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| ID | Type | Description | Link |
|---|---|---|---|
| WFBCCC 04220 | Other Identifier | Wake Forest Baptist Comprehensive Cancer Center | |
| R01CA242849-01 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Cancer Institute (NCI) | NIH |
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This purpose of this study is to test a digital health intervention that may promote well-being among young adult cancer survivors. Investigators hope to learn more about wellness and health-related quality of life among young adult cancer survivors by promoting well-being and teaching skills for healthy coping and mood management.
The EMPOWER Intervention is composed of five components:
For subjects who do not receive EMPOWER components or only receive some of the EMPOWER components, they will be given inert content. The inert content will cover Cognitive changes during Cancer, Diet, Weight Management, Financial Literacy and Sun Protection. The trial is a composed of a full factorial design with 32 (2X2X2X2X2) experimental conditions. Adolescents and Young Adults will receive 0, 1,2,3,4 or 5 Empower components.
Primary Objective
• Identify which of five components in the EMPOWER web based curriculum, contribute meaningfully to positive affect among post-treatment adolescent and young adult cancer survivors.
Secondary Objective
Exploratory Objectives
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1 No PE, No M, No PR, No PS, No AK | Experimental |
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| Arm 2 No PE, No M, No PR, No PS, Yes AK | Experimental |
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| Arm 3 No PE, No M, No PR, Yes PS, No AK | Experimental |
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| Arm 4 No PE, No M, No PR, Yes PS, Yes AK | Experimental |
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| Arm 5 No PE, No M, Yes PR, No PS, No AK | Experimental |
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| Arm 6 No PE, No M, Yes PR, No PS, Yes AK | Experimental |
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| Arm 7 No PE, No M, Yes PR, Yes PS, No AK | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EMPOWER | Behavioral | Participants will receive weekly material for a total of 5 weeks consisting of 1-2 days of didactic content and several days of brief, real-life skills practice and reporting taking approximately 10-15 minutes to complete. Adolescents and young adults cannot skip ahead, but they can return to old lessons or exercises if they choose. Most exercises are done in a "diary" format in which past responses are displayed next to their new ones, so that every time they visit that exercise they see their growing list of past positive experiences. Participants will be permitted up to 8 weeks to complete this self-guided intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| T0 and T6 Positive Affect T-Scores--Patient-Reported Outcomes Measurement Information System (PROMIS) Positive Affect Computer Adaptive Test (CAT) Questionnaire | Participants completed a self-reported questionnaire on psychological well being for feelings that reflect a level of pleasurable engagement with the environment, such as happiness, joy, excitement, enthusiasm, and contentment over the past seven days. We used a mixed model to estimate the mean within-group value of the outcome (positive affect T-score) at each time point following the intervention. Average score (50): Represents the national average for the general population. 50 indicates the population mean with a standard deviation of 10 Higher scores (>50): Indicate higher positive affect than the general population. For example, a T-score of 60 is one standard deviation better than the national average. Lower scores (<50): Indicate lower positive affect than the general population. A T-score of 40 is one standard deviation worse than the national average. | At baseline (T0) and at intervention completion 10 weeks after baseline (T6) |
| Measure | Description | Time Frame |
|---|---|---|
| T0 and T6 Anxiety T-Scores--Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety Computer Adaptive Test (CAT) Questionnaire | Participants completed a self-reported questionnaire on psychological well being for feelings that reflect a level of pleasurable engagement with the environment, such as happiness, joy, excitement, enthusiasm, and contentment over the past seven days. We used a mixed model to estimate the mean within-group value of the outcome (positive affect T-score) at each time point following the intervention. Average score (50): Represents the national average for the general population. 50 indicates the population mean with a standard deviation of 10 Higher scores (>50): Indicate higher positive affect than the general population. For example, a T-score of 60 is one standard deviation better than the national average. Lower scores (<50): Indicate lower positive affect than the general population. A T-score of 40 is one standard deviation worse than the national average. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| John M Salsman, Ph.D | Wake Forest University Health Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Northwestern University Feinberg School of Medicine | Chicago | Illinois | 60611 | United States | ||
| Wake Forest Baptist Comprehensive Cancer Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39710338 | Derived | Salsman JM, Murphy KM, Addington EL, Tooze JA, McLouth LE, Yang D, Sanford S, Wagner L, Bunch SC, Rosenberg AR, Valle CG, Zebrack B, Howard D, Roth M, Moskowitz JT. Optimization of a digital health intervention to enhance well-being among adolescent and young adult cancer survivors: Design and methods of the EMPOWER full factorial trial. Contemp Clin Trials. 2025 Feb;149:107783. doi: 10.1016/j.cct.2024.107783. Epub 2024 Dec 20. |
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The design of this study is a full factorial design with 5 arms.
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| ID | Title | Description |
|---|---|---|
| FG000 | Arm 1 No PE, No M, No PR, No PS, No AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection) |
| FG001 | Arm 2 No PE, No M, No PR, No PS, Yes AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness |
| FG002 | Arm 3 No PE, No M, No PR, Yes PS, No AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting; week 5: no acts of kindness (control content-sun protection) |
| FG003 | Arm 4 No PE, No M, No PR, Yes PS, Yes AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting; week 5: yes acts of kindness |
| FG004 | Arm 5 No PE, No M, Yes PR, No PS, No AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content- sun protection) |
| FG005 | Arm 6 No PE, No M, Yes PR, No PS, Yes AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness |
| FG006 | Arm 7 No PE, No M, Yes PR, Yes PS, No AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: no acts of kindness (control content-sun protection) |
| FG007 | Arm 8 No PE, No M, Yes PR, Yes PS, Yes AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: yes acts of kindness |
| FG008 | Arm 9 No PE, Yes M, No PR, No PS, No AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection) |
| FG009 | Arm 10 No PE, Yes M, No PR, No PS, Yes AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness |
| FG010 | Arm 11 No PE, Yes M, No PR, Yes PS, No AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection) |
| FG011 | Arm 12 No PE, Yes M, No PR, Yes PS, Yes AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting; week 5: yes acts of kindness |
| FG012 | Arm 13 No PE, Yes M, Yes PR, No PS, No AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection) |
| FG013 | Arm 14 No PE, Yes M, Yes PR, No PS, Yes AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness |
| FG014 | Arm 15 No PE, Yes M, Yes PR, Yes PS, No AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: no acts of kindness (control content-sun protection) |
| FG015 | Arm 16 No PE, Yes M, Yes PR, Yes PS, Yes AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: yes acts of kindness |
| FG016 | Arm 17 Yes PE, No M, No PR, No PS, No AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection) |
| FG017 | Arm 18 Yes PE, No M, No PR, No PS, Yes AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness |
| FG018 | Arm 19 Yes PE, No M, No PR, Yes PS, No AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting (control content-weight management); week 5: no acts of kindness |
| FG019 | Arm 20 Yes PE, No M, No PR, Yes PS, Yes AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting; week 5: yes acts of kindness |
| FG020 | Arm 21 Yes PE, No M, Yes PR, No PS, No AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection) |
| FG021 | Arm 22 Yes PE, No M, Yes PR, No PS, Yes AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness |
| FG022 | Arm 23 Yes PE, No M, Yes PR, Yes PS, No AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: no acts of kindness (control content-sun protection) |
| FG023 | Arm 24 Yes PE, No M, Yes PR, Yes PS, Yes AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: yes acts of kindness |
| FG024 | Arm 25 Yes PE, Yes M, No PR, No PS, No AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection) |
| FG025 | Arm 26 Yes PE, Yes M, No PR, No PS, Yes AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness |
| FG026 | Arm 27 Yes PE, Yes M, No PR, Yes PS, No AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting; week 5: no acts of kindness (control content-sun protection) |
| FG027 | Arm 28 Yes PE, Yes M, No PR, Yes PS, Yes AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness |
| FG028 | Arm 29 Yes PE, Yes M, Yes PR, No PS, No AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection) |
| FG029 | Arm 30 Yes PE, Yes M, Yes PR, No PS, Yes AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness |
| FG030 | Arm 31 Yes PE, Yes M, Yes PR, Yes PS, No AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: no acts of kindness (control content-sun protection) |
| FG031 | Arm 32 Yes PE, Yes M, Yes PR, Yes PS, Yes AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: yes acts of kindness |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Arm 1 No PE, No M, No PR, No PS, No AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content: sun protection) |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | T0 and T6 Positive Affect T-Scores--Patient-Reported Outcomes Measurement Information System (PROMIS) Positive Affect Computer Adaptive Test (CAT) Questionnaire | Participants completed a self-reported questionnaire on psychological well being for feelings that reflect a level of pleasurable engagement with the environment, such as happiness, joy, excitement, enthusiasm, and contentment over the past seven days. We used a mixed model to estimate the mean within-group value of the outcome (positive affect T-score) at each time point following the intervention. Average score (50): Represents the national average for the general population. 50 indicates the population mean with a standard deviation of 10 Higher scores (>50): Indicate higher positive affect than the general population. For example, a T-score of 60 is one standard deviation better than the national average. Lower scores (<50): Indicate lower positive affect than the general population. A T-score of 40 is one standard deviation worse than the national average. | Posted | Least Squares Mean | Standard Error | T-score | At baseline (T0) and at intervention completion 10 weeks after baseline (T6) |
|
From day immediately following date of randomization until 4 months post intervention
All adverse events reported below pertain to elevated T-Scores (>70) for PROMIS Anxiety or Depression outcomes. Note that given the different web content in different weeks of the arms, some arms are listed multiple times in the AE tables, so that the AE timing (which specific week, or followup period) could be noted.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Arm 1, Week 2 (Financial Literacy Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection). AE happened in week 2, during financial literacy content. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| T-score >70 for PROMIS Anxiety and/or Depression | Psychiatric disorders | CTCAE | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| John Salsman | Wake Forest Baptist Comprehensive Cancer Center | 336-713-3613 | john.salsman@wfusm.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jan 23, 2024 | Apr 30, 2026 | Prot_SAP_001.pdf |
| ICF | No | No | Yes | Informed Consent Form | May 10, 2024 | Jun 27, 2025 | ICF_000.pdf |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| Arm 8 No PE, No M, Yes PR, Yes PS, Yes AK |
| Experimental |
|
| Arm 9 No PE, Yes M, No PR, No PS, No AK | Experimental |
|
| Arm 10 No PE, Yes M, No PR, No PS, Yes AK | Experimental |
|
| Arm 11 No PE, Yes M, No PR, Yes PS, No AK | Experimental |
|
| Arm 12 No PE, Yes M, No PR, Yes PS, Yes AK | Experimental |
|
| Arm 13 No PE, Yes M, Yes PR, No PS, No AK | Experimental |
|
| Arm 14 No PE, Yes M, Yes PR, No PS, Yes AK | Experimental |
|
| Arm 15 No PE, Yes M, Yes PR, Yes PS, No AK | Experimental |
|
| Arm 16 No PE, Yes M, Yes PR, Yes PS, Yes AK | Experimental |
|
| Arm 17 Yes PE, No M, No PR, No PS, No AK | Experimental |
|
| Arm 18 Yes PE, No M, No PR, No PS, Yes AK | Experimental |
|
| Arm 19 Yes PE, No M, No PR, No PS, Yes AK | Experimental |
|
| Arm 20 Yes PE, No M, No PR, Yes PS, Yes AK | Experimental |
|
| Arm 21 Yes PE, No M, Yes PR, No PS, No AK | Experimental |
|
| Arm 22 Yes PE, No M, Yes PR, No PS, Yes AK | Experimental |
|
| Arm 23 Yes PE, No M, Yes PR, Yes PS, No AK | Experimental |
|
| Arm 24 Yes PE, No M, Yes PR, Yes PS, Yes AK | Experimental |
|
| Arm 25 Yes PE, Yes M, No PR, No PS, No AK | Experimental |
|
| Arm 26 Yes PE, Yes M, No PR, No PS, Yes AK | Experimental |
|
| Arm 27 Yes PE, Yes M, No PR, Yes PS, No AK | Experimental |
|
| Arm 28 Yes PE, Yes M, No PR, Yes PS, Yes AK | Experimental |
|
| Arm 29 Yes PE, Yes M, Yes PR, No PS, No AK | Experimental |
|
| Arm 30 Yes PE, Yes M, Yes PR, No PS, Yes AK | Experimental |
|
| Arm 31 Yes PE, Yes M, Yes PR, Yes PS, No AK | Experimental |
|
| Arm 32 Yes PE, Yes M, Yes PR, Yes PS, Yes AK | Experimental |
|
|
| At baseline (T0) and at intervention completion 10 weeks after baseline (T6) |
| T0 and T6 Depression T-Scores--Patient-Reported Outcomes Measurement Information System (PROMIS) Depression Questionnaire | Participants completed a self-reported questionnaire on psychological well being for feelings that reflect a level of pleasurable engagement with the environment, such as happiness, joy, excitement, enthusiasm, and contentment over the past seven days. We used a mixed model to estimate the mean within-group value of the outcome (positive affect T-score) at each time point following the intervention. Average score (50): Represents the national average for the general population. 50 indicates the population mean with a standard deviation of 10 Higher scores (>50): Indicate higher positive affect than the general population. For example, a T-score of 60 is one standard deviation better than the national average. Lower scores (<50): Indicate lower positive affect than the general population. A T-score of 40 is one standard deviation worse than the national average. | At baseline (T0) and at intervention completion 10 weeks after baseline (T6) |
| T0 and T6 Life Satisfaction T-Scores--Patient-Reported Outcomes Measurement Information System (PROMIS) Life Satisfaction Questionnaire | Participants completed a self-reported questionnaire on psychological well being for feelings that reflect a level of pleasurable engagement with the environment, such as happiness, joy, excitement, enthusiasm, and contentment over the past seven days. We used a mixed model to estimate the mean within-group value of the outcome (positive affect T-score) at each time point following the intervention. Average score (50): Represents the national average for the general population. 50 indicates the population mean with a standard deviation of 10 Higher scores (>50): Indicate higher positive affect than the general population. For example, a T-score of 60 is one standard deviation better than the national average. Lower scores (<50): Indicate lower positive affect than the general population. A T-score of 40 is one standard deviation worse than the national average. | At baseline (T0) and at intervention completion 10 weeks after baseline (T6) |
| Winston-Salem |
| North Carolina |
| 27157 |
| United States |
| MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| BG001 | Arm 2 No PE, No M, No PR, No PS, Yes AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness |
| BG002 | Arm 3 No PE, No M, No PR, Yes PS, No AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting; week 5: no acts of kindness (control content-sun protection) |
| BG003 | Arm 4 No PE, No M, No PR, Yes PS, Yes AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting; week 5: yes acts of kindness |
| BG004 | Arm 5 No PE, No M, Yes PR, No PS, No AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content- sun protection) |
| BG005 | Arm 6 No PE, No M, Yes PR, No PS, Yes AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness |
| BG006 | Arm 7 No PE, No M, Yes PR, Yes PS, No AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: no acts of kindness (control content-sun protection) |
| BG007 | Arm 8 No PE, No M, Yes PR, Yes PS, Yes AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: yes acts of kindness |
| BG008 | Arm 9 No PE, Yes M, No PR, No PS, No AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection) |
| BG009 | Arm 10 No PE, Yes M, No PR, No PS, Yes AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness |
| BG010 | Arm 11 No PE, Yes M, No PR, Yes PS, No AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection) |
| BG011 | Arm 12 No PE, Yes M, No PR, Yes PS, Yes AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting; week 5: yes acts of kindness |
| BG012 | Arm 13 No PE, Yes M, Yes PR, No PS, No AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection) |
| BG013 | Arm 14 No PE, Yes M, Yes PR, No PS, Yes AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness |
| BG014 | Arm 15 No PE, Yes M, Yes PR, Yes PS, No AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: no acts of kindness (control content-sun protection) |
| BG015 | Arm 16 No PE, Yes M, Yes PR, Yes PS, Yes AK | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: yes acts of kindness |
| BG016 | Arm 17 Yes PE, No M, No PR, No PS, No AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection) |
| BG017 | Arm 18 Yes PE, No M, No PR, No PS, Yes AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness |
| BG018 | Arm 19 Yes PE, No M, No PR, Yes PS, No AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting (control content-weight management); week 5: no acts of kindness |
| BG019 | Arm 20 Yes PE, No M, No PR, Yes PS, Yes AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting; week 5: yes acts of kindness |
| BG020 | Arm 21 Yes PE, No M, Yes PR, No PS, No AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection) |
| BG021 | Arm 22 Yes PE, No M, Yes PR, No PS, Yes AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness |
| BG022 | Arm 23 Yes PE, No M, Yes PR, Yes PS, No AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: no acts of kindness (control content-sun protection) |
| BG023 | Arm 24 Yes PE, No M, Yes PR, Yes PS, Yes AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: yes acts of kindness |
| BG024 | Arm 25 Yes PE, Yes M, No PR, No PS, No AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection) |
| BG025 | Arm 26 Yes PE, Yes M, No PR, No PS, Yes AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness |
| BG026 | Arm 27 Yes PE, Yes M, No PR, Yes PS, No AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting; week 5: no acts of kindness (control content-sun protection) |
| BG027 | Arm 28 Yes PE, Yes M, No PR, Yes PS, Yes AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness |
| BG028 | Arm 29 Yes PE, Yes M, Yes PR, No PS, No AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection) |
| BG029 | Arm 30 Yes PE, Yes M, Yes PR, No PS, Yes AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness |
| BG030 | Arm 31 Yes PE, Yes M, Yes PR, Yes PS, No AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: no acts of kindness (control content-sun protection) |
| BG031 | Arm 32 Yes PE, Yes M, Yes PR, Yes PS, Yes AK | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: yes acts of kindness |
| BG032 | Total | Total of all reporting groups |
| Years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Site | Recruitment site | Count of Participants | Participants |
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| OG000 | Group 1: Positive Events, Capitalizing, Gratitude (Intervention Content) in Week 1 | Received positive events, capitalizing, gratitude module (intervention content) in week 1 of 5-week intervention |
| OG001 | Group 2: Cognitive Skills (Control Content) in Week 1 | Received cognitive skills module (control content) in week 1 of 5-week intervention |
| OG002 | Group 3: Mindfulness (Intervention Content) in Week 2 | Received mindfulness module (intervention content) in week 2 of 5-week intervention |
| OG003 | Group 4: Financial Literacy (Control Content) in Week 2 | Received financial literacy module (control content) in week 2 of 5-week intervention |
| OG004 | Group 5: Positive Reappraisal (Intervention Content) in Week 3 | Received positive reappraisal module (intervention content) in week 3 of 5-week intervention |
| OG005 | Group 6: Nutrition (Control Content) in Week 3 | Received nutrition module (control content) in week 3 of 5-week intervention |
| OG006 | Group 7: Personal Strengths/Goal-setting (Intervention Content) in Week 4 | Received personal strengths/goal-setting module (intervention content) in week 4 of 5-week intervention |
| OG007 | Group 8: Weight Management (Control Content) in Week 4 | Received weight management module (control content) in week 4 of 5-week intervention |
| OG008 | Group 9: Acts of Kindness (Intervention Content) in Week 5 | Received acts of kindness module (intervention content) in week 5 of 5-week intervention |
| OG009 | Group 10: Sun Protection (Control Intervention) in Week 5 | Received sun protection module (control intervention) in week 5 of 5-week intervention |
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| Secondary | T0 and T6 Anxiety T-Scores--Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety Computer Adaptive Test (CAT) Questionnaire | Participants completed a self-reported questionnaire on psychological well being for feelings that reflect a level of pleasurable engagement with the environment, such as happiness, joy, excitement, enthusiasm, and contentment over the past seven days. We used a mixed model to estimate the mean within-group value of the outcome (positive affect T-score) at each time point following the intervention. Average score (50): Represents the national average for the general population. 50 indicates the population mean with a standard deviation of 10 Higher scores (>50): Indicate higher positive affect than the general population. For example, a T-score of 60 is one standard deviation better than the national average. Lower scores (<50): Indicate lower positive affect than the general population. A T-score of 40 is one standard deviation worse than the national average. | Posted | Least Squares Mean | Standard Error | T-score | At baseline (T0) and at intervention completion 10 weeks after baseline (T6) |
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| Secondary | T0 and T6 Depression T-Scores--Patient-Reported Outcomes Measurement Information System (PROMIS) Depression Questionnaire | Participants completed a self-reported questionnaire on psychological well being for feelings that reflect a level of pleasurable engagement with the environment, such as happiness, joy, excitement, enthusiasm, and contentment over the past seven days. We used a mixed model to estimate the mean within-group value of the outcome (positive affect T-score) at each time point following the intervention. Average score (50): Represents the national average for the general population. 50 indicates the population mean with a standard deviation of 10 Higher scores (>50): Indicate higher positive affect than the general population. For example, a T-score of 60 is one standard deviation better than the national average. Lower scores (<50): Indicate lower positive affect than the general population. A T-score of 40 is one standard deviation worse than the national average. | Posted | Least Squares Mean | Standard Error | T-score | At baseline (T0) and at intervention completion 10 weeks after baseline (T6) |
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| Secondary | T0 and T6 Life Satisfaction T-Scores--Patient-Reported Outcomes Measurement Information System (PROMIS) Life Satisfaction Questionnaire | Participants completed a self-reported questionnaire on psychological well being for feelings that reflect a level of pleasurable engagement with the environment, such as happiness, joy, excitement, enthusiasm, and contentment over the past seven days. We used a mixed model to estimate the mean within-group value of the outcome (positive affect T-score) at each time point following the intervention. Average score (50): Represents the national average for the general population. 50 indicates the population mean with a standard deviation of 10 Higher scores (>50): Indicate higher positive affect than the general population. For example, a T-score of 60 is one standard deviation better than the national average. Lower scores (<50): Indicate lower positive affect than the general population. A T-score of 40 is one standard deviation worse than the national average. | Posted | Least Squares Mean | Standard Error | T-score | At baseline (T0) and at intervention completion 10 weeks after baseline (T6) |
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| 0 |
| 12 |
| 0 |
| 12 |
| 1 |
| 12 |
| EG001 | Arm 2, Week 2 (Financial Literacy Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness. AE happened in week 2, during financial literacy content. | 0 | 12 | 0 | 12 | 2 | 12 |
| EG002 | Arm 2, Followup | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness. AE happened in post-intervention followup period. | 0 | 12 | 0 | 12 | 1 | 12 |
| EG003 | Arm 3, Week 2 (Financial Literacy Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting; week 5: no acts of kindness (control content-sun protection). AE happened in week 2, during financial literacy content. | 0 | 12 | 0 | 12 | 1 | 12 |
| EG004 | Arm 4, Week 1 (Cognitive Changes Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting; week 5: yes acts of kindness. AE happened in week 1, during cognitive changes content. | 0 | 12 | 0 | 12 | 2 | 12 |
| EG005 | Arm 4, Week 3 (Nutrition Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting; week 5: yes acts of kindness. AE happened in week 3, during nutrition content. | 0 | 12 | 0 | 12 | 1 | 12 |
| EG006 | Arm 4, Followup | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting; week 5: yes acts of kindness. AE happened in post intervention followup period. | 0 | 12 | 0 | 12 | 1 | 12 |
| EG007 | Arm 5, Week 2 (Financial Literacy Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content- sun protection). AE happened in week 2, during financial literacy content. | 0 | 12 | 0 | 12 | 1 | 12 |
| EG008 | Arm 5, Followup | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content- sun protection). AE happened in post-intervention followup period. | 0 | 12 | 0 | 12 | 1 | 12 |
| EG009 | Arm 6, Week 1(Cognitive Changes Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content- sun protection). AE happened in week 1, during cognitive changes content. | 0 | 11 | 0 | 11 | 1 | 11 |
| EG010 | Arm 6, Followup | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness. AE happened in post-intervention followup period. | 0 | 11 | 0 | 11 | 1 | 11 |
| EG011 | Arm 7, Week 1 (Cognitive Changes Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: no acts of kindness (control content-sun protection). AE happened in week 1, during cognitive changes content. | 0 | 11 | 0 | 11 | 1 | 11 |
| EG012 | Arm 7, Week 3 (Positive Reappraisal Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: no acts of kindness (control content-sun protection). AE occurred in week 3, during positive reappraisal content. | 0 | 11 | 0 | 11 | 1 | 11 |
| EG013 | Arm 7, Followup | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: no acts of kindness (control content-sun protection). AE occurred in post-intervention followup period. | 0 | 11 | 0 | 11 | 2 | 11 |
| EG014 | Arm 8, Week 4 (Personal Strengths Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: yes acts of kindness. AE occurred in week 4, during personal strengths content. | 0 | 12 | 0 | 12 | 1 | 12 |
| EG015 | Arm 8, Week 5 (Acts of Kindness Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: yes acts of kindness. AE occurred in week 5, during acts of kindness content. | 0 | 12 | 0 | 12 | 1 | 12 |
| EG016 | Arm 9, Week 1 (Cognitive Changes Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection). AE occurred in week 1, during cognitive changes content | 0 | 10 | 0 | 10 | 1 | 10 |
| EG017 | Arm 9, Week 5 (Sun Protection Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection). AE occurred in week 5, during sun protection content. | 0 | 10 | 0 | 10 | 1 | 10 |
| EG018 | Arm 10, Week 1 (Cognitive Changes Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness. AE occurred in week 1, during cognitive changes content. | 0 | 11 | 0 | 11 | 1 | 11 |
| EG019 | Arm 10, Week 3 (Nutrition Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness. AE occurred in week 3, during nutrition content. | 0 | 11 | 0 | 11 | 1 | 11 |
| EG020 | Arm 10, Followup | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness. AE occurred in post-intervention followup period. | 0 | 11 | 0 | 11 | 2 | 11 |
| EG021 | Arm 11, Week 5 (Sun Protection Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection). AE occurred in week 5, during sun protection content. | 0 | 12 | 0 | 12 | 1 | 12 |
| EG022 | Arm 12, Followup | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting; week 5: yes acts of kindness. AE occurred in post-intervention followup period. | 0 | 10 | 0 | 10 | 2 | 10 |
| EG023 | Arm 14, Week 2 (Mindfulness Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness. AE occurred in week 2 during mindfulness content. | 0 | 13 | 0 | 13 | 1 | 13 |
| EG024 | Arm 14, Week 3 (Positive Reappraisal Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness. AE occurred in week 3 during positive reappraisal content. | 0 | 13 | 0 | 13 | 1 | 13 |
| EG025 | Arm 16, Week 1 (Cognitive Changes Content) | Randomized to week 1: no positive events/capitalizing/gratitude (control content-cognitive changes); week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: yes acts of kindness. AE occurred in week 1 during cognitive changes content. | 0 | 10 | 0 | 10 | 1 | 10 |
| EG026 | Arm 17, Week 2 (Financial Literacy Content) | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection). AE occurred in week 2, during financial literacy content. | 0 | 11 | 0 | 11 | 1 | 11 |
| EG027 | Arm 17, Week 4 (Weight Management Content) | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection). AE occurred in week 4, during weight management content. | 0 | 11 | 0 | 11 | 1 | 11 |
| EG028 | Arm 18, Week 4 (Weight Management Content) | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness. AE occurred in week 4, during weight management content. | 0 | 11 | 0 | 11 | 1 | 11 |
| EG029 | Arm 19, Followup | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting (control content-weight management); week 5: no acts of kindness. AE occurred during post-intervention followup period. | 0 | 10 | 0 | 10 | 1 | 10 |
| EG030 | Arm 20, Week 1 (Gratitude Content) | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting; week 5: yes acts of kindness. AE occurred in week 1, during gratitude content. | 0 | 11 | 0 | 11 | 1 | 11 |
| EG031 | Arm 20, Week 4 (Personal Strengths Content) | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting; week 5: yes acts of kindness. AE occurred in week 4, during personal strengths content. | 0 | 11 | 0 | 11 | 1 | 11 |
| EG032 | Arm 20, Followup | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: no positive reappraisal (control content-nutrition); week 4: yes personal strengths/goal setting; week 5: yes acts of kindness. AE occurred during post-intervention followup. | 0 | 11 | 0 | 11 | 1 | 11 |
| EG033 | Arm 21, Week 1 (Gratitude Content) | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection). AE occurred in week 1, during gratitude content. | 0 | 10 | 0 | 10 | 1 | 10 |
| EG034 | Arm 22, Week 4 (Weight Management Content) | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness. AE occurred in week 4, during weight management content. | 0 | 11 | 0 | 11 | 1 | 11 |
| EG035 | Arm 22, Followup | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness. AE occurred in week 4, during weight management content. AE occurred during post-intervention followup period. | 0 | 11 | 0 | 11 | 1 | 11 |
| EG036 | Arm 24, Week 5 (Kindness Content) | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: yes acts of kindness. AE occurred in week 5, during kindness content. | 0 | 11 | 0 | 11 | 1 | 11 |
| EG037 | Arm 24, Followup | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: no mindfulness (control content-financial literacy); week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: yes acts of kindness. AE occurred during post-intervention followup period. | 0 | 11 | 0 | 11 | 1 | 11 |
| EG038 | Arm 25, Week 2 (Mindfulness Content) | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection). AE occurred in week 2, during mindfulness content. | 0 | 11 | 0 | 11 | 1 | 11 |
| EG039 | Arm 25, Week 5 (Sun Protection Content) | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: no positive reappraisal (control content-nutrition); week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection). AE occurred in week 5, during sun protection content. | 0 | 11 | 0 | 11 | 1 | 11 |
| EG040 | Arm 29, Followup | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: no acts of kindness (control content-sun protection). AE occurred during post-intervention followup. | 0 | 12 | 0 | 12 | 1 | 12 |
| EG041 | Arm 30, Followup | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: no personal strengths/goal setting (control content-weight management); week 5: yes acts of kindness. AE occurred during post-intervention followup. | 0 | 10 | 0 | 10 | 1 | 10 |
| EG042 | Arm 32, Followup | Randomized to week 1: yes positive events/capitalizing/gratitude; week 2: yes mindfulness; week 3: yes positive reappraisal; week 4: yes personal strengths/goal setting; week 5: yes acts of kindness. AE occurred during post-intervention followup. | 0 | 10 | 0 | 10 | 1 | 10 |
Not provided
Not provided
| Estimated T-scores at T6 |
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| Estimated T6 T-scores |
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| Estimated T6 T-Scores |
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