Mental Well-being
Conditions
Brief summary
Medical students, especially those in postgraduate training, face a complex array of challenges such as fatigue; work-life balance conflicts; difficulties managing dual hierarchies (hospital and university). Surprisingly, residents receive little to no dedicated training in recognizing and managing psychiatric disorders, except for psychiatry residents. This gap is exacerbated by persistent stigma towards psychiatric conditions. The Mental Health First Aid (MHFA) training approach could offer an innovative solution, addressing the root of the problem. This prospective, single-center cohort study aims to compare (1) the mental well-being of first-year specialty residents in the Lyon subdivision exposed to MHFA-trained peers; with (2) the mental well-being of unexposed second-year specialty residents. The hypothesis is that exposure to peers trained in MHFA improves well-being and reduces symptoms of burnout, depression, and anxiety at 3, 6, 9, and 12 months among peer residents.
Interventions
OTHERExposition to trained peer-support registrars for a year
Exposition to trained peer-support registrars for a year
Sponsors
Hospices Civils de Lyon
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* subject to the non-opposition of the residents, all medical residents entering their first and second year of specialized studies (DES) on November 1, 2025, in the city of Lyon will be included in the study.
Exclusion criteria
* refusal to participate AND in the unlikely cases where: * subject under guardianship or curatorship; * subject unable to give free and informed consent; * subject under legal protection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Well-being | Measured at Month 12 | As measured by the total score on the WEMWBS (Warwick-Edinburgh Mental Well-being Scale), a self-questionnaire. 5 point Likert scale (1-4); 14 questions |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety | Measured at baseline, Month 3, Month 6, Month 9, Month 12 | As measured by anxiety subscore of the HAD (Hospital Anxiety and Depression scale), a self-questionnaire. 4 point Likert scale (0-3); 7 questions |
| Depression | Measured at baseline, Month 3, Month 6, Month 9, Month 12 | As measured by depression subscore of the HAD (Hospital Anxiety and Depression scale), a self-questionnaire. 4 point Likert scale (0-3); 7 questions |
| Well-being | Measured at baseline, Month 3, Month 6 and Month 9 | As measured by the total score on the WEMWBS (Warwick-Edinburgh Mental Well-being Scale), a self-questionnaire. 5 point Likert scale (1-4); 14 questions |
| Impact on well-being according to gender | Measured at baseline, Month 3, Month 6, Month 9, Month 12 | Differentiated impact on well-being according to gender measured by the total score on the WEMWBS (Warwick-Edinburgh Mental Well-being Scale, a self-questionnaire. 5 point Likert scale (1-4); 14 questions), analyzed via Group x Gender interaction effect. |
| Impact on well-being according to speciality | Measured at baseline, Month 3, Month 6, Month 9, Month 12 | Differentiated impact on well-being according to speciality measured by the total score on the WEMWBS (Warwick-Edinburgh Mental Well-being Scale, a self-questionnaire. 5 point Likert scale (1-4); 14 questions), analyzed via Group x Speciality interaction effect. |
| Burn-out | Measured at baseline, Month 3, Month 6, Month 9, Month 12 | As measured by the MBI (Maslach Burnout Inventory), a self-questionnaire. 7 point Likert scale (0-6); 22 questions. |
Countries
France
Outcome results
None listed