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Psychology, PositiveNCT04746274

An Online Large-group One-session Training to Enhance Positive Mental Health

A study testing Online large-group one-session multicomponent positive psychological intervention and Online large-group one-session cognitive intervention targeting dysfunctional thoughts in people with Psychology, Positive and Psychological Distress, run by Ruhr University of Bochum at 1 site in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Current models suggest that mental health is not the mere absence of a mental disorder. Rather, mental health consists of two factors, mental disorder symptoms and positive mental health, that can be regarded as continua. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Psychology, Positive, Psychological Distress
What is being tested?
Online large-group one-session multicomponent positive psychological intervention and Online large-group one-session cognitive intervention targeting dysfunctional thoughts
Could I receive a placebo?
No, everyone receives an active treatment
How many people
381 participants
Where
1 siteGermany
Study dates
1 Jan 2021to 17 Oct 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Aged 18 years or above

Who cannot join

  • Not having the appropriate technical equipment for participation in a videoconference

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Ruhr-University of Bochum

    Bochum, 44801

Other trials in Germany

About this study

Official title: The More the Merrier and Brevity is the Soul of Wit? Efficacy of a Multicomponent Positive Psychological Intervention Conducted in an Online Large-group One-session Format

Current models suggest that mental health is not the mere absence of a mental disorder. Rather, mental health consists of two factors, mental disorder symptoms and positive mental health, that can be regarded as continua. Programmes applying interventions known from the positive psychology or positive psychotherapy framework have been shown to enhance psychological wellbeing, subjective wellbeing and to reduce depressive symptoms. However, interventions were mostly conducted in an individual or small group setting and usually consisted of more than one session. The few trainings of minimal length that were conducted in group settings only used one intervention strategy or one part of multicomponent positive psychological interventions. Therefore, the conclusions that can be drawn regarding the effectiveness of short group-interventions are limited. In this study, the investigators plan to conduct an online large-group one-session training to enhance positive mental health that comprises multiple positive psychological interventions (e.g. character strengths, positive communication, goal attainment, etc). Furthermore, an active as well as a passive (waitlist) control group are included in the study. In the active control group, dysfunctional thoughts are adressed that are known to everybody but exist in a great measure in people suffering from depressive disorders. Methods used in cognitive therapy are applied in this group. Participants will be recruited from a community sample without any inclusion criteria but being of legal age. The only exclusion criterion is not having the appropriate technical equipment for participation in a videoconference. Positive mental health as well as other constructs of mental health will be assessed before and after training and at one month and six months follow up to investigate long-term effects of the intervention.

Read the detailed description

In general, the investigators expect an increase in positive mental health in the multicomponent positive psychological intervention (MPPI) group. This effect should be present at the assessment points one month and six months after training. Furthermore, the increase in positive mental health in the MPPI group is expected to be larger than in the two control groups (cognitive intervention targeting dysfunctional thoughts [CIDT], waitlist). Furthermore, the investigators hypothesize participants to benefit from the MPPI in terms of other constructs related to mental health, i.e. self efficacy, happiness, wellbeing, positive emotions, and life satisfaction, in the long term. This increase is expected to be larger in the MPPI than in the two control groups. A decrease in depressive symptoms is hypothesized to occur in the MPPI as well as in the CIDT group.

The sample under investigation will be a community sample. All participants can attain the training for free and there is no payment for participation. One week before the first training day, the random allocation to the three groups will take place. Two days before the first training day, all participants are asked to fill out another survey through a link sent to them via e-mail. This survey comprises all outcome measures. The same procedure is carried out one day after, one month after and six months after the first training day. After the last assessment time point, the training for the waitlist control group will be conducted.

The target sample size is 300 participants (100 per group). The investigators will attempt to recruit more participants, assuming that not all will complete the study, especially the assessment after six months.

The investigators used the software program G*Power to conduct a power analysis. The goal was to obtain .95 power to detect a small effect size of .1 at the standard .05 alpha error probability. The investigators extended the calculated sample size of 264 participants to a target sample size of 300 participants as there was no study before that compared an online multicomponent large-group one-session training to enhance positive mental health with an online large-group one-session intervention targeting dysfunctional thoughts. Therefore, the effect size for the comparison of these two groups could be smaller than f = .1.

The primary outcome measure will be analyzed with a 3x2 repeated measures ANOVA.

For all other outcome measures, the investigators will use 3 x 4 between-within repeated measures ANOVAs (rmANOVA) to analyze the results. The first factor is a between-subjects factor that comprises the three groups MPPI, CIDT and waitlist control group. The second factor is a within-subjects factor reflecting the four assessment time points two days before the intervention, one day after the intervention, one month after the intervention and six months after the intervention. This analysis will be conducted for positive mental health, life satisfaction, affect, generalized self-efficacy, happiness, wellbeing, stress perception, positive and negative aspects of mental health, depression, anxiety and stress, social support and media-related variables. Before these analyses are carried out, correlations among the outcome measures are calculated. If outcome measures correlate significantly high (above .5), they will be first analyzed together in a between-within repeated measures MANOVA to control for alpha-error accumulation. After that, the separate analyses will be conducted. Furthermore, there will be paired comparisons between each of the three groups, reducing the first between-subjects factor in the between-within rm(M)ANOVA to two levels. For each group, rmANOVAs will be conducted to analyze the change of outcome variables over time entailing paired contrasts between the assessment time points.

Being tested
Online large-group one-session multicomponent positive psychological intervention, Online large-group one-session cognitive intervention targeting dysfunctional thoughts
Keywords
large-group intervention, one-session intervention, positive mental health, positive psychological intervention, positive psychology, wellbeing, online intervention

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Online large-group one-session multicomponent positive psychological interventionBehavioural

    The intervention is aimed at enhancing positive mental health by using components from positive psychology or positive psychotherapy. These include for exapmle using character strengths, savoring the moment, goal setting and goal attainment. The intervention is conducted in an online group format via videoconference with a duration of approximately 3 and a half hours.

  • Online large-group one-session cognitive intervention targeting dysfunctional thoughtsBehavioural

    The intervention is aimed at reducing dysfunctional thoughts by applying strategies known from the cognitive therapy of depression. These include for example identification of automatic thoughts and cognitive biases as well as evaluating evidence for and against automatic thoughts. The intervention is conducted in an online group format via videoconference with a duration of approximately 3 and a half hours.

Study groups in NCT04746274
Study groupRoleWhat they receive
Online large-group one-session multicomponent positive psychological interventionExperimentalNot described
Receives: Behavioral: Online large-group one-session multicomponent positive psychological intervention
Online large-group one-session cognitive intervention targeting dysfunctional thoughtsActive comparatorNot described
Receives: Behavioral: Online large-group one-session cognitive intervention targeting dysfunctional thoughts
Waitlist Control GroupNo interventionNot described

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. change on positive mental health scale (german version; Lukat, Margraf, Lutz, van der Feld, & Becker, 2015)

    9 items, 4-point Likert scale, large change in a positive direction means better outcome

    Measured: two days before the intervention and one month after the intervention

Secondary outcomes (13)
  1. change on positive mental health scale (german version; Lukat, Margraf, Lutz, van der Feld, & Becker, 2015)

    9 items, 4-point Likert scale, large change in a positive direction means better outcome

    Measured: two days before the intervention, one day after the intervention, one month after the intervention (already specified as primary outcome measure), six months after the intervention

  2. change on generalized self efficacy scale (german version; Schwarzer & Jerusalem, 1999)

    10 items, 4-point Likert scale, large change in a positive direction means better outcome

    Measured: two days before the intervention, one day after the intervention, one month after the intervention, six months after the intervention

  3. change on satisfaction with life scale (german version; Glaesmer, Grande, Braehler, & Roth, 2011)

    5 items, 7-point Likert scale, large change in a positive direction means better outcome

    Measured: two days before the intervention, one day after the intervention, one month after the intervention, six months after the intervention

  4. change on subjective happiness scale (Lyubomirsky & Lepper, 1999; german version)

    4 items, 7-point Likert scale, large change in a positive direction means better outcome

    Measured: two days before the intervention, one day after the intervention, one month after the intervention, six months after the intervention

  5. change on positive and negative affect schedule (german version; Breyer & Bluemke, 2016)

    20 items, 5-point Likert scale, two subscales negative affect: large change in a negative direction means better outcome positive affect: large change in a positive direction means better outcome

    Measured: two days before the intervention, one day after the intervention, one month after the intervention, six months after the intervention

  6. change in the degree of subjectively experienced stress concerning a specific situation measured with the questionnaire "primary appraisal secondary appraisal" (PASA; german version; Gaab, 2009)

    The questionnaire assesses the two processes proposed in Lazarus' transactional model of stress: primary appraisal and secondary appraisal. Each process is operationalized by two subscales (yielding four level 1 subscales and two level 2 subscales). The subscales will be analyzed seperately and a stressindex will be calculated by calculating the difference between primary and secondary appraisal.

    16 items, 6-point Likert-scale, for the stressindex, large changes in a negative direction mean better outcome

    Measured: two days before the intervention, one day after the intervention, one month after the intervention, six months after the intervention

  7. change on mental health continuum - short form (Keyes et al., 2008; german translation)

    14 items, 6-point Likert scale, three subscales emotional wellbeing, subjective wellbeing and personal wellbeing, large change in a positive direction means better outcome

    Measured: two days before the intervention, one day after the intervention, one month after the intervention, six months after the intervention

  8. change on general health questionnaire (german version; Linden et al., 1996)

    12 items, 4-point Likert scale, large change in a negative direction means better outcome

    Measured: two days before the intervention, one day after the intervention, one month after the intervention, six months after the intervention

  9. change on depression anxiety stress scale (DASS-21; german version; Nilges & Essau, 2015)

    21 items, 4-point Likert scale, 3 subscales that are analyzed separately (depression, anxiety, stress), large change in a negative direction means better outcome

    Measured: two days before the intervention, one day after the intervention, one month after the intervention, six months after the intervention

  10. change on brief form of the perceived social support questionnaire (german version; Lin, Hirschfeld, & Margraf, 2019)

    6 items, 5-point Likert scale, large change in a positive direction means better outcome

    Measured: two days before the intervention, one day after the intervention, one month after the intervention, six months after the intervention

  11. change of frequency of media use (TV, internet, gaming, smartphone, social media)

    7-point scale for each medium, large change in a negative direction means better outcome

    Measured: two days before the intervention, one day after the intervention, one month after the intervention, six months after the intervention

  12. change of use of social media (frequency of social media use of different platforms, e.g. facebook, tumblr; accesses per day; time per day)

    frequency: 7-point scale, accesses per day and time per day measured continously, large change in a negative direction means better outcome

    Measured: two days before the intervention, one day after the intervention, one month after the intervention, six months after the intervention

  13. change on brief version of the Bergen Social Media Addiction Scale (german version; Brailovskaia, Schillack, & Margraf, 2020)

    6 items, 5-point Likert scale, large change in a negative direction means better outcome

    Measured: two days before the intervention, one day after the intervention, one month after the intervention, six months after the intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Feb 2021
  2. Study start1 Jan 2021
  3. Primary completion1 May 2021
  4. Study completion17 Oct 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
381 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04746274
Sponsor's protocol ID
683
Status last verified
Apr 2022
First submitted
4 Feb 2021
Last updated
27 Apr 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: It is planned to make individual participant data available on publication of the associated study results, via a publically-available data repository such as Open Science Framework. Data made available will be the research data reported in the publication, with the exception of any data that could compromise participant anonymity.

Questions about this trial

What is this clinical trial studying?

A study testing Online large-group one-session multicomponent positive psychological intervention and Online large-group one-session cognitive intervention targeting dysfunctional thoughts in people with Psychology, Positive and Psychological Distress, run by Ruhr University of Bochum at 1 site in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Apr 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

change on positive mental health scale (german version; Lukat, Margraf, Lutz, van der Feld, & Becker, 2015) (time frame: two days before the intervention and one month after the intervention). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Apr 2022.

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