Positive Psychotherapy Balance Program For Nurses: A Randomized Controlled Trial (PP-BALANCE)

Effect Of A Positive Psychotherapy-Based Balance In Life Psychoeducation Program On Nurses' Balanced Life Skills And Life Satisfaction: A Randomized Controlled Trial

This study aims to evaluate the effect of a positive psychotherapy-based psychoeducation program on nurses' ability to maintain balance in different areas of life and their overall life satisfaction. The program includes structured sessions designed to help nurses manage stress, improve well-being, and strengthen coping skills. Nurses who participate may benefit from improved emotional balance and quality of life. The results of this study may help develop supportive interventions for nurses in clinical settings.

Study Overview

• Status: Completed
• Conditions: Nurse Well-being
• Intervention / Treatment: Other: Positive Psychotherapy-Based Balanced Life Psychoeducation Program

Detailed Description

This randomized controlled study was conducted to evaluate the effectiveness of a positive psychotherapy-based "Balance in Life" psychoeducation program developed for nurses. Considering that nurses often experience difficulties in maintaining balance across different life domains due to high workload, stress, and emotional demands, and that this negatively affects their life satisfaction, a structured psychosocial intervention was considered necessary.

The intervention program was based on the balance model of positive psychotherapy. Within this framework, life was conceptualized across key domains including body/health, achievement/work, relationships, and meaning/future, and achieving balance among these domains was targeted. Throughout the program, it was aimed to increase participants' awareness of these life areas, strengthen coping skills, and support a more balanced lifestyle. The psychoeducation program was delivered through structured sessions and included interactive methods.

Participants were randomly assigned to intervention and control groups. While the intervention group received the psychoeducation program, no structured intervention was applied to the control group during the study period. Data were collected before and after the intervention, and changes in balanced life skills and life satisfaction were evaluated.

The findings were considered to contribute to the development of interventions aimed at supporting nurses' psychosocial well-being and to provide guidance for integrating positive psychotherapy approaches into nursing practice and education.

• Study Type: Interventional
• Enrollment (Actual): 61
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Trabzon
    • Ortahisar, Trabzon, Turkey (Türkiye), 61080
      • Kübra Gülirmak Güler

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Being a registered nurse actively working in a clinical setting
• Aged 18 years or older
• Willingness to participate in the study voluntarily
• Ability to attend the psychoeducation sessions
• Ability to understand and complete the study instruments

Exclusion Criteria:

• Currently receiving psychiatric treatment or psychotherapy
• Having a diagnosed severe psychiatric disorder
• Participation in another psychosocial intervention program during the study -period
• Inability to attend sessions regularly

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

4

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental Group 1 (Pretest-Intervention-Posttest); Participants in this group completed a pretest assessment and subsequently received the Positive Psychotherapy-Based Balanced Life Psychoeducation Program. The program was delivered over 8 weeks through structured sessions focusing on balance across key life domains. Posttest assessments were conducted after completion of the intervention.	Other: Positive Psychotherapy-Based Balanced Life Psychoeducation Program; The intervention consisted of a structured psychoeducation program based on the balance model of positive psychotherapy, specifically developed for nurses. The program focused on four core life domains: body/health, achievement/work, relationships, and meaning/future. It was delivered through scheduled sessions that included theoretical content, interactive discussions, and self-reflection exercises aimed at enhancing awareness of life balance, strengthening coping skills, and improving psychological well-being. In addition to the sessions, participants were supported through a dedicated digital platform developed for the study (https://www.yasamdadenge.com/ ). This platform enabled participants to evaluate their own balance across life domains, visualize their balance profiles, and engage with program-related content. Participants were encouraged to actively use the platform throughout the intervention period and apply the learned strategies in their daily lives.
Experimental: Experimental Group 2 (Intervention-Posttest Only); Participants in this group received the Positive Psychotherapy-Based Balanced Life Psychoeducation Program without undergoing a pretest assessment. The intervention was delivered over 8 weeks. Posttest assessments were conducted following the intervention.	Other: Positive Psychotherapy-Based Balanced Life Psychoeducation Program; The intervention consisted of a structured psychoeducation program based on the balance model of positive psychotherapy, specifically developed for nurses. The program focused on four core life domains: body/health, achievement/work, relationships, and meaning/future. It was delivered through scheduled sessions that included theoretical content, interactive discussions, and self-reflection exercises aimed at enhancing awareness of life balance, strengthening coping skills, and improving psychological well-being. In addition to the sessions, participants were supported through a dedicated digital platform developed for the study (https://www.yasamdadenge.com/ ). This platform enabled participants to evaluate their own balance across life domains, visualize their balance profiles, and engage with program-related content. Participants were encouraged to actively use the platform throughout the intervention period and apply the learned strategies in their daily lives.
No Intervention: Control Group 1 (Pretest-No Intervention-Posttest); Participants in this group completed pretest and posttest assessments but did not receive any intervention during the study period. They continued with their usual routines.
No Intervention: Control Group 2 (Posttest Only); Participants in this group did not receive any intervention and were only assessed at the posttest stage.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Balanced Life Skills	Balanced life skills will be assessed using the Balanced Life Skills Scale, which evaluates individuals' ability to maintain balance across key life domains including self, family, close environment, work, and general life functioning.	Post-intervention (8 weeks)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
2. Subdimensions of Balanced Life Skills	Changes in subdomains of balanced life skills will be evaluated to explore domain-specific effects of the intervention.	Post-intervention (8 weeks)

Collaborators and Investigators

• Sponsor: Dr. Kübra Gülırmak Güler
• Collaborators: The Scientific and Technological Research Council of Turkey
• Investigators: Principal Investigator: KÜBRA G GÜLIRMAK GÜLER, DR, Karadeniz Technical University

Publications and helpful links

General Publications

• Güleç Keskin, S., & Gülirmak, K. (2022). The effect of positive psychotherapy education on subjective wellbeing among nursing students. Perspectives in Psychiatric Care, 58(2), 861-870.
• Yue-Fang Guo, Y. F., Lam, L., Plummer, V., Cross, W., & Zhang, J. P. (2020). A WeChat-based "Three Good Things" positive psychotherapy for the improvement of job performance and self-efficacy in nurses with burnout symptoms: A randomized controlled trial. Journal of Nursing Management, 28(3), 480-487.
• Nossrat Peseschkian, N. (2007). Positive psychotherapy: Theoretical and practical foundations. Wiesbaden: Springer.

Study record dates

Study Major Dates

• Study Start (Actual): November 1, 2024
• Primary Completion (Actual): April 20, 2026
• Study Completion (Actual): April 20, 2026

Study Registration Dates

• First Submitted: April 21, 2026
• First Submitted That Met QC Criteria: April 21, 2026
• First Posted (Actual): April 28, 2026

Study Record Updates

• Last Update Posted (Actual): April 28, 2026
• Last Update Submitted That Met QC Criteria: April 21, 2026
• Last Verified: April 1, 2026

More Information

Terms related to this study

• Keywords: Nurses; Life Satisfaction; Positive Psychotherapy; Balanced Life Skills
• Additional Relevant MeSH Terms: Behavior; Personal Satisfaction
• Other Study ID Numbers: 2024-140; 124C104 (Other Grant/Funding Number: TUBİTAK)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No