This study aims to evaluate the acceptability and effectiveness of a positive psychology-based ecological momentary intervention (EMI) for enhancing well-being in college students. A three-arm randomized controlled trial (RCT) will assess the impact of a dynamic EMI that delivers personalized exercises when participants' real-time affect or well-being scores fall below a predefined threshold, compared to control conditions. Primary outcomes include changes in well-being and mental health, evaluated through a mixed-methods approach combining quantitative measures and qualitative interviews.
This study aims to evaluate a Positive Psychology-based Ecological Momentary Intervention (EMI) designed to enhance well-being among college students. A three-arm randomized controlled trial (RCT) will be conducted to examine the intervention's effectiveness. The EMI integrates core positive psychology practices-such as gratitude, mindfulness, and acts of kindness-and is delivered through a mobile application in real time. The intervention features a dynamic, adaptive algorithm that provides personalized exercises when participants' real-time affect or well-being scores fall below a predefined threshold. Primary outcomes include changes in well-being and mental health . A mixed-methods design will be employed, combining quantitative assessments at baseline, post-intervention, and one-month follow-up with qualitative post-intervention interviews to gain an in-depth understanding of the intervention's impact and user experience.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
354
This is a smartphone-based ecological momentary intervention (EMI) that delivers psychological exercises (e.g., gratitude, mindfulness) in an adaptive, "as-needed" manner. Twice daily, the app algorithm assesses a participant's self-reported momentary affect and well-being. If the scores fall below a preset, moderate threshold, a corresponding intervention exercise is automatically triggered. The goal is to provide personalized support at moments of greatest need.
This is a smartphone-based ecological momentary intervention (EMI) that delivers the same suite of psychological exercises on a fixed schedule, regardless of the user's current state. Participants are prompted to complete all six available exercises twice daily. This intervention controls for the general effects of exposure to the exercise content and engagement with the app, allowing for a comparison with the adaptive, algorithm-guided EMI.
The Hong Kong Polytechnic University
Kowloon, Hong Kong
Affect
The 20-item Positive and Negative Affect Schedule Short Form (PANAS-SF) will be used to measure affective states. This scale comprises two subscales: Positive Affect (10 items) and Negative Affect (10 items). Each item is rated on a 5-point scale from 1 (very slightly or not at all) to 5 (extremely). Higher scores on each subscale indicate higher levels of the respective affect.
Time frame: Baseline (pre-intervention); Immediately after the intervention (2 week after baseline)); 1-month follow-up (1 month after intervention)
Happiness
The 4-item Subjective Happiness Scale (SHS) will be utilized to assess participants' subjective happiness. Each item will be rated on a 7-point Likert scale. Elevated scores on the scale indicate a greater level of subjective happiness.
Time frame: Baseline (pre-intervention); Immediately after the intervention (2 weeks after baseline); 1-month follow-up (1 month after intervention)
Flourishing
The 8-item Flourishing Scale (FS) will be used to measure psychological well-being and self-perceived success in important areas such as relationships, self-esteem, and purpose. Each item is rated on a 7-point scale from 1 (strongly disagree) to 7 (strongly agree), with higher scores indicating a greater level of psychological well-being.
Time frame: Baseline (pre-intervention); Immediately after the intervention (2 weeks after baseline); 1-month follow-up (1 month after intervention)
Satisfaction with Life
Satisfaction with life is measured by the 5-item Satisfaction with Life Scale (SWLS). All items are rated on a 7-point scale from 1 (strongly disagree) to 7 (strongly agree), with higher scores indicating higher satisfaction with life.
Time frame: Baseline (pre-intervention); Immediately after the intervention (2 weeks after baseline); 1-month follow-up (1 month after intervention)
Psychological distress
The 21-item Depression Anxiety Stress Scale (DASS-21) will be used to measure the negative emotional states of depression, anxiety, and stress. Each subscale contains 7 items, rated on a 4-point severity scale from 0 (did not apply to me at all) to 3 (applied to me very much, or most of the time). Higher scores indicate more severe levels of depression, anxiety, or stress.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: Baseline (pre-intervention); Immediately after the intervention (2 weeks after baseline); 1-month follow-up (1 month after intervention
State Subjective Happiness
State Subjective Happiness will be measured by the 2-item Subjective Happiness Scale with each item rated on a 7-point Likert scale from 1 (not a very happy person) to 7 (a very happy person).
Time frame: During the 14-day intervention period, this measurement is conducted twice per day as part of the momentary assessments, and once each evening as part of the Daily Diary assessment at 9:00 PM.
State affect
State affect will be tapped by the 9-item Ecological Mood Indicator. Participants indicate their momentary feelings on a 7-point Likert scale ranging from 1 (not at all) to 7 (extremely), for NA (e.g., depressed, worried/anxious, and unhappy) and PA (e.g., joyful, happy, and enjoyment/fun)
Time frame: During the 14-day intervention period, this measurement is conducted twice per day as part of the momentary assessments, and once each evening as part of the Daily Diary assessment at 9:00 PM.
State Well-Being
State stress will be measured with one item adapted from the Psychological Stress Measure (PSM-9) using a 5-point Likert scale ranging from 0 (Not at all stressed) to 4 (Extremely stressed).
Time frame: During the 14-day intervention period, this measure is also administered each evening at 9:00 PM as part of the Daily Diary assessment.
State Anxiety and Depression
State Anxiety and Depression will be measured with the four-item Patient Health Questionnaire for Depression and Anxiety (PHQ-4). Responses are scored as 0 ("not at all"), 1 ("several days"), 2 ("more than half the days"), or 3 ("nearly every day"), with the total score on this composite measure ranging from 0 to 12.
Time frame: During the 14-day intervention period, this measure is also administered each evening at 9:00 PM as part of the Daily Diary assessment.
State Stress
State stress will be measured by a single item asking participants to rate their current stress level on a 5-point Likert scale ranging from 0 (Not at all stressed) to 4 (Extremely stressed).
Time frame: During the 14-day intervention period, this measure is also administered each evening at 9:00 PM as part of the Daily Diary assessment.