About this trial
This study aims to evaluate the effectiveness of a mindfulness-based intervention on stress levels, psychological resilience, and academic self-efficacy among nursing students in Somalia. Nursing students often experience high levels of stress due to academic demands, clinical training, and challenging social and environmental conditions. Mindfulness-based interventions have been shown to improve mental well-being and coping skills in various student populations, but evidence from low-resource and conflict-affected settings remains limited.
In this randomized controlled trial, nursing students will be assigned either to a mindfulness-based intervention group or to a control group receiving no intervention during the study period. The intervention consists of structured mindfulness sessions focusing on breathing awareness, body awareness, emotional regulation, and present-moment attention over a three-week period.
Outcomes including perceived stress, psychological resilience, and academic self-efficacy will be measured before and after the intervention using validated self-report instruments. The findings of this study are expected to contribute to the understanding of non-pharmacological, low-cost mental health interventions for nursing students in low-resource settings.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Being a nursing student enrolled in the 3rd or 4th year
Aged 18 years or older
Volunteering to participate in the study
Ability to attend online sessions
Disqualifiers
Having a diagnosed psychiatric disorder
Currently receiving psychological or psychiatric treatment
Participation in another mindfulness or stress management program during the study period
Inability to complete the study procedures
Trial design
Parallel
Treatments tested in this trial
Mindfulness-Based Awareness Program
BehavioralThe intervention consists of a three-week mindfulness-based program delivered through weekly online sessions lasting 45-60 minutes. The program includes theoretical information and guided practices focusing on mindfulness awareness, breathing awareness, and emotional awareness. Audio-recorded mindfulness exercises prepared by the researcher are shared weekly with participants via a messaging application. Participants are encouraged to practice the exercises individually in a quiet environment during the intervention period.
Treatment groups
Trial outcomes
Primary outcomes
Change in Perceived Stress Level
Perceived stress will be assessed using the Perceived Stress Scale (PSS). The scale consists of two sub-dimensions: perceived inadequate self-efficacy and perceived stress, each originally comprising seven items. Items are rated on a 5-point Likert-type scale ranging from 0 ("Never") to 5 ("Very often"), with higher scores indicating higher perceived stress levels. Several items are reverse-coded.
Secondary outcomes
Change in Psychological Resilience
Psychological resilience will be measured using the Connor-Davidson Resilience Scale - Short Form (CD-RISC-10). The scale includes 10 items rated on a 5-point Likert scale (0 = "Not true at all" to 4 = "True nearly all the time"). Higher scores reflect greater psychological resilience. The Turkish adaptation has been shown to be valid and reliable.
Change in Academic Self-Efficacy
Academic self-efficacy will be assessed using the Academic Self-Efficacy Scale. The scale has a single-factor structure and consists of 7 items rated on a 4-point Likert-type scale, ranging from 1 ("Completely applies to me") to 4 ("Does not apply to me at all"). Total scores range from 7 to 28, with higher scores indicating higher levels of academic self-efficacy. The original version of the scale developed by Jerusalem and Schwarzer demonstrated good internal consistency (Cronbach's alpha = 0.87). The Turkish adaptation by Yılmaz, Gürçay, and Ekici also showed acceptable internal consistency reliability (Cronbach's alpha = 0.79).
Locations
Sponsors and contacts
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Saglik Bilimleri Universitesi Gulhane Tip Fakultesi
Lead sponsor
Saglik Bilimleri Universitesi
Sponsor institution
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