Effects of Interpersonal Relational Role Analysis

NCT04832451 | Completed DMC

• 1 other identifier: 56786525-050.04.04-6988
• Study Type: interventional
• Target: 385
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction: Interpersonal Relational Role Analysis (IRRA) is a psychosocial group intervention that allows individuals to see the problems they experience in interpersonal relationships and interactions in the group environment and to be handled together with group members. Aim: The present study aims to investigate the effects of IRRA on nursing students' depressive symptoms and coping styles. Method: This study was conducted with randomized controlled, pre-test-post-test control group design and follow-up test patterns. Students with depressive symptoms were randomly assigned to control (n=10) or intervention groups (n=10). Intervention group students received 21 weeks of IRRA intervention. Results: It was determined that IRRA had a positive effect on nursing students' depressive symptoms and coping styles. Discussion: This study is the first to evaluate the effects of IRRA on depressive symptoms and coping styles. Our study provides evidence on the effectiveness of IRRA in reducing the depressive symptoms of nursing students and in managing stress. Implications for Practice: IRRA is a practical and useful intervention that mental health nurses can incorporate and use in their clinical practice while helping individuals to become aware of problems in relationships and roles that may impair their mental health.

Conditions

Depressive Symptoms; Coping Skills

Keywords

coping styles; depressive symptoms; interpersonal relational role analysis; nursing students; stress

Outcome Measures

Primary Outcomes (1)

• Beck Depression Inventory

  The Turkish validity and reliability study of the inventory, which was developed by Beck et al. (1961), was conducted by Hisli (1989). The inventory consists of 21 self-report items that allow evaluating the severity of depressive symptoms rather than the diagnosis of depression. The total score obtained from the scale is evaluated, each item is scored between 0 and 3, and there are no reverse-scored items on the scale. 0-9 points indicate probably no depression, 10-16 points mild depression levels, 17-24 points moderate depression levels, and 25 and above points severe depression. The above-mentioned classification was used in this study. Cronbach's alpha reliability coefficient of the scale was calculated as 0.74 (Hisli, 1989).

  5 months

Secondary Outcomes (1)

• Coping Styles Inventory

  5 months

Study Arms (2)

Intervention Group

EXPERIMENTAL

The Beck Depression Inventory\[BDI\] (inclusion criteria) was applied face to face to the students who constituted the population (n=385). After the BDI scores were evaluated, the students who met the inclusion criteria were randomly assigned to the intervention and control groups. In a preliminary interview held with the intervention group (n=10), they were informed about the subject of the research, the duration and content of the implementation process, session rules, and that sessions would be audio-recorded. Informed consent forms were obtained from them, and pre-tests (BDI, Coping Styles Inventory\[CSI\]) were applied. A total of 21 90-minute Interpersonal Relational Role Analysis (IRRA) sessions (two sessions a week) were held with the intervention group. 21 sessions of IRRA were applied to the intervention group, once the sessions were completed, post-tests (BDI, CSI) were applied. Three months later, a follow-up test (BDI, CSI) was applied to intervention group.

Behavioral: Interpersonal Relational Role Analysis

Control Group

NO INTERVENTION

The students in the control group were informed about the research, informed consents were obtained from them, and pre-tests (Beck Depression Inventory, Coping Styles Inventory) were applied to them. No intervention was applied to the control group (n=10). Once the Interpersonal Relational Role Analysis sessions were completed, post-tests (Beck Depression Inventory, Coping Styles Inventory) were applied to the control group. Three months later, a follow-up test (Beck Depression Inventory, Coping Styles Inventory) was applied to control groups. After the follow-up test, the participants in the control group were referred to the psychological support unit of the university.

Interventions

Interpersonal Relational Role Analysis BEHAVIORAL

Interpersonal Relational Role Analysis (IRRA) is a psychosocial group intervention that allows individuals to see the problems they experience in interpersonal relationships and interactions in the group environment and to be handled together with group members. Similar to Yalom's interactional group therapy model, IRRA sessions comprise warm up, the stages of setting the agenda, working, evaluating, and getting feedback from observers, which are based on the 'here and now' principle. IRRA helps to safely examine the roles in which group members are "stuck," in a group environment which is a small example of social life, and these roles are addressed in six steps.

Intervention Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• being a nursing student at the university during the research (November 2018-April 2019),
• not having any disability that would cause difficulties in filling in the data collection tools or during sessions,
• scoring scores indicating mild to moderate depression from the Beck Depression Inventory,
• agreeing to participate in the research,
• being over 18 years old.

You may not qualify if:

• scoring scores indicating severe depression from the Beck Depression Inventory (severe depression requires psychopharmacological treatment).

Sponsors & Collaborators

• Ankara University: lead

Study Sites (1)

Ankara University Faculty of Nursing

Ankara, 06230, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Officials

• Gülsüm ANÇEL, PhD

  Ankara University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant Dr.

Model Details: randomized controlled, pre-test-post-test control group design and follow-up test patterns

Study Record Dates

• First Submitted: April 1, 2021
• First Posted: April 5, 2021
• Study Start: November 6, 2018
• Primary Completion: January 24, 2019
• Study Completion: April 24, 2019
• Last Updated: April 5, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)