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NCT Number: NCT07085897

Web-based Single-session Growth Mindset Intervention for Allied Health Practicum Trainees to Reduce Anxiety

Practicum is a critical component of professional training, offering essential experiential learning opportunities that support the development of future practitioners. However, existing research indicates that practicum can be particularly challenging for allied health students, who must navigate both academic learning adjustments and complex healthcare environments. Emerging evidence also highlights the potential value of low-intensity, self-guided interventions in enhancing practicum trainees' psychological preparedness. Based on the findings, this present project adapts an integrated intervention-the Web-based Single-Session Intervention on Mindset regarding Intelligence, Failure, and Emotion (We-SMILE)-specifically for practicum students in allied health professions and examines its efficacy to adjust their mindsets and manage practicum-related challenges more effectively.

Using a two-arm randomised controlled trial, the proposed study will examine the efficacy of We-SMILE for allied health practicum trainees in reducing anxiety, as well as improving perceived stress, performance anxiety, practicum-related concerns, psychological status, learning orientation, confidence, resilient coping, and time management.

Students commencing their practicums will be recruited from allied health programmes and randomly assigned to either existing pre-practicum training plus intervention or the training-as-usual control group. Participants will be assessed at three time-points: baseline before intervention (T1), two weeks post-intervention (T2) and two months post-intervention (T3). The intention-to-treat principle and linear-regression-based maximum likelihood multi-level models will be used for data analysis.

Feasibility and Potential: This project brings together experts in mindset research, fieldwork coordinators, and programme leaders, ensuring the feasibility of the study. It will not only generate evidence on the adapted We-SMILE intervention for allied health practicum trainees but also offer a scalable and accessible model for enhancing the well-being of trainees in other healthcare and helping professions.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Students enrolled in allied health programmes who are about to commence their practicums or have recently entered practicum.

Exclusion criteria

  • (1) do not consent to participate, (2) cannot concentrate for at least 45 minutes to complete the intervention and questionnaires, (3) have a disability or serious physical or mental illness resulting in poor condition, and (4) do not participate in the practicum.

Treatment and study plan

Web-based Single-session Intervention of Mindset on Intelligence, Failure, and Emotion (We-SMILE) for allied health practicum trainees

Behavioral

The intervention is structured into three video-and-exercise sessions. Part one focuses on students' mindsets in coping with practicum-related challenges and their attitudes towards setbacks, encouraging them to shift from a 'fear-of-failure' mindset to a 'failure-is-enhancing' mindset. Part two introduces the nature and concept of neuroplasticity to promote students' understanding of effective learning. Part three centers on providing guidance for students on strategies to cope with stress and emotional turbulence with growth mindset regarding emotion.

Primary outcomes

  1. Anxiety related to practicum

    Time frame: Baseline, 2-week and 8-week follow-ups

    Anxiety related to practicum will be measured by four items, including "level of anxiety about starting the practicum", "how much your anxiety will interfere with their learning", "how prepared you are for the practicum" and "how excited you are to participate in the practicum". Each statement will be rated on a 10-point Likert scale, ranging from 1=completely not anxious, very small, completely unprepared, and completely unexcited to 10=extremely anxious, very great, perfectly prepared, and extremely excited.

Secondary outcomes

  1. Psychological states

    Time frame: Baseline, 2-week and 8-week follow-ups

    Psychological states will be assessed by the Depression, Anxiety and Stress Scale-8 Items (DASS-8) is a set of three self-report scales designed to measure the psychological states of depression, anxiety and stress. Each of the depression and anxiety sub-scales of the DASS-8 contain 3 items while the stress sub-scale contains 2 items. Each item can be scored from 0 (Did not apply to me at all) to 3 (Applied to me very much, or most of the time).

  2. Performance anxiety

    Time frame: Baseline, 2-week and 8-week follow-ups

    Performance anxiety will be examined by the sub-scale of cognitive anxiety from the Performance Test Anxiety questionnaire (PTA). Respondents indicated how they were thinking and feeling about their practicum (using a 5-point scale on which 1=totally disagree and 5=totally agree) in response to the items.

  3. Learning orientation

    Time frame: Baseline, 2-week and 8-week follow-ups

    Learning orientation will be assessed by five items (e.g., "I like to learn new knowledge in practicums."). Each item will be rated by a five-point Likert scale from 1=strongly disagree to 5=strongly agree.

  4. Confidence

    Time frame: Baseline, 2-week and 8-week follow-ups

    Confidence will be assessed by a six-item self-developed scale. Items generated from interviews with practicum students, such as "I am confident that I can listen to comments from supervisors/colleagues/service users with an open mind." and "I am confident that I can manage my time well and cope with my practicum work and schoolwork at the same time.". Each item needs to be rated from 1=strongly disagree to 5=strongly agree.

  5. Resilient Coping

    Time frame: Baseline, 2-week and 8-week follow-ups

    Resilient Coping will be measured by a self-report four-item Brief Resilient Coping Scale (BRCS). Items will be scored from 1 (Does not describe me at all) to 5 (Describe me very well). A sample item is "I look for creative ways to alter difficult situations".

  6. Perceived stress

    Time frame: Baseline, 2-week and 8-week follow-ups

    Stress will be examined by the Perceived Stress Scale-4 items (PSS-4). It measures the degree to which situations in one's life over the past month are appraised as stressful. Each item will be scored from 0 (Never) to 4 (Very often). Total score is determined by adding together the scores of each of the four items. Questions 2 and 3 are reverse coded.

  7. Practicum-related concerns

    Time frame: Baseline, 2-week and 8-week follow-ups

    Practicum-related concerns will be assessed using a self-developed six-item scale designed to reflect the concerns of allied health students.

  8. Time management

    Time frame: Baseline, 2-week and 8-week follow-ups

    Time management will be assessed using the 'Setting Goals and Priorities' sub scale of the Time Management Behavior (TMB) Scale, which includes ten items. Each item is rated on a 5-point Likert scale ranging from 1 (seldom true) to 5 (very often true).

Study contacts

Contact information is provided by the study sponsor or research team.

Shimin Zhu, PhD

CONTACT

[email protected]

+852 2766 5787

Sponsors and collaborators

Lead sponsor

The Hong Kong Polytechnic University

Other

Registry information

Official study title

Efficacy of an Integrated Growth Mindset Intervention on Reducing Anxiety for Practicum Training Among Students in the Allied Health Professions: Study Protocol for a Two-Arm Randomised Controlled Trial

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jul 25, 2025
Registry last updated
Jul 25, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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