ClinicalTrials.gg
Active, not recruitingNCT07796867Updated Sep 14, 2026

HENKA: Growing in Emotional Well-being

An interventional study of Henka program in Mental Health, Resilience, Psychological and Emotional Well-being, sponsored by Fundació Sant Joan de Déu. Active, not recruiting at 1 site in Spain. Open to participants aged 11 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-14.

Sponsored by Fundació Sant Joan de Déu · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 2 years 7 months after the study started (first participant enrolled Jan 2024, registered Aug 2026).

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Phase
Not applicable
Study type
Interventional
Enrollment
1,084
Allocation
Non-randomized
Ages
11 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 107 studies in Psychological Well-Being with a site in Spain — 36 open to participants now, 47 under way, none of them phase 3. Psychological Well-Being · Spain.

Planned enrollment
6th of 86
1,084 · median 127
Started
2024
with 16 others
No phase
85 of 107
29 open now
Primary completion
2026-12
later than 27 of 46 live
Registered
101st of 107
by date
Lead sponsor
5 of 107
Fundació Sant Joan de Déu

Among the 107 studies in Psychological Well-Being with a site in Spain, this one is the 6th largest by planned enrollment of the 86 interventional ones that give a count, is one of 17 that started in 2024, is one of 85 with no phase, reaches primary completion later than 27 of the 46 other live ones, and was the 101st registered.

Psychological Well-Being

2,195 studies on the registry are indexed under Psychological Well-Being; 728 are open to participants now.

Browse Psychological Well-Being studies →

Open to participants now

36 of the 107 studies in Psychological Well-Being with a site in Spain are open now. Recruiting first, the newest first:

31 more — sign in →

All 36 open studies →

A study can be open while its sites in Spain have not opened yet or have stopped. Only those recruiting at a site in Spain →

Who these studies take

Of the 401 Psychological Well-Being studies recruiting now, 218 (54%) set no upper age limit and 157 (39%) stop at 75 or younger; 120 take children under 18; 204 take healthy volunteers.

This study: 11 Years and older · all sexes · healthy volunteers too.

The full table on the hub →

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02

Study summary

HENKA is a universal, whole-community, school-based program that aims to promote emotional well-being and prevent mental health problems among adolescents enrolled in 1st to 3rd year of Secondary Education (ESO) in Catalonia, Spain (approximately 12 to 16 years old), through the development of resilience. The programme's name takes its origin from the Japanese term Henka, meaning a positive and transformative change, reflecting its focus on fostering sustainable improvements in adolescents' socioemotional functioning.The program targets adolescents, their families and school professionals. Its effectiveness is being evaluated through a non-randomized, two-arm, cluster-controlled quantitative phase (intervention schools compared to control schools), combined with a qualitative phase using focus groups. The study builds on the HENKA Pilot study (Ethics Committee code PIC-85-22), which assessed the feasibility of the evaluation process, including the validity of the assessment instruments and participants' viability and acceptability, before scaling up the program to a larger population.

Read the detailed description

The quantitative phase uses school-level cluster sampling: recruitment was coordinated with the Department of Education and the Department of Health of the Government of Catalonia, and schools voluntarily enrolled in either the HENKA intervention group (target at least 100 schools) or the control group (target at least 25 schools), depending on whether they formalized full participation in the program or chose to take part in the evaluation component only. The first-year secondary school cohort served as the sampling cluster, with additional cohorts progressively enrolled across successive academic years, starting in 2023-2024, until the target sample size was reached; each cohort was followed longitudinally until the third year of secondary school. The intervention comprises student training, consisting of eight approximately 55-minute classroom sessions covering self-efficacy/self-esteem, emotional self-regulation, assertiveness, interpersonal skills, and mindfulness. This training is delivered by teachers during school hours, and the teachers have previously received training from specialist staff (train-the-trainer program). In some sessions, teachers are accompanied by Community Emotional Well-being Representatives (RBEC), health professionals provided by the Department of Health who support classroom delivery and help identify and manage mental-health-related situations among students. Families attend parent workshops. Control schools continue with their usual mental health talks and resources and are offered the HENKA materials after the study ends. Results are assessed through validated online questionnaires (Research Electronic Data Capture, REDCap) at up to six time points over three academic years. A sample size calculation performed a priori with G*Power 3.1.9.7 (effect size 0.2, alpha 0.05, power 0.95) indicated a minimum of 1,084 participants (542 per control and intervention group). In addition, a qualitative phase is conducted through focus groups with each participant segment (adolescents, families, educational professionals, and key regional well-being stakeholders from the Wellbeing for Being Well Program (BxB), the Community Emotional Well-being Representatives program (RBEC), and the Health and School Program (PSiE), held during the second and third trimesters of the 2024-2025 and 2025-2026 academic years, to explore participants' experiences and perspectives on the HENKA program.

03

Conditions studied

  • Mental Health
  • Resilience, Psychological
  • Emotional Well-being

Keywords

  • adolescents
  • resilience
  • school-based prevention
  • universal prevention program
  • mental health promotion
  • families
  • teachers
  • non-randomized cluster-controlled trial
  • mixed-methods
  • qualitative research
  • focus groups
04

Who can participate

Ages eligible
11 Years and older
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

  • Enrolled in Compulsory Secondary Education (ESO) in Catalonia, Spain.
  • Adolescents enrolled in 1st, 2nd or 3rd year of ESO.
  • Adolescents under 18 provide assent to participate; parents/guardians provide written .
  • Parents/guardians and teachers who sign informed consent participate in the program evaluation.
  • Representatives from the Wellbeing for Being Well Program (BxB), Community Emotional Well-being Representatives (RBEC), or Health and School Program (PSiE) who have collaborated with the HENKA program in Catalonia and sign informed consent (qualitative phase only).

Exclusion criteria

Exclusion Criteria:

  • Parents/guardians who do not sign for minors under 18.
  • Adolescents who do not assent to participate.
  • Parents/guardians who do not sign their own informed consent.
  • Teachers who do not sign their informed consent.
  • Representatives or professionals from any of the three programs (BxB, RBEC, or PSiE) who do not sign informed consent (qualitative phase only).
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
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,084 participants (estimated)

Study arms

  • Experimental
    HENKA Intervention Group

    Schools that formalize participation in HENKA (\~100 schools). Students receive 8 classroom sessions (55 min each) on self-efficacy, emotional self-regulation, assertiveness, interpersonal skills and mindfulness; teachers receive HENKA training; families are offered a 90-minute workshop.

    Behavioral: Henka program

  • No intervention
    Control Group

    Schools that agree to participate in the evaluation only (\~25 schools), continuing their usual mental-health-related talks and resources; they receive the HENKA materials to implement independently after the study ends.

Interventions

  • BehavioralHenka program

    A universal, whole-community, school-based program to promote resilience and prevent mental health problems among adolescents. The program comprises eight approximately 55-minute classroom sessions covering self-efficacy/self-esteem, emotional self-regulation, assertiveness, interpersonal skills and mindfulness, delivered by teachers previously trained through the HENKA train-the-trainer program. In some sessions, teachers are accompanied by Community Emotional Well-being Representatives (RBEC), health professionals provided by the Department of Health who support classroom delivery and help identify and manage mental-health-related situations among students. Families are offered a parent workshop.

06

What researchers measure

Primary outcomes

  1. Change in Resilience - adolescents

    Resilience Scale for Adolescents (READ), 28 items, mean item score, theoretical range 1- 5. Higher scores indicate greater resilience.

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

  2. Change in Resilience - families

    Resilience Scale for Adults (RSA-33), 33 items, mean item score, theoretical range 1- 5. Higher scores indicate greater resilience.

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

  3. Change in school resilience - educational professionals

    School Resilience Scale (SRS), 20 items, mean item score, theoretical range 1- 5. Higher scores indicate greater school resilience.

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

Secondary outcomes

  1. Change in coping strategies - adolescents

    Coping Strategies Scale for Adolescents (EA-A), 13 items (3 subscales: positive thinking/problem-solving 7 items, family support-seeking 3 items, peer support-seeking 3 items), mean item score, theoretical range 1- 5. Higher scores indicate greater use of adaptive coping strategies.

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

  2. Change in assertiveness - adolescents

    Assertive Interpersonal Schema Questionnaire (AISQ), 21 items, sum score, theoretical range 21- 115. Higher scores indicate greater assertiveness.

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

  3. Change in perceived self-efficacy - adolescents

    General Self-Efficacy Scale (EAG), 10 items, mean item score, theoretical range 1- 5. Higher scores indicate greater perceived self-efficacy.

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

  4. Change in empathy - adolescents

    Basic Empathy Scale, brief version (BES-B), 9 items, mean item score, theoretical range 1- 5. Higher scores indicate greater empathy.

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

  5. Change in emotional repair - adolescents

    Trait Meta-Mood Scale, emotional repair subscale (TMMS-24), 8 items, mean item score, theoretical range 1- 5. Higher scores indicate better emotional repair.

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

  6. Change in psychological well-being/distress - adolescents

    General Health Questionnaire (GHQ-12), 12 items, sum score (binary scoring method), theoretical range 0- 12. Higher scores indicate greater psychological distress (worse outcome).

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

  7. Change in generalized anxiety - adolescents

    Generalized Anxiety Disorder scale (GAD-7), 7 items, sum score, theoretical range 0-21. Higher scores indicate greater severity of generalized anxiety symptoms (worse outcome).

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

  8. Change in depression - adolescents

    Patient Health Questionnaire for adolescents (PHQ-9), 9 items, sum score, theoretical range 0- 27. Higher scores indicate greater severity of depressive symptoms (worse outcome).

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

  9. Change in school resilience - adolescents

    School Resilience Scale (SRS), 20 items,mean item score, theoretical range 1- 5. Higher scores indicate greater school resilience.

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

  10. Change in positive parenting functioning - families

    Parental Functioning Scale (EFP), 12 items, 3 subscales (communication-interaction, affective bond, co-parenting agreement), sum score, theoretical range 0- 6. Higher scores indicate better positive parenting functioning.

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

  11. Change in family climate - families

    Family Environment Scale (FES), 27 items, 3 subscales (cohesion, expressiveness, conflict), sum score, theoretical range 0- 27. Higher scores indicate better family climate.

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

  12. Change in psychological well-being/distress - families

    General Health Questionnaire (GHQ-12), 12 items, sum score (binary scoring method), theoretical range 0- 12. Higher scores indicate greater psychological distress (worse outcome).

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

  13. Change in perceived stress - families

    Perceived Stress Scale (PSS-10), 10 items, sum score, theoretical range 0- 40. Higher scores indicate greater perceived stress (worse outcome).

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

  14. Change in perception of student adjustment - educational professionals

    Teacher's Perception of Students Scale (PROF-A), 14 items, mean item score, theoretical range 1- 10. Higher scores indicate more positive teacher-perceived student adjustment.

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

  15. Change in psychological well-being/distress - educational professionals

    General Health Questionnaire (GHQ-12), 12 items, sum score (binary scoring method), theoretical range 0-12. Higher scores indicate greater psychological distress (worse outcome).

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

  16. Change in perceived stress - educational professionals

    Perceived Stress Scale (PSS-10), 10 items, sum score, theoretical range 0 - 40. Higher scores indicate greater perceived stress (worse outcome).

    Time frame: From baseline (T0) to 3-month and 12-month follow-up

  17. Adolescents' experiences and perspectives on the HENKA program

    Themes identified from semi-structured focus group discussions with adolescents, analyzed using thematic analysis within a phenomenological framework.

    Time frame: Second and third trimesters of the 2024-2025 and 2025-2026 academic years

  18. Families' experiences and perspectives on the HENKA program

    Themes identified from semi-structured focus group discussions with families, analyzed using thematic analysis within a phenomenological framework.

    Time frame: Second and third trimesters of the 2024-2025 and 2025-2026 academic years

  19. Educational professionals' experiences and perspectives on the HENKA program

    Themes identified from semi-structured focus group discussions with educational professionals, analyzed using thematic analysis within a phenomenological framework.

    Time frame: Second and third trimesters of the 2024-2025 and 2025-2026 academic years

  20. Key regional well-being stakeholders' experiences and perspectives on the HENKA program

    Themes identified from semi-structured focus group discussions with representatives of the Wellbeing for Being Well Program (BxB), the Community Emotional Well-being Representatives program (RBEC), and the Health and School Program (PSiE), analyzed using thematic analysis within a phenomenological framework.

    Time frame: Second and third trimesters of the 2024-2025 and 2025-2026 academic years

07

Study locations

1 site
  • Hospital Sant Joan de Déu Barcelona / Institut de Recerca Sant Joan de Déu
    Esplugues de Llobregat, Barcelona 08950, Spain
08

References and documents

Individual participant data

Plan to share: No — Data sharing with external researchers has not been established as part of the current study protocol. Individual participant data include sensitive information on minors' mental health and are subject to strict confidentiality safeguards under Spanish data protection law (Ley Orgánica 3/2018). The research team may consider data sharing requests on a case-by-case basis in the future, subject to institutional and ethics committee approval.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jan 2024 (actual). Primary completion is estimated for Dec 2026, 35 months after the start.

Of 1,261 non-industry interventional studies with no phase under Psychological Well-Being, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 34. This study's planned 35 months is above that.

Counting every sponsor, half of 1,304 studies reached it within 16 months; a quarter within 7 and three quarters within 34.

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

Registered
Aug 27, 2026
First posted
Sep 1, 2026
StartActual
Jan 1, 2024
Primary completionEst.
Dec 30, 2026
CompletionEst.
Dec 30, 2026
Last update
Sep 14, 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 Sep 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07796867
Lead sponsor
Fundació Sant Joan de Déu
Collaborators
Education Department (Catalonia), Health Department (Catalonia)
Responsible party
Ester Camprodon Rosanas (Deputy Medical Director; HENKA Strategy Director, Hospital Sant Joan de Deu) — Principal investigator
First posted
Sep 1, 2026
Start date
Jan 1, 2024
Primary completion
Dec 30, 2026 (estimated)
Completion
Dec 30, 2026 (estimated)
Last update
Sep 14, 2026

Study contacts

Claudia Palma-Vasquez, PhD
study director · PRISMA Research Group, Institut de Recerca Sant Joan de Déu (IRSJD)
Ester Camprodon Rosanas, PhD
principal investigator · Hospital Sant Joan de Déu Barcelona

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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