The impact of a self-development coaching programme on medical and dental students' psychological health and academic performance: a randomised controlled trial

Khalid Aboalshamat, Xiang-Yu Hou, Esben Strodl, Khalid Aboalshamat, Xiang-Yu Hou, Esben Strodl

Abstract

Background: Psychological distress is well-documented worldwide among medical and dental students. Few studies have assessed the impact of self-development coaching programs on the students' psychological health. The aim of the study was to evaluate the effect of a self-development coaching programme on the psychological health and academic performance of preclinical medical and dental students at Umm Al-Qura University, Saudi Arabia.

Methods: Four-hundred and twenty-two participants (n = 422, 20-22 years) fulfilled the study requirements and were invited into a parallel-randomised controlled trial that was partially blinded. Participants were stratified by faculty, gender, and academic year, and then randomised. A total of 156 students participated in the intervention group (IG) and 163 students participated in the control group (CG). The IG received the selfdevelopment programme, involving skills and strategies aimed to improve students' psychological health and academic performance, through a two-day workshop. Meanwhile, the CG attended an active placebo programme focussing on theoretical information that was delivered through a five-hour workshop. Both programmes were conducted by the same presenter during Week 1 of the second semester of the 2012-2013 academic year. Data were gathered immediately before (T1), one week after (T2) and five weeks (T3) after the intervention. Psychological health was measured using the Depression Anxiety Stress Scale (DASS-21), the General Self-Efficacy (GSE), and the Satisfaction With Life Scale (SWLS). Academic performance was measured using students' academic weighted grades (WG). Student cognitive and emotional perceptions of the intervention were measured using the Credibility/Expectancy Questionnaire (CEQ).

Results: Data from 317 students, who completed the follow ups, were analysed across the three time periods (IG, n = 155; CG, n = 162). The baseline variables and demographic data of the IG and CG were not significantly different. The IG showed short-term significant reductions in depression and anxiety in compared to CG from T1 to T2. The short-term changes in stress, GSE and SWLS of the IG were not significantly different from those of the CG. While both groups showed a significant change on most of the psychological variables from T1 to T3, no significant differences were found between the groups in this period. In addition, no significant difference was found in WG between the IG and CG after the intervention. No harms relevant to the intervention were reported.

Conclusion: The investigated self-development coaching programme showed only a short-term improvement on depression and anxiety compared with an active control. There was no effect of the intervention on academic performance.

Trial registration: ACTRN12614000896673.

Figures

Fig. 1
Fig. 1
Flow of participants through the study. Flow of participants through the study
Fig. 2
Fig. 2
Depression for groups across time. Depression for groups across time
Fig. 3
Fig. 3
Anxiety for groups across time. Anxiety for groups across time
Fig. 4
Fig. 4
Stress for groups across time. Stress for groups across time
Fig. 5
Fig. 5
GSE for groups across time. GSE for groups across time
Fig. 6
Fig. 6
SWLS for groups across time. SWLS for groups across time

References

    1. Dyrbye L, Thomas M, Eacker A, Harper W, Massie F, Jr, Power D, et al. Race, ethnicity, and medical student well-being in the United States. Arch Intern Med. 2007;167(19):2103–9. doi: 10.1001/archinte.167.19.2103.
    1. Henning MA, Hawken SJ, Hill AG. The quality of life of New Zealand doctors and medical students: What can be done to avoid burnout? New Zealand Med J. 2009;122(1307):102–10.
    1. Dyrbye L, Thomas M, Harper W, Massie F, Jr, Power D, Eacker A, et al. The learning environment and medical student burnout: A multicentre study. Med Educ. 2009;43(3):274–82. doi: 10.1111/j.1365-2923.2008.03282.x.
    1. Jurkat H, Höfer S, Richter L, Cramer M, Vetter A. Quality of life, stress management and healthpromotion in medical and dental students. A comparative study. Dtsch Med Wochenschr. 2011;136(23):1245–50. doi: 10.1055/s-0031-1280544.
    1. Alzahem A, Van Der Molen H, Alaujan A, Schmidt H, Zamakhshary M. Stress amongst dental students: A systematic review. Eur J Dent Educ. 2011;15(1):8–18. doi: 10.1111/j.1600-0579.2010.00640.x.
    1. Al-Saleh S, Al-Madi E, Al-Angari N, Al-Shehri H, Shukri M. Survey of perceived stress-inducing problems among dental students Saudi Arabia. Saudi Dental J. 2010;22(2):83–8. doi: 10.1016/j.sdentj.2010.02.007.
    1. Abdulghani H, AlKanhal A, Mahmoud E, Ponnamperuma G, Alfaris E. Stress and its effects on medical students: A cross-sectional study at a college of medicine in Saudi Arabia. J Health Popul Nutr. 2011;29(5):516–22. doi: 10.3329/jhpn.v29i5.8906.
    1. Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: A cross-sectional study. Med Educ. 2005;39(6):594–604. doi: 10.1111/j.1365-2929.2005.02176.x.
    1. Mane Abhay B, Krishnakumar M, Niranjan Paul C, Hiremath Shashidhar G, Mane AB. Differences In Perceived Stress and Its Correlates Among Students In Professional Courses. J Clin Diagnostic Res. 2011;5(6):1228–33.
    1. Polychronopoulou A, Divaris K. Perceived sources of stress among Greek dental students. J Dent Educ. 2005;69(6):687–92.
    1. Kjeldstadli K, Tyssen R, Finset A, Hem E, Gude T, Gronvold NT, et al. Life satisfaction and resilience in medical school–a six-year longitudinal, nationwide and comparative study. BMC Med Educ. 2006;6(1):48. doi: 10.1186/1472-6920-6-48.
    1. Dahlin ME, Runeson B. Burnout and psychiatric morbidity among medical students entering clinical training: a three year prospective questionnaire and interview-based study. BMC Med Educ. 2007;7(1):6. doi: 10.1186/1472-6920-7-6.
    1. Dyrbye L, Thomas M, Shanafelt T. Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students. Acad Med. 2006;81(4):354–73. doi: 10.1097/00001888-200604000-00009.
    1. Holzinger A, Matschinger H, Angermeyer M. What to do about depression? Self-help recommendations of the public. Int J Soc Psychiatry. 2012;58(4):343–9. doi: 10.1177/0020764010397262.
    1. Aboalshamat K, Hou X-Y, Strodl E. Towards understanding self-development coaching programs. Int J Psychol Behav Sci. 2014;4(4):136–45.
    1. Holm M, Tyssen R, Stordal K, Haver B. Self-development groups reduce medical school stress: A controlled intervention study. BMC Med Educ. 2010;10(1):23. doi: 10.1186/1472-6920-10-23.
    1. Fernros L, Furhoff A, Wändell P. Improving quality of life using compound mind-body therapies: Evaluation of a course intervention with body movement and breath therapy, guided imagery, chakra experiencing and mindfulness meditation. Qual Life Res. 2008;17(3):367–76. doi: 10.1007/s11136-008-9321-x.
    1. Shapiro SL, Shapiro DE, Schwartz GE. Stress management in medical education: a review of the literature. Acad Med. 2000;75(7):748–59. doi: 10.1097/00001888-200007000-00023.
    1. Aboalshamat K, Hou X-Y, Strodl E. Improving Dental and Medical Students’ Psychological Health using a Self-Development Coaching Program: A Pilot Study. J Advanced Med Res. 2013;3(3):45–57.
    1. Grant A, Curtayne L, Burton G. Executive coaching enhances goal attainment, resilience and workplace well-being: A randomised controlled study. J Positive Psychol. 2009;4(5):396–407. doi: 10.1080/17439760902992456.
    1. Crawford J, Cayley C, Lovibond PF, Wilson PH, Hartley C. Percentile Norms and Accompanying Interval Estimates from an Australian General Adult Population Sample for Self‐Report Mood Scales (BAI, BDI, CRSD, CES‐D, DASS, DASS‐21, STAI‐X, STAI‐Y, SRDS, and SRAS) Aus Psychol. 2011;46(1):3–14. doi: 10.1111/j.1742-9544.2010.00003.x.
    1. Lovibond P, Lovibond S. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33(3):335–43. doi: 10.1016/0005-7967(94)00075-U.
    1. Schwarzer R, Jerusalem M. Generalized Self-Efficacy scale. In: Weinman J, Wright J, Windso JM, editors. Measures in health psychology: A user's portfolio Causal and control beliefs. UK: Nfer-Nelson; 1995. pp. 35–37.
    1. Diener E, Emmons R, Larsen R, Griffin S. The Satisfaction with Life Scale. J Pers Assess. 1985;49(1):71–5. doi: 10.1207/s15327752jpa4901_13.
    1. Henry JD, Crawford JR. The short‐form version of the Depression Anxiety Stress Scales (DASS‐21): Construct validity and normative data in a large non‐clinical sample. British J Clin Psychol. 2005;44(2):227–39. doi: 10.1348/014466505X29657.
    1. Scholz U, Gutierrez-Doña B, Sud S, Schwarzer R. Is general self-efficacy a universal construct? Psychometric findings from 25 countries. Eur J Psychol Asses. 2002;18(3):242–51. doi: 10.1027//1015-5759.18.3.242.
    1. Steger MF, Frazier P, Oishi S, Kaler M. The meaning in life questionnaire: Assessing the presence of and search for meaning in life. J Couns Psychol. 2006;53(1):80. doi: 10.1037/0022-0167.53.1.80.
    1. Adler MG, Fagley NS. Appreciation: Individual Differences in Finding Value and Meaning as a Unique Predictor of Subjective Well‐Being. J Pers. 2005;73(1):79–114. doi: 10.1111/j.1467-6494.2004.00305.x.
    1. Devilly G, Borkovec T. Psychometric properties of the credibility/expectancy questionnaire. J Behav Ther Exp Psychiatry. 2000;31(2):73–86. doi: 10.1016/S0005-7916(00)00012-4.
    1. Taouk M, Lovibond P, Laube R. Cumberland Hospital, Sydney: Report for New South Wales Transcultural Mental Health Centre. 2001. Psychometric properties of an Arabic version of the Depression Anxiety Stress Scales (DASS21)
    1. WHO . World Health Organization. 2013. Process of translation and adaptation of instruments.
    1. Yusoff MSB, Abdul Rahim AF, Baba AA, Ismail SB, Mat Pa MN, Esa AR. The impact of medical education on psychological health of students: A cohort study. Psychol Health Med. 2013;18(4):420–30. doi: 10.1080/13548506.2012.740162.
    1. Aboalshamat K, Hou X, Strodl E. Psychological Health of Medical and Dental Students in Saudi Arabia: A Longitudinal Study. Public Health Res. 2014;4(5):179–84.
    1. Waber RL, Shiv B, Carmon Z. Commercial features of placebo and therapeutic. JAMA. 2008;299(9):1016–7. doi: 10.1001/jama.299.9.1016.
    1. Grant A. Towards a psychology of coaching. Sydney: Macquarie University; 2001.
    1. Grant A. The impact of life coaching on goal attainment, metacognition and mental health. Soc Beh Personal. 2003;31(3):253–63. doi: 10.2224/sbp.2003.31.3.253.
    1. Krathwohl DR. A revision of Bloom’s taxonomy: An overview. Theory Practice. 2002;41(4):212–8. doi: 10.1207/s15430421tip4104_2.

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