Table 1.
Characteristics of studies included in the systematic review (controlled studies)
| Study ID | Country | Study design | Sample size | Population | Study arms | Implementation frequency, times of Balint | Study duration (months) | Risk of bias | |
|---|---|---|---|---|---|---|---|---|---|
| Experimental group | Control group | ||||||||
| [12] | China | RCT | 24 | Clinical medical students | Balint group | None | Once every two weeks, 10 | 5 | some concerns |
| [13] | China | RCT | 60 | Clinical medical students | Balint group | None | Weekly, 20 | 5 | some concerns |
| [14] | China | RCT | 20 | Resident doctors | Balint group | None | Once every two weeks, 8 | 4 | some concerns |
| [15] | China | RCT | 120 | Clinical medical students | Balint group | None | Weekly, 4 | 1 | some concerns |
| [16] | China | RCT | 60 | Resident doctors | Balint group | None | Once or twice every week, 4 | Not reported | some concerns |
| [17] | China | RCT | 74 | Resident doctors | Miller pyramid theory + Balint group | None | Once every two weeks, not reported | Not reported | some concerns |
| [18] | China | RCT | 39 | Clinical medical students | Balint group | Consolation control group: propaganda and education; Blank control group: none | Weekly, 8 | 2 | some concerns |
| [7] | France | RCT | 362 | Clinical medical students | Group 1: Balint group | Group 2: narrative medicine; Group 3: none | Weekly, 7 | 3 | low risk |
| [19] | China | RCT | 120 | Physicians, nurses | Balint group + Music therapy | Music therapy | Weekly, 4 | 1 | some concerns |
| [20] | China | RCT | 16 | Resident doctors | Balint group | Exercise prescription intervention | Once every two weeks, 6 | 3 | some concerns |
| [21] | China | RCT | 60 | Physicians, nurses | Balint group | None | Once every two months, 12 | 24 | some concerns |
| [22] | China | RCT | 36 | Physicians, nurses | Balint group | Consolation control group: network psychological self-help intervention; Blank control group: none | Weekly, 6 | 1.5 | some concerns |
| [23] | USA | RCT | 14 | Resident doctors | Balint group + Behavioral health curriculum | Behavioral health curriculum | Once every two weeks, 18 | 9 | some concerns |
| [24] | USA | RCT | 16 | Resident doctors | Balint group | None | Once every two weeks, 12 | 6 | some concerns |
| [25] | China | RCT | 90 | Clinical medical students | Group 1: Balint group | Group 2: publicity and education; Group 3: doctor–patient relationship learning | Once every two weeks, 12 | 6 | some concerns |
| [26] | China | RCT | 60 | Clinical medical students | Balint group | None | Monthly, 6 | 6 | some concerns |
| [27] | UK | RCT | 30 | Clinical medical students | Group 1: Balint group | Group 2: psychotherapy program; Group 3: none | Weekly, 12 | 3 | some concerns |
| [28] | China | RCT | 20 | Physicians | Balint group | None | Not reported | Not reported | some concerns |
| [29] | Israel | RCT | 34 | Physicians | a breaking bad news (BBN) training program | Balint group | Not reported | Not reported | high risk |
| [30] | China | RCT | 36 | Resident doctors | Balint group | None | Not reported, 10 | 6 | some concerns |
| [31] | France | RCT | 163 | Clinical medical students | Balint group | None | Weekly, 10 | 5 | some concerns |
| [32] | France | RCT | 299 | Clinical medical students | Balint group | None | Weekly, 7 | over 2 months | low risk |
| [33] | China | RCT | 30 | Clinical medical students | Balint group | None | Weekly, 10 | 2.5 | some concerns |
| [34] | China | RCT | 40 | Resident doctors | Balint group | None | Once every week or every two weeks, not reported | 4.5 | some concerns |
| [35] | China | RCT | 60 | Resident doctors | Balint group + Doctor–patient communication course | Doctor–patient communication course | Not reported,2 | Not reported | some concerns |
| [36] | China | Cluster | 56 | Resident doctors | Balint group | None | Twice every week, 8 | 4 | high risk |
| [37] | China | Cluster | 58 | Clinical medical students | Balint group + Doctor–patient relationship learning | Doctor–patient relationship learning | Not reported, 4 | Not reported | some concerns |
| [38] | USA | Crossover | 28 | Clinical medical students | Balint group (in the first 6 months) | Balint group (in the next 6 months) | Once every two weeks, 12 | 6 | some concerns |