Process Model of Emotion Regulation Integrated Musical Rhythm Interventions' Effects on Student Nurses' Anger

NCT04174040 | Completed DMC

• 1 other identifier: EgeTrial
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

Aim: The study aims to determine the effect of the anger management program to be implemented by integrating the rhythm component of music with the Gross Process Model of Emotion Regulation on the anger expression and anger types of nursing students determined to be under risk through screenings. Materials and Methods: This single-blind factorial designed randomized experimental research was conducted with three control groups. The study group consisted of third-grade students (N=67) who were determined to have scores above average from The State-Trait Anger Expression Inventory (STAXI). The study data were collected with pre-post tests and follow-up measurements using STAXI. The experimental interventions were completed in five sessions after pilot study with a specialist. The data were analyzed using one-way and two-way variance analyses (4x3 Factorial ANOVA). Effect size was measured with ε\^2.

Conditions

Anger

Keywords

music; Cognitive Behavioral Therapy; randomized controlled trial; rhythm

Outcome Measures

Primary Outcomes (2)

• Anger State and Anger Expressions (first evaluation with posttest)

  Anger state and expressions were evaluated with using The State-Trait Anger Expression Inventory. This scale originally organized by Charles D. Spielberger in 1988. The scale, which evaluated trait anger (10 items) and state anger behavior (24 items), was adapted to Turk society by Özer N. in 1992. This tool was used to diagnose anger severity and behavioral reactions of anger in many national studies in child, adolescent and adult groups. Scale's Trait Anger dimension (anger expressions) were separated in three subscales as 'anger out', 'anger in' and 'anger control' which each includes eight items (subscale total score min:8, max:32). State Anger subscale has 10 items and total score range is between 10-40 points.

  Through study completion, an average of 4 months

• Anger State and Anger Expressions (second evaluation with follow up)

  Anger state and expressions were evaluated with using The State-Trait Anger Expression Inventory.

  Through study completion, an average of 7 months

Study Arms (4)

Control 1

NO INTERVENTION

Applied any intervention.

Control 2

ACTIVE COMPARATOR

Gross's Process of Emotion Regulation Model interventions applied.

Behavioral: Gross's Process of Emotion Regulation Model Interventions

Control 3

ACTIVE COMPARATOR

Musical rhythm interventions applied.

Behavioral: Musical Rhythm Interventions

Experimental

EXPERIMENTAL

Musical rhythm integrated Gross's Process of Emotion Regulation Model interventions applied.

Behavioral: Gross's Process of Emotion Regulation Model Interventions; Behavioral: Musical Rhythm Interventions; Behavioral: Musical Rhythm Integrated Gross's Emotion Regulation Process Interventions

Interventions

Gross's Process of Emotion Regulation Model Interventions BEHAVIORAL

Interventions were based on Gross's Process Model which include the basis concepts of cognitive-behavioral therapy and carried on with five semi-structured sessions. Cognitive-behavioral theories accept the existence of a thought process (attention-perception-interpretation) that appears in the mind about the event just before the anger emerges. Therefore, anger studies with cognitive-behavioral approach generally proceed with the steps of gaining awareness about this concealed thought, identifying behavioral response and avoidance attitudes and thus regulating emotion. It consists of five 90-minute group sessions structured in this context. While being an accredited cognitive behavioral therapist, investigator have qualified to manage these approach. The effectiveness of these semi-structured sessions were evaluated by using: 1. Pretest application of STAXI 2. Taking feedback after each intervention session 3. Posttest application of STAXI 4. Follow-up test application of STAXI

Control 2; Experimental

Musical Rhythm Interventions BEHAVIORAL

This musical group rhythm intervention was continued with 90 minute long five sessions. The students participated in the practice together with a music expert and lead researcher. The lead researcher took on the role of observer in these sessions. Each session was continued with warming, improvisation and targeted semi-structured rhythm practices aiming anger regulation. The effectiveness of these semi-structured sessions were evaluated by using: 1. Pretest application of STAXI 2. Taking feedback after each intervention session 3. Posttest application of STAXI 4. Follow-up test application of STAXI

Control 3; Experimental

Musical Rhythm Integrated Gross's Emotion Regulation Process Interventions BEHAVIORAL

The students participated in the practice together with a music expert and lead researcher. The lead researcher ensured the integration of rhythm applications into the Process Model through cognitive-behavioral semi-structured interventions. Five semi-structured 90-minute group sessions were performed. The effectiveness of the experiment was evaluated by using: 1. Pretest application of STAXI 2. Taking feedback after each intervention session 3. Posttest application of STAXI 4. Follow-up test application of STAXI

Experimental

Eligibility Criteria

• Age: 20 Years - 24 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• To be a third year student in the Faculty of Nursing
• To have a higher score than the average limits calculated according to the State Anger score to be obtained from all students,
• Willingness and volunteering for a musical practice

You may not qualify if:

• To benefit from regular psychological counseling in the last three months,
• To have a professional music education,
• To have a physical handicap that will affect musical sense and skill.

Sponsors & Collaborators

• Ege University: lead

Study Sites (1)

Ege University Faculty of Nursing

Izmir, Turkey (Türkiye)

Location

Study Officials

• Gizem Beycan Ekitli, PhD

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Model Details: One experimental and three control groups involved study model.

Study Record Dates

• First Submitted: November 19, 2019
• First Posted: November 22, 2019
• Study Start: March 21, 2018
• Primary Completion: May 21, 2019
• Study Completion: June 21, 2019
• Last Updated: November 22, 2019

Record last verified: 2019-11

Locations

TU (1)