Mental HealthNCT07289594
Impact of Psychosocial Support Web-Based Toolkit
A study testing MHPSS Web-Based Toolkit in people with Mental Health and Self Care, run by Arab Resource Collective at 1 site in Lebanon.
Trial summary
At times of crisis, early childhood development (ECD) workers, and schools/centers play an important role in the lives of children in the early childhood stage (less than 8 years old) and their parents; they are intended to act as the "great equalizer", offering not only curriculum teaching, but also additional… Read more about this study
- Who is it for?
- Ages 21 years and olderHealthy volunteers can take part
- Conditions the study is for
- Mental Health, Self Care, Performance Enhancement
- What is being tested?
- MHPSS Web-Based Toolkit
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- 1 siteLebanon
- Study dates
- 1 Aug 2025to 15 Apr 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 21 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- ECD frontliners working directly with children under 8 years old in Lebanon (teachers, social workers, caretakers in nurseries, etc.).
- Individuals who are able to access and complete an online MHPSS toolkit.
- Individuals who are not currently employed in the mental health field.
- Participants who have not received prolonged mental health services (psychological therapy).
Who cannot join
- Professionals who work specifically in the mental health field (child psychologists, mental health support providers).
- Individuals who have received prolonged mental health services (to prevent potential bias due to prior mental health intervention experience).
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Impact of Psychosocial Support Web-based Toolkit on Psychological Immunity, Self-care Behaviors, and Job Performance Among ECD Frontliners in Lebanon
At times of crisis, early childhood development (ECD) workers, and schools/centers play an important role in the lives of children in the early childhood stage (less than 8 years old) and their parents; they are intended to act as the "great equalizer", offering not only curriculum teaching, but also additional social-emotional learning and educational opportunities for vulnerable children who are more likely to suffer in such situations.
CD teachers, despite this responsibility, often lack tools and methods to promote their well-being, and to cope with vulnerable children and difficult situations. They are also rarely recognized as members of a workforce with specialized knowledge or competencies, and they hardly receive the support needed to uphold this great responsibility to young children, their families, and society.
Read the detailed description
ECD frontliners working in the field might face many challenges, stories, and situations that affect their mental health and could cause them distress and complications. Hence, these negative consequences could affect their ability to perform their jobs and provide the services they usually provide with the same quality. It might also affect their ability to respond to the children's emotional and social needs.
It was reported that ECD frontliners, such as teachers and instructors, have the highest levels of psychological symptoms, such as anxiety, in addition to high levels of stress and low levels of well-being. Findings indicate that ECD frontliners who already struggle with poor well-being and poor working conditions will suffer more from emotional and physical burdens while working with children, especially vulnerable children.
A study made by Kwon et al. (2019) found a positive significant relationship between the depressive symptoms of ECD teachers, the quality of emotional and behavioral support ECD teachers provide, and the behavioral problems of their students. According to this study, teachers with depressive symptoms are less likely to provide positive emotional and behavioral support to children since these symptoms may limit their ability to provide warm care and nurturing environments. Moreover, due to their psychological stress, teachers may exhibit negative moods, poor behavioral modeling, and poor self-regulation, which the children may respond to and learn from. Hence, providing sensitive-responsive interactions and nurturing environments for children in the classroom can have both immediate and long-term impacts on their development. These interactions were highly associated with improvements in social skills, receptive language, expressive language, early literacy skills, and school preparation. Therefore, young children's health, growth, and learning are extremely dependent upon the mental health of their teachers, the quality of emotional support, and the positive responsive interactions between the teacher and the children.
For this reason, Arab Resource Collective (ARC) offers a Mental Health \& Psychosocial Support (MHPSS) online toolkit tailored for ECD frontliners. Using a holistic and multidisciplinary approach, this toolkit will provide the adequate support, tools, and resources for ECD frontliners, which can improve their resilience and ability to cope with stressors, which in turn will promote their mental health and improve their job satisfaction and ultimately benefit the children they work with.
For the development of the MHPSS online toolkit, a needs assessment was conducted in partnership with Modern University for Business \& Science (MUBS); a sample of 915 ECD frontliners answered an online questionnaire about mental health, psychological symptoms, coping skills, quality of life, work performance, and attitudes toward psychological interventions and emotional support. Based on this assessment (study), and based on the needs of ECD frontliners (as shown in the study results), the topics of the toolkit were identified.
The MHPSS online toolkit was developed by mental health experts and specialists using validated mental health resources; this toolkit is not a psychological therapy, it is a stress management toolkit, in which the techniques that were included were chosen carefully to help ECD frontliners deal with different stressors. It was also reviewed by mental health experts and education experts, and it was proofread in Arabic.
- Conditions
- Mental Health, Self Care, Performance Enhancement
- Being tested
- MHPSS Web-Based Toolkit
- Keywords
- Mental Health, Early Childhood Development (ECD), Psychological Immunity, Cognitive Emotional Regulation, Self Care Behaviors, Job Performance, Web-based Toolkit, Psychosocial Support
- Medical subject headings
- Psychological Well-Being
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MHPSS Web-Based ToolkitBehavioural
Also called Impact of Online Toolkit, Web-Based Psychosocial Support Toolkit
An intervention that is delivered through an online toolkit that aims to improve psychological immunity, self-care behaviors, and job performance among ECD frontliners.
| Study group | Role | What they receive |
|---|---|---|
| MHPSS Web-Based Toolkit Intervention | Experimental | Participants will receive a web-based psychosocial support toolkit designed to enhance psychological immunity, self-care behaviors, and job performance among Early Childhood Development (ECD) frontliners in Lebanon. This Toolkit consists of (10) online sessions delivered in an interactive digital way. Receives: Behavioral: MHPSS Web-Based Toolkit |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in psychological immunity among ECD Frontliners after participation in the web-based psychosocial support toolkit
This outcome measures the change in participants' psychological immunity levels before and after completing the web-based psychosocial support toolkit. Psychological immunity reflects individuals' resilience, adaptability, regulation, and efficacy.
The scale includes 40 items rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree) and comprises the following subscales: sense of control, creative self-concept, sense of self-growth, problem-solving capacity, self-efficacy, impulse control, emotional control, and irritability. Total scores range from 40 to 200, with higher scores indicating greater psychological immunity. Scores below 93 indicate low psychological immunity.
The scale will be administered at baseline and immediately after completion of the web-based psychosocial support toolkit to assess changes associated with the intervention.
Measured: Baseline (pre-intervention) to immediately post-intervention (after completion of the 10-session web-based toolkit; approximately 8 weeks).
Change in cognitive emotional regulation among ECD Frontliners after participation in the web-based psychosocial support toolkit
This outcome measures the change in participants' cognitive emotional regulation levels before and after completing the web-based psychosocial support toolkit.
Cognitive emotion regulation will be assessed using the short Cognitive Emotion Regulation Questionnaire (CERQ), a self-report measure evaluating the cognitive strategies individuals use to manage emotional responses to stressful events. The questionnaire includes 18 items covering the following subscales: self-blame, acceptance, rumination, positive refocusing, refocus on planning, positive reappraisal, putting into perspective, catastrophizing, and other-blame.
Items are rated on a Likert-type scale, yielding a total score ranging from 18 to 90, with higher scores indicating better cognitive emotion regulation abilities. Scores below 42 indicate low levels of cognitive emotion regulation.
Measured: Baseline (pre-intervention) to immediately post-intervention (after completion of the 10-session web-based toolkit; approximately 8 weeks)
Change in self-care behaviors among ECD Frontliners after participation in the web-based psychosocial support toolkit
This outcome measures the change in participants' self-care behaviors levels before and after completing the web-based psychosocial support toolkit. Participants will complete a self-care behaviors scale at baseline (pre-test) and after completing the 10-session online intervention (post-test). Higher post-test scores will indicate improved self-care behaviors as a result of the intervention.
Self-care behaviors will be assessed using the Mindful Self-Care Scale, a self-report instrument designed to evaluate individuals' engagement in mindful and supportive self-care practices. The scale includes 24 items across the following subscales: mindful relaxation, physical care, self-compassion and purpose, supportive relationships, supportive structure, and mindful awareness.
Items are rated on a Likert-type scale, producing a total score ranging from 24 to 120, with higher scores indicating better self-care behaviors. Scores below 56 are considered indicative of low self-care behaviors.
Measured: Baseline (pre-intervention) to immediately post-intervention (after completion of the 10-session web-based psychosocial support toolkit; approximately 8 weeks)
Secondary outcomes (1)
Change in job performance among ECD Frontliners after participation in the web-based psychosocial support toolkit
This outcome measures the change in participants' job performance levels before and after completing the web-based psychosocial support toolkit. Participants will complete a job performance scale at baseline (pre-test) and after completing the 10-session online intervention (post-test). Higher post-test scores will indicate improved job performance as a result of the intervention.
Job performance will be assessed using a Short Job Performance Scale, a self-report instrument designed to evaluate perceived work effectiveness, task completion, focus, and engagement in the workplace. The scale consists of 10 items rated on a Likert-type scale, yielding a total score ranging from 10 to 50.
Higher scores indicate better job performance, while scores below 23 are considered indicative of low job performance.
The scale will be administered at baseline and immediately after completion of the web-based psychosocial support toolkit to assess changes associated with the intervention.
Measured: Baseline (pre-intervention) to immediately post-intervention (after completion of the 10-session web-based psychosocial support toolkit; approximately 8 weeks)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Dec 2025
- Study start1 Aug 2025
- Primary completion20 Mar 2026 (estimated)
- Study completion15 Apr 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Mental HealthStudies of the same condition, open and under way.
- 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
- Prevention
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 50 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Arab Resource Collective
- Sponsor type
- University, hospital or other
- Collaborators
- Modern University for Business and Science
- Responsible party
- Sponsor
- Investigators
- Rasha Tadmori, Principal investigator, Arab Resource Collective (ARC)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07289594
- Sponsor's protocol ID
- MU-20250122-53
- Status last verified
- Feb 2026
- First submitted
- 19 Nov 2025
- Last updated
- 2 Mar 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Impact of Psychosocial Support Web-based Toolkit on Psychological Immunity, Self-care Behaviors, and Job Performance Among ECD Frontliners in Lebanon
- ClinicalTrials.gov ID
- NCT07289594
- Acronym / sponsor ID
- MU-20250122-53
- Conditions
- Mental Health, Self Care, Performance Enhancement
- Keywords
- Mental Health, Early Childhood Development (ECD), Psychological Immunity, Cognitive Emotional Regulation, Self Care Behaviors, Job Performance, Web-based Toolkit, Psychosocial Support
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 50 participants (estimated)
- Lead sponsor
- Arab Resource CollectiveUniversity, hospital or other
- Collaborators
- Modern University for Business and Science
- Study start
- 1 Aug 2025 (actual)
- Primary completion
- 20 Mar 2026 (estimated)
- Study completion
- 15 Apr 2026 (estimated)
- First posted
- 17 Dec 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.
At times of crisis, early childhood development (ECD) workers, and schools/centers play an important role in the lives of children in the early childhood stage (less than 8 years old) and their parents; they are intended to act as the "great equalizer", offering not only curriculum teaching, but also additional social-emotional learning and educational opportunities for vulnerable children who are more likely to suffer in such situations.
CD teachers, despite this responsibility, often lack tools and methods to promote their well-being, and to cope with vulnerable children and difficult situations. They are also rarely recognized as members of a workforce with specialized knowledge or competencies, and they hardly receive the support needed to uphold this great responsibility to young children, their families, and society.
Detailed description
ECD frontliners working in the field might face many challenges, stories, and situations that affect their mental health and could cause them distress and complications. Hence, these negative consequences could affect their ability to perform their jobs and provide the services they usually provide with the same quality. It might also affect their ability to respond to the children's emotional and social needs.
It was reported that ECD frontliners, such as teachers and instructors, have the highest levels of psychological symptoms, such as anxiety, in addition to high levels of stress and low levels of well-being. Findings indicate that ECD frontliners who already struggle with poor well-being and poor working conditions will suffer more from emotional and physical burdens while working with children, especially vulnerable children.
A study made by Kwon et al. (2019) found a positive significant relationship between the depressive symptoms of ECD teachers, the quality of emotional and behavioral support ECD teachers provide, and the behavioral problems of their students. According to this study, teachers with depressive symptoms are less likely to provide positive emotional and behavioral support to children since these symptoms may limit their ability to provide warm care and nurturing environments. Moreover, due to their psychological stress, teachers may exhibit negative moods, poor behavioral modeling, and poor self-regulation, which the children may respond to and learn from. Hence, providing sensitive-responsive interactions and nurturing environments for children in the classroom can have both immediate and long-term impacts on their development. These interactions were highly associated with improvements in social skills, receptive language, expressive language, early literacy skills, and school preparation. Therefore, young children's health, growth, and learning are extremely dependent upon the mental health of their teachers, the quality of emotional support, and the positive responsive interactions between the teacher and the children.
For this reason, Arab Resource Collective (ARC) offers a Mental Health \& Psychosocial Support (MHPSS) online toolkit tailored for ECD frontliners. Using a holistic and multidisciplinary approach, this toolkit will provide the adequate support, tools, and resources for ECD frontliners, which can improve their resilience and ability to cope with stressors, which in turn will promote their mental health and improve their job satisfaction and ultimately benefit the children they work with.
For the development of the MHPSS online toolkit, a needs assessment was conducted in partnership with Modern University for Business \& Science (MUBS); a sample of 915 ECD frontliners answered an online questionnaire about mental health, psychological symptoms, coping skills, quality of life, work performance, and attitudes toward psychological interventions and emotional support. Based on this assessment (study), and based on the needs of ECD frontliners (as shown in the study results), the topics of the toolkit were identified.
The MHPSS online toolkit was developed by mental health experts and specialists using validated mental health resources; this toolkit is not a psychological therapy, it is a stress management toolkit, in which the techniques that were included were chosen carefully to help ECD frontliners deal with different stressors. It was also reviewed by mental health experts and education experts, and it was proofread in Arabic.
Study design
- Primary purpose
- Prevention
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| MHPSS Web-Based Toolkit Intervention | Experimental | Behavioral: MHPSS Web-Based ToolkitParticipants will receive a web-based psychosocial support toolkit designed to enhance psychological immunity, self-care behaviors, and job performance among Early Childhood Development (ECD) frontliners in Lebanon. This Toolkit consists of (10) online sessions delivered in an interactive digital way. |
Who may qualify
- Ages
- 21 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- ECD frontliners working directly with children under 8 years old in Lebanon (teachers, social workers, caretakers in nurseries, etc.).
- Individuals who are able to access and complete an online MHPSS toolkit.
- Individuals who are not currently employed in the mental health field.
- Participants who have not received prolonged mental health services (psychological therapy).
Key exclusion criteria (2 listed)
- Professionals who work specifically in the mental health field (child psychologists, mental health support providers).
- Individuals who have received prolonged mental health services (to prevent potential bias due to prior mental health intervention experience).
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 |
|---|---|---|
| MHPSS Web-Based ToolkitAlso: Impact of Online Toolkit, Web-Based Psychosocial Support ToolkitAn intervention that is delivered through an online toolkit that aims to improve psychological immunity, self-care behaviors, and job performance among ECD frontliners. | Behavioural | MHPSS Web-Based Toolkit Intervention |
Primary outcome
Change in psychological immunity among ECD Frontliners after participation in the web-based psychosocial support toolkit
Time frame: Baseline (pre-intervention) to immediately post-intervention (after completion of the 10-session web-based toolkit; approximately 8 weeks).
This outcome measures the change in participants' psychological immunity levels before and after completing the web-based psychosocial support toolkit. Psychological immunity reflects individuals' resilience, adaptability, regulation, and efficacy. The scale includes 40 items rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree) and comprises the following subscales: sense of control, creative self-concept, sense of self-growth, problem-solving capacity, self-efficacy, impulse control, emotional control, and irritability. Total scores range from 40 to 200, with higher scores indicating greater psychological immunity. Scores below 93 indicate low psychological immunity. The scale will be administered at baseline and immediately after completion of the web-based psychosocial support toolkit to assess changes associated with the intervention.
Change in cognitive emotional regulation among ECD Frontliners after participation in the web-based psychosocial support toolkit
Time frame: Baseline (pre-intervention) to immediately post-intervention (after completion of the 10-session web-based toolkit; approximately 8 weeks)
This outcome measures the change in participants' cognitive emotional regulation levels before and after completing the web-based psychosocial support toolkit. Cognitive emotion regulation will be assessed using the short Cognitive Emotion Regulation Questionnaire (CERQ), a self-report measure evaluating the cognitive strategies individuals use to manage emotional responses to stressful events. The questionnaire includes 18 items covering the following subscales: self-blame, acceptance, rumination, positive refocusing, refocus on planning, positive reappraisal, putting into perspective, catastrophizing, and other-blame. Items are rated on a Likert-type scale, yielding a total score ranging from 18 to 90, with higher scores indicating better cognitive emotion regulation abilities. Scores below 42 indicate low levels of cognitive emotion regulation.
Change in self-care behaviors among ECD Frontliners after participation in the web-based psychosocial support toolkit
Time frame: Baseline (pre-intervention) to immediately post-intervention (after completion of the 10-session web-based psychosocial support toolkit; approximately 8 weeks)
This outcome measures the change in participants' self-care behaviors levels before and after completing the web-based psychosocial support toolkit. Participants will complete a self-care behaviors scale at baseline (pre-test) and after completing the 10-session online intervention (post-test). Higher post-test scores will indicate improved self-care behaviors as a result of the intervention. Self-care behaviors will be assessed using the Mindful Self-Care Scale, a self-report instrument designed to evaluate individuals' engagement in mindful and supportive self-care practices. The scale includes 24 items across the following subscales: mindful relaxation, physical care, self-compassion and purpose, supportive relationships, supportive structure, and mindful awareness. Items are rated on a Likert-type scale, producing a total score ranging from 24 to 120, with higher scores indicating better self-care behaviors. Scores below 56 are considered indicative of low self-care behaviors.
1 secondary outcome
Change in job performance among ECD Frontliners after participation in the web-based psychosocial support toolkit
Time frame: Baseline (pre-intervention) to immediately post-intervention (after completion of the 10-session web-based psychosocial support toolkit; approximately 8 weeks)
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 2 Mar 2026.
- Individual participant dataSharing planned: No
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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. This study is not recruiting at the moment.
Rasha Tadmori principal investigator
Arab Resource Collective (ARC)
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing MHPSS Web-Based Toolkit in people with Mental Health and Self Care, run by Arab Resource Collective at 1 site in Lebanon.
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 4 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: under way, not looking for participants, as of the sponsor's last update on 2 Mar 2026. 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 Lebanon. 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?
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 in psychological immunity among ECD Frontliners after participation in the web-based psychosocial support toolkit (time frame: Baseline (pre-intervention) to immediately post-intervention (after completion of the 10-session web-based toolkit; approximately 8 weeks).). The study lists 3 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 2 Mar 2026; AzTrials last refreshed its copy on 4 Nov 2026.