StressNCT06849388
Effect of HeartMath Intervention on Stress, Emotional Vitality and Sense of Coherence
A study testing Heart Math program in people with Stress and Coherence Sense, run by Damanhour University at 2 sites in Egypt.
Trial summary
This study aims to investigate the effect of Heart math intervention program on stress, emotional vitality and sense of coherence among intensive care units Nurses Read more about this study
- Who is it for?
- Ages 18 to 60 yearsHealthy volunteers can take part
- Conditions the study is for
- Stress, Coherence Sense
- What is being tested?
- Heart Math program
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 120 participants
- Where
- 2 sitesEgypt
- Study dates
- 1 Mar 2025to 30 Dec 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 60 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Nurses who work in selected intensive care units and agree to participate
Who cannot join
- Nurses who refuse to participate in this study
Trial locations and contacts
2 sites in 1 country.
Egypt2 sites
Faculty of Nursing
Damanhūr, Damanhour, 72027
Damanhour university
Damanhūr
About this study
Official title: Resilience as a Journey, Not a Destination: The Feasibility of Applying HeartMath to Stress, Emotional Vitality and Sense of Coherence Among Intensive Care Units Nurses.
This study aims to investigate the effect of Heart math intervention program on stress, emotional vitality and sense of coherence among intensive care units Nurses
Read the detailed description
This study aims to investigate the effect of Heart math intervention program on stress, emotional vitality and sense of coherence among intensive care units Nurses.
The intervention was implemented in form of 2 sessions per week according to the following 7 sessions, each session about 45- 60 minutes.
Session (1)
Aims:
Introduce Heart Math definition of stress. Assess client's current stress level.
Handouts for patients:
Handout 1 : Stress What is stress? How stress affect health? How stressed are you? What can I do about it? Session (2) Aim: Introduce concept of heart coherence
Handouts for patients:
Handout 1: Heart Coherence How dose Heart Math work? How can I create and practice physiological coherence? The Quick Coherence Technique. Handout 2: Depletion to renewal plan. Session (3)
Aims:
Teach Heart-Focused Breathing and Quick Coherence Introduce personal practice plan to use for
Handouts for patients:
Handout 1: Heart-focused breathing. Handout 2: Quick coherence technique. Handout 3: Personal practice log. Session (4)
Aims:
Assess client's current anxiety level. Review this week's homework on Personal Practice Log. Review and practice Quick Coherence Technique. Teach Heart Lock-In Technique.
Handouts for patients:
Handout 1: Anxiety Checklist. Handout 2: Quick Coherence Technique. Handout 3: Heart Lock-In Technique. Handout 3: Personal Practice Log. Session (5)
Aims:
Review this week's homework on Personal Practice Log. Review Heart-Focused Breathing and Quick Coherence Techniques. Review and practice. Heart Lock-In Technique. Teach Freeze Frame Technique.
Handouts for patients:
Handout 1: Heart Lock-In Technique. Handout 2: Freeze Frame Technique. Session (6)
Aims:
Review this week's homework on Personal Practice Log. Review Heart Lock-In and Freeze Frame Techniques. Teach Attitude Breathing Technique.
Handouts for patients:
Handout 1: Personal Practice Log. Handout 2: Freeze Frame Technique. Handout 3: Attitude Breathing Technique. Session (7)
Aims:
Review this week's homework on Attitude Breathing Technique. Teach Coherence Communication Technique.
Handouts for patients:
Handout 1: Attitude Breathing Technique. Handout 2: Coherent Communication Technique.
- Conditions
- Stress, Coherence Sense
- Being tested
- Heart Math program
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Heart Math programBehavioural
Heart Math program is behavior intervention through several sessions
| Study group | Role | What they receive |
|---|---|---|
| Heart Math group | Experimental | Nurses will be included in heart math program Receives: Behavioral: Heart Math program |
| Control group | No intervention | Nurses who will receive no intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
Resilience Scale
The Resilience Scale consisted of 25 items and a short version contained 14 items.
The scale is a 7-point Likert type scale from 1 (Strongly disagree) to 7 (Strongly agree) for each item. Scores on the scale range from 14 to 98. The higher score indicates the ability to respond with resilience and lower score indicates lower resilience.
Measured: over two months
Personal and Organizational Quality Assessment
It is a valid and reliable 52-item survey tool developed by the Heart Math Institute that assesses personal health, resiliency, and workplace factors impacting an organization's quality and effectiveness. It is composed of 4 primary scales (emotional vitality, organizational stress, emotional stress, and physical stress), which are further divided into 9 subscales. These scales assess elements that either enhance or impair work performance, health, well-being, and job satisfaction.
Measured: over two months
Sense of Coherence
The Sense of Coherence scale measure the concept of sense of coherence. The short form of the Sense of Coherence scale consists of 13 items that comprise three components: comprehensibility (to which 5 items contribute), manageability (4 items), and meaningfulness (4 items). The respondents indicate agreement or disagreement on a 7-category semantic differential scale with two anchoring responses tailored to the content of each item. Five items (1, 2, 3, 5, and 7) are reversed before summing the total score. The total score can range from 13 to 91, and a higher score indicates higher coherence .
Measured: over two months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Feb 2025
- Study start1 Mar 2025
- Primary completion30 Dec 2025
- Study completion30 Dec 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for StressStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Single group
- Model description
- intervention group will used heart math intervention control group have no intervention
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 120 participants (actual)
Sponsor and investigators
- Lead sponsor
- Damanhour University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Shimmaa Elsayed, Damanhour University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06849388
- Sponsor's protocol ID
- HeartMath
- Status last verified
- Aug 2026
- First submitted
- 22 Feb 2025
- Last updated
- 26 Aug 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 26 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Resilience as a Journey, Not a Destination: The Feasibility of Applying HeartMath to Stress, Emotional Vitality and Sense of Coherence Among Intensive Care Units Nurses.
- ClinicalTrials.gov ID
- NCT06849388
- Acronym / sponsor ID
- HeartMath
- Conditions
- Stress, Coherence Sense
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 120 participants (actual)
- Lead sponsor
- Damanhour UniversityUniversity, hospital or other
- Study start
- 1 Mar 2025 (actual)
- Primary completion
- 30 Dec 2025 (actual)
- Study completion
- 30 Dec 2025 (actual)
- First posted
- 27 Feb 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to investigate the effect of Heart math intervention program on stress, emotional vitality and sense of coherence among intensive care units Nurses
Detailed description
This study aims to investigate the effect of Heart math intervention program on stress, emotional vitality and sense of coherence among intensive care units Nurses.
The intervention was implemented in form of 2 sessions per week according to the following 7 sessions, each session about 45- 60 minutes.
Session (1)
Aims:
Introduce Heart Math definition of stress. Assess client's current stress level.
Handouts for patients:
Handout 1 : Stress What is stress? How stress affect health? How stressed are you? What can I do about it? Session (2) Aim: Introduce concept of heart coherence
Handouts for patients:
Handout 1: Heart Coherence How dose Heart Math work? How can I create and practice physiological coherence? The Quick Coherence Technique. Handout 2: Depletion to renewal plan. Session (3)
Aims:
Teach Heart-Focused Breathing and Quick Coherence Introduce personal practice plan to use for
Handouts for patients:
Handout 1: Heart-focused breathing. Handout 2: Quick coherence technique. Handout 3: Personal practice log. Session (4)
Aims:
Assess client's current anxiety level. Review this week's homework on Personal Practice Log. Review and practice Quick Coherence Technique. Teach Heart Lock-In Technique.
Handouts for patients:
Handout 1: Anxiety Checklist. Handout 2: Quick Coherence Technique. Handout 3: Heart Lock-In Technique. Handout 3: Personal Practice Log. Session (5)
Aims:
Review this week's homework on Personal Practice Log. Review Heart-Focused Breathing and Quick Coherence Techniques. Review and practice. Heart Lock-In Technique. Teach Freeze Frame Technique.
Handouts for patients:
Handout 1: Heart Lock-In Technique. Handout 2: Freeze Frame Technique. Session (6)
Aims:
Review this week's homework on Personal Practice Log. Review Heart Lock-In and Freeze Frame Techniques. Teach Attitude Breathing Technique.
Handouts for patients:
Handout 1: Personal Practice Log. Handout 2: Freeze Frame Technique. Handout 3: Attitude Breathing Technique. Session (7)
Aims:
Review this week's homework on Attitude Breathing Technique. Teach Coherence Communication Technique.
Handouts for patients:
Handout 1: Attitude Breathing Technique. Handout 2: Coherent Communication Technique.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Single blind (participant)
- Number of arms
- 2
- Model description
- intervention group will used heart math intervention control group have no intervention
| Arm | Type | Receives |
|---|---|---|
| Heart Math group | Experimental | Behavioral: Heart Math programNurses will be included in heart math program |
| Control group | No intervention | –Nurses who will receive no intervention |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- Nurses who work in selected intensive care units and agree to participate
Key exclusion criteria (1 listed)
- Nurses who refuse to participate in this study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Heart Math programHeart Math program is behavior intervention through several sessions | Behavioural | Heart Math group |
Primary outcome
Resilience Scale
Time frame: over two months
The Resilience Scale consisted of 25 items and a short version contained 14 items. The scale is a 7-point Likert type scale from 1 (Strongly disagree) to 7 (Strongly agree) for each item. Scores on the scale range from 14 to 98. The higher score indicates the ability to respond with resilience and lower score indicates lower resilience.
Personal and Organizational Quality Assessment
Time frame: over two months
It is a valid and reliable 52-item survey tool developed by the Heart Math Institute that assesses personal health, resiliency, and workplace factors impacting an organization's quality and effectiveness. It is composed of 4 primary scales (emotional vitality, organizational stress, emotional stress, and physical stress), which are further divided into 9 subscales. These scales assess elements that either enhance or impair work performance, health, well-being, and job satisfaction.
Sense of Coherence
Time frame: over two months
The Sense of Coherence scale measure the concept of sense of coherence. The short form of the Sense of Coherence scale consists of 13 items that comprise three components: comprehensibility (to which 5 items contribute), manageability (4 items), and meaningfulness (4 items). The respondents indicate agreement or disagreement on a 7-category semantic differential scale with two anchoring responses tailored to the content of each item. Five items (1, 2, 3, 5, and 7) are reversed before summing the total score. The total score can range from 13 to 91, and a higher score indicates higher coherence .
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Aug 2026.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Heart Math program in people with Stress and Coherence Sense, run by Damanhour University at 2 sites in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Resilience Scale (time frame: over two months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Aug 2026.