Clinical Research Directory

Mandala-Based Intervention in Pregnancy

This study will examine whether a mandala-based coloring program affects pregnant women's perceptions of traumatic childbirth, behavioral emotion regulation, and psychological resilience. Pregnant women aged 18 to 49 years will be randomly assigned to a mandala intervention group or a control group. Participants in the intervention group will attend eight 45-minute sessions over four weeks (two sessions per week). Sessions will include brief preparation and breathing exercises, mandala coloring, and a short discussion. The control group will receive no study intervention. Participants in both groups will complete questionnaires before the intervention, immediately afterward, and at one-month and three-month follow-up assessments. Researchers will compare changes in the groups' questionnaire scores.

Diaphragmatic and Box Breathing on Heart Rate Variability and Perceived Stress

The goal of this clinical trial is to learn if diaphragmatic breathing and box breathing work to enhance resilience and manage stress in physical therapy students. It will also learn about their effects on overall physiological and psychological parameters. The main questions it aims to answer are: Do these breathing techniques improve heart rate variability (HRV)? How do these interventions affect participants' perceived stress levels, cognitive performance, and academic achievement? Researchers will compare diaphragmatic breathing and box breathing to a control group to see if these non-invasive methods work to improve physiological adaptation and manage stress. Participants will: Be randomly assigned to practice diaphragmatic breathing, practice box breathing, or join a control group Have their heart rate variability (HRV) measured as a primary sign of physiological adaptation Complete assessments to evaluate their perceived stress, cognitive performance, and academic achievement

Effect of a Nurse-Led Transition Program on Resilience and Career Decisions in Senior Students

The transition to higher education is a critical stage that affects young people's academic, emotional, and professional development. Although experiential learning is recognized as important, comprehensive initiatives addressing both psychological resilience and career decision-making processes remain limited. This study evaluates the impact of a comprehensive, university-focused, practical transition program for high school seniors on their psychological resilience and career decision-making difficulties. In this pre-test-post-test quasi-experimental study with a control group, 80 high school seniors in Mardin, Turkey, were assigned to an intervention group (n=40) or a control group (n=40). The intervention group completed a two-week on-campus experiential program covering academic adjustment, social participation, and hands-on workshops, while the control group received no intervention. Data were collected using the Adolescent Psychological Resilience Scale and the Career Decision-Making Difficulties Scale for High School Students. The primary outcomes evaluated are the changes in participants' overall psychological resilience levels and career decision-making difficulties following the intervention compared to the control group.

Cognitive-Behavioral Psychoeducational Program for Cultural Adaptation and Psychological Resilience Among International Students

This study evaluated a psychoeducational program developed to support psychological adaptation and resilience among first-year international university students experiencing elevated acculturative stress. Participants who met the study eligibility criteria were assigned to one of three study conditions: a cognitive-behavioral psychoeducation group, a placebo-control group receiving career guidance activities, or a waiting-list control group. The psychoeducational intervention was delivered over eight weeks. Psychological adaptation, resilience, and acculturative stress-related outcomes were assessed using standardized self-report measures before and after the intervention. The study aimed to examine whether participation in the psychoeducational program was associated with changes in these psychological outcomes compared with the two control conditions.

The Effect of a Psychiatric Nursing Approach Based on the Tidal Model on Psychological Resilience and Self-Compassion Levels in Patients Diagnosed With Anxiety Disorder

The purpose of this study is to evaluate the effect of an online psychiatric nursing approach based on the Tidal Model philosophy on the psychological resilience and self-compassion levels of individuals diagnosed with anxiety disorder. The study is designed as a randomized controlled doctoral dissertation. The sample consists of individuals who applied to the psychiatry outpatient clinic of a training and research hospital in Ankara, were diagnosed with anxiety disorder, and met the inclusion criteria. Participants were assigned to either the intervention or control group using a computer-generated randomization method. While the control group received only routine clinical follow-ups without any additional intervention, the intervention group participated in 8 sessions of individual online nursing interventions structured according to Tidal Model principles. Data were collected using an Socio-demographic Information Form, the Psychological Resilience Scale, and the Self-Compassion Scale, administered online to both groups before and after the intervention.

Feasibility of a Compassionate Mindful Resilience Programme for Thai Secondary School Students

This study is a single-arm feasibility trial designed to evaluate the implementation, acceptability, and preliminary effects of a culturally adapted Compassionate Mindful Resilience (CMR) intervention among adolescents in Thailand. The study is conducted in a secondary school setting and targets students aged 16 to 18 years. Adolescence is a period of heightened emotional vulnerability and academic pressure. In Thailand, rising levels of stress and anxiety among young people make school-based preventive interventions a public health priority. While mindfulness-based interventions have shown benefits in Western contexts, evidence on compassion-focused programmes culturally adapted for Thai adolescents remains limited. All participants enrolled in the study will receive the CMR intervention. The program consists of four weekly group sessions, each lasting approximately 90 minutes, delivered after school hours to minimize disruption to academic activities. Sessions include guided mindfulness practices, group discussions, and practical exercises aimed at increasing present-moment awareness, cultivating self-compassion, improving emotional regulation, and strengthening resilience. The primary objective of the study is to assess feasibility. Feasibility outcomes include recruitment rate, retention rate, session attendance, intervention fidelity, and participant acceptability. These indicators will inform whether the intervention can be delivered as planned in a Thai school setting and whether progression to a larger-scale trial is justified. Secondary objectives explore preliminary changes in mental health-related outcomes. These include mindfulness, self-compassion, resilience, and overall well-being, measured using validated Thai-language instruments before and after completion of the intervention. Although the study is not powered to test effectiveness, these data will provide estimates of variability and potential effect sizes to inform the design of a future randomized controlled trial. Participant safety is addressed through a predefined distress protocol. A school counselor is available during all intervention sessions to provide immediate support if participants experience emotional distress. Ethical approval has been obtained from the relevant institutional ethics committee, and written assent from participants, along with parental or guardian consent, is required prior to enrollment.

Does Group Therapy Improve Resilience and Family Functioning Among Mothers of Children With Intellectual Disabilities?

Abstract This study examined the effectiveness of a seven-week structured group therapy intervention designed to enhance the psychological resilience and family functioning of mothers of children with intellectual disabilities. A randomized controlled mixed-methods design was employed, involving an intervention group (n = 10) and a control group (n = 10). Participants were randomly assigned to study groups through a simple randomization procedure conducted by an independent academic who was not involved in participant recruitment, intervention delivery, or outcome assessment. The intervention consisted of seven weekly face-to-face group sessions, each lasting approximately 90-120 minutes, and was delivered by a licensed social worker using a structured manualized protocol. The program integrated psychoeducation, cognitive-behavioral techniques, mindfulness-informed practices, self-compassion exercises, relaxation techniques, strengths-based approaches, and therapeutic group processes. Quantitative outcomes were assessed using the Resilience Scale for Adults (RSA) and the Family Assessment Device (FAD) at baseline, immediately after the intervention, and at a three-month follow-up. The quantitative component employed a two-way mixed-design repeated measures ANOVA to evaluate changes across assessment points. The qualitative component involved the collection of participants' verbal narratives and group interactions throughout the intervention, which were analyzed using reflexive thematic analysis and group process analysis to explore participants' experiences and therapeutic processes.

Factors Affecting Burnout in Physiotherapists in Turkey

This cross-sectional descriptive study aims to identify the demographic, occupational, organisational and individual psychological factors that predict burnout among physiotherapists working in active clinical practice in Turkey. Using a four-block hierarchical multiple regression approach, the relative contribution of workload and role factors, organisational factors, psychological resilience, self-efficacy and Type A behaviour pattern to the three dimensions of burnout (emotional exhaustion, depersonalisation and personal accomplishment) will be quantified. Turnover intention is examined as a secondary dependent variable. Data are collected through an anonymous online survey distributed nationwide.

Buckeye Pause Bundle

Mind-body resilience is particularly important in workplaces where there are frequent exposures to primary or secondary emotional and/or physical trauma. A 2020 report from the U.S. Bureau of Labor Statistics highlighted health workers as among the largest service industries in the state of Ohio with the most amount of missed work days due to injury or illness. The purpose of this study is to develop and establish proof-of-concept of the "Buckeye Pause Bundle," a proactive workplace facilitation of mind-body resilience protective and recovery activities that includes an evidence-based mindfulness-based intervention, a wearable health device that offers user prompts and reminders based on physiological data, and worksite respite pods to support brief mindfulness practices during the workday. The target market segment for this proof-of-concept testing is healthcare providers working in acute care hospital settings. It is anticipated that end prototypes and deliverables will be very transferable to other high-stress work environments.

Effectiveness of a Resilience-Based Rehabilitation Program for Patients With Coronary Heart Disease

To handle daily life challenges, one needs to be psychologically resilient. It plays a crucial role in disease development, prognosis, as well as social, occupational, and community participation. Cardiovascular diseases cause physical and psychological stress, which can be linked to individual resilience and the development of such diseases. Stress can trigger TakoTsubo cardiomyopathy and acute coronary events. Individuals who have experienced TakoTsubo cardiomyopathy or an acute coronary event often feel stressed due to emotional or physical triggers. These triggers may include job loss or illness. In medical rehabilitation, therapists consider the individual circumstances of their patients when planning therapy. It may be important to add a special focus on psychological care, including building resilience, which could greatly benefit these individuals. Therefore, the study aims to investigate whether resilience training, as part of an inpatient multidisciplinary rehabilitation program, affects the individual resilience of rehabilitants with TakoTsubo cardiomyopathy or those who have experienced an acute coronary event.

School Program for Resilience and Bullying Prevention

This study evaluated whether a school-based psychoeducational program could improve psychological resilience and reduce bullying victimization among high school students in Hatay, Türkiye, following the 2023 earthquake. The intervention consisted of a 10-week psychological resilience program followed by a 5-week peer bullying awareness program delivered in weekly group sessions. A single-group pretest-posttest mixed-methods design was used. Psychological resilience and bullying victimization were assessed before the intervention and three months after program completion using validated self-report scales. Qualitative data were also collected to explore students' experiences and perceived benefits of the program.

The Impact of Symptom Management Nursing Intervention on the QoL of Patients With Advanced Lung Cancer: Mediation of Self-management Efficacy and Regulation of Psychological Resilience

Symptom management nursing intervention can improve the self-management efficacy, psychological resilience, and QoL of patients with advanced lung cancer.

Effect of an Empowerment-Based Psychoeducation Program on Burnout and Psychological Outcomes in Nurse Managers

This randomized controlled trial aims to evaluate the effectiveness of an empowerment-based psychoeducation program on burnout, self-leadership, mindfulness, and psychological resilience among nurse managers. The study population consists of nurse managers working in healthcare settings. The primary objective of this study is to determine whether the psychoeducation program reduces burnout levels and improves self-leadership, mindfulness, and psychological resilience among nurse managers. The main research questions are as follows: Does the empowerment-based psychoeducation program reduce burnout levels in nurse managers? Does the program improve self-leadership levels in nurse managers? Does the program increase mindfulness levels in nurse managers? Does the program enhance psychological resilience in nurse managers? In this randomized controlled design, participants will be assigned to either an intervention group or a control group. The intervention group will receive a structured empowerment-based psychoeducation program lasting five weeks, while the control group will not receive any intervention. Participants will undergo the following procedures: Completion of baseline (pre-test) assessments (T1) Participation in the psychoeducation program for the intervention group (5 weeks) No intervention for the control group Completion of post-intervention assessments (T2) Completion of follow-up assessments three months after the intervention (T3) The findings of this study are expected to contribute to the development of evidence-based interventions aimed at strengthening managerial competencies and psychological well-being among nurse managers.

Psychiatric Nursing Intervention for Caregivers of Patients With Bipolar Disorder

This study aims to evaluate the effectiveness of an innovative psychiatric nursing intervention in reducing caregiver burden and enhancing psychological resilience and positive emotional outcomes among family caregivers of patients with bipolar disorder. Family caregivers often experience significant psychological stress and emotional challenges due to the chronic and recurrent nature of bipolar disorder. This interventional study was conducted among family caregivers recruited from the Faculty of Nursing, Menoufia University. Participants received a structured psychiatric nursing intervention designed to improve coping strategies, emotional regulation, and resilience. The outcomes of the study include changes in caregiver burden, psychological resilience, and positive emotional outcomes following the intervention. The findings are expected to contribute to improving mental health support for caregivers and enhancing the quality of care provided to patients with bipolar disorder.

On-Demand AI Support Via LINE-Based GPT Assistant to Improve Emotional Resilience and Reduce Burnout Among Clinical Nurses

Clinical nurses are frequently exposed to high emotional demands due to heavy workloads, time pressure, patient suffering, and the interpersonal complexity of clinical care. These stressors may contribute to compassion fatigue, burnout, reduced resilience, and decreased occupational well-being. However, timely and accessible psychological support is often limited in busy clinical environments, and many nurses may hesitate to seek help due to stigma, time constraints, or limited resources. This study is a prospective, randomized, controlled, parallel-group interventional trial designed to evaluate the feasibility and effectiveness of an on-demand, human-centered emotional support intervention delivered through a LINE-based GPT assistant. The AI assistant provides real-time supportive conversations, reflective prompts, stress-coping guidance, and resilience-enhancing strategies tailored specifically for clinical nurses, offering a private and easily accessible support resource. Eligible clinical nurses (target sample size: 100-120) are randomly assigned to either an Intervention Group, which interacts with the AI assistant, or a Control Group, which receives non-interactive static messages, over a four-week intervention period. Primary outcomes include changes in compassion fatigue, burnout, and compassion satisfaction, as measured by the Professional Quality of Life Scale (ProQOL). Secondary outcomes include changes in resilience (Brief Resilience Scale), general self-efficacy (General Self-Efficacy Scale), and perceived stress (Perceived Stress Scale-10). The results of this study are expected to provide evidence on the feasibility and potential effectiveness of AI-based emotional support as a scalable and accessible tool to promote psychological well-being among clinical nurses, thereby informing future digital mental health interventions in healthcare settings.

Effectiveness of a Psychological Resilience Training Program for Children Aged 10-12

This clinical study aims to learn whether a psychological resilience training program is helpful for children aged 10 to 12 years. The program is designed to help children cope better with stress, get along better with others, and use digital media in a healthier way. The main questions this study seeks to answer are: Does the training increase children's psychological resilience? Does it improve children's social adjustment and close relationships with family and friends? Does it help reduce problematic media use? Children who take part in the study are randomly assigned to one of two groups. One group takes part in a psychological resilience training program, and the other group does not receive any training during the study period. Children and their parents complete questionnaires before the program and again after the program is completed.

Mindfulness-Based Intervention for Nursing Students in Somalia

This study aims to evaluate the effectiveness of a mindfulness-based intervention on stress levels, psychological resilience, and academic self-efficacy among nursing students in Somalia. Nursing students often experience high levels of stress due to academic demands, clinical training, and challenging social and environmental conditions. Mindfulness-based interventions have been shown to improve mental well-being and coping skills in various student populations, but evidence from low-resource and conflict-affected settings remains limited. In this randomized controlled trial, nursing students will be assigned either to a mindfulness-based intervention group or to a control group receiving no intervention during the study period. The intervention consists of structured mindfulness sessions focusing on breathing awareness, body awareness, emotional regulation, and present-moment attention over a three-week period. Outcomes including perceived stress, psychological resilience, and academic self-efficacy will be measured before and after the intervention using validated self-report instruments. The findings of this study are expected to contribute to the understanding of non-pharmacological, low-cost mental health interventions for nursing students in low-resource settings.

Music Therapy Awareness in the Lecture Hall: Effects of Mindfulness-based Breathing and Core Exercises on Stress, Endurance, and Relaxation in University Students

This study aims to evaluate the effects of music therapy awareness, mindfulness-based breathing, and core exercises on stress, resilience, and relaxation in university students. Stress is highly prevalent in this population and can negatively affect both academic performance and physical and psychological health. By combining music therapy with breathing and core exercises, the study seeks to provide a holistic approach to improving students' well-being

Mindfulness-Based Self-Compassion and Vagal Nerve Stimulation on Heart Rate Variability, Psychological Resilience, and Sleep Quality

This study was conducted to determine the effects of a mindfulness-based self-compassion intervention and vagal nerve stimulation on heart rate variability, psychological resilience, and sleep quality in earthquake victims. Design: "The study was designed as a randomized experimental research, where pre- and post-intervention measurements were administered to Intervention I and Intervention II groups."

Does the Level of Pain in Pediatric Oncology Patients Affect the Level of Psychological Resilience in Parents?

Resilience is defined as generating coping strategies for the problems and situations that individuals face throughout their lives and developing these strategies in each new situation. While some individuals become helpless in the face of difficulties and give up the struggle, other individuals recover quickly in the face of difficulties and use coping methods well. Accordingly, these individuals have higher levels of crisis management and coping with stress.