In Favor of My Resilient Self- Effects of an Academic Course on the Emotional Resilience of Students.

Study Overview
=================
Brief Summary
-----------------
The course  In Favor of My Resilient Self will guide participants to develop their strength sources, as well as practice self-calming and self-controlling exercises. The main goals of the course are to: Measure the effects on the emotional resilience and confidence of participants. Assess differences in the course's affect on students from the faculty of sciences compared with students from the faculty of social studies. Understand the mechanisms of the effects. Results will be measured using the study questionnaire, to be filled out by the participants before, after, and three months after the completion of the course.

Detailed Description
-----------------
The online Bachelor's degree course  In Favor of My Resilient Self provides updated information regarding the term 'emotional resilience' and its mediating factors. Through weekly lessons and assignments, it will guide participants to developing an internal perspective on their strength sources, as well as practice self-calming and self-controlling exercises. The main goals of the course are to: Measure the effects on the emotional resilience and confidence of participants. Assess differences in the course's affect on students from the faculty of sciences compared with students from the faculty of social studies. Understand the mechanisms of the effects. Results will be measured using the study questionnaire, to be filled out by the participants before, after, and three months after the completion of the course. The questionnaire will include validated questionnaires with good psychometric qualities. The study protocol was approved by Tel Hai College institutional review board. All participants, in the intervention (course participants) and in the control group (students of both faculties that didn't attend the course), received information about the program and the study and were asked to provide informed consent.

Official Title
-----------------
In Favor of My Resilient Self- Effects of an Academic Course on the Emotional Resilience of Students, While Comparing Sciences and Social Studies Faculties.

Conditions
-----------------
Preventive Therapy

Intervention / Treatment
-----------------
* Behavioral: In Favor of My Resilient Self Academic course


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Students at Tel Hai College that are interested in participating in the study, and provided informed consent. Exclusion Criteria: Students that did not provide informed consent to participate in the study.
Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Course participants<br>Students that enroll in the Resilience-based course during their Bachelor of science or Bachelor of social studies. | Behavioral: In Favor of My Resilient Self Academic course<br>* Assessing the effect of an academic course on student's emotional resilience.<br>|
| No Intervention: Control group- no intervention<br>Students in their Bachelor of science or Bachelor of social studies that did not attend the course, but agreed to fill out the study questionnaires. | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline in The Connor-Davidson Resilience Scale (CD-RISC) | The CD-RISC is based on Connor and Davidson's operational definition of resilience, which is the ability to thrive in the face of adversity. The scale includes 25 items, from 5 sub-scales: Personal competence, high standards, and tenacity Trust in one's instincts, tolerance of negative affect, and strengthening effects of stress Positive acceptance of change and secure relationships Control Spiritual influences Scoring: Scoring of the scale is based on summing the total of all items, each of which is scored from 0-4. For the CD-RISC-25, the full range is therefore from 0 to 100, with higher scores reflecting greater resilience. (Connor KM, Davidson JRT. Depression and Anxiety 2003; 18: 71-82). | Measured three times over six months: at baseline, after the course ends, and three months after the completion of the course, measuring a change in scores | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline in Sociocultural Attitudes Towards Appearance Questionnaire-4 (SATAQ-4R) | The Sociocultural Attitudes Toward Appearance Questionnaire-4 (SATAQ-4) is a measure of internalization of appearance ideals (i.e., personal acceptance of societal ideals) and appearance pressures (i.e., pressures to achieve the societal ideal). We included 22 items from the subscales: (1) Internalization: Thin/Low Body Fat, (2) Internalization: Muscular, (3) Internalization: General Attractiveness, (4) Pressures: Media, (5) Pressures: Peers, and (6) Pressures: Significant Others. (Schaefer et al, 2017) | Measured three times over six months: at baseline, after the course ends, and three months after the completion of the course, measuring a change in scores | 
| Change from Baseline in Rosenberg Self-Esteem Scale (RSE) | Rosenberg Self Esteem Scale (Rosenberg, 1965)- 10 items. Scoring involves a method of combined ratings. Low self-esteem responses are disagree or strongly disagree on items 1, 3, 4, 7, 10, and strongly agree or agree on items 2, 5, 6, 8, 9. | Measured three times over six months: at baseline, after the course ends, and three months after the completion of the course, measuring a change in scores | 
| Change from Baseline in Depression, Anxiety and Stress Scale (DASS-21) | Depression, Anxiety and Stress Scale - 21 Items (DASS-21) The Depression, Anxiety and Stress Scale - 21 Items (DASS-21) is a set of three self-report scales designed to measure the emotional states of depression, anxiety and stress. Each of the three DASS-21 scales contains 7 items, divided into subscales with similar content. The depression scale assesses dysphoria, hopelessness, devaluation of life, self-deprecation, lack of interest / involvement, anhedonia and inertia. The anxiety scale assesses autonomic arousal, skeletal muscle effects, situational anxiety, and subjective experience of anxious affect. The stress scale is sensitive to levels of chronic nonspecific arousal. It assesses difficulty relaxing, nervous arousal, and being easily upset / agitated, irritable / over-reactive and impatient. Scores for depression, anxiety and stress are calculated by summing the scores for the relevant items. | Measured three times over six months: at baseline, after the course ends, and three months after the completion of the course, measuring a change in scores | 
| Change from Baseline in Body Esteem Scale (BES) | Body Esteem Scale- This questionnaire examines self-esteem of body and physical appearance and consists of 3 subscales: appearance (10 items), weight (8 items) and attribution 187 to others (5 items). Items are rated on a 5-point scale: (1) never, (2) rarely, (3) sometimes, (4) 188 often, and (5) always. A higher score indicates higher body-esteem (Mendelson, Mendelson, & White, 2001) | Measured three times over six months: at baseline, after the course ends, and three months after the completion of the course, measuring a change in scores | 
| Change from Baseline in The Eating Attitudes Test (EAT-26) | Eating Attitudes Test- 26 items The Eating Attitudes validated scale for children and adolescents (Maloney, McGuire, & Daniels, 1988) | Measured three times over six months: at baseline, after the course ends, and three months after the completion of the course, measuring a change in scores | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Resilience, Academic course, College students