NCT05640505

Brief Summary

The experimental nature of this study will provide the empirical data in analyzing the effectiveness of gratitude exercises which later can be adapted in stress reduction programs at school level. This research will focus on the school related positive life experiences for example thinking about a teacher/mentor kindness and contribution in their lives, then write a letter that describes their gratitude \& letter will be delivered to that person indirectly. This may help in focusing on the positive aspects of school life. This modification will serve as testing this new model for assessing the combined effect of gratitude interventions.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
102

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Sep 2018

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2018

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 2, 2019

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2019

Completed
2.8 years until next milestone

First Submitted

Initial submission to the registry

August 26, 2022

Completed
3 months until next milestone

First Posted

Study publicly available on registry

December 7, 2022

Completed
Last Updated

December 7, 2022

Status Verified

December 1, 2022

Enrollment Period

1 year

First QC Date

August 26, 2022

Last Update Submit

December 6, 2022

Conditions

Keywords

Academic ExpectationsEmotional Experiences

Outcome Measures

Primary Outcomes (2)

  • Academic Stress

    Academic Expectations, Daily Hassles. Academic Expectation Stress Inventory is a nine (09) item inventory developed by Ang and Huan (Ang, Huan 2006) is a reliable and valid instrument widely used especially in assessing parental expectations (Ang et al., 2009; Qadir et al., 2012; Sun, 2012; Zhang et al., 2016). The two subscales are Self-Expectations and Other expectations covering the domains of stress, self-blame, disappointment, anxiety, and feeling of inadequacy. It has Likert - type scoring ranging from 1 (never true) to 5 (almost always true) with high scores showing more stress.

    4 weeks

  • Emotional Experiences

    Positive Emotions, Positivity Ratio. it will be measured through Modified Differential Emotions Scale is a reliable \& valid instrument to assess positive and negative emotions separately.It is a twenty (20) items instrument with Five (05) points likert scoring from "Not at all" to "Extremely". Overall positive and negative emotions ratio can also be created by computing the mean of 10 positive emotions divided by mean of 10 negative emotions. The scale is suitable to be used with adolescents

    4 weeks

Secondary Outcomes (1)

  • Daily Hassles

    4 weeks

Study Arms (2)

Experimental

EXPERIMENTAL

This group received 03 gratitude interventions for 4 weeks

Behavioral: School based Gratitude Interventions

Control Group

NO INTERVENTION

This group did not receive any intervention during active phase. Only the scores on dependent variables were measured. After completion of study, the same interventions were repeated with this group.

Interventions

Three gratitude interventions including Count your blessings, Gratitude Letter and Loving Kindness Meditation were applied with modification focusing on school related experiences. For example, writing a gratitude letter to a teacher, mentor or coach who played a significant role in one's life then imagining on the same person during LKM exercise of imagery. There were 9 sessions with 3-4 exercises in each session.

Experimental

Eligibility Criteria

Age14 Years - 17 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • High School Students
  • Studying in same school for at least last six months
  • within 14-17 years of age
  • not having severe physical health issue or going under treatment for chronic illness

You may not qualify if:

  • not able to understand Urdu language
  • above 17 years of age or below 14 years
  • recently enrolled in the particular school

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Govt Islamia High School & Govt Girls High School

Rawalpindi, Punjab Province, 46000, Pakistan

Location

MeSH Terms

Conditions

Stress, Psychological

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehavior

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
CROSSOVER
Model Details: Experimental research design with randomized control trial with difference of 4 weeks were be applied. Pretest post-test was done to compare the difference in the scores of academic stress and emotional experiences among adolescents before and after the intervention. Two experimental conditions will be used: (1) Gratitude (individuals assigned with daily gratitude-inducing activity) and (2) Control (no-assigned activity). Both groups were measured at (a) Pre-test (prior to the intervention); (b) Post-test (immediately after intervention).
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

August 26, 2022

First Posted

December 7, 2022

Study Start

September 1, 2018

Primary Completion

September 2, 2019

Study Completion

November 1, 2019

Last Updated

December 7, 2022

Record last verified: 2022-12

Data Sharing

IPD Sharing
Will not share

In SPSS sheet, Alpha Numerical ID will be assigned to each participant and only the combined statistical results would be published.

Locations