Perceived StressNCT07181603
Resilience Enhancement Training Program to Confront Nursing Students' Perceived Stress
A study testing Resilience Enhancement Training Program in people with Perceived Stress, run by Ain Shams University at 2 sites in Egypt.
Trial summary
The goal of this clinical trial is to assess if a resilience enhancement training program can help nursing students manage stress more effectively. The main question it aims to answer is: Does the program improve nursing students' resilience levels? Does the program lower nursing students' perceived stress levels?… Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Perceived Stress
- What is being tested?
- Resilience Enhancement Training Program
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 90 participants
- Where
- 2 sitesEgypt
- Study dates
- 2 Nov 2025to Jan 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- Nursing students enrolled in the Psychiatric and Mental Health Nursing (PMHN) course at the Faculty of Nursing, Ain Shams University during the first semester of the academic year 2025-2026.
- Willing to participate and able to provide informed consent
Who cannot join
- Students who decline participation or withdraw consent at any time.
- Students absent for the majority of the program sessions.
Trial locations and contacts
2 sites in 1 country. Contact the study team or a site near you to ask about taking part.
Egypt2 sites, 2 recruiting
- Not yet recruiting
Faculty of Nursing, Ain Shams University
Cairo, Cairo Governorate, 11566
Fatma M Ibrahim, PhD, +201144500853, dr.fatma.ibrahim@nursing.asu.edu.eg
Amal E Nossier, PhD
- Recruiting
Faculty of Nursing, Ain Shams University
Cairo, Cairo Governorate, 11566
Fatma M Ibrahim, PhD, +201144500853, dr.fatma.ibrahim@nursing.asu.edu.eg
Amal M Nossier, PhD, dr.amal.elias@nursing.asu.edu.eg
About this study
The goal of this clinical trial is to assess if a resilience enhancement training program can help nursing students manage stress more effectively. The main question it aims to answer is:
Does the program improve nursing students' resilience levels?
Read more
Does the program lower nursing students' perceived stress levels?
Researchers will compare students who receive the training during the semester with students who do not receive it until after the study is completed to see if the training has an effect.
Participants will:
- Complete questionnaires on resilience and stress before and after the training.
- Attend a structured resilience enhancement training program for 10 weeks alongside their usual studies.
- Be part of either the study group (receiving the training first) or the comparison group (receiving the training after study completion).
Read the detailed description
This quasi-experimental study is designed to evaluate the effect of a resilience enhancement training program on perceived stress among nursing students. Nursing students commonly face high academic and clinical demands, long working hours, and frequent exposure to emotionally challenging situations. Such pressures often lead to elevated stress levels, anxiety, and potential burnout, which can impair learning, professional growth, and the quality of patient care. Evidence from prior studies (e.g., meta-analyses of stress-management interventions in healthcare students) indicates that programs focused on resilience building-such as cognitive restructuring, mindfulness, and self-compassion practices-can strengthen coping skills, reduce perceived stress, and enhance well-being.
Low resilience has been associated with higher susceptibility to stress and psychological distress. Interventions that explicitly teach resilience skills may empower students to adapt more effectively and sustain academic performance. Building on this evidence, the present study aims to:
- Assess baseline resilience and perceived stress levels among nursing students.
- Develop and implement a 10-week structured resilience enhancement training program tailored to the needs of nursing students.
- Evaluate the impact of the program on resilience and perceived stress by comparing outcomes between a study group and a control group.
Hypothesis:
The resilience enhancement training program will significantly increase resilience levels and reduce perceived stress levels among nursing students.
Design and Methods:
A quasi-experimental research design with study and control groups will be used. Participants will be undergraduate nursing students enrolled in the Psychiatric and Mental Health Nursing (PMHN) course at the Faculty of Nursing, Ain Shams University, during the first semester of the academic year 2025-2026. Students will be randomly allocated into two groups:
Study group: Receives the resilience enhancement training program in addition to their standard curriculum.
Control group: Follows the standard curriculum during the study period and will receive the program after the study ends to ensure fairness.
Sample size: all nursing students who enrolled in the psychiatric and mental health nursing course will be included in this study. Participation will be voluntary, and written informed consent will be obtained.
Intervention Structure: The 10-week resilience enhancement training program includes structured sessions (approximately 90 minutes each) that cover key skills such as self-awareness, self-regulation, stress management, cognitive restructuring, self-compassion, gratitude practices, optimism training, and self-evaluation. Each session has a specific objective to build coping skills and strengthen resilience. The program concludes with a wrap-up and evaluation session.
Data Collection and Evaluation
Data will be collected at two time points:
- Pre-intervention: October 2025
- Post-intervention: immediately after program completion in December 2025
Outcomes:
- Primary outcome: change in perceived stress levels measured by validated stress-scale instruments.
- Secondary outcome: change in resilience scores assessed with a standardized resilience scale. Fidelity of program delivery will be monitored through attendance records and facilitator checklists.
Ethical Considerations and Significance Ethical approval was obtained from the Scientific Research Ethics Committee, Faculty of Nursing, Ain Shams University (Study Number: 25.04.662; Approval Date: March 17, 2025). Participation is voluntary, and confidentiality will be maintained.
Findings are expected to demonstrate the effectiveness of a structured resilience-enhancement training program in strengthening students' coping skills and reducing perceived stress.
The results will guide future training programs designed to help undergraduate nursing students manage stress more effectively.
- Conditions
- Perceived Stress
- Being tested
- Resilience Enhancement Training Program
- Keywords
- Resilience, Perceived stress, Stress management, Nursing students, Resilience training program
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Resilience Enhancement Training ProgramBehavioural
A structured 10-week behavioral training program designed to improve resilience and reduce perceived stress among nursing students. The program includes 10 sessions covering self-awareness, self-regulation, stress and coping strategies, cognitive restructuring, self-compassion, gratitude practice, optimism training, self-esteem, and a wrap-up with evaluation. Each session aims to strengthen coping skills and psychological adaptability.
| Study group | Role | What they receive |
|---|---|---|
| Intervention Group - Resilience Enhancement Training Program | Experimental | Participants in this group will receive the Resilience Enhancement Training Program in addition to their usual curriculum. The program consists of 10 weekly sessions designed to improve resilience and reduce perceived stress. Sessions include self-awareness, self-regulation, stress and coping strategies, cognitive restructuring, self-compassion, gratitude practice, optimism training, self-esteem, and a wrap-up with evaluation. Receives: Behavioral: Resilience Enhancement Training Program |
| Control Group - Usual Curriculum | No intervention | Participants in this group will continue with their usual nursing curriculum during the study period and will not receive the training program. To ensure fairness, the Resilience Enhancement Training Program will be offered to this group after the completion of the study. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Perceived Stress Score
Perceived stress will be measured using the Perceived Stress Scale. The scale consists of 29 items, each rated on a 5-point Likert scale (0 = never to 4 = very often), yielding a total score range of 0 to 116.
Higher total scores indicate higher levels of perceived stress (worse outcome).
Measured: Baseline (October 2025) and immediately post-intervention (December 2025)
Secondary outcomes (1)
Change in Resilience Score
Resilience will be assessed using the full Connor-Davidson Resilience Scale. This validated instrument contains 25 items, each rated on a 5-point Likert scale (0 = not true at all to 4 = true nearly all the time), giving a total score range of 0 to 100.
Higher total scores indicate greater psychological resilience (better outcome).
Measured: Baseline (October 2025) and post-intervention (December 2025)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Sep 2025
- Study start2 Nov 2025
- Primary completionDec 2025 (estimated)
- Study completionJan 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Perceived StressStudies of the same condition, open and under way.
- More trials run by Ain Shams UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants will be assigned to one of two parallel groups: an intervention group receiving the resilience enhancement training program and a control group receiving no intervention during the study period. The control group will be offered the training after study completion to ensure fairness.
- Masking
- None (open label)
- Enrolment
- 90 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Ain Shams University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Amal E Nossier, PhD, Principal investigator, Ain Shams University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07181603
- Sponsor's protocol ID
- 25.04.662
- Status last verified
- Sep 2025
- First submitted
- 12 Sep 2025
- Last updated
- 17 Nov 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Sheu, S., Lin, H., Hwang, S., Yu, P., Hu, W. and Lou, M. (1997) The Development and Testing of Perceived Stress Scale of Clinical Practice. Nursing Research (Republic of China), 5, 341-351.
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.
PubMed 12964174
Study at a glance
From the registry record, last updated by the sponsor on 17 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Resilience Enhancement Training Program to Confront Nursing Students' Perceived Stress
- ClinicalTrials.gov ID
- NCT07181603
- Acronym / sponsor ID
- 25.04.662
- Conditions
- Perceived Stress
- Keywords
- Resilience, Perceived stress, Stress management, Nursing students, Resilience training program
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 90 participants (estimated)
- Lead sponsor
- Ain Shams UniversityUniversity, hospital or other
- Study start
- 2 Nov 2025 (actual)
- Primary completion
- Dec 2025 (estimated)
- Study completion
- Jan 2026 (estimated)
- First posted
- 18 Sep 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this clinical trial is to assess if a resilience enhancement training program can help nursing students manage stress more effectively. The main question it aims to answer is:
Does the program improve nursing students' resilience levels?
Does the program lower nursing students' perceived stress levels?
Researchers will compare students who receive the training during the semester with students who do not receive it until after the study is completed to see if the training has an effect.
Participants will:
- Complete questionnaires on resilience and stress before and after the training.
- Attend a structured resilience enhancement training program for 10 weeks alongside their usual studies.
- Be part of either the study group (receiving the training first) or the comparison group (receiving the training after study completion).
Detailed description
This quasi-experimental study is designed to evaluate the effect of a resilience enhancement training program on perceived stress among nursing students. Nursing students commonly face high academic and clinical demands, long working hours, and frequent exposure to emotionally challenging situations. Such pressures often lead to elevated stress levels, anxiety, and potential burnout, which can impair learning, professional growth, and the quality of patient care. Evidence from prior studies (e.g., meta-analyses of stress-management interventions in healthcare students) indicates that programs focused on resilience building-such as cognitive restructuring, mindfulness, and self-compassion practices-can strengthen coping skills, reduce perceived stress, and enhance well-being.
Low resilience has been associated with higher susceptibility to stress and psychological distress. Interventions that explicitly teach resilience skills may empower students to adapt more effectively and sustain academic performance. Building on this evidence, the present study aims to:
- Assess baseline resilience and perceived stress levels among nursing students.
- Develop and implement a 10-week structured resilience enhancement training program tailored to the needs of nursing students.
- Evaluate the impact of the program on resilience and perceived stress by comparing outcomes between a study group and a control group.
Hypothesis:
The resilience enhancement training program will significantly increase resilience levels and reduce perceived stress levels among nursing students.
Design and Methods:
A quasi-experimental research design with study and control groups will be used. Participants will be undergraduate nursing students enrolled in the Psychiatric and Mental Health Nursing (PMHN) course at the Faculty of Nursing, Ain Shams University, during the first semester of the academic year 2025-2026. Students will be randomly allocated into two groups:
Study group: Receives the resilience enhancement training program in addition to their standard curriculum.
Control group: Follows the standard curriculum during the study period and will receive the program after the study ends to ensure fairness.
Sample size: all nursing students who enrolled in the psychiatric and mental health nursing course will be included in this study. Participation will be voluntary, and written informed consent will be obtained.
Intervention Structure: The 10-week resilience enhancement training program includes structured sessions (approximately 90 minutes each) that cover key skills such as self-awareness, self-regulation, stress management, cognitive restructuring, self-compassion, gratitude practices, optimism training, and self-evaluation. Each session has a specific objective to build coping skills and strengthen resilience. The program concludes with a wrap-up and evaluation session.
Data Collection and Evaluation
Data will be collected at two time points:
- Pre-intervention: October 2025
- Post-intervention: immediately after program completion in December 2025
Outcomes:
- Primary outcome: change in perceived stress levels measured by validated stress-scale instruments.
- Secondary outcome: change in resilience scores assessed with a standardized resilience scale. Fidelity of program delivery will be monitored through attendance records and facilitator checklists.
Ethical Considerations and Significance Ethical approval was obtained from the Scientific Research Ethics Committee, Faculty of Nursing, Ain Shams University (Study Number: 25.04.662; Approval Date: March 17, 2025). Participation is voluntary, and confidentiality will be maintained.
Findings are expected to demonstrate the effectiveness of a structured resilience-enhancement training program in strengthening students' coping skills and reducing perceived stress.
The results will guide future training programs designed to help undergraduate nursing students manage stress more effectively.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Participants will be assigned to one of two parallel groups: an intervention group receiving the resilience enhancement training program and a control group receiving no intervention during the study period. The control group will be offered the training after study completion to ensure fairness.
| Arm | Type | Receives |
|---|---|---|
| Intervention Group - Resilience Enhancement Training Program | Experimental | Behavioral: Resilience Enhancement Training ProgramParticipants in this group will receive the Resilience Enhancement Training Program in addition to their usual curriculum. The program consists of 10 weekly sessions designed to improve resilience and reduce perceived stress. Sessions include self-awareness, self-regulation, stress and coping strategies, cognitive restructuring, self-compassion, gratitude practice, optimism training, self-esteem, and a wrap-up with evaluation. |
| Control Group - Usual Curriculum | No intervention | –Participants in this group will continue with their usual nursing curriculum during the study period and will not receive the training program. To ensure fairness, the Resilience Enhancement Training Program will be offered to this group after the completion of the study. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (2 listed)
- Nursing students enrolled in the Psychiatric and Mental Health Nursing (PMHN) course at the Faculty of Nursing, Ain Shams University during the first semester of the academic year 2025-2026.
- Willing to participate and able to provide informed consent
Key exclusion criteria (2 listed)
- Students who decline participation or withdraw consent at any time.
- Students absent for the majority of the program sessions.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Resilience Enhancement Training ProgramA structured 10-week behavioral training program designed to improve resilience and reduce perceived stress among nursing students. The program includes 10 sessions covering self-awareness, self-regulation, stress and coping strategies, cognitive restructuring, self-compassion, gratitude practice, optimism training, self-esteem, and a wrap-up with evaluation. Each session aims to strengthen coping skills and psychological adaptability. | Behavioural | Intervention Group - Resilience Enhancement Training Program |
Primary outcome
Change in Perceived Stress Score
Time frame: Baseline (October 2025) and immediately post-intervention (December 2025)
Perceived stress will be measured using the Perceived Stress Scale. The scale consists of 29 items, each rated on a 5-point Likert scale (0 = never to 4 = very often), yielding a total score range of 0 to 116. Higher total scores indicate higher levels of perceived stress (worse outcome).
1 secondary outcome
Change in Resilience Score
Time frame: Baseline (October 2025) and post-intervention (December 2025)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Nov 2025.
- BackgroundSheu, S., Lin, H., Hwang, S., Yu, P., Hu, W. and Lou, M. (1997) The Development and Testing of Perceived Stress Scale of Clinical Practice. Nursing Research (Republic of China), 5, 341-351.
- Background: PubMed 12964174Connor 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.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Amal E Nossier, PhD principal investigator
Ain Shams University
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Resilience Enhancement Training Program in people with Perceived Stress, run by Ain Shams University at 2 sites in Egypt.
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 2 inclusion and 2 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: looking for participants now, as of the sponsor's last update on 17 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Egypt. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Fatma M Ibrahim, PhD (+201144500854, dr.fatma.ibrahim@nursing.asu.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Perceived Stress Score (time frame: Baseline (October 2025) and immediately post-intervention (December 2025)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07181603, which also lists 2 linked publications.
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 17 Nov 2025.