Use of Stress Inoculation Training in Medical Education

Study Overview
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Brief Summary
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The purpose of this research study is to test the feasibility and effectiveness of SIT in teaching medical students to perform in high-fidelity simulation settings similar to those they may experience in their practice.

Detailed Description
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This is a study examining stress inoculation training and its potential role in medical education. The medical field exposes students and providers to various stressful situations each and every day. Various organizations including military organizations have introduced concepts of stress inoculation training (SIT) to help learners manage these situations to produce optimal performance.

Official Title
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Use of Stress Inoculation Training in Medical Education

Conditions
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Stress

Intervention / Treatment
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* Behavioral: Stress Innoculation Training (SIT)
* Behavioral: Extra attempt


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 1st and 2nd year medical students who are at least 18 years old Exclusion Criteria: Prior airway management experience (including but not limited to former medics, respiratory technicians, CRNAs) Pregnant women

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Lecture<br>an initial brief lecture with no further training | |
| Experimental: Stress management<br>an initial brief lecture with stress management lecture | Behavioral: Stress Innoculation Training (SIT)<br>* 1 hour lecture that will cover the conceptualization phase and skills-training phase portions of stress inoculation training.<br>|
| Active Comparator: Hands-on training<br>an initial brief lecture with addition hands-on training for the task | Behavioral: Extra attempt<br>* an extra attempt at intubating a mannequin configured at a difficulty level higher than will be used in the future scenarios<br>|
| Experimental: Stress management and hands-on training<br>an initial brief lecture with both stress management lecture and additional hands-on training | Behavioral: Stress Innoculation Training (SIT)<br>* 1 hour lecture that will cover the conceptualization phase and skills-training phase portions of stress inoculation training.<br>Behavioral: Extra attempt<br>* an extra attempt at intubating a mannequin configured at a difficulty level higher than will be used in the future scenarios<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in anxiety - visual analog | Change in anxiety will be assessed using the Visual Anxiety Scale (VAS/VAS-A), a widely used scale that has been validated in multiple settings to detect changes in anxiety level. A 10cm line will be drawn on the screen and participants will be asked to rate their level of anxiety by clicking somewhere on the line - the leftmost portion coinciding with no anxiety, the rightmost portion coinciding with extreme anxiety. Each millimeter to the right of the initial start of the line counts as 1 point out of 100. | Baseline to up to 3 weeks | 
| Change in state-trait anxiety | Spielberger State-Trait Anxiety Inventory 6 (STAI-6) will be used to measure state-trait anxiety. The STAI-6 is a validated 6-question form of the STAI-Y, a commonly used and validated measure of anxiety. | Baseline to up to 3 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Stress Inoculation, Medical Education, Simulation Training