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. 2025 Nov 3;25:1534. doi: 10.1186/s12909-025-08072-z

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