ClinicalTrials.gg
CompletedNCT07174544Updated Jan 8, 2026Results posted

Mobile Self-Management Program for Stress Reduction in Young Adults

An interventional study of Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation in Stress (Psychology), sponsored by The Catholic University of Korea. Completed at 1 site in South Korea. Open to participants aged 19 Years to 34 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-08.

Sponsored by The Catholic University of Korea · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 2 years after the study started (first participant enrolled Sep 2023, registered Sep 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
211
Allocation
Randomized
Ages
19 Years to 34 Years
Sex
All
01

Study summary

The goal of this clinical trial is to learn if a mobile self-management program that combines Positive Psychology (PP) and Behavioral Activation (BA) helps reduce stress in young adults in South Korea. It will also examine how the program affects depression, anxiety, and resilience.

The main questions it aims to answer are:

Does the program lower stress levels in young adults with high stress?

Does the program improve other aspects of mental health, such as depression, anxiety, and resilience?

Researchers will compare the mobile program to a wait-list control group to see if the program works to improve stress management.

Participants will:

Be randomly assigned to either the program group or a wait-list control group

Use the mobile program for 4 weeks with guided activities, followed by 4 weeks of self-directed use

Complete surveys at the start, week 2, week 4, and week 8 about their stress, depression, anxiety, and resilience

02

Conditions studied

  • Stress (Psychology)

Keywords

  • Stress
  • Resilience
  • Self-Management
  • Positive Psychology
  • Mobile Applications
  • Young Adult
03

In context

Lead sponsor

The Catholic University of Korea is the lead sponsor of 155 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
19 Years to 34 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 19-34 years at the time of participation
  • Proficiency in using digital devices
  • Use of an Android-based smartphone or tablet
  • Score of ≥14 on the Perceived Stress Scale-10 (PSS-10)
  • Provision of for random assignment

Exclusion criteria

Exclusion Criteria:

  • Score \<14 on the Perceived Stress Scale-10 (PSS-10)
  • Declines random assignment
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
211 participants (actual)

Study arms

  • Experimental
    Intervention group

    Participants receive a mobile self-management intervention that integrates Positive Psychology and Behavioral Activation. The program includes 4 weeks of guided sessions followed by 4 weeks of self-directed use.

    Behavioral: Mobile Self-Management Program integrated with Positive Psychology and Behavioral Activation

  • No intervention
    Wait-list Control

    Participants do not receive the intervention during the first 8 weeks but are offered access to the program after the study period.

Interventions

  • BehavioralMobile Self-Management Program integrated with Positive Psychology and Behavioral Activation

    The mobile self-management program consisted of a 4-week guided intervention phase followed by a 4-week self-directed period to encourage continued use. The guided phase was organized around weekly objectives: (1) experiencing positive affect, (2) identifying personal strengths, (3) applying strengths in daily life, and (4) planning a positive future. Program activities included emotional check-ins, gratitude journaling, mindfulness practice, positive behavioral tasks, and goal setting. During the self-directed phase (Weeks 5-8), participants selected from 10 recommended activities tailored to their strengths, promoting sustained engagement and self-management. The program integrated Positive Psychology and Behavioral Activation strategies to reduce stress, enhance resilience, and foster positive behavioral change.

06

What researchers measure

Primary outcomes

  1. Stress at Week 8

    Stress was measured using the Korean version of the Perceived Stress Scale - 10 items (PSS-10). The total score ranges from 0 to 40, with higher scores indicating greater perceived stress. Although the scale does not provide a standardized cut-off, prior studies have used a score of 14 or higher to define moderate-to-high levels of stress, and this threshold was applied in the present study.

    Time frame: Week 8

Secondary outcomes

  1. Stress at Baseline

    Stress was measured using the Korean version of the Perceived Stress Scale - 10 items (PSS-10). The total score ranges from 0 to 40, with higher scores indicating greater perceived stress. Although the scale does not provide a standardized cut-off, prior studies have used a score of 14 or higher to define moderate-to-high levels of stress, and this threshold was applied in the present study.

    Time frame: Baseline

  2. Stress at Week 2

    Stress was measured using the Korean version of the Perceived Stress Scale - 10 items (PSS-10). The total score ranges from 0 to 40, with higher scores indicating greater perceived stress. Although the scale does not provide a standardized cut-off, prior studies have used a score of 14 or higher to define moderate-to-high levels of stress, and this threshold was applied in the present study.

    Time frame: Week 2

  3. Stress at Week 4

    Stress was measured using the Korean version of the Perceived Stress Scale - 10 items (PSS-10). The total score ranges from 0 to 40, with higher scores indicating greater perceived stress. Although the scale does not provide a standardized cut-off, prior studies have used a score of 14 or higher to define moderate-to-high levels of stress, and this threshold was applied in the present study.

    Time frame: Week 4

  4. Depression (PHQ-9) at Baseline

    Depression was assessed using the Korean version of the Patient Health Questionnaire-9 items (PHQ-9). The PHQ-9 consists of nine items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 27, with higher scores indicating more severe depression.

    Time frame: Baseline

  5. Depression (PHQ-9) at Week 2

    Depression was assessed using the Korean version of the Patient Health Questionnaire-9 items (PHQ-9). The PHQ-9 consists of nine items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 27, with higher scores indicating more severe depression.

    Time frame: Week 2

  6. Depression (PHQ-9) at Week 4

    Depression was assessed using the Korean version of the Patient Health Questionnaire-9 items (PHQ-9). The PHQ-9 consists of nine items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 27, with higher scores indicating more severe depression.

    Time frame: Week 4

  7. Depression (PHQ-9) at Week 8

    Depression was assessed using the Korean version of the Patient Health Questionnaire-9 items (PHQ-9). The PHQ-9 consists of nine items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 27, with higher scores indicating more severe depression.

    Time frame: Week 8

  8. Anxiety (GAD-7) at Baseline

    Anxiety was measured using the Korean version of the Generalized Anxiety Disorder-7 items (GAD-7). The GAD-7 consists of seven items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 21, with higher scores indicating more severe anxiety.

    Time frame: Baseline

  9. Anxiety (GAD-7) at Week 2

    Anxiety was measured using the Korean version of the Generalized Anxiety Disorder-7 items (GAD-7). The GAD-7 consists of seven items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 21, with higher scores indicating more severe anxiety.

    Time frame: Week 2

  10. Anxiety (GAD-7) at Week 4

    Anxiety was measured using the Korean version of the Generalized Anxiety Disorder-7 items (GAD-7). The GAD-7 consists of seven items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 21, with higher scores indicating more severe anxiety.

    Time frame: Week 4

  11. Anxiety (GAD-7) at Week 8

    Anxiety was measured using the Korean version of the Generalized Anxiety Disorder-7 items (GAD-7). The GAD-7 consists of seven items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 21, with higher scores indicating more severe anxiety.

    Time frame: Week 8

  12. Resilience ( BRS) at Baseline

    Resilience was assessed using the Korean version of the Brief Resilience Scale (BRS). The BRS consists of six items rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Total scores range from 6 to 30, with higher scores indicating greater resilience.

    Time frame: Baseline

  13. Resilience (BRS) at Week 2

    Resilience was assessed using the Korean version of the Brief Resilience Scale (BRS). The BRS consists of six items rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Total scores range from 6 to 30, with higher scores indicating greater resilience.

    Time frame: Week 2

  14. Resilience (BRS) at Week 4

    Resilience was assessed using the Korean version of the Brief Resilience Scale (BRS). The BRS consists of six items rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Total scores range from 6 to 30, with higher scores indicating greater resilience.

    Time frame: Week 4

  15. Resilience (BRS) at Week 8

    Resilience was assessed using the Korean version of the Brief Resilience Scale (BRS). The BRS consists of six items rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Total scores range from 6 to 30, with higher scores indicating greater resilience.

    Time frame: Week 8

07

Results

Posted Jan 8, 2026
Limitations and caveats
A key limitation of this study was participant attrition during the 8-week intervention period, as some participants did not complete all weekly or follow-up surveys. This loss to follow-up may have limited the ability to fully determine the intervention's effect over time and reduced the precision of longitudinal comparisons between groups.

Participant flow

Participant flow — Overall Study
MilestoneIntervention GroupWait-list Control
Started9287
2week6880
4week5375
8week4972
Completed4972
Not completed4315
Withdrew: Lost to follow-up4315

Outcome measures

SecondaryStress at Baseline

Stress was measured using the Korean version of the Perceived Stress Scale - 10 items (PSS-10). The total score ranges from 0 to 40, with higher scores indicating greater perceived stress. Although the scale does not provide a standardized cut-off, prior studies have used a score of 14 or higher to define moderate-to-high levels of stress, and this threshold was applied in the present study.

Time frame:
Baseline
Reported as:
Mean · score on a scale
Stress at Baseline
score on a scaleIntervention GroupWait-list Control
Stress at Baseline22.64 ± 5.8219.76 ± 3.64
SecondaryStress at Week 2

Stress was measured using the Korean version of the Perceived Stress Scale - 10 items (PSS-10). The total score ranges from 0 to 40, with higher scores indicating greater perceived stress. Although the scale does not provide a standardized cut-off, prior studies have used a score of 14 or higher to define moderate-to-high levels of stress, and this threshold was applied in the present study.

Time frame:
Week 2
Reported as:
Mean · score on a scale
Stress at Week 2
score on a scaleIntervention GroupWait-list Control
Stress at Week 220.57 ± 5.7819.00 ± 3.98
SecondaryStress at Week 4

Stress was measured using the Korean version of the Perceived Stress Scale - 10 items (PSS-10). The total score ranges from 0 to 40, with higher scores indicating greater perceived stress. Although the scale does not provide a standardized cut-off, prior studies have used a score of 14 or higher to define moderate-to-high levels of stress, and this threshold was applied in the present study.

Time frame:
Week 4
Reported as:
Mean · score on a scale
Stress at Week 4
score on a scaleIntervention GroupWait-list Control
Stress at Week 420.08 ± 6.6218.71 ± 4.00
SecondaryDepression (PHQ-9) at Baseline

Depression was assessed using the Korean version of the Patient Health Questionnaire-9 items (PHQ-9). The PHQ-9 consists of nine items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 27, with higher scores indicating more severe depression.

Time frame:
Baseline
Reported as:
Mean · score on a scale
Depression (PHQ-9) at Baseline
score on a scaleIntervention GroupWait-list Control
Depression (PHQ-9) at Baseline10.21 ± 5.899.24 ± 5.42
SecondaryDepression (PHQ-9) at Week 2

Depression was assessed using the Korean version of the Patient Health Questionnaire-9 items (PHQ-9). The PHQ-9 consists of nine items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 27, with higher scores indicating more severe depression.

Time frame:
Week 2
Reported as:
Mean · score on a scale
Depression (PHQ-9) at Week 2
score on a scaleIntervention GroupWait-list Control
Depression (PHQ-9) at Week 28.34 ± 5.448.51 ± 5.63
SecondaryDepression (PHQ-9) at Week 4

Depression was assessed using the Korean version of the Patient Health Questionnaire-9 items (PHQ-9). The PHQ-9 consists of nine items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 27, with higher scores indicating more severe depression.

Time frame:
Week 4
Reported as:
Mean · score on a scale
Depression (PHQ-9) at Week 4
score on a scaleIntervention GroupWait-list Control
Depression (PHQ-9) at Week 47.72 ± 5.917.95 ± 5.36
PrimaryStress at Week 8

Stress was measured using the Korean version of the Perceived Stress Scale - 10 items (PSS-10). The total score ranges from 0 to 40, with higher scores indicating greater perceived stress. Although the scale does not provide a standardized cut-off, prior studies have used a score of 14 or higher to define moderate-to-high levels of stress, and this threshold was applied in the present study.

Time frame:
Week 8
Reported as:
Mean · score on a scale
Stress at Week 8
score on a scaleIntervention GroupWait-list Control
Stress at Week 819.41 ± 6.2018.35 ± 4.05
Statistical analysis
  • Intervention Group vs Wait-list Control · Generalized estimating equations (GEE)Generalized estimating equations were used to examine changes in outcomes over time between groups, accounting for repeated measurements.
SecondaryDepression (PHQ-9) at Week 8

Depression was assessed using the Korean version of the Patient Health Questionnaire-9 items (PHQ-9). The PHQ-9 consists of nine items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 27, with higher scores indicating more severe depression.

Time frame:
Week 8
Reported as:
Mean · score on a scale
Depression (PHQ-9) at Week 8
score on a scaleIntervention GroupWait-list Control
Depression (PHQ-9) at Week 88.37 ± 6.387.69 ± 5.50
SecondaryAnxiety (GAD-7) at Baseline

Anxiety was measured using the Korean version of the Generalized Anxiety Disorder-7 items (GAD-7). The GAD-7 consists of seven items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 21, with higher scores indicating more severe anxiety.

Time frame:
Baseline
Reported as:
Mean · score on a scale
Anxiety (GAD-7) at Baseline
score on a scaleIntervention GroupWait-list Control
Anxiety (GAD-7) at Baseline8.20 ± 5.757.68 ± 4.88
SecondaryAnxiety (GAD-7) at Week 2

Anxiety was measured using the Korean version of the Generalized Anxiety Disorder-7 items (GAD-7). The GAD-7 consists of seven items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 21, with higher scores indicating more severe anxiety.

Time frame:
Week 2
Reported as:
Mean · score on a scale
Anxiety (GAD-7) at Week 2
score on a scaleIntervention GroupWait-list Control
Anxiety (GAD-7) at Week 26.88 ± 5.657.13 ± 5.23
SecondaryAnxiety (GAD-7) at Week 4

Anxiety was measured using the Korean version of the Generalized Anxiety Disorder-7 items (GAD-7). The GAD-7 consists of seven items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 21, with higher scores indicating more severe anxiety.

Time frame:
Week 4
Reported as:
Mean · score on a scale
Anxiety (GAD-7) at Week 4
score on a scaleIntervention GroupWait-list Control
Anxiety (GAD-7) at Week 46.43 ± 5.617.03 ± 5.21
SecondaryAnxiety (GAD-7) at Week 8

Anxiety was measured using the Korean version of the Generalized Anxiety Disorder-7 items (GAD-7). The GAD-7 consists of seven items rated on a 4-point Likert scale (0 = not at all to 3 = nearly every day), assessing symptom frequency over the past two weeks. The total score ranges from 0 to 21, with higher scores indicating more severe anxiety.

Time frame:
Week 8
Reported as:
Mean · score on a scale
Anxiety (GAD-7) at Week 8
score on a scaleIntervention GroupWait-list Control
Anxiety (GAD-7) at Week 87.63 ± 6.116.36 ± 4.87
SecondaryResilience ( BRS) at Baseline

Resilience was assessed using the Korean version of the Brief Resilience Scale (BRS). The BRS consists of six items rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Total scores range from 6 to 30, with higher scores indicating greater resilience.

Time frame:
Baseline
Reported as:
Mean · score on a scale
Resilience ( BRS) at Baseline
score on a scaleIntervention GroupWait-list Control
Resilience ( BRS) at Baseline15.24 ± 5.0617.79 ± 1.71
SecondaryResilience (BRS) at Week 2

Resilience was assessed using the Korean version of the Brief Resilience Scale (BRS). The BRS consists of six items rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Total scores range from 6 to 30, with higher scores indicating greater resilience.

Time frame:
Week 2
Reported as:
Mean · score on a scale
Resilience (BRS) at Week 2
score on a scaleIntervention GroupWait-list Control
Resilience (BRS) at Week 215.37 ± 5.1017.59 ± 1.76
SecondaryResilience (BRS) at Week 4

Resilience was assessed using the Korean version of the Brief Resilience Scale (BRS). The BRS consists of six items rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Total scores range from 6 to 30, with higher scores indicating greater resilience.

Time frame:
Week 4
Reported as:
Mean · score on a scale
Resilience (BRS) at Week 4
score on a scaleIntervention GroupWait-list Control
Resilience (BRS) at Week 416.06 ± 5.6817.87 ± 1.93
SecondaryResilience (BRS) at Week 8

Resilience was assessed using the Korean version of the Brief Resilience Scale (BRS). The BRS consists of six items rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Total scores range from 6 to 30, with higher scores indicating greater resilience.

Time frame:
Week 8
Reported as:
Mean · score on a scale
Resilience (BRS) at Week 8
score on a scaleIntervention GroupWait-list Control
Resilience (BRS) at Week 816.14 ± 5.8717.54 ± 1.85

Adverse events

Collected over From enrollment until completion of the 8-week study period.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Intervention Group0/92 (0%)0/92 (0%)0/92 (0%)
Wait-list Control0/87 (0%)0/87 (0%)0/87 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Intervention GroupWait-list ControlTotal
<=18 years000
Between 18 and 65 years9287179
>=65 years000
Age, Continuous
Age, Continuous(years)Intervention GroupWait-list ControlTotal
Mean27.85 ± 4.1627.46 ± 4.4227.66 ± 4.28
Sex: Female, Male
Sex: Female, Male(Participants)Intervention GroupWait-list ControlTotal
Female7972151
Male131528
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Intervention GroupWait-list ControlTotal
Count of participants——0
Region of Enrollment
Region of Enrollment(Participants)Intervention GroupWait-list ControlTotal
South Korea9287179
Stress
Stress(units on a scale)Intervention GroupWait-list ControlTotal
Mean22.64 ± 5.8219.76 ± 3.6421.24 ± 5.08
08

Study locations

1 site
  • College of Nursing, The Catholic University of Korea
    Seoul, Seoul 06591, South Korea
09

References and documents

Publications

  • Oh D, Choi HS, Mohr DC, Na H. Effects of a mobile-based self-management program on mental health in young adults: a randomized controlled trial. Front Public Health. 2026 Jun 17;14:1830292. doi: 10.3389/fpubh.2026.1830292. eCollection 2026. PubMed 42388766 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No — The study's informed consent form restricts use of data to this research only. Therefore, IPD will not be shared with other researchers.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2023 to primary completion in Dec 2024, 15 months.

Results were first posted in Jan 2026, 1 year after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 11, 2025
First posted
Sep 16, 2025
StartActual
Sep 1, 2023
Primary completionActual
Dec 31, 2024
CompletionActual
Aug 30, 2025
Results first posted
Jan 8, 2026
Last update
Jan 8, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT07174544
Responsible party
Hyunjoo Na (Associate professor, The Catholic University of Korea) — Principal investigator
First posted
Sep 16, 2025
Start date
Sep 1, 2023
Primary completion
Dec 31, 2024
Completion
Aug 30, 2025
Results posted
Jan 8, 2026
Last update
Jan 8, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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