About this trial
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.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
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
Disqualifiers
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
Trial design
Parallel
Treatments tested in this trial
Trauma-Informed Education and Self-Care Psychoeducational Workshop
BehavioralParticipants 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.
Self-Help and Peer-Sharing Group Sessions
BehavioralParticipants 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.
Treatment groups
Trial outcomes
Primary outcomes
Change in Secondary Traumatic Stress Scale Total Score
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.
Secondary outcomes
Change From Baseline in Resilience Evaluation Scale Total Score
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.
Other outcomes
Trauma-Informed Education and Self-Care Intervention Module Knowledge and Skills Assessment Form Total Score
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.
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