Moral InjuryNCT07656402
Role Model-Based Ethics Education and Moral Injury Prevention in Second-Year Medical Students
A study testing Role Model-Based Ethics Education (Standard Intensity) and Role Model-Based Ethics Education (Enhanced Intensity) in people with Moral Injury and Perceived Stress, run by Chun Lun Hsu at 1 site in Taiwan.
Trial summary
This study examines whether role model-based ethics education can reduce moral injury and perceived stress, and improve resilience, among second-year medical students in Taiwan. Students participated in a general education ethics course and self-selected into one of two groups: a standard-intensity group receiving… Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Moral Injury, Perceived Stress, Resilience
- What is being tested?
- Role Model-Based Ethics Education (Standard Intensity) and Role Model-Based Ethics Education (Enhanced Intensity)
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 101 participants
- Where
- 1 siteTaiwan
- Study dates
- 1 Nov 2025to 20 Feb 2026
- 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 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Second-year medical students enrolled in a general education ethics course at National Defense Medical University, Taiwan
- Willing to complete pre- and post-course questionnaires
Who cannot join
- Students who did not complete both pre-test and post-test assessments
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Role Model-Based Ethics Education and Moral Injury Prevention in Second-Year Medical Students: A Mixed-Methods Quasi-Experimental Study
This study examines whether role model-based ethics education can reduce moral injury and perceived stress, and improve resilience, among second-year medical students in Taiwan. Students participated in a general education ethics course and self-selected into one of two groups: a standard-intensity group receiving role model narratives and guided handouts, or an enhanced-intensity group receiving the same content plus reflective writing assignments and live guest appearances by featured practitioners. Validated questionnaires measuring moral injury (MIDS), perceived stress (PSS-14), and resilience (CD-RISC-10) were administered before and after the course. Open-ended written responses were also collected and analyzed. The study aims to inform early curricular integration of ethics education in medical training and to identify instructional designs that support moral agency without inadvertently promoting emotional disengagement.
- Conditions
- Moral Injury, Perceived Stress, Resilience, Ethics Education
- Being tested
- Role Model-Based Ethics Education (Standard Intensity), Role Model-Based Ethics Education (Enhanced Intensity)
- Medical subject headings
- Stress Disorders, Post-Traumatic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Role Model-Based Ethics Education (Standard Intensity)Behavioural
Participants attended a semester-long general education ethics course incorporating role model narratives drawn from real clinical practitioners. Guided reflection handouts were provided to facilitate structured engagement with the ethical themes presented. This condition served as the active comparator.
Role Model-Based Ethics Education (Enhanced Intensity)Behavioural
Participants attended the same role model-based ethics course as the standard-intensity group, with two additional components: structured reflective writing assignments requiring personal ethical reflection, and live guest appearances by the practitioners featured in the role model narratives. This condition served as the experimental arm.
| Study group | Role | What they receive |
|---|---|---|
| Standard-Intensity Group (Group A) | Active comparator | Participants received role model narratives and guided reflection handouts as part of a semester-long general education ethics course. Receives: Behavioral: Role Model-Based Ethics Education (Standard Intensity) |
| Enhanced-Intensity Group (Group B) | Experimental | Participants received the same role model narratives and guided reflection handouts as Group A, supplemented with structured reflective writing assignments and live guest appearances by the featured practitioners. Receives: Behavioral: Role Model-Based Ethics Education (Enhanced Intensity) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Moral Injury (MIDS)
Moral injury symptoms measured using the Moral Injury and Distress Scale (MIDS). Higher scores indicate greater moral injury.
Measured: Baseline and up to 6 weeks (immediately after course completion)
Secondary outcomes (1)
Perceived Stress (PSS-14)
Perceived stress measured using the 14-item Perceived Stress Scale (PSS-14). Higher scores indicate greater perceived stress.
Measured: Baseline and up to 6 weeks (immediately after course completion)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Jun 2026
- Study start1 Nov 2025
- Primary completion31 Dec 2025
- Study completion20 Feb 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Moral InjuryStudies 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
- Other
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Model description
- Students self-selected into two parallel groups receiving role model-based ethics education at different instructional intensities (standard vs. enhanced) within the same course.
- Masking
- None (open label)
- Enrolment
- 101 participants (actual)
Sponsor and investigators
- Lead sponsor
- Chun Lun Hsu
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Chun Lun Hsu, National Defense Medical Center, Taiwan
- Investigators
- Chun Lun Hsu, Principal investigator, National Defense Medical University, Taiwan
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07656402
- Sponsor's protocol ID
- TSGHIRB-C202505117
- Status last verified
- Jun 2026
- First submitted
- 11 Jun 2026
- Last updated
- 18 Jun 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Role Model-Based Ethics Education and Moral Injury Prevention in Second-Year Medical Students: A Mixed-Methods Quasi-Experimental Study
- ClinicalTrials.gov ID
- NCT07656402
- Acronym / sponsor ID
- TSGHIRB-C202505117
- Conditions
- Moral Injury, Perceived Stress, Resilience, Ethics Education
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 101 participants (actual)
- Lead sponsor
- Chun Lun HsuUniversity, hospital or other
- Study start
- 1 Nov 2025 (actual)
- Primary completion
- 31 Dec 2025 (actual)
- Study completion
- 20 Feb 2026 (actual)
- First posted
- 18 Jun 2026 (actual)
- 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.
This study examines whether role model-based ethics education can reduce moral injury and perceived stress, and improve resilience, among second-year medical students in Taiwan. Students participated in a general education ethics course and self-selected into one of two groups: a standard-intensity group receiving role model narratives and guided handouts, or an enhanced-intensity group receiving the same content plus reflective writing assignments and live guest appearances by featured practitioners. Validated questionnaires measuring moral injury (MIDS), perceived stress (PSS-14), and resilience (CD-RISC-10) were administered before and after the course. Open-ended written responses were also collected and analyzed. The study aims to inform early curricular integration of ethics education in medical training and to identify instructional designs that support moral agency without inadvertently promoting emotional disengagement.
Study design
- Primary purpose
- Other
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Students self-selected into two parallel groups receiving role model-based ethics education at different instructional intensities (standard vs. enhanced) within the same course.
| Arm | Type | Receives |
|---|---|---|
| Standard-Intensity Group (Group A) | Active comparator | Behavioral: Role Model-Based Ethics Education (Standard Intensity)Participants received role model narratives and guided reflection handouts as part of a semester-long general education ethics course. |
| Enhanced-Intensity Group (Group B) | Experimental | Behavioral: Role Model-Based Ethics Education (Enhanced Intensity)Participants received the same role model narratives and guided reflection handouts as Group A, supplemented with structured reflective writing assignments and live guest appearances by the featured practitioners. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Second-year medical students enrolled in a general education ethics course at National Defense Medical University, Taiwan
- Willing to complete pre- and post-course questionnaires
Key exclusion criteria (1 listed)
- Students who did not complete both pre-test and post-test assessments
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 |
|---|---|---|
| Role Model-Based Ethics Education (Standard Intensity)Participants attended a semester-long general education ethics course incorporating role model narratives drawn from real clinical practitioners. Guided reflection handouts were provided to facilitate structured engagement with the ethical themes presented. This condition served as the active comparator. | Behavioural | Standard-Intensity Group (Group A) |
| Role Model-Based Ethics Education (Enhanced Intensity)Participants attended the same role model-based ethics course as the standard-intensity group, with two additional components: structured reflective writing assignments requiring personal ethical reflection, and live guest appearances by the practitioners featured in the role model narratives. This condition served as the experimental arm. | Behavioural | Enhanced-Intensity Group (Group B) |
Primary outcome
Moral Injury (MIDS)
Time frame: Baseline and up to 6 weeks (immediately after course completion)
Moral injury symptoms measured using the Moral Injury and Distress Scale (MIDS). Higher scores indicate greater moral injury.
1 secondary outcome
Perceived Stress (PSS-14)
Time frame: Baseline and up to 6 weeks (immediately after course 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 18 Jun 2026.
- 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.
Chun Lun Hsu principal investigator
National Defense Medical University, Taiwan
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Role Model-Based Ethics Education (Standard Intensity) and Role Model-Based Ethics Education (Enhanced Intensity) in people with Moral Injury and Perceived Stress, run by Chun Lun Hsu at 1 site in Taiwan.
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 2 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 18 Jun 2026. 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 Taiwan. 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?
Moral Injury (MIDS) (time frame: Baseline and up to 6 weeks (immediately after course completion)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 18 Jun 2026.