The Effect of a Psychiatric Nursing Approach Based on the Tidal Model on Psychological Resilience and Self-Compassion Levels in Patients Diagnosed With Anxiety Disorder
12 de agosto de 2026 actualizado por: Aslı Tekaüt
The purpose of this study is to evaluate the effect of an online psychiatric nursing approach based on the Tidal Model philosophy on the psychological resilience and self-compassion levels of individuals diagnosed with anxiety disorder.
The study is designed as a randomized controlled doctoral dissertation.
The sample consists of individuals who applied to the psychiatry outpatient clinic of a training and research hospital in Ankara, were diagnosed with anxiety disorder, and met the inclusion criteria.
Participants were assigned to either the intervention or control group using a computer-generated randomization method.
While the control group received only routine clinical follow-ups without any additional intervention, the intervention group participated in 8 sessions of individual online nursing interventions structured according to Tidal Model principles.
Data were collected using an Socio-demographic Information Form, the Psychological Resilience Scale, and the Self-Compassion Scale, administered online to both groups before and after the intervention.
Descripción general del estudio
Estado
Terminado
Condiciones
Intervención / Tratamiento
Descripción detallada
This study aims to evaluate the effectiveness of a Tidal Model-based psychiatric nursing intervention in clinical practice and to emphasize the importance of holistic, patient-centered approaches in nursing care for patients with anxiety disorders.
Study Hypotheses:
Hypothesis 1 (H1): The psychological resilience levels of individuals who receive the Tidal Model-based psychiatric nursing approach are statistically significantly higher after the intervention compared to the individuals in the control group.
Hypothesis 2 (H2): The self-compassion levels of individuals who receive the Tidal Model-based psychiatric nursing approach are statistically significantly higher after the intervention compared to the individuals in the control group.
Hypothesis 3 (H3): The psychological resilience levels of individuals in the intervention group show a statistically significant increase after the intervention compared to before the intervention.
Hypothesis 4 (H4): The self-compassion levels of individuals in the intervention group show a statistically significant increase after the intervention compared to before the intervention.
Null Hypothesis (H0): There is no statistically significant difference between the intervention and control groups in terms of psychological resilience and self-compassion levels after the intervention.
Anxiety Disorder, Online Care, Tidal Model, Self-Compassion, Psychological Resilience, Psychiatric Nursing
Tipo de estudio
Intervencionista
Inscripción (Actual)
32
Fase
- No aplica
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
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Ankara
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Ankara, Ankara, Turquía (Türkiye), 06010
- University of Health Sciences, Gulhane Institute of Health Sciences
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Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
No
Descripción
Inclusion Criteria:
- Being officially diagnosed with Anxiety Disorder according to DSM-5 diagnostic criteria,
- Being between 18-65 years of age,
- Having access to a smartphone, computer, and internet connection sufficient to participate in online sessions,
- Volunteering to participate in the study and signing the Informed Consent Form.
Exclusion Criteria:
- Having acute psychosis, bipolar disorder, dementia, or a severe neurological disease in addition to anxiety disorder,
- Having cognitive or sensory loss that prevents communication, vision, or hearing,
- Currently participating in another active psychotherapy or psychosocial intervention program simultaneously.
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
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Experimental: Intervention Group
Participants in this group receive one-on-one online psychiatric nursing interventions based on the Tidal Model, conducted via remote video conferencing.
The sessions aim to enable patients to recognize their inner strengths and to increase their psychological resilience and self-compassion levels.
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One-on-one nursing sessions were conducted via online video conferencing platforms based on the philosophy of the Tidal Model.
The intervention involves session processes aligned with the model's domains (Self, World, Partnership) and its ten commitments, enabling patients to construct their own stories, develop anxiety coping skills (psychological resilience), and cultivate a supportive inner voice (self-compassion).
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Sin intervención: Control Group
Participants in this group did not receive any additional psychosocial or nursing interventions between the dates of completing the pre-test and post-test forms.
They completed the process continuing only with their routine clinical psychiatric follow-ups and medical treatments at the healthcare institution where they were registered.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Change in Psychological Resilience Scale Score
Periodo de tiempo: Baseline (Week 0, pre-test 1 day before intervention) and Post-test (Week 8, 1 day after completion of the 8-week intervention)
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Change in psychological resilience levels as measured by the Resilience Scale for Adults (33 items, 5-point Likert scale).
Minimum score is 33 and maximum score is 165.
Higher scores indicate higher levels of psychological resilience (better outcome).
Pre-test was administered at Week 0 before intervention, and post-test was administered at Week 8 immediately following the 8-week intervention.
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Baseline (Week 0, pre-test 1 day before intervention) and Post-test (Week 8, 1 day after completion of the 8-week intervention)
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Change in Self-Compassion Scale Score
Periodo de tiempo: Baseline (Week 0, pre-test 1 day before intervention) and Post-test (Week 8, 1 day after completion of the 8-week intervention)
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Change in self-compassion levels as measured by the Turkish version of the Self-Compassion Scale (Deniz, Kesici, & Sumer, 2008; 24 items, 5-point Likert scale).
Minimum score is 24 and maximum score is 120.
Higher scores indicate higher levels of self-compassion (better outcome).
Pre-test was administered at Week 0 before intervention, and post-test was administered at Week 8 immediately following the 8-week intervention.
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Baseline (Week 0, pre-test 1 day before intervention) and Post-test (Week 8, 1 day after completion of the 8-week intervention)
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Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio (Actual)
20 de enero de 2026
Finalización primaria (Actual)
5 de junio de 2026
Finalización del estudio (Actual)
5 de junio de 2026
Fechas de registro del estudio
Enviado por primera vez
5 de junio de 2026
Primero enviado que cumplió con los criterios de control de calidad
12 de agosto de 2026
Publicado por primera vez (Actual)
17 de agosto de 2026
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
17 de agosto de 2026
Última actualización enviada que cumplió con los criterios de control de calidad
12 de agosto de 2026
Última verificación
1 de agosto de 2026
Más información
Términos relacionados con este estudio
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- 2025-462
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
NO
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
No
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
No
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .