To Increase Psychological Well-being by the Implementation of Forgiveness Education
Primary Purpose
Anger, Depressive Symptoms, Anxiety
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
forgiveness education intervention
Sponsored by
About this trial
This is an interventional basic science trial for Anger
Eligibility Criteria
Inclusion Criteria:
- Students in 5th grade (US equivalency, aged 10-12)
- Teachers in 5th grade (US equivalency)
Exclusion Criteria:
- Students who are in grades other than 5th grade
- Teachers who are in grades other than 5th grade
Sites / Locations
- University of Wisconsin-Madison
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
Forgiveness curriculum for 5th grade
Regular school instruction
Arm Description
Classrooms randomly assigned to the experimental group will receive the forgiveness intervention. The forgiveness intervention will follow the curriculum - "The Journey Toward Forgiveness -A Guided Curriculum for Children Ages 10-12 (Grade 5 in the US)". The Forgiveness Curriculum Guide consists 14 lessons over 12 weeks. Each class meets weekly for 40 to 60 minutes to complete one lesson (in two of the weeks, there will be two lessons).
Classrooms randomly assigned to the control group will have instruction as usual.
Outcomes
Primary Outcome Measures
Change in forgiveness in adult (teachers) after forgiveness intervention assessed by EFI-30.
Enright Forgiveness Inventory Short Form (EFI-30), scores range from 30 to 180 with higher scores representing higher levels of forgiveness, which is a better outcome.
Change in forgiveness in child (students) after forgiveness intervention assessed by EFI-C.
Enright Forgiveness Inventory for Children (EFI-C): scores range from 30 to 120 with higher scores representing higher levels of forgiveness, which is a better outcome.
Change in anger in adult (teachers) after forgiveness intervention assessed by PROMIS Measures.
The Patient Reported Outcome Measurement Information System (PROMIS) Anger Short Form: scores range from 5 to 25 with higher scores representing higher levels of anger, which is a worse outcome.
Change in anger in child (students) after forgiveness intervention assessed by PROMIS Measures.
The Patient Reported Outcome Measurement Information System (PROMIS) Measures for Pediatric (ages 8-17) Anger Short Form: scores range from 5 to 25 with higher scores representing higher levels of anger, which is a worse outcome.
Change in anxiety in adult (teachers) after forgiveness intervention assessed by PROMIS Measures.
The Patient Reported Outcome Measurement Information System (PROMIS) Anxiety Short Form: scores range from 5 to 40 with higher scores representing higher levels of anxiety, which is a worse outcome.
Change in anxiety in child (students) after forgiveness intervention assessed by PROMIS Measures.
The Patient Reported Outcome Measurement Information System (PROMIS) Measures for Pediatric (ages 8-17) Anxiety Short Form: scores range from 5 to 40 with higher scores representing higher levels of anxiety, which is a worse outcome.
Change in depression in adult (teachers) after forgiveness intervention assessed by PROMIS Measures.
The Patient Reported Outcome Measurement Information System (PROMIS) Depression Short Form, scores range from 5 to 40 with higher scores representing higher levels of depression, which is a worse outcome.
Change in depression in child (students) after forgiveness intervention assessed by PROMIS Measures.
The Patient Reported Outcome Measurement Information System (PROMIS) Measures for Pediatric (ages 8-17) Depressive Symptoms Short Form: scores range from 5 to 40 with higher scores representing higher levels of depression, which is a worse outcome.
Change in prejudice in adult (teachers) after forgiveness intervention assessed by the Ethnic Prejudice Scales.
The Ethnic Prejudice Scale: scores range from 20 to 100 with higher scores representing higher levels of prejudice, which is a worse outcome.
Change in prejudice in child (students) after forgiveness intervention assessed by the Ethnic Prejudice Scales.
Ethnic Prejudice Scales: wording changes in the adult form of the Ethnic Prejudice Scale will be made to bring it to the level of 5th grade students (aged 10-12). Scores range from 20 to 100 with higher scores representing higher levels of prejudice, which is a worse outcome.
Change in hope in adult (teachers) after forgiveness intervention assessed by Herth Hope Index.
Herth Hope Index: scores range from 12 to 48 with higher scores representing more hopefulness, which is a better outcome.
Change in hope in child (students) after forgiveness intervention assessed by Children's Hope Scale.
The Children's Hope Scale: scores range from 6 to 36with higher scores representing more hopefulness, which is a better outcome.
Change in self-esteem in adult (teachers) after forgiveness intervention assessed by the Rosenberg Self-Esteem Scale.
The Rosenberg Self-Esteem Scale: scores range from 10 to 40 with higher scores representing higher self-esteem, which is a better outcome.
Change in self-esteem in child (students) after forgiveness intervention assessed by the Coopersmith Self-Esteem Inventory.
Coopersmith Self-Esteem Inventory Short Form: scores range from 0 to 25 with higher scores representing higher self-esteem, which is a better outcome.
Change in classroom cooperation in students after forgiveness intervention assessed by the Classroom Cooperation Scale.
The Classroom Cooperation Scale is teachers' measure of student cooperation, scores range from 10 to 40 with higher scores representing higher level of cooperation, which is a better outcome.
Secondary Outcome Measures
Full Information
NCT ID
NCT04403126
First Posted
May 21, 2020
Last Updated
August 3, 2022
Sponsor
University of Wisconsin, Madison
Collaborators
Stranmillis University College, Northern Ireland, Hebrew University of Jerusalem, National Chung Cheng University, Taiwan
1. Study Identification
Unique Protocol Identification Number
NCT04403126
Brief Title
To Increase Psychological Well-being by the Implementation of Forgiveness Education
Official Title
Implementation of Forgiveness Education to Increase Psychological Well-being in Three Culturally Distinct Areas: Northern Ireland, Israel/Palestine, and Taiwan
Study Type
Interventional
2. Study Status
Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
September 3, 2021 (Actual)
Primary Completion Date
July 31, 2022 (Actual)
Study Completion Date
July 31, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Wisconsin, Madison
Collaborators
Stranmillis University College, Northern Ireland, Hebrew University of Jerusalem, National Chung Cheng University, Taiwan
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
This project examines the development of psychological well-being in children and teachers through a 12- week forgiveness education program conducted in three conflict zones of the world, Northern Ireland, Israel/Palestine, and Taiwan.
A 12-week forgiveness education program will be investigated in elementary schools in three conflict zones of the world, Northern Ireland, Israel/Palestine, and Taiwan. The responsibilities of the sub-team in each of the three research sites will be:
a. recruiting schools, assisting the teacher training before the forgiveness education program starts
b. shepherding teachers, doing the fidelity checks, administering the instruments and collecting data during the forgiveness education program.
Once a school gives permission to be part of this study, the forgiveness curriculum will be implemented as a 12-week standard curriculum for the grade 5 (US equivalency) students. Teachers of the grade 5 classes will be trained to administer the program. Teachers, students and their parents must give the consent to take part in the measures of the study.
Detailed Description
Classrooms participating in this study will be randomly assigned to either an experimental or a control group. The experimental group will receive the 1st forgiveness intervention for 12 weeks and then the control group will turn into an experimental group to receive a 2nd forgiveness intervention for 12 weeks.
In order to assess if such education increases psychological well-being in students (children) and teachers (adults), teachers and students in both groups will receive the same measures for four times in the study: within one week before the 1st forgiveness intervention, within one week after the 1st forgiveness intervention, within one week after the 2nd forgiveness intervention, four weeks after the 2nd forgiveness intervention.
The instruments include: for teachers, the assessment data will consist of the Enright Forgiveness Inventory Short Form (EFI-30), the Patient-Reported Outcomes Measurement Information System (PROMIS): Anger, Anxiety, and Depression scales, the Ethnic Prejudice Scale, the Herth Hope Index, the Rosenberg Self-Esteem Scale, a Classroom Cooperation scale, and a Cross-Cultural Exit Interview (written questionnaire). For students, the assessment data will consist of the Enright Forgiveness Inventory for Children (EFI-C), the PROMIS measures for pediatric self-report (ages 8-17): Anger, Anxiety, and Depressive Symptoms scales, the Ethnic Prejudice Scale for children, the Children's Hope Scale, the Coopersmith Self-Esteem Inventory (School Form), and academic achievement (likely to be scores/grades of Math, writing and reading in their own language). After the 2nd forgiveness intervention, select participants (teachers and children) will take part in individual interviews.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anger, Depressive Symptoms, Anxiety
7. Study Design
Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Model Description
Classrooms participating in this study will be randomly assigned to either an experimental group (with forgiveness intervention) or a control group (with regular instruction). The experimental group will receive the 1st forgiveness intervention for 12 weeks and then the control group will turn into an experimental group to receive a 2nd forgiveness intervention for 12 weeks.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
1300 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Forgiveness curriculum for 5th grade
Arm Type
Experimental
Arm Description
Classrooms randomly assigned to the experimental group will receive the forgiveness intervention. The forgiveness intervention will follow the curriculum - "The Journey Toward Forgiveness -A Guided Curriculum for Children Ages 10-12 (Grade 5 in the US)". The Forgiveness Curriculum Guide consists 14 lessons over 12 weeks. Each class meets weekly for 40 to 60 minutes to complete one lesson (in two of the weeks, there will be two lessons).
Arm Title
Regular school instruction
Arm Type
No Intervention
Arm Description
Classrooms randomly assigned to the control group will have instruction as usual.
Intervention Type
Other
Intervention Name(s)
forgiveness education intervention
Intervention Description
The forgiveness education intervention primarily teaches the concept of forgiveness through stories. We chose the kind of stories that should appeal to children ages 10 through 12. Each lesson is planned according to the following procedure: story-telling/movie-watching, discussion, and in-class activities.
Primary Outcome Measure Information:
Title
Change in forgiveness in adult (teachers) after forgiveness intervention assessed by EFI-30.
Description
Enright Forgiveness Inventory Short Form (EFI-30), scores range from 30 to 180 with higher scores representing higher levels of forgiveness, which is a better outcome.
Time Frame
Baseline, up to 14 weeks, up to 31 weeks, up to 34 weeks.
Title
Change in forgiveness in child (students) after forgiveness intervention assessed by EFI-C.
Description
Enright Forgiveness Inventory for Children (EFI-C): scores range from 30 to 120 with higher scores representing higher levels of forgiveness, which is a better outcome.
Time Frame
Baseline, up to 14 weeks, up to 31 weeks, up to 34 weeks.
Title
Change in anger in adult (teachers) after forgiveness intervention assessed by PROMIS Measures.
Description
The Patient Reported Outcome Measurement Information System (PROMIS) Anger Short Form: scores range from 5 to 25 with higher scores representing higher levels of anger, which is a worse outcome.
Time Frame
Baseline, up to 14 weeks, up to 31 weeks, up to 34 weeks.
Title
Change in anger in child (students) after forgiveness intervention assessed by PROMIS Measures.
Description
The Patient Reported Outcome Measurement Information System (PROMIS) Measures for Pediatric (ages 8-17) Anger Short Form: scores range from 5 to 25 with higher scores representing higher levels of anger, which is a worse outcome.
Time Frame
Baseline, up to 14 weeks, up to 31 weeks, up to 34 weeks.
Title
Change in anxiety in adult (teachers) after forgiveness intervention assessed by PROMIS Measures.
Description
The Patient Reported Outcome Measurement Information System (PROMIS) Anxiety Short Form: scores range from 5 to 40 with higher scores representing higher levels of anxiety, which is a worse outcome.
Time Frame
Baseline, up to 14 weeks, up to 31 weeks, up to 34 weeks.
Title
Change in anxiety in child (students) after forgiveness intervention assessed by PROMIS Measures.
Description
The Patient Reported Outcome Measurement Information System (PROMIS) Measures for Pediatric (ages 8-17) Anxiety Short Form: scores range from 5 to 40 with higher scores representing higher levels of anxiety, which is a worse outcome.
Time Frame
Baseline, up to 14 weeks, up to 31 weeks, up to 34 weeks.
Title
Change in depression in adult (teachers) after forgiveness intervention assessed by PROMIS Measures.
Description
The Patient Reported Outcome Measurement Information System (PROMIS) Depression Short Form, scores range from 5 to 40 with higher scores representing higher levels of depression, which is a worse outcome.
Time Frame
Baseline, up to 14 weeks, up to 31 weeks, up to 34 weeks.
Title
Change in depression in child (students) after forgiveness intervention assessed by PROMIS Measures.
Description
The Patient Reported Outcome Measurement Information System (PROMIS) Measures for Pediatric (ages 8-17) Depressive Symptoms Short Form: scores range from 5 to 40 with higher scores representing higher levels of depression, which is a worse outcome.
Time Frame
Baseline, up to 14 weeks, up to 31 weeks, up to 34 weeks.
Title
Change in prejudice in adult (teachers) after forgiveness intervention assessed by the Ethnic Prejudice Scales.
Description
The Ethnic Prejudice Scale: scores range from 20 to 100 with higher scores representing higher levels of prejudice, which is a worse outcome.
Time Frame
Baseline, up to 14 weeks, up to 31 weeks, up to 34 weeks.
Title
Change in prejudice in child (students) after forgiveness intervention assessed by the Ethnic Prejudice Scales.
Description
Ethnic Prejudice Scales: wording changes in the adult form of the Ethnic Prejudice Scale will be made to bring it to the level of 5th grade students (aged 10-12). Scores range from 20 to 100 with higher scores representing higher levels of prejudice, which is a worse outcome.
Time Frame
Baseline, up to 14 weeks, up to 31 weeks, up to 34 weeks.
Title
Change in hope in adult (teachers) after forgiveness intervention assessed by Herth Hope Index.
Description
Herth Hope Index: scores range from 12 to 48 with higher scores representing more hopefulness, which is a better outcome.
Time Frame
Baseline, up to 14 weeks, up to 31 weeks, up to 34 weeks.
Title
Change in hope in child (students) after forgiveness intervention assessed by Children's Hope Scale.
Description
The Children's Hope Scale: scores range from 6 to 36with higher scores representing more hopefulness, which is a better outcome.
Time Frame
Baseline, up to 14 weeks, up to 31 weeks, up to 34 weeks.
Title
Change in self-esteem in adult (teachers) after forgiveness intervention assessed by the Rosenberg Self-Esteem Scale.
Description
The Rosenberg Self-Esteem Scale: scores range from 10 to 40 with higher scores representing higher self-esteem, which is a better outcome.
Time Frame
Baseline, up to 14 weeks, up to 31 weeks, up to 34 weeks.
Title
Change in self-esteem in child (students) after forgiveness intervention assessed by the Coopersmith Self-Esteem Inventory.
Description
Coopersmith Self-Esteem Inventory Short Form: scores range from 0 to 25 with higher scores representing higher self-esteem, which is a better outcome.
Time Frame
Baseline, up to 14 weeks, up to 31 weeks, up to 34 weeks.
Title
Change in classroom cooperation in students after forgiveness intervention assessed by the Classroom Cooperation Scale.
Description
The Classroom Cooperation Scale is teachers' measure of student cooperation, scores range from 10 to 40 with higher scores representing higher level of cooperation, which is a better outcome.
Time Frame
Baseline, up to 14 weeks, up to 31 weeks, up to 34 weeks.
10. Eligibility
Sex
All
Minimum Age & Unit of Time
10 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Students in 5th grade (US equivalency, aged 10-12)
Teachers in 5th grade (US equivalency)
Exclusion Criteria:
Students who are in grades other than 5th grade
Teachers who are in grades other than 5th grade
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert W Enright, PhD
Organizational Affiliation
University of Wisconsin, Madison
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Wisconsin-Madison
City
Madison
State/Province
Wisconsin
ZIP/Postal Code
53706
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
The individual participant data (IPD) that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
IPD Sharing Time Frame
The IPD will be shared beginning 1 year and ending 5 years following the first article publication, with anyone who wished to access the data for any purpose.
IPD Sharing Access Criteria
Data requestors will need to contact renright@wisc.edu to gain access to the data. Data are available for 5 years at a third party website (Link to be included).
Citations:
PubMed Identifier
27009829
Citation
Akhtar S, Barlow J. Forgiveness Therapy for the Promotion of Mental Well-Being: A Systematic Review and Meta-Analysis. Trauma Violence Abuse. 2018 Jan;19(1):107-122. doi: 10.1177/1524838016637079. Epub 2016 Mar 23.
Results Reference
background
PubMed Identifier
24364794
Citation
Wade NG, Hoyt WT, Kidwell JE, Worthington EL. Efficacy of psychotherapeutic interventions to promote forgiveness: a meta-analysis. J Consult Clin Psychol. 2014 Feb;82(1):154-70. doi: 10.1037/a0035268. Epub 2013 Dec 23.
Results Reference
background
PubMed Identifier
17032096
Citation
Reed GL, Enright RD. The effects of forgiveness therapy on depression, anxiety, and posttraumatic stress for women after spousal emotional abuse. J Consult Clin Psychol. 2006 Oct;74(5):920-9. doi: 10.1037/0022-006X.74.5.920.
Results Reference
background
PubMed Identifier
15068757
Citation
Baxter SD, Smith AF, Litaker MS, Baglio ML, Guinn CH, Shaffer NM. Children's Social Desirability and Dietary Reports. J Nutr Educ Behav. 2004 Mar-Apr;36(2):84-9. doi: 10.1016/s1499-4046(06)60138-3.
Results Reference
background
PubMed Identifier
9212556
Citation
Snyder CR, Hoza B, Pelham WE, Rapoff M, Ware L, Danovsky M, Highberger L, Rubinstein H, Stahl KJ. The development and validation of the Children's Hope Scale. J Pediatr Psychol. 1997 Jun;22(3):399-421. doi: 10.1093/jpepsy/22.3.399.
Results Reference
background
PubMed Identifier
8916627
Citation
Freedman SR, Enright RD. Forgiveness as an intervention goal with incest survivors. J Consult Clin Psychol. 1996 Oct;64(5):983-92. doi: 10.1037//0022-006x.64.5.983.
Results Reference
background
PubMed Identifier
1430629
Citation
Herth K. Abbreviated instrument to measure hope: development and psychometric evaluation. J Adv Nurs. 1992 Oct;17(10):1251-9. doi: 10.1111/j.1365-2648.1992.tb01843.x.
Results Reference
background
PubMed Identifier
2708604
Citation
Enright RD, Santos MJ, Al-Mabuk R. The adolescent as forgiver. J Adolesc. 1989 Mar;12(1):95-110. doi: 10.1016/0140-1971(89)90092-4.
Results Reference
background
PubMed Identifier
26828106
Citation
Cattell RB. The Scree Test For The Number Of Factors. Multivariate Behav Res. 1966 Apr 1;1(2):245-76. doi: 10.1207/s15327906mbr0102_10. No abstract available.
Results Reference
background
PubMed Identifier
14277395
Citation
CRANDALL VC, CRANDALL VJ, KATKOVSKY W. A CHILDREN'S SOCIAL DESIRABILITY QUESTIONNAIRE. J Consult Psychol. 1965 Feb;29:27-36. doi: 10.1037/h0020966. No abstract available.
Results Reference
background
PubMed Identifier
13813058
Citation
CROWNE DP, MARLOWE D. A new scale of social desirability independent of psychopathology. J Consult Psychol. 1960 Aug;24:349-54. doi: 10.1037/h0047358. No abstract available.
Results Reference
background
PubMed Identifier
14306381
Citation
HORN JL. A RATIONALE AND TEST FOR THE NUMBER OF FACTORS IN FACTOR ANALYSIS. Psychometrika. 1965 Jun;30:179-85. doi: 10.1007/BF02289447. No abstract available.
Results Reference
background
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To Increase Psychological Well-being by the Implementation of Forgiveness Education
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