An interventional study of Artificial Intelligence Ambient Scribe in Therapeutic Alliance, Empathy and Documentation, sponsored by Psychiatrie St. Gallen. Active, not recruiting at 8 sites in Switzerland. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-28.
Sponsored by Psychiatrie St. Gallen · Not applicable, Interventional, and Health services research
Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →
Among 13 studies in Burnout, Psychological with a site in Switzerland — 7 open to participants now, 8 under way, none of them phase 3. Burnout, Psychological · Switzerland.
Among the 13 studies in Burnout, Psychological with a site in Switzerland, this one is one of 3 that started in 2026, is one of 8 with no phase, and was the 12th registered.
467 studies on the registry are indexed under Burnout, Psychological; 121 are open to participants now.
Browse Burnout, Psychological studies →7 of the 13 studies in Burnout, Psychological with a site in Switzerland are open now. Recruiting first, the newest first:
Clinica Holistica Engiadina · Sites in Switzerland
Ages 18–80
University of Fribourg · Sites in Switzerland
Healthy volunteers
Insel Gruppe AG, University Hospital Bern · Sites in Switzerland
Healthy volunteers
Arno Schmidt-Trucksäss · Sites in Switzerland
Ages 18–65
Centre Hospitalier Universitaire Vaudois · Sites in Switzerland
Healthy volunteers
A study can be open while its sites in Switzerland have not opened yet or have stopped. Only those recruiting at a site in Switzerland →
Of the 66 Burnout, Psychological studies recruiting now, 43 (65%) set no upper age limit and 17 (26%) stop at 75 or younger; 15 take children under 18; 34 take healthy volunteers.
This study: 18 Years and older · all sexes · healthy volunteers too.
The full table on the hub →This tab as a report to print or save as PDF → With an account.
13 studies; the count open now beside each. This study's row is marked.
First in 2008; this study’s year is marked. 3 started in 2026.
This study's enrollment of 47 is below the median of 80 across 343 interventional studies indexed under Burnout, Psychological.
Median enrollment 55 across the 8 interventional studies, 153 across the 5 observational. Of the 3 that completed or were terminated, 0 (0%) have results posted.
This tab as a report to print or save as PDF → With an account.
None of the 13 has an industry lead sponsor. The 10 most frequent:
This is the only study on the registry with Psychiatrie St. Gallen as lead sponsor.
Psychiatrie St. Gallen has 1 study filed under Burnout, Psychological — fewer than ten, so there is no comparison to draw.
4 of the studies in Burnout, Psychological with a site in Switzerland that are under way reach primary completion within a year, 0 of them phase 3. Phase 3 first, then by date:
| Study | Primary completion |
|---|---|
| NCT07757997Clinica Holistica EngiadinaHealth and Work Ability Following Inpatient Treatment for Stress-related Disorders - Follow-up Study of the HARMODI Cohort | 2026-11 |
| NCT07707453University of FribourgThe COMET Study: a Prospective COhort of MEdical residenTs to Assess Professional, Personal and Psychological Trajectories of Residents in General Internal Medicine | 2026-12-31 |
| NCT07777224Psychiatrie St. GallenAI Ambient Scribe in Psychiatry | 2027-03-31 |
| NCT07818837Swiss University for Traditional Chinese MedicineFeasibility of Body Acupuncture for Stress, Burnout, Sleep Quality and Wellbeing: A Pilot Study | 2027-06 |
Add all 4 to your calendar (.ics) → With an account.
Among the 13 studies in Burnout, Psychological with a site in Switzerland, from their registry updates:
This tab as a report to print or save as PDF → With an account.
The goal of this clinical trial is to learn if an artificial intelligence (AI) tool that listens to appointments and drafts clinical notes can help clinicians in psychiatric care. Researchers also want to know if the tool changes how patients experience their care. The study includes mental health care providers (physicians, psychologists/psychotherapists, nurses, and social workers) at Psychiatrie St. Gallen and the adult patients they see in their appointments.
The main questions it aims to answer are:
Researchers will compare clinicians who use the AI tool to clinicians who keep writing notes their usual way, before and during the intervention period, to see if writing time, note quality, and the patient-rated therapeutic relationship differ between the two groups.
Clinicians will:
Join one of two groups. One group starts using the AI tool on August 17, 2026 (7 clinicians whose devices were delivered late start on November 9, 2026). The other group keeps writing notes the usual way. Both groups will be observed until the end of November 2026 (the 7 late-starting clinicians and additional control data collection until February 22, 2027), with note quality evaluation in February and March 2027. Clinicians who cannot contribute to all measurements may, with their consent, remain in the study for automated measurement of documentation time only.
Patients will:
- Be invited to fill out a short, anonymous survey about their experience with their clinician.
The criteria were revised on the registry on Oct 28, 2026. See what changed
The observed study population comprises mental health care providers (physicians, psychologists/psychotherapists, nurses, and social workers) employed at Psychiatrie St. Gallen.
Provider Inclusion Criteria:
Two outcome-specific criteria apply: contribution to the report quality outcomes requires that the provider regularly conducts new-patient intakes and writes initial psychiatric assessment reports; contribution to the patient-reported outcomes requires working in the outpatient setting. Providers who cannot or no longer wish to contribute to any actively collected outcome may, with their consent, remain enrolled for passive documentation-time measurement only; for analysis, such providers stay in the group which was fixed at enrollment..
Provider Exclusion Criteria:
Patients are not the observed population, but anonymous ratings of their subjective consultation experience are collected from them.
Patient Inclusion Criteria:
- All adult patients visiting the outpatient clinic during the data collection periods for a consultation with a participating provider
Patient Exclusion Criteria:
The mental health care providers (physicians, psychologists/psychotherapists, nurses, and social workers) in this group document their consultations as usual (typing or conventional dictation), without access to the ambient scribe. Under institutional policy, all clinicians irrespective of study participation may use general-purpose AI tools for administrative and documentation support, provided no patient-identifying data are entered; the control condition is therefore defined as documentation without the ambient scribe, not as documentation without any AI assistance.
The mental health care providers in this group use an AI ambient scribe to create their clinical notes from consultations, beginning August 17, 2026, or November 9, 2026, for 7 providers whose mobile devices were delivered late.
Device: Artificial Intelligence Ambient Scribe
Listener Tool of the SwissGPT application (AlpineAI AG). After the patient's verbal consent, the provider records the consultation audio via mobile phone or laptop. All audio and text data are processed exclusively on AlpineAI's own GPU infrastructure located in Switzerland and are encrypted with individual keys per customer and per data type. Transcription uses the speech-to-text models Whisper 3 Turbo; from the transcript, a draft clinical note is generated by open-weight large language model Mistral Large 3 based on a standardized prompt developed for the institution. The provider transfers the generated draft note unedited into the electronic health record (ORBIS) and performs all review and editing directly in the EHR, so that the effort of correcting AI-generated drafts is captured by the automated documentation-time measurement. Audio recordings and transcripts are automatically deleted after 30 days. It also includes a general-purpose chatbot.
Also known as: Artificial Intelligence
Time spent on psychiatric documentation
Mean minutes spent writing clinical notes (progress notes, initial psychiatric assessment reports), extracted automatically from EHR (ORBIS) audit logs as form-level editing durations, compared pre-intervention vs. during intervention between groups.
Time frame: Pre-intervention period (13 weeks; 25 weeks for late-starting providers) and 15-week intervention period.
Documentation quality of initial psychiatric asessment reports
Quality of initial psychiatric assessment reports rated with the Physician Documentation Quality Instrument, 9-item version (PDQI-9). Each of the 9 items is scored on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree) and summed to a total score ranging from 9 (minimum) to 45 (maximum); higher scores indicate better documentation quality. Each report is independently rated by 2 of 8 experienced mental health specialists in a balanced rotating-pair design, blinded to provider identity, group, time point, and site.
Time frame: Pre-intervention period (13 weeks; 25 weeks for late-starting providers) and 15-week intervention period.
Working Alliance
Patient-rated working alliance measured with the Working Alliance Inventory-Short Revised, German patient version (WAI-SR). The 12 items are each scored on a 5-point scale (1 to 5) and summed to a total score ranging from 12 (minimum) to 60 (maximum); higher scores indicate a stronger (better) working alliance. Reported anonymously by patients after outpatient consultations. Tests are two-sided; a deterioration margin of -3.5 sum-scale points is prespecified as an interpretive benchmark (not a validated non-inferiority threshold): a lower bound of the two-sided 95% CI of the effect estimate above -3.5 points will be interpreted as evidence against a deterioration of this size.
Time frame: 5 weeks pre intervention and 5 weeks during the intervention.
Time passed from initial psychiatric assessment note creation to its completion
Calendar time from the administrative creation of the initial psychiatric assessment note in the EHR to its completion, capturing documentation backlog. This outcome is separate from total active time spent writing the note.
Time frame: Pre-intervention period (13 weeks; 25 weeks for late-starting providers) and 15-week intervention period.
Guideline-relevant information coverage and density in initial psychiatric assessment reports
Coverage and density of guideline-relevant psychiatric assessment content, scored by a large language model (Bernina, AlpineAI) against a 64-item checklist derived from the American Psychiatric Association practice guidelines for the psychiatric evaluation of adults. Each item is scored as covered (1), partially covered (0.5), not covered (0), or not applicable (conditional items without a documented trigger); the score is the proportion of applicable items covered, and report length in characters is used to compute information density.
Time frame: 24 Weeks
Patient-perceived empathy of mental health care providers during consultations
Patient-perceived empathy measured with the Consultation and Relational Empathy (CARE) measure. The 10 items are each scored on a 5-point scale (1 = poor to 5 = excellent) and summed to a total score ranging from 10 (minimum) to 50 (maximum); higher scores indicate greater perceived empathy (better). Completed anonymously by patients alongside the WAI-SR. A study-specific German translation is used; its psychometric properties will be examined and reported. A deterioration margin of -4 points is prespecified as an interpretive benchmark, interpreted as for the WAI-SR.
Time frame: 5 weeks pre intervention and 5 weeks during the intervention.
Documentation quality of ambient scribe-generated initial psychiatric assessment reports (raw AI output)
AI-generated initial psychiatric assessment reports, exactly as produced by the ambient scribe and before any human correction, rated by the generating providers (intervention group only) with the psychiatric adaptation of the Provider Documentation Summarization Quality Instrument (PDSQI-9) that uses the consultation as the reference standard, screening for hallucinations, omissions, redundancy, and biased language. Each attribute is scored on a 5-point scale (1 to 5) and summed to a total score ranging from 9 (minimum) to 45 (maximum); higher scores indicate better quality of the AI-generated summary.
Time frame: 15 Weeks
Clinician Burnout
Work-related burnout of participating providers in both groups, measured with the German version of the Burnout Assessment Tool (BAT). The 23 core-symptom items (subscales: exhaustion, mental distance, cognitive impairment, emotional impairment) are each scored on a 5-point frequency scale (1 = never to 5 = always) and averaged to a core score ranging from 1.00 (minimum) to 5.00 (maximum); higher scores indicate more burnout symptoms (worse outcome). The 10 secondary-symptom items are scored and averaged on the same 1.00-5.00 metric, with higher scores likewise indicating a worse outcome.
Time frame: 5 weeks in the pre-intervention period and the last Week (Week 15) of the post-intervention period.
Plan to share: No
No publications or documents are linked to this record.
Started Jul 2026 (actual). Primary completion is estimated for Mar 2027, 8 months after the start.
Of 253 non-industry interventional studies with no phase under Burnout, Psychological, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 24. This study's planned 8 months is below that.
Counting every sponsor, half of 260 studies reached it within 12 months; a quarter within 5 and three quarters within 24.
Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 28, 2026: primary completion Dec 2026 → Mar 2027 and completion Dec 2026 → Mar 2027.
Earlier changes are on the record history on ClinicalTrials.gov ↗
How these figures are worked out, and which studies are left out of them.
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
This study is active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.