Enduring Happiness and Continued Self-Enhancement (ENHANCE) 2.0

Not Applicable

Completed

• Conditions: Well-being
• Interventions: Behavioral: ENHANCE group; Behavioral: MBSR group

• Registration Number: NCT03257527
• Lead Sponsor: University of British Columbia

Brief Summary

The study is designed to compare the efficacy of two programs intended to improve happiness and well-being among healthy, community adults between the ages of 25 and 75 years. Participants will complete either an in-person program (ENHANCE) or a mindfulness-based stress reduction (MBSR) self-help program over 3-months. The ENHANCE program will include 12-weekly sessions based on researched principles of happiness. Alternatively, the MBSR self-help guide will teach ways to replace stress-promoting habits. Participants will be asked to complete a series of measures at three points of the study: at the start of the study, the end of the study, and 3-months following the study.

Detailed Description

In 2011, the United Nations defined happiness as a "fundamental human goal" and invited Member States to pursue measures that enhance the happiness of their citizens. The majority of people across the globe agree that happiness is an important goal. In accordance with this global goal to be happy, the psychological literature abounds with interventions to combat problems that may prevent people from being happy-from obesity to depression and physical pain. However, happiness is not simply the absence of problems. Yet, interventions to help people attain and maintain higher levels of happiness are rare. Accordingly, in a previous study, the investigators designed and evaluated the efficacy of a theoretically-grounded, evidence-based randomized controlled trial for enhancing happiness and well-being. In the present study, it is the goal to assess the efficacy of modifications made to the original program, and compare the program to a self-help comparison group. All participants in the study will complete weekly questionnaires, as well as the same battery of online assessments at baseline, the end of the study, and 3-months following the study. The investigators will be examining if changes seen from baseline to the end of the interventions are maintained through a maintenance intervention in both arms for 3 months following the primary intervention.

It is expect that participants actively completing the in-person ENHANCE program will report greater increase in their overall levels of happiness/well-being at the end of the 12-week program compared to participants in the MBSR self-help group. It is predicted that there will be a downstream effect on happiness for all participants' mental and physical health, cognitive function, social relationships, and other positive outcomes, but that this effect will be greater for participants in the active in-person ENHANCE group. The insights gained from this research could be used in future intervention research towards promoting health, achievement, citizenship, and better relationships.

Study Timeline

• Study Start: 2017-04-10
• Study First Submitted: 2017-08-08
• Study First Submitted QC: 2017-08-21
• Study First Posted: 2017-08-22
• Primary Completion: 2018-08-31
• Study Completion: 2018-08-31
• Status Verified: 2020-06
• Last Update Submitted: 2020-06-10
• Last Update Posted: 2020-06-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 95

Inclusion Criteria

• All participants in the study will include males and females between the ages of 25 and 75 years. Participants of all racial and ethnic backgrounds will be eligible to participate. Participants of all religious and spiritual orientations will be eligible to participate.

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Exclusion Criteria

• Participants will be screened for major psychological disorders, such as anxiety and depression using the Patient Health Questionnaire-9 (PHQ-9. Participants who are screened with a major mental illness (such as severe depression as determined by a cut-off score of 15 or greater on the PHQ-9) will be advised that this study is not designed as a treatment for mental illness (including severe depression), and will be given a list of the appropriate mental health services offered in their community (e.g., Kelowna Mental Health and Substance Use Services).

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
ENHANCE group	ENHANCE group	The ENHANCE group is comprised of 12 weekly session to be completed in-person and delivered by trained group facilitators.
MBSR group	MBSR group	The MBSR group will complete a self-help workbook entitled, "A Mindfulness-Based Stress Reduction Workbook" over a 12 week period.

Primary Outcome Measures

Name	Time	Method
Change from Baseline Satisfaction With Life	Baseline, 3, 6 months	Satisfaction With Life Scale
Change from Baseline in Meaning in Life	Baseline, 3, 6 months	Meaning in Life Questionnaire
Change from Baseline in Positive Affect	Baseline, 3, 6 months	Scale of Positive and Negative Experience: SPANE
Change from Baseline in Thriving	Baseline, 3, 6 months	Comprehensive Inventory of Thriving
Change from Baseline in Negative Affect	Baseline, 3, 6 months	Scale of Positive and Negative Experience: SPANE

Secondary Outcome Measures

Name	Time	Method
Change from Baseline in Perceived Social Support	Baseline, 3, 6 months	The Social Provisions Scale
Change from baseline to Empathy	Baseline, 3, 6 months	The Toronto Empathy Questionnaire
Change from Baseline to attention, concentration, reaction time, memory, processing speed, executive functioning and decision-making	Baseline, 3, 6 months	Automated Neuropsychological Assessment Metrics (ANAM)
Change from Baseline in Relationship Satisfaction	Baseline, 3, 6 months	The Revised Dyadic Adjustment Scale
Change from Baseline in Physical Activity	Baseline, 3, 6 months	Step count captured from Fitbits
Change from Baseline in Implicit Theories of Well-Being	Baseline, 3, 6 months

Trial Locations

Locations (1)

University of British Columbia Okanagan; 🇨🇦 Kelowna, British Columbia, Canada