Trauma-Informed Education and Self-Care for Social Work Students During Field Practicum (TIESC)

September 28, 2026 updated by: Hakan Baydur, Manisa Celal Bayar University

Effectiveness of a Trauma-Informed Education and Self-Care Intervention in Undergraduate Social Work Students: A Protective Intervention Study Against Secondary Traumatic Stress

This study aims to evaluate the effectiveness of a structured Trauma-Informed Education and Self-Care Intervention in reducing secondary traumatic stress among undergraduate social work students completing their field practicum.

During field education, social work students may have direct professional contact with individuals affected by child abuse and neglect, domestic violence, poverty, loss, and other potentially traumatic experiences. Repeated indirect exposure to clients' traumatic experiences may place students at risk for secondary traumatic stress.

A total of 80 fourth-year undergraduate social work students will participate in the study. Participants will be allocated to an intervention group (n=40) or a control group (n=40) according to the geographic location of their routine field practicum. Students completing their field practicum in Manisa Province will constitute the intervention group, whereas students completing their field practicum outside Manisa Province, including İzmir and other provinces, will constitute the control group.

The intervention group will receive a two-hour Trauma-Informed Education and Self-Care workshop before or at the beginning of field practicum, followed by three structured self-help and peer-sharing group sessions during the practicum period. The control group will continue the routine field practicum process and standard university internship orientation without receiving the study-specific intervention during the study period.

Secondary traumatic stress will be assessed repeatedly in both groups throughout the approximately four-month practicum period. Psychological resilience will be assessed at baseline as a supportive participant characteristic. Intervention-related knowledge and skills will also be assessed in the intervention group.

The primary hypothesis is that students participating in the Trauma-Informed Education and Self-Care Intervention will demonstrate a more favorable change in secondary traumatic stress over time compared with students in the control group.

Study Overview

Detailed Description

This prospective, non-randomized, parallel-group, quasi-experimental controlled study will be conducted among fourth-year undergraduate students enrolled in the Department of Social Work, Faculty of Health Sciences, Manisa Celal Bayar University, during the Fall Semester of the 2026-2027 academic year.

Participants will not be individually randomized. Group allocation will be based on the geographic location of the students' routine field practicum assignments. Students completing their practicum in institutions located in Manisa Province will constitute the intervention group, while students completing their practicum in İzmir or other provinces outside Manisa will constitute the control group. This geographical separation is intended to reduce contamination between intervention and control participants.

The study will include 80 participants, with 40 participants in each study arm.

Before beginning regular client contact in the field, baseline data will be collected using a sociodemographic information form, the Secondary Traumatic Stress Scale, the Resilience Evaluation Scale, and, where applicable, the Trauma-Informed Education and Self-Care Intervention Module Knowledge and Skills Assessment Form.

Following baseline assessment, participants in the intervention group will receive a two-hour interactive Trauma-Informed Education and Self-Care workshop. The workshop will address the nature and indirect effects of trauma, recognition of physiological and emotional stress responses, coping with professional stress, breathing and grounding techniques, cognitive flexibility, professional boundaries, and self-care strategies.

After students begin direct professional contact with clients, approximately during the fourth week of practicum, secondary traumatic stress will be reassessed in both groups. Following this assessment, the intervention group will participate in the first structured Self-Help and Peer-Sharing Group session.

Two additional structured group sessions will be conducted during the remainder of the practicum period. These sessions will provide a facilitated and psychologically safe environment in which students can reflect on emotionally challenging field experiences, discuss the impact of difficult cases, review coping and self-care practices, receive peer support, and strengthen strategies for managing indirect exposure to trauma.

Data collection will take place at four main time points: baseline during the orientation period before or at the beginning of field practicum; approximately four weeks after the beginning of client contact; toward the end of November; and at the end of the practicum period in mid-December.

The control group will continue the standard field practicum and routine academic internship orientation and will not receive the study-specific Trauma-Informed Education and Self-Care Intervention or structured peer-support sessions during the evaluation period.

After completion of study assessments, participants in the control group may, upon request, receive the educational module and the Trauma-Informed Self-Care Guide.

The primary effectiveness analysis will focus on differences in changes in secondary traumatic stress over time between the intervention and control groups, particularly the group-by-time interaction.

Study Type

Interventional

Enrollment (Estimated)

80

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

      • Manisa, Turkey (Türkiye), 45020
        • Manisa Celal Bayar University Faculty of Health Sciences Department of Social Work Manisa, Türkiye
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

20 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Fourth-year undergraduate student enrolled in the Department of Social Work, Faculty of Health Sciences, Manisa Celal Bayar University, during the Fall Semester of the 2026-2027 academic year
  • Enrolled in the required Social Work Practice course
  • Actively completing a field practicum involving direct professional contact with social work clients
  • Willing to participate in the study and able to provide written informed consent

Exclusion Criteria:

  • Not actively participating in the required field practicum at the time of enrollment
  • No direct professional contact with social work clients during the practicum
  • Declining or being unable to provide written informed consent

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Trauma-Informed Education and Self-Care Intervention

Participants in this arm will receive the standard university internship orientation and routine field practicum activities in addition to two study-specific behavioral interventions: a 2-hour Trauma-Informed Education and Self-Care Psychoeducational Workshop and three structured 60-minute Self-Help and Peer-Sharing Group Sessions conducted during the field practicum.

Participants in the intervention arm will receive a 2-hour interactive psychoeducational workshop before or at the beginning of field practicum. The workshop covers trauma-informed practice, the nature and indirect effects of trauma, recognition of physiological and emotional stress responses, secondary traumatic stress, stress-management strategies, breathing and grounding exercises, cognitive flexibility, professional boundaries, and self-care strategies.

Participants in the intervention arm will participate in three structured 60-minute small-group sessions conducted during the field practicum. The sessions provide a facilitated and psychologically safe environment in which participants can reflect on emotionally challenging field experiences, discuss the emotional impact of difficult cases, receive peer support, review self-care practices, and reinforce coping and emotional regulation strategies.

No Intervention: Standard Field Practicum and Internship Orientation

Participants in this arm will continue their routine field practicum and receive the standard academic internship orientation provided by the university. They will not receive either of the study-specific behavioral interventions during the study evaluation period. After completion of all study assessments, participants may receive the educational module and a digital Trauma-Informed Self-Care Guide upon request.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Secondary Traumatic Stress Scale Total Score
Time Frame: Baseline and Weeks 4, 8, and 12 after the start of field practicum

Secondary traumatic stress will be assessed using the 17-item Secondary Traumatic Stress Scale. Each item is rated on a five-point Likert scale. Total scores range from 17 to 85, with higher scores indicating greater secondary traumatic stress and therefore a worse outcome.

The scale will be administered at baseline and at three follow-up assessments during the field practicum. The primary outcome will be the change in Secondary Traumatic Stress Scale total scores over time and the difference in this change between the intervention and control groups.

Baseline and Weeks 4, 8, and 12 after the start of field practicum

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change From Baseline in Resilience Evaluation Scale Total Score
Time Frame: Baseline and Weeks 4, 8, and 12 after the start of field practicum

Psychological resilience will be assessed using the 9-item Turkish version of the Resilience Evaluation Scale. Total scores range from 0 to 36, with higher scores indicating greater psychological resilience and therefore a better outcome.

The scale will be administered at baseline and at three follow-up assessments during the field practicum. Changes in Resilience Evaluation Scale total scores over time will be compared between the intervention and control groups.

Baseline and Weeks 4, 8, and 12 after the start of field practicum

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Trauma-Informed Education and Self-Care Intervention Module Knowledge and Skills Assessment Form Total Score
Time Frame: Immediately after completion of the initial 2-hour training session (Day 0)

Trauma-informed education and self-care-related knowledge and skills will be assessed using the researcher-developed Trauma-Informed Education and Self-Care Intervention Module Knowledge and Skills Assessment Form.

Total scores range from 10 to 50, with higher scores indicating greater knowledge and skills related to trauma-informed practice, recognition of secondary traumatic stress, coping strategies, and self-care, and therefore a better outcome.

This assessment will be administered only to participants in the intervention group immediately after completion of the initial two-hour Trauma-Informed Education and Self-Care training session. The measure is intended to assess participants' knowledge and skill acquisition following the initial educational intervention.

Immediately after completion of the initial 2-hour training session (Day 0)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Hakan Baydur, Manisa Celal Bayar Üniversitesi

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

September 25, 2026

Primary Completion (Estimated)

January 20, 2027

Study Completion (Estimated)

January 30, 2027

Study Registration Dates

First Submitted

September 16, 2026

First Submitted That Met QC Criteria

September 21, 2026

First Posted (Actual)

September 28, 2026

Study Record Updates

Last Update Posted (Actual)

October 1, 2026

Last Update Submitted That Met QC Criteria

September 28, 2026

Last Verified

September 1, 2026

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

IPD will not be shared due to participant confidentiality and the potential risk of re-identification in this relatively small, single-institution student sample. Study findings will be reported in aggregate form.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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