Evaluation of Resilience Skills Enhancement (RISE) Training Among University Students

NCT05072340 | Completed

• 1 other identifier: TEG AY2021/22
• Study Type: interventional
• Target: 203
• Locations: 1 country
• Sites: 1

Brief Summary

Background University students experience high levels of stress and this may negatively impact their mental health, coping and academic outcomes. Building resilience has been described as an ability to maintain mental well-being. Aims This study aims to (1) assess the feasibility of the Resilience Skills Enhancement (RISE) program, (2) evaluate the effects of RISE on undergraduate students' resilience, coping, emotion regulation, positive emotions and stress and (3) explore students' perception of RISE. Methods This study will be operationalized in three phases. Phase 1 - Feasibility A single-arm pre-post study will be used. 10 students will be recruited to explore their acceptability, perception, and suggestions for improving RISE. RISE comprises of six weekly sessions delivered via LumiNUS and Zoom. The Wilcoxon signed rank test will be used to analyse the data. Phase 2 - Randomized controlled trial A prospective, double blind randomized controlled trial and repeated post-tests will be used. A total of 122 students will be recruited from LumiNUS and social media platforms. Participants will receive a series of six, weekly online sessions in both groups. The primary outcome is resilience. The secondary outcomes include, coping, emotion relation, positive emotions, stress. Multivariate analysis of variance with repeated measures will be used to compare the mean difference of scores in the three time points through Wilks's lambda test. The data will be analysed according to the intention-to-treat principle. Phase 3 - Process evaluation A qualitative study using an individual, semi-structured interviews will be used to explore students' perception of RISE. Approximately 20 students will be recruited, and the final sample size will be determined based on data saturation. Thematic analyses will be used to analyse the data. Potential contributions This study will contribute by evaluating evidence-based user-friendly RISE that may be effective for enhancing university students' resilience.

Conditions

Resilience, Psychological; Adaptation, Psychological

Keywords

Resilience training; Blended learning; Randomized controlled trial

Outcome Measures

Primary Outcomes (3)

• Resilience

  Resilience will be measured using the 25-item Connor-Davidson Resilience Scale (CD-RISC, Connor \& Davidson 2003). Items are rated on a 5-point Likert scale ranging from 0 (not true at all) to 4 (true nearly all the time), with higher scores indicating higher resilience. The CD-RISC has good psychometric properties (Windle et al., 2011) and validated among Singapore students (Chue \& Cheung, 2021).

  Baseline

• Resilience

  Resilience will be measured using the 25-item Connor-Davidson Resilience Scale (CD-RISC, Connor \& Davidson 2003). Items are rated on a 5-point Likert scale ranging from 0 (not true at all) to 4 (true nearly all the time), with higher scores indicating higher resilience. The CD-RISC has good psychometric properties (Windle et al., 2011) and validated among Singapore students (Chue \& Cheung, 2021).

  After training complete

• Resilience

  Resilience will be measured using the 25-item Connor-Davidson Resilience Scale (CD-RISC, Connor \& Davidson 2003). Items are rated on a 5-point Likert scale ranging from 0 (not true at all) to 4 (true nearly all the time), with higher scores indicating higher resilience. The CD-RISC has good psychometric properties (Windle et al., 2011) and validated among Singapore students (Chue \& Cheung, 2021).

  Three months after training completes

Secondary Outcomes (6)

• Social support

  Baseline

• Social support

  After training completes

• Social support

  Three months after training completes

• Learning

  Baseline

• Learning

  After training completes

Study Arms (2)

RISE (Blended learning)

EXPERIMENTAL

Students will undergo a training that comprises of six sessions: (1) introducing resilience, (2) coping strategies, (3) creating positivity, (4) shifting mindsets, (5) building social competency and (6) preparing for the future. RISE training will be hosted via the NUS' online learning platform, LumiNUS and virtual face-to-face platform, Zoom. Each session will take approximately one to two hours per week. One session is made available each week to encourage completion before moving onto the next session. Students will be provided with materials in the form of interactive videos. Virtual face-to-face sessions, online forum, quizzes and homework will be additionally available to students.

Behavioral: Resilience Skills Enhancement (RISE)

RISE (Asynchronous learning)

ACTIVE COMPARATOR

Students will also undergo a six-session training comprising of: (1) introducing resilience, (2) coping strategies, (3) creating positivity, (4) shifting mindsets, (5) building social competency and (6) preparing for the future. RISE training will be hosted via the NUS' online learning platform, LumiNUS. One session is made available each week to encourage completion before moving onto the next session. Participants will be reminded via emails and short message service (SMS) to complete the intervention. Students will be provided with materials in the form of interactive videos in LumiNUS.

Behavioral: Resilience Skills Enhancement (RISE)

Interventions

Resilience Skills Enhancement (RISE) BEHAVIORAL

The RISE training was developed according to theory, empirical evidence and contextual information. The contents, components, pedagogy, and technical elements of RISE is established based on the resilience theory (Szanton \& Gill, 2010) systematic review and meta-analysis, meta-synthesis, and qualitative study (Ang et al., 2021). Ethical and quality standards was assessed using the Health on the Net code of conduct and the Health-Related Website Evaluation Form respectively. The overall rating of the designed RISE is more than 75% of the total possible points to ensure quality of website by three research team members.

RISE (Asynchronous learning); RISE (Blended learning)

Eligibility Criteria

• Age: 18 Years - 55 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Full undergraduate in NUS
• Above 18 years old
• Comprehend English language
• Have access to an electronic device (laptop, smartphone or tablet)

You may not qualify if:

• No self-reported history of mental health disorders
• Did not participate in any other form of resilience training

Sponsors & Collaborators

• National University of Singapore: lead

Study Sites (1)

The Chinese University of Hong Kong

Hong Kong, Hong Kong

Location

Study Officials

• Ying Lau, PhD

  Chinese University of Hong Kong

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: The allocation was done based on the participants' sequence of enrolment, and another research assistant opened the opaque envelopes and allocated participants to either the blended or self-guided RISE group.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: August 11, 2021
• First Posted: October 8, 2021
• Study Start: December 1, 2021
• Primary Completion: January 31, 2022
• Study Completion: December 31, 2023
• Last Updated: December 27, 2024

Record last verified: 2024-12

Locations

HK (1)