CClinicalTrials.gg
CompletedNCT03038347Updated Nov 8, 2022

Training of Cross-cultural Competencies in Psychotherapists

An interventional study of Training and Education only in Healthy Volunteers, sponsored by Philipps University Marburg. Completed at 1 site in Germany. Per ClinicalTrials.gov, last updated 2022-11-08.

Sponsored by Philipps University Marburg · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
173
Allocation
Randomized
Sex
All
01

Study summary

The purpose of this study is to determine whether a web-based training program with text-based information as well as practical exercises can improve cross-cultural competencies in therapists.

Read the detailed description

As the number of patients from diverse cultures increases in psychotherapeutic care, cross-cultural competencies of therapists become increasingly important. In particular, mental health care of patients with immigration background needs to be improved as studies show that these patients drop out of treatment more often and benefit less from therapy. In addition, patients with immigration background and refugees show higher prevalences in mental illnesses. Nevertheless, evaluated training programs to improve cross-cultural competencies in psychotherapists are lacking. In particular, web-based training programs, which allow therapists to work time-flexible and at their own pace on a training, are, to date, missing completely.

For the current study, a web-based training program to improve therapists' cross-cultural competencies was developed. It is based on existing conceptions of cross-cultural competencies. The developed program consists of six modules with the following contents: definitions and conceptions of culture, the role of cross-cultural competencies in psychotherapy, the influence of prejudices and discrimination as well as the role of migration and acculturation, and culturally sensitive diagnostics. The modules contain PDF-files with text-based information, video files, case studies with associated questions as well as practical exercises. The main focus of the training is the participants' self-reflection concerning their conceptions of (their own) culture and their beliefs about culturally diverse patients. The training group will be compared to two other groups, i.e. an education only and a waitlist control group. Whereas the waitlist control group will not receive any training materials, the education only group will receive a slimmed down version of the training consisting only of text-based information files.

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Conditions studied

  • Healthy Volunteers

Keywords

  • cross-cultural competencies
  • internet-based training
  • cognitive-behavioural therapy (CBT)
  • psychotherapy training
  • competence training
03

In context

Lead sponsor

Philipps University Marburg is the lead sponsor of 114 studies on the registry; 12 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • current psychotherapeutic work
  • Internet access
  • sufficient German language skills
  • ongoing or completed training in Psychotherapy

Exclusion criteria

Exclusion Criteria:

  • too much previous knowledge about cross-cultural competencies (> 10h training)
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
173 participants (actual)

Study arms

  • Experimental
    Training

    In the training group, participants work six weeks on the training program, one module per week. The modules contain PDF-files with text-based information, video files, case studies with associated questions as well as practical exercises that participants perform independently. The main purpose of this intervention is the improvement of cross-cultural competencies in psychotherapists

    Behavioral: Training

  • Active comparator
    Education only

    In the education only group, participants work six weeks on a slimmed down version of the training program. The modules only contain text-based information without any exercises. After completion, participants receive access to the practical exercises, case studies and video files as well. Main purpose of the education only group is to determine whether the practical part of the training program can offer additional benefit.

    Behavioral: Education only

  • No intervention
    Waiting control

    Initially, participants do not receive any training contents. After a six week waiting period, they can participate in the training program as well. Modules are equivalent to those of the training group. Purpose of this group is to determine whether the training program is effective.

Interventions

  • BehavioralTraining

    Six modules containing PDF-files with text-based information, video files, case studies with associated questions and practical exercises. Participants can download the modules and associated materials from an online platform they need to register for. They receive access to modules and associated exercises once a week. After six weeks the training is completed.

  • BehavioralEducation only

    Six modules containing only PDF-files with text-based information. Participants can download the modules and associated materials from an online platform they need to register for. They receive access to modules once a week. After six weeks the education is completed.

06

What researchers measure

Primary outcomes

  1. Transcultural Competencies of Psychotherapists Questionnaire (TKKP; Reichardt et. al., in prep.)

    Change in cross-cultural psychotherapeutic competencies

    Time frame: pre-training, post-training (6 weeks after the start of the training); follow up (6 month after training completion)

  2. Multicultural Counseling Inventory (MCI; Sodowsky, 1994)

    Change in cross-cultural psychotherapeutic competencies

    Time frame: pre-training, post-training (6 weeks after the start of the training); follow-up (6 month after training completion)

Secondary outcomes

  1. Cultural sensitivity in actual psychotherapeutic work I

    Percentage of culturally diverse patients currently in treatment in own actual psychotherapeutic work

    Time frame: pre-training, post-training (6 weeks after the start of the training), follow-up (6 month after training completion)

  2. Cultural sensitivity in actual psychotherapeutic work II

    Willingness to treat culturally diverse patients in own actual psychotherapeutic work (rating scale)

    Time frame: pre-training, post-training (6 weeks after the start of the training), follow-up (6 month after training completion)

  3. Cultural sensitivity in actual psychotherapeutic work III

    Satisfaction with cross-cultural therapies provided in actual psychotherapeutic work (rating scale)

    Time frame: pre-training, post-training (6 weeks after the start of the training), follow-up (6 month after training completion)

  4. Cultural sensitivity in actual psychotherapeutic work IV

    Perceived competence in the currently provided cross-cultural therapies (rating scale)

    Time frame: pre-training, post-training (6 weeks after the start of the training), follow-up (6 month after training completion)

  5. Knowledge regarding the provision of cross-cultural psychotherapy

    Test of specific knowledge gained during the training (knowledge test in multiple choice answer format)

    Time frame: post-training (6 weeks after the start of the training)

  6. Training satisfaction scale

    Satisfaction with the training (rating scale; items assessing satisfaction with contents and structure of the developed training)

    Time frame: post-training (6 weeks after the start of the training); follow-up (6 month after training completion)

  7. Learning success scale

    Rating of competencies achieved through the training for the treatment of culturally diverse patients (rating scale, rating of the degree to which certain competencies have been achieved)

    Time frame: post-training (6 weeks after the start of the training); follow-up (6 month after training completion)

  8. Cultural sensitivity in psychotherapeutic work (Behavioural change measure)

    Rating of different case examples with focus on expected difficulty and effectiveness of psychotherapy (given different cases with different disorders, severity levels, and cultural backgrounds)

    Time frame: post-training (6 weeks after the start of the training), 2 months after training completion; follow-up (6 month after training completion)

07

Study locations

1 site
  • Philipps University Marburg
    Marburg, Hessen 35037, Germany
08

References and documents

Publications

  • Fazel M, Wheeler J, Danesh J. Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review. Lancet. 2005 Apr 9-15;365(9467):1309-14. doi: 10.1016/S0140-6736(05)61027-6. PubMed 15823380 ↗
  • Gaitanides, S. (2001). Zugangsbarrieren von Migrant (inn) en zu den sozialen und psychosozialen Diensten und Strategien interkultureller Öffnung. In G. Auernheimer (Hrsg.), Migration als Herausforderung für pädagogische Institutionen (pp. 181-194). Wiesbaden: Springer Fachmedien.
  • Mösko, M., Baschin, K., Längst, G., & von Lersner, U. (2012). Interkulturelle Trainings für die psychosoziale Versorgung. Psychotherapeut, 57(1), 15-21.
  • Mosko MO, Pradel S, Schulz H. [The care of people with a migration background in psychosomatic rehabilitation]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2011 Apr;54(4):465-74. doi: 10.1007/s00103-011-1245-x. German. PubMed 21465403 ↗
  • Reichardt, J., von Lersner, U., Rief, W., & Weise, C. (in Vorb.). Entwicklung und Validierung des Inventars zur Erfassung transkultureller Kompetenzen bei Psychotherapeuten (TKKP).
  • Sodowsky, G. R., Taffe, R. C., Gutkin, T. B., & Wise, S. L. (1994). Development of the Multicultural Counseling Inventory: A Self-Report Measure of Multicultural Competencies. Journal of Counseling Psychology, 41(2), 137-148.
  • Sue, D. W., Arredondo, P., & McDavis, R. J. (1992). Multicultural counseling competencies and standards: A call to the profession. Journal of Counseling & Development, 70(4), 477-486.
  • Reichardt, J., von Lersner, U., Rief, W., & Weise, C. (2017). Wie lassen sich transkulturelle Kompetenzen bei Psychotherapeuten steigern? Vorstellung eines webbasierten Trainingsprogramms [How to improve cross-cultural competencies in psychotherapists? Introduction of a web-based training program]. Zeitschrift für Psychiatrie, Psychologie und Psychotherapie, 65(3), 155-165. doi:10.1024/1661-4747/a000316

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 8, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03038347
Lead sponsor
Philipps University Marburg
Collaborators
Humboldt-Universität zu Berlin
Responsible party
Cornelia Weise (Assistant Professor, Philipps University Marburg) — Principal investigator
First posted
Jan 31, 2017
Start date
Sep 15, 2020
Primary completion
Dec 31, 2021
Completion
Aug 31, 2022
Last update
Nov 8, 2022

Study contacts

Cornelia Weise, PhD
principal investigator · Department of Clinical Psychology and Psychotherapy, Philipps University Marburg
Winfried Rief, PhD
study chair · Department of Clinical Psychology and Psychotherapy, Philipps University Marburg
Ulrike von Lersner, PhD
study chair · Department of Transcultural Psychology, Humboldt University Berlin
Gerhard Andersson, PhD
study chair · Department of Behavioural Sciences and Learning, Linköping University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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