Effectiveness of Stress Self-management Health Education Based on IMB Theory Among Nursing Students

NCT06440837 | Not Yet Recruiting

• 1 other identifier: ChangzhiMC
• Study Type: interventional
• Target: 120
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of this cluster randomized controlled study is to test the effectiveness of IMB stress self-management health education on nursing students registered in first semester. The main question aims to answer are: Does IMB stress self-management health education program improving stress in nursing students? Researcher will compare wait-list group without any intervention to experimental group which received IMB stress self-management health education, to see if IMB stress self-management health education works to improving stress among nursing students. Participants will Attend IMB stress self-management health education program once a week for 8 weeks. In addition, complete questionnaires at pre-intervention, post-intervention, 1-month post-intervention, 3-months post-intervention, 6-months post-intervention.

Conditions

Psychological Stress; Nursing Students

Keywords

health education; IMB model; cluster-randomized controlled study

Outcome Measures

Primary Outcomes (1)

• stress sub-scale of DASS-21

  The DASS-42 is a 42 item self-report scale is designed to measure the emotional states of depression, anxiety and stress. Each of the 42 questions in DASS is scored on a 4-point scale ranging from 0("Did not apply to me at all") to 3("Applied to me very much, or most of the time"). Scores for Stress is calculated by summing the scores for the 14 items: 1, 6, 8, 11, 12, 14, 18, 22, 27, 29, 32, 33, 35, 39. Total score of the stress subscale ranged from 0 to 42, the level of stress can be categorized five level based on total score actually measured: normal (score from 0 to 14), mild (score from 15 to 18), moderate (score from 19 to 25), Sever (score from 26 to 33), extreme sever (score from 34 above), therefore, higher score indicate higher level of stress.

  baseline, immediately after the intervention, 1 month after the intervention, 3 months after the intervention, 6 months after the intervention.

Secondary Outcomes (5)

• Stress Knowledge Questionnaire

  baseline, immediately after the intervention, 1 month after the intervention, 3 months after the intervention, 6 months after the intervention.

• Stress Mindset Measure-General

  baseline, immediately after the intervention, 1 month after the intervention, 3 months after the intervention, 6 months after the intervention.

• Multidimensional Scale of Perceived Social Support

  baseline, immediately after the intervention, 1 month after the intervention, 3 months after the intervention, 6 months after the intervention.

• Self-Compassion Scale Short Form

  baseline, immediately after the intervention, 1 month after the intervention, 3 months after the intervention, 6 months after the intervention.

• Connor-Davidson Resilience Scale

  baseline, immediately after the intervention, 1 month after the intervention, 3 months after the intervention, 6 months after the intervention.

Study Arms (2)

wait-list

NO INTERVENTION

participant in this group will not accept any psychological intervention content during experimental period. After the study, the intervention will be distributed for free.

IMB stress self-management health education

EXPERIMENTAL

Participants in this arm will receive an online "IMB stress self-management health education" program. The health education intervention program contains eight module topics.

Behavioral: IMB stress self-management health education

Interventions

IMB stress self-management health education BEHAVIORAL

The health education intervention program contains eight module topics: stress-related knowledge, the thinking and mentality under stress, social support, take care of your suffering, manage your difficult emotions, acceptance, embrace a better life, ending. One topic or session is delivered by weeks, each session lasting 30-40 minutes.

Also known as: "information-motivation-behavioral skills" stress self-management health education

IMB stress self-management health education

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• cluster
• dormitories located in Changzhi Medical College
• The residents in the dormitory are all nursing students that registered in fist-semester
• individual
• Registered in undergraduate nursing program
• Registered in the first-semester study
• Have a mobile device that can access internet
• Voluntarily participated in this study

You may not qualify if:

• cluster
• The residents in the dormitory are mixed with students from other majors except nursing.
• The residents in the dormitory are mixed with nursing students from other grade.
• individual
• Diagnosed with mental problems or severe physical problems, e.g., depression, generalized anxiety disorder, or diabetes
• Previous participation in other stress intervention studies

Sponsors & Collaborators

• Changzhi Medical College: lead

Related Publications (4)

• Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995 Mar;33(3):335-43. doi: 10.1016/0005-7967(94)00075-u.

  PMID: 7726811 RESULT

• Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003;18(2):76-82. doi: 10.1002/da.10113.

  PMID: 12964174 RESULT

• Crum AJ, Salovey P, Achor S. Rethinking stress: the role of mindsets in determining the stress response. J Pers Soc Psychol. 2013 Apr;104(4):716-33. doi: 10.1037/a0031201. Epub 2013 Feb 25.

  PMID: 23437923 RESULT

• Zimet GD, Powell SS, Farley GK, Werkman S, Berkoff KA. Psychometric characteristics of the Multidimensional Scale of Perceived Social Support. J Pers Assess. 1990 Winter;55(3-4):610-7. doi: 10.1080/00223891.1990.9674095.

  PMID: 2280326 RESULT

MeSH Terms

Conditions

Stress, Psychological; Health Education

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Adherence Interventions; Medication Adherence; Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior

Study Officials

• binti Ahmad Norliza, Dr

  University Putra Malaysia

  STUDY DIRECTOR

Central Study Contacts

Dong Xiujuan, Master

CONTACT

+8618334526688; 281046270@qq.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: To ensure allocation concealment, an external party using a "third-party" allocation approach will be employed. This involves using a research assistant to maintain allocation concealment. The list of eligible dormitories will be sent to a second research assistant, who will then carry out the sequence generation described above. Neither the researchers nor other research personnel will be aware of the specific dormitory group assignments.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: research leader

Model Details: The random sequence generation will be implemented at the cluster level rather than the individual level to prevent sample contamination. Dormitories meeting the eligibility criteria will be coded and randomly assigned to either the intervention group or the control group. The random assignment will be executed using computer-generated software on a research randomization website, with a 1:1 allocation ratio.

Study Record Dates

• First Submitted: May 28, 2024
• First Posted: June 4, 2024
• Study Start: October 10, 2024
• Primary Completion: June 10, 2025
• Study Completion (Estimated): August 1, 2026
• Last Updated: June 4, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share