personal space. The Long-Term Relationships Factor includes items 1, 3, 4, 5, 10, 11, 12, 13, 14, 16, and 19 and assesses attitudes towards longer-term and closer relationships. The scale is scored on a 5-point Likert scale: 5=Strongly agree, 4=Agree, 3=No opinion, 2=Disagree, and 1=Strongly disagree. High scores indicate a positive attitude.

    Measured: Within 24 hours after 3 psychiatric interviews and documentary for the experimental group and after 3 psychiatric interviews for the control group

Secondary outcomes (1)

  1. Jefferson Empathy Scale

    The original form of the scale was developed by Hojat et al. in 2001 to measure the empathy level of health professionals in patient care. The adaptation study of the scale into Turkish was conducted by Yanık and Saygılı in 2014. The scale, which consists of a total of 20 items and three sub-dimensions, is a 7-point Likert type. Participants rate the level of empathy between 1 (strongly disagree) and 7 (strongly agree).

    Measured: Within 24 hours after 3 psychiatric interviews and documentary for the experimental group and after 3 psychiatric interviews for the control group

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Feb 2025
  2. Study start18 Nov 2024
  3. Primary completion5 Jan 2025
  4. Study completion2 Feb 2025 (estimated)

Resources

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
The psychiatric interview group, which is the control group, will have at least one psychiatric interview and will be evaluated with the counselling nurse. The experimental group will have at least one psychiatric interview and the documentary 'Us, You, Them' with patient narratives will be evaluated with a counselling nurse.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
44 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06808893
Sponsor's protocol ID
28-01-2025-SK
Status last verified
Jan 2025
First submitted
30 Jan 2025
Last updated
5 Feb 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bilge A, Palabiyik O. The Effect of Short Films About Mental Health and Disorders on Preventing Stigmatization in Nursing Education. Arch Psychiatr Nurs. 2017 Feb;31(1):88-92. doi: 10.1016/j.apnu.2016.09.006. Epub 2016 Sep 8.

    PubMed 28104066

  • Li, Y., 2016. From "whom to blame" to "nothing to fear": documentary narratives, voices, and "dependent destigmatization" of severe mental patients (SMPs) in Hong Kong. Chin. J. Commun. 9 (4), 403-421. https://doi.org/10.1080/17544750.2016.1202293.

  • Yildiz E. What Do Nursing Students Tell Us About Their Communication With People With Mental Illness? A Qualitative Study. J Am Psychiatr Nurses Assoc. 2021 Nov-Dec;27(6):471-482. doi: 10.1177/1078390319892311. Epub 2019 Dec 3.

    PubMed 31795795

  • Chou HJ, Tseng KY. The Experience of Emergency Nurses Caring for Patients with Mental Illness: A Qualitative Study. Int J Environ Res Public Health. 2020 Nov 18;17(22):8540. doi: 10.3390/ijerph17228540.

    PubMed 33217909

  • Todorova L, Johansson A, Ivarsson B. Perceptions of ambulance nurses on their knowledge and competence when assessing psychiatric mental illness. Nurs Open. 2021 Mar;8(2):946-956. doi: 10.1002/nop2.703. Epub 2020 Nov 27.

    PubMed 33570281

  • Ciydem E, Avci D. Effects of the psychiatric nursing course on students' beliefs toward mental illness and psychiatric nursing perceptions in Turkey. Perspect Psychiatr Care. 2022 Jan;58(1):348-354. doi: 10.1111/ppc.12796. Epub 2021 Apr 8.

    PubMed 33834489

  • Happell B, Gaskin CJ. The attitudes of undergraduate nursing students towards mental health nursing: a systematic review. J Clin Nurs. 2013 Jan;22(1-2):148-58. doi: 10.1111/jocn.12022. Epub 2012 Nov 21.

    PubMed 23170825

  • Sideras, S., McKenzie, G., Noone, J., Dieckmann, N.F., Allen, T.L., 2015. Impact of a simulation on nursing students' attitudes toward schizophrenia. Clin. Simul. Nurs. 11 (2), 134-141. https://doi.org/10.1016/j.ecns.2014.11.005.

  • Šimičić, M., 2023. Nurses' attitudes and stigma about mental illness and substance abuse. Open Access Maced. J. Med. Sci. 11 (G), 98-104. https://doi.org/10.3889/oamjms.2023.11713.

  • Porfyri GN, Athanasiadou M, Siokas V, Giannoglou S, Skarpari S, Kikis M, Myroforidou A, Anoixa M, Zerakis N, Bonti E, Konsta A, Diakogiannis I, Rudolf J, Deretzi G. Mental health-related stigma discrimination and prejudices among Greek healthcare professionals. Front Psychiatry. 2022 Nov 30;13:1027304. doi: 10.3389/fpsyt.2022.1027304. eCollection 2022.

    PubMed 36532175

  • Kohn L, Christiaens W, Detraux J, De Lepeleire J, De Hert M, Gillain B, Delaunoit B, Savoye I, Mistiaen P, Jespers V. Barriers to Somatic Health Care for Persons With Severe Mental Illness in Belgium: A Qualitative Study of Patients' and Healthcare Professionals' Perspectives. Front Psychiatry. 2022 Jan 26;12:798530. doi: 10.3389/fpsyt.2021.798530. eCollection 2021.

    PubMed 35153863

  • Diatmika, I.P., Karmila, D., 2022. Stigma influence of the outcome (experiences, motivations, and obstacles) towards people with mental illness problems in Babaka Public Health Centre, Lombok. Berk. Kedokteran 18 (2), 161. https://doi.org/10.20527/jbk.v18i2.14492.

  • Zhang Z, Sun K, Jatchavala C, Koh J, Chia Y, Bose J, Li Z, Tan W, Wang S, Chu W, Wang J, Tran B, Ho R. Overview of Stigma against Psychiatric Illnesses and Advancements of Anti-Stigma Activities in Six Asian Societies. Int J Environ Res Public Health. 2019 Dec 31;17(1):280. doi: 10.3390/ijerph17010280.

    PubMed 31906068

  • Singh GP, Chavan BS, Kaur P, Bhatia S. Physical illnesses among psychiatric outpatients in a tertiary care health institution: A prospective study. Indian J Psychiatry. 2006 Jan;48(1):52-5. doi: 10.4103/0019-5545.31620.

    PubMed 20703416

  • Rymaszewska J, Jarosz-Nowak J, Kiejna A, Kallert T, Schutzwohl M, Priebe S, Wright D, Nawka P, Raboch J. Social disability in different mental disorders. Eur Psychiatry. 2007 Apr;22(3):160-6. doi: 10.1016/j.eurpsy.2006.11.006. Epub 2007 Jan 16.

    PubMed 17227704

Questions about this trial

What is this clinical trial studying?

A study testing Psychiatric interview and documentary and Psychiatric interview in people with Mental Disorder and Stigma of Mental Illness, run by Sakarya University at 1 site in Turkey (Türkiye).

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 1 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: under way, not looking for participants, as of the sponsor's last update on 5 Feb 2025. 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 Turkey (Türkiye). 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?

This study is still under way. Results are not available in the source record yet.

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?

The Implicit Association Test (IAT) (time frame: Within 24 hours after 3 psychiatric interviews and documentary for the experimental group and after 3 psychiatric interviews for the control group). 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 NCT06808893, which also lists 17 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 5 Feb 2025; AzTrials last refreshed its copy on 26 Oct 2026.

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