Trial Outcomes & Findings for Mobile Self-Management Program for Stress Reduction in Young Adults (NCT NCT07174544)

NCT ID: NCT07174544

Last Updated: 2026-01-08

Results Overview

Stress was measured using the Korean version of the Perceived Stress Scale - 10 items (PSS-10). The total score ranges from 0 to 40, with higher scores indicating greater perceived stress. Although the scale does not provide a standardized cut-off, prior studies have used a score of 14 or higher to define moderate-to-high levels of stress, and this threshold was applied in the present study.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

211 participants

Primary outcome timeframe

Week 8

Results posted on

2026-01-08

Participant Flow

a score of ≥14 on the Perceived Stress Scale-10 (PSS-10)

Participant milestones

Participant milestones
Measure
Intervention Group
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Overall Study
STARTED
92
87
Overall Study
2week
68
80
Overall Study
4week
53
75
Overall Study
8week
49
72
Overall Study
COMPLETED
49
72
Overall Study
NOT COMPLETED
43
15

Reasons for withdrawal

Reasons for withdrawal
Measure
Intervention Group
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Overall Study
Lost to Follow-up
43
15

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention Group
n=92 Participants
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
n=87 Participants
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Total
n=179 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=92 Participants
0 Participants
n=87 Participants
0 Participants
n=179 Participants
Age, Categorical
Between 18 and 65 years
92 Participants
n=92 Participants
87 Participants
n=87 Participants
179 Participants
n=179 Participants
Age, Categorical
>=65 years
0 Participants
n=92 Participants
0 Participants
n=87 Participants
0 Participants
n=179 Participants
Age, Continuous
27.85 years
STANDARD_DEVIATION 4.16 • n=92 Participants
27.46 years
STANDARD_DEVIATION 4.42 • n=87 Participants
27.66 years
STANDARD_DEVIATION 4.28 • n=179 Participants
Sex: Female, Male
Female
79 Participants
n=92 Participants
72 Participants
n=87 Participants
151 Participants
n=179 Participants
Sex: Female, Male
Male
13 Participants
n=92 Participants
15 Participants
n=87 Participants
28 Participants
n=179 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
South Korea
92 Participants
n=92 Participants
87 Participants
n=87 Participants
179 Participants
n=179 Participants
Stress
22.64 units on a scale
STANDARD_DEVIATION 5.82 • n=92 Participants
19.76 units on a scale
STANDARD_DEVIATION 3.64 • n=87 Participants
21.24 units on a scale
STANDARD_DEVIATION 5.08 • n=179 Participants

PRIMARY outcome

Timeframe: Week 8

Population: Participants with available PSS-10 data at week 8 were included in the analysis.

Stress was measured using the Korean version of the Perceived Stress Scale - 10 items (PSS-10). The total score ranges from 0 to 40, with higher scores indicating greater perceived stress. Although the scale does not provide a standardized cut-off, prior studies have used a score of 14 or higher to define moderate-to-high levels of stress, and this threshold was applied in the present study.

Outcome measures

Outcome measures
Measure
Intervention Group
n=49 Participants
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
n=72 Participants
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Stress at Week 8
19.41 score on a scale
Standard Deviation 6.20
18.35 score on a scale
Standard Deviation 4.05

SECONDARY outcome

Timeframe: Baseline

Population: Participants with available PSS-10 data at baseline were included in the analysis.

Stress was measured using the Korean version of the Perceived Stress Scale - 10 items (PSS-10). The total score ranges from 0 to 40, with higher scores indicating greater perceived stress. Although the scale does not provide a standardized cut-off, prior studies have used a score of 14 or higher to define moderate-to-high levels of stress, and this threshold was applied in the present study.

Outcome measures

Outcome measures
Measure
Intervention Group
n=92 Participants
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
n=87 Participants
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Stress at Baseline
22.64 score on a scale
Standard Deviation 5.82
19.76 score on a scale
Standard Deviation 3.64

SECONDARY outcome

Timeframe: Week 2

Population: Participants with available PSS-10 data at week 2 were included in the analysis.

Stress was measured using the Korean version of the Perceived Stress Scale - 10 items (PSS-10). The total score ranges from 0 to 40, with higher scores indicating greater perceived stress. Although the scale does not provide a standardized cut-off, prior studies have used a score of 14 or higher to define moderate-to-high levels of stress, and this threshold was applied in the present study.

Outcome measures

Outcome measures
Measure
Intervention Group
n=68 Participants
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
n=80 Participants
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Stress at Week 2
20.57 score on a scale
Standard Deviation 5.78
19.00 score on a scale
Standard Deviation 3.98

SECONDARY outcome

Timeframe: Week 4

Population: Participants with available PSS-10 data at week 4 were included in the analysis.

Stress was measured using the Korean version of the Perceived Stress Scale - 10 items (PSS-10). The total score ranges from 0 to 40, with higher scores indicating greater perceived stress. Although the scale does not provide a standardized cut-off, prior studies have used a score of 14 or higher to define moderate-to-high levels of stress, and this threshold was applied in the present study.

Outcome measures

Outcome measures
Measure
Intervention Group
n=53 Participants
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
n=75 Participants
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Stress at Week 4
20.08 score on a scale
Standard Deviation 6.62
18.71 score on a scale
Standard Deviation 4.00

SECONDARY outcome

Timeframe: Baseline

Population: Participants with available PHQ-9 data at baseline were included in the analysis.

Depression was assessed using the Korean version of the Patient Health Questionnaire-9 items (PHQ-9). The PHQ-9 consists of nine items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 27, with higher scores indicating more severe depression.

Outcome measures

Outcome measures
Measure
Intervention Group
n=92 Participants
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
n=87 Participants
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Depression (PHQ-9) at Baseline
10.21 score on a scale
Standard Deviation 5.89
9.24 score on a scale
Standard Deviation 5.42

SECONDARY outcome

Timeframe: Week 2

Population: Participants with available PHQ-9 data at week 2 were included in the analysis.

Depression was assessed using the Korean version of the Patient Health Questionnaire-9 items (PHQ-9). The PHQ-9 consists of nine items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 27, with higher scores indicating more severe depression.

Outcome measures

Outcome measures
Measure
Intervention Group
n=68 Participants
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
n=80 Participants
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Depression (PHQ-9) at Week 2
8.34 score on a scale
Standard Deviation 5.44
8.51 score on a scale
Standard Deviation 5.63

SECONDARY outcome

Timeframe: Week 4

Population: Participants with available PHQ-9 data at week 4 were included in the analysis.

Depression was assessed using the Korean version of the Patient Health Questionnaire-9 items (PHQ-9). The PHQ-9 consists of nine items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 27, with higher scores indicating more severe depression.

Outcome measures

Outcome measures
Measure
Intervention Group
n=53 Participants
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
n=75 Participants
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Depression (PHQ-9) at Week 4
7.72 score on a scale
Standard Deviation 5.91
7.95 score on a scale
Standard Deviation 5.36

SECONDARY outcome

Timeframe: Week 8

Population: Participants with available PHQ-9 data at week 8 were included in the analysis.

Depression was assessed using the Korean version of the Patient Health Questionnaire-9 items (PHQ-9). The PHQ-9 consists of nine items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 27, with higher scores indicating more severe depression.

Outcome measures

Outcome measures
Measure
Intervention Group
n=49 Participants
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
n=72 Participants
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Depression (PHQ-9) at Week 8
8.37 score on a scale
Standard Deviation 6.38
7.69 score on a scale
Standard Deviation 5.50

SECONDARY outcome

Timeframe: Baseline

Population: Participants with available GAD-7 data at baseline were included in the analysis.

Anxiety was measured using the Korean version of the Generalized Anxiety Disorder-7 items (GAD-7). The GAD-7 consists of seven items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 21, with higher scores indicating more severe anxiety.

Outcome measures

Outcome measures
Measure
Intervention Group
n=92 Participants
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
n=87 Participants
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Anxiety (GAD-7) at Baseline
8.20 score on a scale
Standard Deviation 5.75
7.68 score on a scale
Standard Deviation 4.88

SECONDARY outcome

Timeframe: Week 2

Population: Participants with available GAD-7 data at week 2 were included in the analysis.

Anxiety was measured using the Korean version of the Generalized Anxiety Disorder-7 items (GAD-7). The GAD-7 consists of seven items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 21, with higher scores indicating more severe anxiety.

Outcome measures

Outcome measures
Measure
Intervention Group
n=68 Participants
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
n=80 Participants
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Anxiety (GAD-7) at Week 2
6.88 score on a scale
Standard Deviation 5.65
7.13 score on a scale
Standard Deviation 5.23

SECONDARY outcome

Timeframe: Week 4

Population: Participants with available GAD-7 data at week 4 were included in the analysis.

Anxiety was measured using the Korean version of the Generalized Anxiety Disorder-7 items (GAD-7). The GAD-7 consists of seven items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 21, with higher scores indicating more severe anxiety.

Outcome measures

Outcome measures
Measure
Intervention Group
n=53 Participants
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
n=75 Participants
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Anxiety (GAD-7) at Week 4
6.43 score on a scale
Standard Deviation 5.61
7.03 score on a scale
Standard Deviation 5.21

SECONDARY outcome

Timeframe: Week 8

Population: Participants with available GAD-7 data at week 8 were included in the analysis.

Anxiety was measured using the Korean version of the Generalized Anxiety Disorder-7 items (GAD-7). The GAD-7 consists of seven items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 21, with higher scores indicating more severe anxiety.

Outcome measures

Outcome measures
Measure
Intervention Group
n=49 Participants
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
n=72 Participants
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Anxiety (GAD-7) at Week 8
7.63 score on a scale
Standard Deviation 6.11
6.36 score on a scale
Standard Deviation 4.87

SECONDARY outcome

Timeframe: Baseline

Population: Participants with available BRS data at baseline were included in the analysis.

Resilience was assessed using the Korean version of the Brief Resilience Scale (BRS). The BRS consists of six items rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Total scores range from 6 to 30, with higher scores indicating greater resilience.

Outcome measures

Outcome measures
Measure
Intervention Group
n=92 Participants
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
n=87 Participants
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Resilience ( BRS) at Baseline
15.24 score on a scale
Standard Deviation 5.06
17.79 score on a scale
Standard Deviation 1.71

SECONDARY outcome

Timeframe: Week 2

Population: Participants with available BRS data at week 2 were included in the analysis.

Resilience was assessed using the Korean version of the Brief Resilience Scale (BRS). The BRS consists of six items rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Total scores range from 6 to 30, with higher scores indicating greater resilience.

Outcome measures

Outcome measures
Measure
Intervention Group
n=68 Participants
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
n=80 Participants
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Resilience (BRS) at Week 2
15.37 score on a scale
Standard Deviation 5.10
17.59 score on a scale
Standard Deviation 1.76

SECONDARY outcome

Timeframe: Week 4

Population: Participants with available BRS data at week 4 were included in the analysis.

Resilience was assessed using the Korean version of the Brief Resilience Scale (BRS). The BRS consists of six items rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Total scores range from 6 to 30, with higher scores indicating greater resilience.

Outcome measures

Outcome measures
Measure
Intervention Group
n=53 Participants
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
n=75 Participants
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Resilience (BRS) at Week 4
16.06 score on a scale
Standard Deviation 5.68
17.87 score on a scale
Standard Deviation 1.93

SECONDARY outcome

Timeframe: Week 8

Population: Participants with available BRS data at week 8 were included in the analysis.

Resilience was assessed using the Korean version of the Brief Resilience Scale (BRS). The BRS consists of six items rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Total scores range from 6 to 30, with higher scores indicating greater resilience.

Outcome measures

Outcome measures
Measure
Intervention Group
n=49 Participants
Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use. Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation: The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.
Wait-list Control
n=72 Participants
Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.
Resilience (BRS) at Week 8
16.14 score on a scale
Standard Deviation 5.87
17.54 score on a scale
Standard Deviation 1.85

Adverse Events

Intervention Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Wait-list Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Hyunjoo Na, Associate professor, PI

College of Nursing, The Catholic University of Korea

Phone: +82-2-3147-8442

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place