Influence of Medical Student Coping Behaviour Types on Health Related Behaviour and Stress Level on the Day of OSCE

Study Overview
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Brief Summary
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Objective structured clinical examinations (OSCEs) have recently been incorporated in the French medical studies. They will soon be an important part of the national evaluation of the students, therefore being responsible for a high level of stress. The differents strategies of coping have never been characterized for this particular group of students. We hypothetize that different strategies of coping are associated with different level of stress, thus being an interesting insight to help students to deal with their stress and prevent disorders linked to stress. We will be using the Brief Cope Scale to assess the different ways of coping, in addition to multiple demographic and health-related questionnaires.

Detailed Description
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This observational study will be conducted between the 17th and 19th of May at the Claude Bernard University (Lyon, France), during the OSCEs of the 4th year medical students. Their signed consent will be required before inclusion to the study. Before the test begin, they will be given a few questionnaires to fill, including the Brief Cope Scale, visual analogous scales of their level of stress, level of confidence and level of resourcefulness. Coping methods are categorized in 4 types : positive thinking, active resolution, social support and avoidance. We will also ask them about their physical activity and their quality of sleep prior the OSCEs. After the test, we will ask them once again their level of stress (visual analogous scale). The main objective of this study is to demonstrate the link between the different methods of coping and the level of stress on the day of the OSCEs. Secondary objective is to have better insight and understanding over the relationship between coping methods and health-related problematics when linked to anxiety generated by exams. All these data will be compared to a previous similar study conducted by our team of investigators on the same group of students, during their academical OSCEs in december 2021 (ECOSTRESS).

Official Title
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Influence of Medical Students Coping Behaviour Types on Health Related Behaviour and Stress Level on the Day of the OSCEs

Conditions
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Exam Stress, Stress Reaction, Coping Behavior, Sleep Hygiene, Physical Activity

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Fourth year medical student of Claude Bernard University participating to the OSCEs of May 2022 Exclusion Criteria: No signed consent

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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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Brief cope scale | Brief Cope Scale level (from 2: minimum to 8 points : maximum) on the day of the OSCE | measured in the half-hour prior to the OSCEs | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Coping and characterisation of stress | Correlation between coping methods according to BCS and characterisation of stress (from negative to positive, visual analogous scale) on the day of the OSCE | measured in the half-hour prior to the OSCEs | 
| Coping and self-confidence | Correlation between coping methods according to BCS and the level of confidence (visual scale) on the day of the OSCE | measured in the half-hour prior to the OSCEs | 
| Coping and inner resources | Correlation between coping methods according to BCS and the level of resourcefulness (visual scale) on the day of the OSCE (Spearman method) | measured in the half-hour prior to the OSCEs | 
| Coping and physical activity | Correlation between coping methods according to BCS and the level of physical activity assessed by the GPAQ questionnaire (Global Physical Activity Questionnaire) in time of physical activity (minutes) | measured in the half-hour prior to (BCS) and in the half-hour after (GPAQ) the OSCEs | 
| Coping and sleep quality | Correlation between coping methods according to BCS and the score of sleep quality assesed by the PSQI questionnaire (Pittsburgh Sleep Quality Inventory) | measured in the half-hour prior to (BCS) and in the half-hour after (Pittsburgh Sleep Quality Index (PSQI from 0 minimum to 21 maximum)) the OSCEs | 
| Link between sleep quality and stress | Correlation between score of sleep quality assesed by the PSQI questionnaire (Pittsburgh Sleep Quality Inventory) and the level of stress (visual analogous scale) on the day of the OSCE | measured in the half-hour prior to (stress level) and in the half-hour after (PSQI) the OSCEs | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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exam, stress, coping, medical students, sleep hygiene, physical activity