The Personal Wellbeing Score (PWS) is based on the Office of National Statistics (ONS) four subjective well-being questions (ONS4) and thresholds. It evaluates life satisfaction, sense of purpose, happiness, and anxiety. Each PWS item is scored as follows: Disagree=0, Neutral=1, Agree=2 and Strongly Agree=3. Summary scores are calculated by aggregating all items and transforming to a scale of 0 to 100, with higher scores indicating greater well-being.

The Difficulties in Emotion Regulation Scale Short Form (DERS-SF) is an 18-item measure used to identify emotional regulation issues in adults. The measure uses 6 subscales to measure 4 dimensions of emotional regulation: awareness; acceptance; the ability to engage in goal-directed behavior and refrain from impulsive behavior when experiencing negative emotions; and access to emotion regulation strategies perceived as effective. Respondents indicate how often each statement applies to them on a 5 point scale, where 1=Almost Never (0-10%), 2=Sometimes (11-35%), About Half of the Time (36-65%), Most of the Time (66-90%), Almost Always (91-100%). Scores range from 18 to 90, with higher scores indicating greater difficulties in emotion regulation. The DERS-SF Total Score is computed by summing responses across all items. Lower scores represent better emotion regulation outcomes.

The PERMA-Profiler is a 23-item measure that assesses wellbeing across five domains (positive emotion, engagement, relationships, meaning, accomplishment). The instrument was constructed so that each domain can be defined and measured as separate but correlated constructs. This study will use the Engagement and Relationship subscales of the PERMA. These subscales include 3 items each, ranked on an 11-point Likert scale, from 0 to 10. Scores are calculated as an average of these items for each subscale, with lower scores indicating less flourishing in respect to engagement/relationships and high scores indicating better engagement/relationships.

The PERMA-Profiler is a 23-item measure that assesses wellbeing across five domains (positive emotion, engagement, relationships, meaning, accomplishment). The instrument was constructed so that each domain can be defined and measured as separate but correlated constructs. This study will use the Engagement and Relationship subscales of the PERMA. These subscales include 3 items each, ranked on an 11-point Likert scale, from 0 to 10. Scores are calculated as an average of these items for each subscale, with lower scores indicating less flourishing in respect to engagement/relationships and high scores indicating better engagement/relationships.

The PERMA-Profiler is a 23-item measure that assesses wellbeing across five domains (positive emotion, engagement, relationships, meaning, accomplishment). The instrument was constructed so that each domain can be defined and measured as separate but correlated constructs. This study will use the Meaning and Accomplishment subscales of the PERMA. These subscales include 3 items each, ranked on an 11-point Likert scale, from 0 to 10. Scores are calculated as an average of these items for each subscale, with lower scores indicating less flourishing in respect to meaning/accomplishment and high scores indicating more meaning/accomplishment.

The PERMA-Profiler is a 23-item measure that assesses wellbeing across five domains (positive emotion, engagement, relationships, meaning, accomplishment). The instrument was constructed so that each domain can be defined and measured as separate but correlated constructs. This study will use the Meaning and Accomplishment subscales of the PERMA. These subscales include 3 items each, ranked on an 11-point Likert scale, from 0 to 10. Scores are calculated as an average of these items for each subscale, with lower scores indicating less flourishing in respect to meaning/accomplishment and high scores indicating more meaning/accomplishment.

The Utrecht Work Engagement Scale-17 assesses work engagement, or a positive, fulfilling, work-related state of mind characterized by vigor, dedication, and absorption. It is intended to measure the 'opposite' of burnout in both university students and employees. Items were developed to reflect three underlying dimensions: "Vigor" (VI); "Dedication" (DE), and "Absorption" (AB). The subscales were found to be internally consistent but relatively strongly correlated. Items are scored along a 6-point Likert-type scale (0 = Never to 6 = Always or Every day). Scores are calculated by summing item scores. The total score ranges from 0 to 102 points. A higher score indicates greater worker engagement.

The Maslach Burnout Inventory - Emotional Exhaustion (MBI-EE) is a validated self-report measure assessing feelings of emotional depletion and fatigue due to work-related stress. It is part of the Maslach Burnout Inventory (MBI), which evaluates burnout across three domains. Scores range from 0 to 54, with higher scores indicating greater emotional exhaustion. The Emotional Exhaustion Score is computed by summing responses to nine Likert-type items. Lower scores represent better well-being outcomes.

The Maslach Burnout Inventory - Personal Accomplishment (MBI-PA) is a validated self-report measure assessing feelings of competence and achievement in one's work. It is part of the Maslach Burnout Inventory (MBI), which evaluates burnout across three domains. Scores range from 0 to 48, with higher scores indicating greater personal accomplishment and lower scores suggesting burnout-related inefficacy. The Personal Accomplishment Score is computed by summing responses to eight Likert-type items.

The Maslach Burnout Inventory - Depersonalization (MBI-DP) is a validated self-report measure assessing feelings of detachment and impersonal responses toward others in a work setting. It is part of the Maslach Burnout Inventory (MBI), which evaluates burnout across three domains. Scores range from 0 to 30, with higher scores indicating greater depersonalization and emotional distancing. The Depersonalization Score is computed by summing responses to five Likert-type items. Lower scores represent better well-being outcomes.

Whether the participant still has their job at the end of the 4-week trial period.

The Feasibility of Intervention Measure (FIM) is used to measure the feasibility of an intervention. The scale consists of 4 items rated on a 5-point Likert Scale from 1 ("Completely disagree") to 5 ("Completely agree"). The score consists of the average of the items, ranging from 1 to 5, with higher scores indicating greater feasibility of the intervention.

The Acceptability of Intervention Measure (AIM) is used to measure the acceptability of an intervention. The scale consists of 4 items rated on a 5-point Likert Scale from 1 ("Completely disagree") to 5 ("Completely agree"). The score consists of the average of the items, ranging from 1 to 5, with higher scores indicating greater acceptability of the intervention.

The Intervention Appropriateness Measure (IAM) is used to measure the appropriateness of an intervention. The scale consists of 4 items rated on a 5-point Likert Scale from 1 ("Completely disagree") to 5 ("Completely agree"). The score consists of the average of the items, ranging from 1 to 5, with higher scores indicating greater appropriateness of the intervention.

The System Usability Scale (SUS) measures perceptions of usability of a given system, in this case, the GUIDE App. The scale consists of 10 items, each rated on a 5-point Likert Scale from 1 ("Strongly disagree") to 5 ("Strongly agree"). Responses are transformed to get a total range of possible values from 0-100, with higher scores indicating higher perceptions of usability. Typically, a score above 68 is regarded as a good score.

Waitlisted with delayed access to the GUIDE App without the opportunity to earn additional compensation.

Total of all reporting groups

Participants can be counted more than once in the appropriate category.

The PERMA Profiler is a validated self-report measure assessing well-being across five domains: Positive Emotion, Engagement, Relationships, Meaning, and Accomplishment. Scores range from 0 to 10, with higher scores indicating greater well-being. The PERMA Overall Score is computed by averaging the five subscale scores, each derived from three Likert-type items. Higher scores represent better well-being outcomes.

The Personal Wellbeing Score (PWS) is a validated self-report measure assessing subjective well-being based on the Office for National Statistics (ONS4) framework. It evaluates life satisfaction, sense of purpose, happiness, and anxiety. Scores range from 0 to 100, with higher scores indicating greater well-being. The PWS Overall Score is computed by averaging responses across four domains. Higher scores represent better well-being outcomes.

The WHO-5 Well-Being Index is a validated self-report measure assessing mental well-being over the past two weeks. It consists of five positively framed items, rated on a 0 to 5 Likert scale, with higher scores indicating better well-being. The total score is computed by summing item responses, then multiplying by 4 to yield a 0 to 100 scale. Scores ≤50 suggest poor well-being, and ≤28 indicate possible depression.

The PERMA Positive Emotion Score is a validated self-report measure assessing the presence of positive emotions in daily life. It is part of the PERMA Profiler, which evaluates well-being across five domains. Scores range from 0 to 10, with higher scores indicating greater positive emotional experiences. The Positive Emotion Score is computed by averaging responses to three Likert-type items. Higher scores represent better well-being outcomes.

The PERMA Engagement Score is a validated self-report measure assessing an individual's sense of immersion and involvement in activities. It is part of the PERMA Profiler, which evaluates well-being across five domains. Scores range from 0 to 10, with higher scores indicating greater engagement in meaningful experiences. The Engagement Score is computed by averaging responses to three Likert-type items. Higher scores represent better well-being outcomes.

The PERMA Relationships Score is a validated self-report measure assessing the quality and strength of social connections. It is part of the PERMA Profiler, which evaluates well-being across five domains. Scores range from 0 to 10, with higher scores indicating stronger, more supportive relationships. The Relationships Score is computed by averaging responses to three Likert-type items. Higher scores represent better well-being outcomes.

The PERMA Meaning Score is a validated self-report measure assessing an individual's sense of purpose and significance in life. It is part of the PERMA Profiler, which evaluates well-being across five domains. Scores range from 0 to 10, with higher scores indicating a stronger sense of meaning and purpose. The Meaning Score is computed by averaging responses to three Likert-type items. Higher scores represent better well-being outcomes.

The PERMA Accomplishment Score is a validated self-report measure assessing an individual's sense of achievement and progress toward goals. It is part of the PERMA Profiler, which evaluates well-being across five domains. Scores range from 0 to 10, with higher scores indicating greater feelings of accomplishment. The Accomplishment Score is computed by averaging responses to three Likert-type items. Higher scores represent better well-being outcomes.

The PERMA Happiness Score is a validated self-report measure assessing an individual's overall sense of joy and life satisfaction. It is part of the PERMA Profiler, which evaluates well-being across five domains. Scores range from 0 to 10, with higher scores indicating greater happiness. The Happiness Score is computed by averaging responses to three Likert-type items. Higher scores represent better well-being outcomes.

The PERMA Health Score is a validated self-report measure assessing an individual's subjective sense of physical health and vitality. It is part of the PERMA Profiler, which evaluates well-being across multiple domains. Scores range from 0 to 10, with higher scores indicating better perceived health. The Health Score is computed by averaging responses to three Likert-type items. Higher scores represent better well-being outcomes.

The PERMA Negative Emotion Score is a validated self-report measure assessing the presence of distressing emotions such as sadness, anxiety, and anger. It is part of the PERMA Profiler, which evaluates well-being across multiple domains. Scores range from 0 to 10, with higher scores indicating greater negative emotional experiences. The Negative Emotion Score is computed by averaging responses to three Likert-type items. Lower scores represent better well-being outcomes.

The PERMA Loneliness Score is a validated self-report measure assessing an individual's sense of social isolation and lack of connection. It is part of the PERMA Profiler, which evaluates well-being across multiple domains. Scores range from 0 to 10, with higher scores indicating greater feelings of loneliness. The Loneliness Score is computed by averaging responses to three Likert-type items. Lower scores represent better well-being outcomes.

The Difficulties in Emotion Regulation Scale - Short Form (DERS-SF) is a validated self-report measure assessing emotion regulation difficulties across six domains: nonacceptance of emotions, goal-directed behavior, impulse control, emotional awareness, access to regulation strategies, and emotional clarity. Scores range from 18 to 90, with higher scores indicating greater difficulties in emotion regulation. The DERS-SF Total Score is computed by summing responses across all items. Lower scores represent better emotion regulation outcomes.

The Generalized Anxiety Disorder 7-item (GAD-7) is a validated self-report measure assessing anxiety symptom severity over the past two weeks. It consists of seven items, rated on a 0 to 3 Likert scale, with higher scores indicating greater anxiety severity. The total score is computed by summing item responses, yielding a 0 to 21 scale. Scores of 5, 10, and 15 indicate mild, moderate, and severe anxiety, respectively.

The Patient Health Questionnaire-8 (PHQ-8) is a validated self-report measure assessing depressive symptom severity over the past two weeks. It consists of eight items, rated on a 0 to 3 Likert scale, with higher scores indicating greater depression severity. The total score is computed by summing item responses, yielding a 0 to 24 scale. Scores of 5, 10, 15, and 20 indicate mild, moderate, moderately severe, and severe depression, respectively.

Immediate access to the GUIDE App for 4 weeks without the opportunity to earn additional compensation.

GUIDE: The GUIDE App is a wellbeing app designed for first responders and veterans that uses small group support, a learning management system, drivers of behavior change, and an anonymous member experience safeguarded by a leader in identity and login privacy, Okta (okta.com). It includes three main features: 1) Community, 2) Wisdom, and 3) Daily Practice. The Community feature connects app users with an online community of like folks, allowing for human support, encouragement, accountability and coaching. Online communities are moderated by GUIDE employees. The Wisdom feature includes tools and interactive media for personal growth. The Daily Practice feature includes simple, daily routines to maintain mental and emotional wellness.

Waitlisted with delayed access to the GUIDE App without the opportunity to earn additional compensation.

The PHQ-8 is a self-reported measure of depressive symptoms composed of 8 Likert type items with a response scale ranging from 0 (Not at all) to 3 (Nearly every day), that refer to the presence of that symptom during the previous 2 weeks. Each item corresponds to the first 8 symptoms of the 4th edition of the DSM-IV diagnostic criteria for major depressive disorder. The PHQ-8 final score is obtained by adding the score for each of the items, ranging from 0 to 24 (higher scores corresponding to higher levels of depression).

Analysis includes all participants who completed their post-trial assessment.

GAD-7 consists of seven items measuring worry and anxiety symptoms. Each item is scored on a four-point Likert scale (0-3) with total scores ranging from 0 to 21 with higher scores reflecting greater anxiety severity. Scores above 10 are considered to be in the clinical range. The GAD-7 has shown good reliability and construct validity.

Analyzed for all participants who completed a post-trial assessment.

The World Health Organisation- Five Well-Being Index (WHO-5) is a short self-reported measure of current mental wellbeing. The WHO-5 consists of five statements, which respondents rate according to the scale below (in relation to the past two weeks).

All of the time = 5 Most of the time = 4 More than half of the time = 3 Less than half of the time = 2 Some of the time = 1 At no time = 0.

The total raw score, ranging from 0 to 25, is multiplied by 4 to give the final score, with 0 representing the worst imaginable well-being and 100 representing the best imaginable well-being.

Analysis includes all participants who completed their post-trial assessment.

The Personal Wellbeing Score (PWS) is based on the Office of National Statistics (ONS) four subjective well-being questions (ONS4) and thresholds. It evaluates life satisfaction, sense of purpose, happiness, and anxiety. Each PWS item is scored as follows: Disagree=0, Neutral=1, Agree=2 and Strongly Agree=3. Summary scores are calculated by aggregating all items and transforming to a scale of 0 to 100, with higher scores indicating greater well-being.

Analysis includes all participants who completed post-trial assessment.

The Difficulties in Emotion Regulation Scale Short Form (DERS-SF) is an 18-item measure used to identify emotional regulation issues in adults. The measure uses 6 subscales to measure 4 dimensions of emotional regulation: awareness; acceptance; the ability to engage in goal-directed behavior and refrain from impulsive behavior when experiencing negative emotions; and access to emotion regulation strategies perceived as effective. Respondents indicate how often each statement applies to them on a 5 point scale, where 1=Almost Never (0-10%), 2=Sometimes (11-35%), About Half of the Time (36-65%), Most of the Time (66-90%), Almost Always (91-100%). Scores range from 18 to 90, with higher scores indicating greater difficulties in emotion regulation. The DERS-SF Total Score is computed by summing responses across all items. Lower scores represent better emotion regulation outcomes.

Analysis includes all participants who completed a post-trial assessment.

The PERMA-Profiler is a 23-item measure that assesses wellbeing across five domains (positive emotion, engagement, relationships, meaning, accomplishment). The instrument was constructed so that each domain can be defined and measured as separate but correlated constructs. This study will use the Positive Emotion subscale of the PERMA. This subscale includes 3 items on an 11-point Likert scale, from 0 to 10. Scores are calculated as an average of these items, with lower scores indicating less positive emotion and high scores indicating more positive emotion.

Analysis includes all participants who completed post-trial assessment.

The PERMA-Profiler is a 23-item measure that assesses wellbeing across five domains (positive emotion, engagement, relationships, meaning, accomplishment). The instrument was constructed so that each domain can be defined and measured as separate but correlated constructs. This study will use the Engagement and Relationship subscales of the PERMA. These subscales include 3 items each, ranked on an 11-point Likert scale, from 0 to 10. Scores are calculated as an average of these items for each subscale, with lower scores indicating less flourishing in respect to engagement/relationships and high scores indicating better engagement/relationships.

Analysis includes all participants who completed a post-trial assessment.

The PERMA-Profiler is a 23-item measure that assesses wellbeing across five domains (positive emotion, engagement, relationships, meaning, accomplishment). The instrument was constructed so that each domain can be defined and measured as separate but correlated constructs. This study will use the Engagement and Relationship subscales of the PERMA. These subscales include 3 items each, ranked on an 11-point Likert scale, from 0 to 10. Scores are calculated as an average of these items for each subscale, with lower scores indicating less flourishing in respect to engagement/relationships and high scores indicating better engagement/relationships.

Analysis includes all participants who completed a post-trial assessment.

The PERMA-Profiler is a 23-item measure that assesses wellbeing across five domains (positive emotion, engagement, relationships, meaning, accomplishment). The instrument was constructed so that each domain can be defined and measured as separate but correlated constructs. This study will use the Meaning and Accomplishment subscales of the PERMA. These subscales include 3 items each, ranked on an 11-point Likert scale, from 0 to 10. Scores are calculated as an average of these items for each subscale, with lower scores indicating less flourishing in respect to meaning/accomplishment and high scores indicating more meaning/accomplishment.

Analysis includes participants who completed their post-trial assessment.

The PERMA-Profiler is a 23-item measure that assesses wellbeing across five domains (positive emotion, engagement, relationships, meaning, accomplishment). The instrument was constructed so that each domain can be defined and measured as separate but correlated constructs. This study will use the Meaning and Accomplishment subscales of the PERMA. These subscales include 3 items each, ranked on an 11-point Likert scale, from 0 to 10. Scores are calculated as an average of these items for each subscale, with lower scores indicating less flourishing in respect to meaning/accomplishment and high scores indicating more meaning/accomplishment.

Analysis includes participants who completed their post-trial assessment.

The Utrecht Work Engagement Scale-17 assesses work engagement, or a positive, fulfilling, work-related state of mind characterized by vigor, dedication, and absorption. It is intended to measure the 'opposite' of burnout in both university students and employees. Items were developed to reflect three underlying dimensions: "Vigor" (VI); "Dedication" (DE), and "Absorption" (AB). The subscales were found to be internally consistent but relatively strongly correlated. Items are scored along a 6-point Likert-type scale (0 = Never to 6 = Always or Every day). Scores are calculated by summing item scores. The total score ranges from 0 to 102 points. A higher score indicates greater worker engagement.

Analysis includes all participants who completed post-trial assessment.

The Maslach Burnout Inventory - Emotional Exhaustion (MBI-EE) is a validated self-report measure assessing feelings of emotional depletion and fatigue due to work-related stress. It is part of the Maslach Burnout Inventory (MBI), which evaluates burnout across three domains. Scores range from 0 to 54, with higher scores indicating greater emotional exhaustion. The Emotional Exhaustion Score is computed by summing responses to nine Likert-type items. Lower scores represent better well-being outcomes.

Analysis includes all participants who completed post-trial assessment.

The Maslach Burnout Inventory - Personal Accomplishment (MBI-PA) is a validated self-report measure assessing feelings of competence and achievement in one's work. It is part of the Maslach Burnout Inventory (MBI), which evaluates burnout across three domains. Scores range from 0 to 48, with higher scores indicating greater personal accomplishment and lower scores suggesting burnout-related inefficacy. The Personal Accomplishment Score is computed by summing responses to eight Likert-type items.

Analysis includes all participants who completed post-trial assessment.

The Maslach Burnout Inventory - Depersonalization (MBI-DP) is a validated self-report measure assessing feelings of detachment and impersonal responses toward others in a work setting. It is part of the Maslach Burnout Inventory (MBI), which evaluates burnout across three domains. Scores range from 0 to 30, with higher scores indicating greater depersonalization and emotional distancing. The Depersonalization Score is computed by summing responses to five Likert-type items. Lower scores represent better well-being outcomes.

Analysis includes all participants who completed post-trial assessment.

Whether the participant still has their job at the end of the 4-week trial period.

Only included participants who completed their post-trial assessment.

The Feasibility of Intervention Measure (FIM) is used to measure the feasibility of an intervention. The scale consists of 4 items rated on a 5-point Likert Scale from 1 ("Completely disagree") to 5 ("Completely agree"). The score consists of the average of the items, ranging from 1 to 5, with higher scores indicating greater feasibility of the intervention.

Included participants from two groups that used GUIDE during the trial, only if they completed their post-trial assessment survey.

The Acceptability of Intervention Measure (AIM) is used to measure the acceptability of an intervention. The scale consists of 4 items rated on a 5-point Likert Scale from 1 ("Completely disagree") to 5 ("Completely agree"). The score consists of the average of the items, ranging from 1 to 5, with higher scores indicating greater acceptability of the intervention.

Includes: 1) participants from groups who used GUIDE during the trial, 2) participants who completed their post-trial assessment.

The Intervention Appropriateness Measure (IAM) is used to measure the appropriateness of an intervention. The scale consists of 4 items rated on a 5-point Likert Scale from 1 ("Completely disagree") to 5 ("Completely agree"). The score consists of the average of the items, ranging from 1 to 5, with higher scores indicating greater appropriateness of the intervention.

Includes participants who: 1) assigned to a group that used GUIDE during the trial, 2) completed post-trial assessment.

The System Usability Scale (SUS) measures perceptions of usability of a given system, in this case, the GUIDE App. The scale consists of 10 items, each rated on a 5-point Likert Scale from 1 ("Strongly disagree") to 5 ("Strongly agree"). Responses are transformed to get a total range of possible values from 0-100, with higher scores indicating higher perceptions of usability. Typically, a score above 68 is regarded as a good score.

Analysis includes participants who: 1) used GUIDE for the trial period, 2) completed their post-trial assessment.

Immediate access to the GUIDE App for 4 weeks without the opportunity to earn additional compensation.

GUIDE: The GUIDE App is a wellbeing app designed for first responders and veterans that uses small group support, a learning management system, drivers of behavior change, and an anonymous member experience safeguarded by a leader in identity and login privacy, Okta (okta.com). It includes three main features: 1) Community, 2) Wisdom, and 3) Daily Practice. The Community feature connects app users with an online community of like folks, allowing for human support, encouragement, accountability and coaching. Online communities are moderated by GUIDE employees. The Wisdom feature includes tools and interactive media for personal growth. The Daily Practice feature includes simple, daily routines to maintain mental and emotional wellness.

Waitlisted with delayed access to the GUIDE App without the opportunity to earn additional compensation.