The Effect of Happiness Educational Program of Fordyce on the Sense of Coherence and Psychological Well-being of Adolescents with a Parent with Cancer: A Randomized Clinical Trial.
Razieh Forutannasab, Zohreh Karimi, Mohammad Zoladl and 1 others
PMID 38650955WHAT IT FOUND
Six weekly happiness education sessions improved adolescents' sense of coherence and psychological well-being immediately after treatment.
Median scores rose from 45 to 55.5 and from 81 to 95. Effects were self-reported and short-term.
Key findings
01The intervention group's total sense of coherence median score rose from 45 before the program to 55.5 after it, while the control group's median remained 45.
02The intervention group's total psychological well-being median score rose from 81 before the program to 95 after it, while the control group's median remained 81.
03All subscales of sense of coherence and psychological well-being showed significant between-group differences after the intervention.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done in one hospital oncology ward in Yasuj, Iran, between June and September 2021, so results may not apply elsewhere. Only the data collector and analyzer were blinded to allocation; the paper does not report blinding of adolescents or the session leaders. The paper reports baseline and end-of-intervention measurements only, so it does not show whether the effect persisted. The affected parent's education level differed between groups at baseline. It assessed 110 adolescents for eligibility and reports 92 completing, but does not give a participant flow or dropout count. The control group received pamphlets after the study, and separation between groups was addressed only by scheduling measurements on different days. The program was delivered in groups of 5 to 10 by a researcher with a clinical psychologist, so delivery by other staff is untested.
Declared interests
The supplied publication types list research support from non-U.S. government sources. The supplied text does not include a funding or conflict-of-interest declaration.
The easy way to misread this
Do not read the post-intervention improvement as long-term benefit or as evidence that nurses can deliver the program. Outcomes were measured only at the end of six sessions, were self-reported, and the program was delivered by a researcher with a clinical psychologist.