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Based on the results of the previously published paper "Positive Emotions Training (PoET) as an online intervention to improve mental health: a feasibility study" (Niemann et al., 2023) the goal of this study was to examine the effects of the "Positive Emotions Training" on mental health in a randomized-controlled study. Furthermore, possible predictors for the efficacy of PoET are to be explored.
Hypotheses:
Methods:
The final sample was n = 207 with n = 90 in the PoET group and n = 117 in the control. The control group did not receive any intervention in the experimental period, but was offered to participate in a later PoET. The allocation was randomized. Participants in the PoET group completed two online training sessions (3 hours each) via Zoom. Group size was about 25-30 people. The sessions included the following positive psychology constructs: happiness, humour, optimism, loving kindness and gratitude on the first day, and hope, self-efficacy, meaningfulness, forgiveness and resilience on the second day. All participants completed a questionnaire at the beginning of the first training session, at the end of the second one as well as three months after the second session. Participants were given an exercise booklet for all exercises (during the training sessions and at home). The one-week break between the two sessions was advertised as a "7-day-challenge" to improve the motivation in participants to exercise at home.
Data was collected pseudonymised via "qualtrics". Data analyses were conducted with RStudio. For the possible effects of PoET on mental health two-factorial repeated measures ANOVAs were conducted. For the exploration of possible predictors for the efficacy of the training, a hierarchical regression was conducted.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PoET group | Experimental | Participants of this arm received the PoET online training within two sessions. They filled out a whole of three questionnaires. |
|
| Control group | No Intervention | Participants did not receive any treatment initially, but were offered to participate in a later PoET training as compensation. They filled out a whole of three questionnaires. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PoET | Behavioral | Participants in the PoET group completed two online training sessions (3 hours each) via Zoom. Group size was about 25-30 people. The sessions included the following positive psychology constructs: happiness, humour, optimism, loving kindness and gratitude on the first day, and hope, self-efficacy, meaningfulness, forgiveness and resilience on the second day. |
| Measure | Description | Time Frame |
|---|---|---|
| Positive Mental Health Scale (PMH) | 9 items, 4-point-scale from 0 ("I do not agree ") to 3 ("I agree"), assessing emotional and psychological aspects of wellbeing, higher scores reflect better positive mental health | before 1st and after 2nd training session, three months after 2nd training session |
| Depression Anxiety Stress Scale 21 (DASS-21) | 21 items, 4-point-scale from 0 ("did not apply to me at all") to 3 ("applied to me very much or most of the time"), assessing negative emotional states, higher scores reflect more symptoms of depression, anxiety and stress | before 1st and after 2nd training session, three months after 2nd training session |
| Measure | Description | Time Frame |
|---|---|---|
| Life Orientation Test revised (LOT-r) | 10 items, 5-point-scale from 0 ("strongly disagree") to 4 ("strongly agree"), assessing dispositional optimism, higher scores reflect higher dispositional optimism | before 1st and after 2nd training session, three months after 2nd training session |
| Satisfaction with Life Scale (SWLS) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Christina Bartnick (born Totzeck), PhD | Ruhr-University Bochum | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ruhr-University Bochum | Bochum | North Rhine-Westphalia | 44801 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37580658 | Background | Niemann L, von Gruner C, Zhang XC, Margraf J, Totzeck C. Positive Emotions Training (PoET) as an online intervention to improve mental health: a feasibility study. BMC Public Health. 2023 Aug 14;23(1):1543. doi: 10.1186/s12889-023-16424-x. |
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|
5 items, 7-point-scale from 1 ("strongly disagree") to 7 ("strongly agree"), assessing global subjective happiness, higher scores indicate a happier person |
| before 1st and after 2nd training session, three months after 2nd training session |
| Brief Resilience Scale (BRS) | 6 items, 5-point-scale from 1 ("strongly disagree") to 5 ("strongly agree"), assessing participants' ability to recover from stress despite significant adversity, higher scores reflect higher resilience | before 1st and after 2nd training session, three months after 2nd training session |
| Perceived Stress Questionnaire (PSQ) | 20 items, 4-point-scale from 1 ("almost never") to 4 ("usually"), assessing the perceived stress in different areas of life, higher scores indicate more stress | before 1st and after 2nd training session, three months after 2nd training session |
| Satisfaction in different areas of life | self-generated, five items, 4-point-scale from 1 ("not satisfied") to 4 ("satisfied"), assessing participants satisfaction in five different areas of life, higher scores reflecting higher satisfaction | before 1st and after 2nd training session, three months after 2nd training session |
| Implementation of at-home exercices | self-generated, two questions regarding the frequency and the kind of exercise participants did at home | after 2nd training session and three months after 2nd training session |
| Socio-demographic data | age, gender, marital status, education, employment | before 1st training session |
| ID | Term |
|---|---|
| D000092862 | Psychological Well-Being |
| D004194 | Disease |
| ID | Term |
|---|---|
| D010549 | Personal Satisfaction |
| D001519 | Behavior |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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