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HealthyNCT07259746

Study of Student Flourishing

A study testing Digital toolkit and Mental Health America Resources in people with Healthy, run by Flourish Science, Inc. at 11 sites in 3 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this study is to learn how a science-based mobile app, called Flourish, affects student well-being. The main questions it aims to answer are: 1. Does receiving access to the Flourish app increase well-being (e.g., positive affect, loneliness, belonging) among students? 2. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
Digital toolkit and Mental Health America Resources
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2,500 participants
Where
11 sitesin 3 countries
Study dates
22 Sep 2025to May 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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Currently a student at one of the participating institutions
  • Age 18 or older
  • Able to provide informed consent

Who cannot join

None listed.

Trial locations and contacts

11 sites in 3 countries. Contact the study team or a site near you to ask about taking part.

Julie YA Cachia, PhD contact

650-898-6664

julie@flouriship.com

11 sites in 3 countries

United States9 sites, 9 recruiting
  • University of California, Berkeley

    Berkeley, California, 94720

    Juliana Schroeder, PhD, 510-664-9692, jschroeder@haas.berkeley.edu

    Recruiting
  • University of Colorado Denver

    Denver, Colorado, 80204

    Annika Mosier, PhD, 650-898-6664, ANNIKA.MOSIER@ucdenver.edu

    Not yet recruiting
  • University of Hawai'i at Mānoa

    Honolulu, Hawaii, 96822

    Elizabeth Weitz, MA, 650-898-6664, eaweitz@hawaii.edu

    Recruiting
  • Foothill College

    Los Altos Hills, California, 94022

    Eta Lin, PhD, 650-949-7669, lineta@fhda.edu

    Recruiting
  • University of Wisconsin-Madison

    Madison, Wisconsin, 53706

    Stav Atir, PhD, 608-263-3648, stav.atir@wisc.edu

    Recruiting
  • Kansas State University

    Manhattan, Kansas, 66506

    Natalie Solomon, PhD, 785-532-6850, ndb@ksu.edu

    Recruiting
  • Chapman University

    Orange, California, 92866

    John Hunter, PhD, 714-516-6148, johnhunter@chapman.edu

    Recruiting
  • Brown University

    Providence, Rhode Island, 02912

    Jamie Trost, PhD, 401-863-2195, jamie_trost@brown.edu

    Not yet recruiting
  • University of Washington

    Seattle, Washington, 98195

    Delancey Wu, PhD, 650-898-6664, dcwu@uw.edu

    Not yet recruiting

Other trials in United States

Canada1 site, 1 recruiting
  • University of Victoria

    Victoria, British Columbia, V8P 5C2

    Nigel Lou, PhD, +1 250-721-7553, nigellou@uvic.ca

    Recruiting

Other trials in Canada

New Zealand1 site, 1 recruiting
  • University of Canterbury

    Christchurch, Canterbury, 8140

    Kong Meng Liew, PhD, +64 3 369 3208, kongmeng.liew@canterbury.ac.nz

    Not yet recruiting

Other trials in New Zealand

About this study

Official title: A Multi-Institutional Longitudinal Randomized Controlled Trial of Student Well-Being Using the Flourish App

The goal of this study is to learn how a science-based mobile app, called Flourish, affects student well-being.

The main questions it aims to answer are:

Read more
  1. Does receiving access to the Flourish app increase well-being (e.g., positive affect, loneliness, belonging) among students?
  2. Does using the Flourish app in combination with a human buddy/friend lead to better outcomes than using the app alone?

Researchers will compare three different groups to see if and how the Flourish app works to improve student well-being:

  1. Waitlist Control Group: Students continue with existing school resources.
  2. Flourish App Group: Students use the Flourish app (a digital toolkit and AI chatbot) twice per week.
  3. Flourish App + Buddy Group: Students use the Flourish app twice per week with someone else as a "Flourish Buddy".

Participants will:

Be randomly assigned to one of the three groups listed above. Use the app or continue with regular resources for 6 weeks. Complete four short online surveys about their well-being (at the beginning, during the 6 weeks, and at the end).

Conditions
Healthy
Being tested
Digital toolkit, Mental Health America Resources
Keywords
well-being, digital, positive psychology, students

What participants receive

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

  • Digital toolkitBehavioural

    Also called Flourish app

    A mobile application providing a science-based digital toolkit and AI chatbot.

  • Mental Health America ResourcesBehavioural

    Access to national mental health resources from Mental Health America, which can be found here: https://mhanational.org/resources/.

Study groups in NCT07259746
Study groupRoleWhat they receive
Flourish app conditionExperimentalParticipants in this condition will gain access to the Flourish app and be instructed to use it at least twice a week for 6 weeks.
Receives: Behavioral: Digital toolkit
Flourish app with buddies conditionExperimentalParticipants in this condition will gain access to the Flourish app and be instructed to use it at least twice a week for 6 weeks. In addition, they will be instructed to invite a buddy (e.g., friend, family member) to join them on the app.
Receives: Behavioral: Digital toolkit
MHA ResourcesActive comparatorParticipants in this condition will continue to use existing school resources and will be provided with information directing them to external Mental Health America (MHA) resources. Participants in this arm do not receive access to the Flourish app.
Receives: Behavioral: Mental Health America Resources

What is being measured

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

  1. Subcomponents of Affect Scale

    The Subcomponents of Affect Scale (SAS) is an 18-item measure of affect, divided into nine positive and nine negative adjectives. Positive subscales include calm, well-being, and vigor, while negative subscales include depression, anxiety, and anger. Participants rate each adjective from 0 (not at all accurate) to 4 (extremely accurate) based on their feelings over the past two weeks. Total scores for positive and negative affect are summed from their subscales.

    Measured: Baseline, bi-weekly for 6 weeks (3 time points)

  2. Implicit Theories of Emotion

    Implicit theories of emotion were assessed using the Implicit Theories of Emotion Scale, adapted from Dweck's Implicit Theories of Intelligence framework. The scale includes four items assessing beliefs about whether emotions are malleable (incremental) or fixed (entity). Participants rate each item on a 6-point scale from 1 ("Strongly disagree") to 6 ("Strongly agree"). The two entity items are reverse-scored, and all items are averaged to create a single score ranging from 1 to 6, with higher scores indicating stronger endorsement of an incremental (malleable) theory of emotion.

    Measured: Baseline and 6 weeks post-baseline

  3. Loneliness

    The UCLA 3-Item Loneliness Scale is a brief measure assessing subjective feelings of loneliness and social isolation. Participants rate each item on a 3-point scale, from 1 (hardly ever) to 3 (often), with higher scores indicating greater loneliness.

    Measured: Baseline, bi-weekly for 6 weeks (3 time points)

  4. Perceived Cohesion

    The Perceived Cohesion Scale measures a sense of belonging and morale within a community using a Likert scale from 0 (strongly disagree) to 10 (strongly agree). For our purposes, we use a single-item version: "I see myself as part of the campus community."

    Measured: Baseline, 6 weeks post-baseline

  5. Closeness to University

    Closeness to one's university was assessed using a modified single-item Inclusion of Other in the Self measure. Participants were shown seven pairs of increasingly overlapping circles and asked, "Which picture best describes your relationship with your university?" Responses range from 1 to 7, with higher scores indicating greater perceived closeness to the university.

    Measured: Baseline and 6 weeks post-baseline

  6. Perceived Social Support (PSSS-3)

    Perceived social support was assessed using a 3-item short form based on the ACO (PSSS-A6) and adapted from the Multidimensional Scale of Perceived Social Support (MSPSS). Participants rate each item on a 7-point scale from 1 ("Very Strongly Disagree") to 7 ("Very Strongly Agree"). Total scores are summed, yielding a range from 3 to 21, with higher scores indicating greater perceived social support.

    Measured: Baseline, bi-weekly for 6 weeks (3 time points)

  7. Mindfulness (Mindful Attention Awareness Scale)

    Mindfulness was assessed using a 5-item short form of the Mindful Attention Awareness Scale (MAAS), modified to assess experiences over the past two weeks. Participants rate each item on a 7-point scale from 0 ("Not at all") to 6 ("Very much"). Items are averaged to create a total score ranging from 0 to 6, with higher scores reflecting lower mindfulness. For interpretability in analyses, this score is reverse-scored so that higher values indicate greater mindfulness.

    Measured: Baseline and 6 weeks post-baseline

  8. Resilience

    The Brief Resilience Scale (BRS) is a 6-item measure of stress recovery, rated from 1 (strongly disagree) to 5 (strongly agree). Higher scores indicate a stronger ability to "bounce back" after setbacks.

    Measured: Baseline, 6 weeks post-baseline

  9. Flourishing Scale

    The Flourishing Scale is an 8-item measure of psychological well-being. Respondents rate items from 1 ("Strongly disagree") to 7 ("Strongly agree"), yielding a total score range from 8 to 56. Higher scores indicate greater well-being and flourishing.

    Measured: Baseline, 6 weeks post-baseline

  10. Retention / Enrollment Intention

    Retention intention was assessed using 2 items evaluating students' likelihood of continuing their enrollment. Participants respond to "How likely are you to stay enrolled next quarter/semester?" on a 5-point scale from 1 ("Very unlikely") to 5 ("Very likely"). A second item asks, "How often have you considered leaving your college/university in the past semester?" rated from 1 ("Never") to 5 ("Very often"). Higher scores on the first item indicate greater intention to persist, while higher scores on the second item indicate greater consideration of leaving.

    Measured: Baseline, 6 weeks post-baseline

Secondary outcomes (12)
  1. Depression (PHQ-2)

    The PHQ-2 is an 2-item measure assessing depression severity over the past two weeks. Each item scores from 0 ("not at all") to 3 ("nearly every day"), with total scores from 0 to 6. Higher scores indicate greater depression severity.

    Measured: Baseline, bi-weekly for 6 weeks (3 time points)

  2. Anxiety (GAD-2)

    The GAD-2 (Generalized Anxiety Disorder-2) is a 2-item measure assessing anxiety severity. Each item is rated from 0 ("not at all") to 3 ("nearly every day"), with total scores ranging from 0 to 6. Higher scores indicate greater anxiety severity.

    Measured: Baseline, bi-weekly for 6 weeks (3 time points)

  3. Perceived Stress (PSS-4)

    The PSS-4 (Perceived Stress Scale-4) is a 4-item measure of perceived stress, rated from 0 ("never") to 4 ("very often"). Scores range from 0 to 16, with higher scores indicating greater stress.

    Measured: Baseline, bi-weekly for 6 weeks (3 time points)

  4. Academic Self Efficacy

    The 5-item Academic Self-Efficacy scale measures students' confidence in their ability to succeed academically. Participants rate their agreement with statements such as "I generally manage to solve difficult academic problems if I try hard enough" on a 5-point scale, from 1 (strongly disagree) to 5 (strongly agree). Higher scores indicate greater self-belief in tackling academic challenges and achieving study-related goals.

    Measured: Baseline, 6 weeks post-baseline

  5. Satisfaction With Life

    Life satisfaction was assessed using a single-item measure asking, "All things considered, how satisfied are you with your life as a whole?" Participants respond on an 11-point scale from 0 ("Completely dissatisfied") to 10 ("Completely satisfied"). Higher scores indicate greater overall life satisfaction.

    Measured: Baseline, bi-weekly for 6 weeks (3 time points)

  6. School Perceptions

    School perceptions are measured using two single-item measures from the Healthy Minds Survey. The first item rates satisfaction with the overall school experience from 1 (very dissatisfied) to 6 (very satisfied). The second item rates agreement with the statement, "At my school, students' mental and emotional well-being is a priority," on a scale from 1 (strongly agree) to 6 (strongly disagree).

    Measured: Baseline, 6 weeks post-baseline

  7. Multi-Dimensional Measure of Trust

    The Multi-Dimensional Measure of Trust (MDMT) assesses perceived trustworthiness of the Flourish chatbot, Sunnie, through a set of 10 attributes (Form A), rated from 0 (Not at all) to 5 (Very), with a 'Does Not Fit' option. Only participants in the intervention conditions (Flourish app; Flourish app + buddies conditions) complete this measure.

    Measured: 6 weeks post-baseline

  8. Expectations and Experiences of Chatbots

    This measure, adapted from the Working Alliance Inventory - Short Revised (WAI-SR), assesses participants' expectations and experiences with chatbots. Participants rate anticipated and actual interactions across three areas-Goal, Task, and Bond-on a 5-point scale from 1 (seldom) to 5 (always), with higher scores indicating stronger alignment.

    Measured: Baseline, 6 weeks post-baseline

  9. Perceived Empathy of Sunnie

    Perceived empathy toward the Flourish chatbot, Sunnie, will be assessed using a 7-item measure. Participants rate each item from 1 ("Strongly disagree") to 6 ("Strongly agree"). Items are averaged to create a composite score, with higher scores indicating greater perceived empathy. This was only presented to those in the intervention conditions.

    Measured: 6 weeks post-baseline

  10. Flourish Buddy Responsiveness

    For participants with at least one Flourish Buddy, responsiveness of the selected buddy will be assessed using a 3-item measure assessing how accepted, understood, and cared for participants feel by their buddy. Items are rated from 1 ("Not at all") to 7 ("Very much") and averaged; higher scores indicate greater perceived responsiveness.

    Measured: Weeks 4 and 6 post-baseline

  11. Relationship Satisfaction with Flourish Buddy

    For participants with at least one Flourish Buddy, relationship satisfaction with the selected buddy will be assessed using RAS-1, a single item rating overall satisfaction with the relationship from 1 ("Not satisfied") to 5 ("Very satisfied"). Higher scores indicate greater satisfaction.

    Measured: Weeks 4 and 6 post-baseline

  12. Perceived Relationship Improvement

    Perceived improvement in the relationship with an existing Flourish Buddy will be assessed using a single item ("To what extent did being Flourish Buddies with this person improve your relationship?"). This item is shown to participants in either Flourish condition who reported having a Flourish Buddy. Participants rate the item from 1 ("Not at all") to 7 ("Very much"). Higher scores indicate greater perceived improvement.

    Measured: 6 weeks post-baseline

Timeline

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

  1. First posted2 Dec 2025
  2. Study start22 Sep 2025
  3. Primary completionMay 2026 (estimated)
  4. Study completionMay 2026 (estimated)

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
2,500 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07259746
Sponsor's protocol ID
Flourish2025
Status last verified
Nov 2025
First submitted
21 Nov 2025
Last updated
18 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: We will share de-identified participant data on OSF from each study timepoint across both conditions, including all data used in our analyses.

Questions about this trial

What is this clinical trial studying?

A study testing Digital toolkit and Mental Health America Resources in people with Healthy, run by Flourish Science, Inc. at 11 sites in 3 countries.

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 3 inclusion and 0 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 18 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in United States, Canada, New Zealand. 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 Julie YA Cachia, PhD (650-898-6664, julie@flouriship.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Subcomponents of Affect Scale (time frame: Baseline, bi-weekly for 6 weeks (3 time points)). The study lists 10 primary outcomes in all. 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 18 Dec 2025.

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