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STETHO'TOP Study: Evaluation of the Impact of Potential Optimization Techniques on General Self-Efficacy Among Nursing Students Throughout Their Educational Curriculum (STETHO'TOP)

16. juli 2026 opdateret af: Hospices Civils de Lyon

Evaluation of the Impact of Potential Optimization Techniques on General Self-Efficacy Among Nursing Students Throughout Their Educational Curriculum

In response to the concerning decline in nursing students' mental health, innovative measures were piloted in several nursing schools (IFSI) in 2024. Notably, a pilot program by the *Mutuelle Nationale des Hospitaliers* (MNH) was launched to address rising dropout rates, the increase in anxiety and depressive disorders, and the finding that nearly 25% of these young people have experienced suicidal thoughts.

In this context, "Potential Optimization Techniques" (TOP) emerge as a promising avenue for intervention. Developed in the 1990s within the French military by Dr. Édith Perreaut-Pierre to meet the demands of operational stress, TOPs comprise a structured set of psycho-cognitive and behavioral strategies designed to optimize physical, mental, and emotional resources according to the requirements of the task at hand. They have proven effective in stress management, fatigue prevention, and the improvement of concentration and recovery, as well as in mobilizing the motivational and emotional resources needed for sustained performance (Perreaut-Pierre, 2024).

Their pragmatic, adaptable, and self-directed nature makes them a potentially valuable tool for healthcare students, who also face demanding environments.

TOPs could thus address the current concerns of nursing schools and the requirements of the 2026 reform by enabling students to develop emotional agility, autonomy in stress management, and a sense of agency in the face of training challenges. These anticipated benefits align with institutional goals aimed at reducing stress, fatigue, and academic dropout rates, while fostering well-being and performance within the healthcare professions.

Studieoversigt

Status

Ikke rekrutterer endnu

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

340

Fase

  • Ikke anvendelig

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Barn
  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ja

Beskrivelse

Inclusion Criteria:

- The participants in this study are nursing students enrolled in the 2025-2028 cohorts at the Esquirol and Clémenceau Nursing Training Institutes (IFSI), affiliated with the Hospices Civils de Lyon.

Exclusion Criteria:

  • Current history of severe neuropsychiatric conditions (severe depressive disorder, severe anxiety disorder)-self-reported-or uncontrolled acute psychiatric symptoms during the study (severe anxiety, severe behavioral disturbances).
  • This criterion is incompatible with a pedagogical method like TOP, which falls outside the scope of psychology. The teaching skills involved in TOP do not enable the management of psychological disorders. However, they may complement psychological care within the context of these exclusion criteria.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Andet
  • Tildeling: Ikke-randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Andet: TOP Intervention Group
Participants received a four-hour theoretical session on stress, fatigue, motivation, and the Principles of Potential Optimization Techniques (TOP). In addition, participants attended six practical TOP training sessions delivered over a 10-month period in small groups. During the third year of nursing education, participants took part in a healthcare simulation exercise integrating the skills and techniques learned through the TOP program.
Andet: TOP Control Group
Participants received the same four-hour theoretical session on stress, fatigue, motivation, and the principles of Potential Optimization Techniques (TOP). However, they did not participate in any practical TOP training sessions. During the third year of nursing education, participants completed the same healthcare simulation exercise using their own personal coping resources without TOP training.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
General Self-Efficacy Score (GSE)
Tidsramme: Baseline to 24 months
Change in General Self-Efficacy score between baseline (T0) and 24 months (T3), comparing the intervention and control groups using the General Self-Efficacy Scale developed by Schwarzer and Jerusalem.
Baseline to 24 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. september 2026

Primær færdiggørelse (Anslået)

2. september 2028

Studieafslutning (Anslået)

2. september 2028

Datoer for studieregistrering

Først indsendt

16. juli 2026

Først indsendt, der opfyldte QC-kriterier

16. juli 2026

Først opslået (Faktiske)

21. juli 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

21. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

16. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • 69HCL26_0340

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

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Kliniske forsøg med TOP INTERVENTION GROUP

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