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Emotional Well-beingNCT07862478

Feasibility of a Mind-Body Intervention for Optimism

A study testing Emotional Well-Being Writing, Chair-Assisted Squats and Slow-Paced Breathing in people with Emotional Well-being and Psychological Stress, run by Penn State University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This pilot study tests whether three brief mind-body activities can be delivered remotely to midlife adults, and whether they show early signs of improving cardiovascular health, emotional well-being, and stress. Read more about this study

Who is it for?
Ages 40 to 65 yearsHealthy volunteers can take part
What is being tested?
Emotional Well-Being Writing, Chair-Assisted Squats and Slow-Paced Breathing
Could I receive a placebo?
No, everyone receives an active treatment
How many people
43 participants
Where
1 siteUnited States
Study dates
14 Nov 2025to 29 Jun 2026
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 40 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Aged 40 to 65 years
  • Able to read and write in English
  • Sedentary lifestyle, defined as fewer than 150 minutes per week of moderate-intensity physical activity and no structured exercise regimen in the past 6 months
  • Access to a computer or laptop and stable internet for Zoom sessions
  • Able to rise from a standard chair to standing without physical assistance and lower back into the chair in a controlled manner
  • Able to commit to 30-minute sessions 5 times per week for 4 consecutive weeks
  • Willing to provide a blood sample
  • Blood pressure below 140/90 mmHg, or blood pressure of 140/90 mmHg or higher that is treated with antihypertensive medication

Who cannot join

  • Cardiovascular or respiratory disease
  • Symptoms of major disease
  • Systolic blood pressure of 140 mmHg or higher or diastolic blood pressure of 90 mmHg or higher without antihypertensive medication
  • Musculoskeletal limitations that impair squat performance
  • Surgical procedure within the past 6 months

Trial locations and contacts

1 site in 1 country.

United States1 site
  • The Pennsylvania State University

    University Park, Pennsylvania, 16802

Other trials in United States

About this study

Official title: Mechanisms of Action: The Impact of Emotional WellBeing Intervention in Increasing Optimism and Biological Markers

This pilot study tests whether three brief mind-body activities can be delivered remotely to midlife adults, and whether they show early signs of improving cardiovascular health, emotional well-being, and stress. The activities are an emotional well-being writing exercise, two minutes of chair-assisted squats, and five minutes of slow-paced breathing. Insufficiently active adults aged 40 to 65 years are randomly assigned to one of eight groups. The groups cover every combination of the three activities, including one group that receives none. Participants complete their assigned activities in live Zoom sessions with a research assistant on five weekdays per week for four weeks (20 sessions). Blood pressure, heart rate, heart rate variability, a small blood sample, and questionnaires on emotional well-being and stress are collected at in-person visits before and after the four weeks. Participants also rate how they feel immediately before and during each activity.

Read the detailed description

This is a pilot randomized trial with a 2x2x2 full factorial design, conducted in the preparation phase of the multiphase optimization strategy (MOST). Three intervention components are each set to on or off: emotional well-being writing, chair-assisted squats, and slow-paced breathing. Crossing the three factors gives eight conditions, including a condition in which no component is delivered.

The study has two aims. Aim 1 is to assess the feasibility and acceptability of the factorial trial, including recruitment, retention, delivery of the components, adherence, and collection of biobehavioral measures. Aim 2 is to explore the preliminary effects of the components on cardiovascular measures, emotional well-being, and psychological stress.

All participants complete an in-person baseline visit that includes capillary blood collection, self-report questionnaires, and a 5-minute seated recording of beat-to-beat blood pressure and electrocardiography. Participants are then randomized. Those assigned to at least one component attend live Zoom sessions with a trained research assistant on 5 weekdays per week for 4 weeks (20 sessions of up to 30 minutes). Assigned components are delivered in a fixed order of squats, breathing, and writing. Participants assigned to no component do not attend Zoom sessions. They complete a daily affect rating by emailed survey and a weekly safety survey. All participants return for an in-person post-intervention visit with the same measures and a feasibility questionnaire.

Affective response to each component is measured in every session with the Feeling Scale, a single item rated from -5 (very bad) to +5 (very good). Research assistants ask the item aloud immediately before each component and once during it, at minute 1 of squats, minute 2 of breathing, and minute 5 of writing.

The protocol allowed enrollment of up to 80 participants. Forty-three participants were enrolled between November 2025 and May 2026, and the last post-intervention visit took place in June 2026. This record was registered after data collection was complete. Outcome measures are listed as specified in the protocol approved by the institutional review board.

Being tested
Emotional Well-Being Writing, Chair-Assisted Squats, Slow-Paced Breathing
Keywords
multiphase optimization strategy, factorial design, slow-paced breathing;, chair-assisted squats, writing intervention, optimism, heart rate variability, affective response
Medical subject headings
Stress, Psychological

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Emotional Well-Being WritingBehavioural

    A structured writing exercise of 10 to 15 minutes, completed in an online workbook during each live Zoom session on 5 weekdays per week for 4 weeks (20 sessions). Sessions 1 to 12 used forgiveness-focused prompts. Sessions 13 to 20 used positive psychology prompts, including gratitude, personal strengths, and best possible self. Research assistants did not give feedback on writing content.

  • Chair-Assisted SquatsBehavioural

    Two minutes of chair-assisted squats in each live Zoom session on 5 weekdays per week for 4 weeks (20 sessions), supervised by a research assistant. Participants aimed for about 80 percent of the repetitions they completed in a supervised 2-minute baseline test, which was stopped with about three repetitions in reserve. A chair without wheels was placed behind the participant. Participants could stop or switch to marching in place at any time.

  • Slow-Paced BreathingBehavioural

    Five minutes of paced breathing at 6 breaths per minute in each live Zoom session on 5 weekdays per week for 4 weeks (20 sessions). Participants followed an on-screen visual pacer (EZ-Air), inhaling through the nose as a ball rose and exhaling through pursed lips as it fell, while seated in a quiet room.

Study groups in NCT07862478
Study groupRoleWhat they receive
No ComponentNo interventionParticipants receive none of the three components and do not attend Zoom sessions. They complete a daily affect rating by emailed survey and a weekly safety survey.
Writing OnlyExperimentalParticipants complete emotional well-being writing in each of 20 live Zoom sessions over 4 weeks.
Receives: Behavioral: Emotional Well-Being Writing
Squats OnlyExperimentalParticipants complete chair-assisted squats in each of 20 live Zoom sessions over 4 weeks.
Receives: Behavioral: Chair-Assisted Squats
Breathing OnlyExperimentalParticipants complete slow-paced breathing in each of 20 live Zoom sessions over 4 weeks.
Receives: Behavioral: Slow-Paced Breathing
Writing and SquatsExperimentalParticipants complete chair-assisted squats and then emotional well-being writing in each of 20 live Zoom sessions over 4 weeks.
Receives: Behavioral: Emotional Well-Being Writing; Behavioral: Chair-Assisted Squats
Writing and BreathingExperimentalParticipants complete slow-paced breathing and then emotional well-being writing in each of 20 live Zoom sessions over 4 weeks.
Receives: Behavioral: Emotional Well-Being Writing; Behavioral: Slow-Paced Breathing
Squats and BreathingExperimentalParticipants complete chair-assisted squats and then slow-paced breathing in each of 20 live Zoom sessions over 4 weeks.
Receives: Behavioral: Chair-Assisted Squats; Behavioral: Slow-Paced Breathing
Writing, Squats, and BreathingExperimentalParticipants complete chair-assisted squats, slow-paced breathing, and emotional well-being writing, in that order, in each of 20 live Zoom sessions over 4 weeks.
Receives: Behavioral: Emotional Well-Being Writing; Behavioral: Chair-Assisted Squats; Behavioral: Slow-Paced Breathing

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Systolic Blood Pressure

    Seated resting systolic blood pressure in mmHg, measured beat-to-beat with a finger and arm cuff device and averaged over a 5-minute recording.

    Measured: Post-intervention visit, at the end of the 4-week intervention

  2. Diastolic Blood Pressure

    Seated resting diastolic blood pressure in mmHg, measured beat-to-beat with a finger and arm cuff device and averaged over a 5-minute recording.

    Measured: Post-intervention visit, at the end of the 4-week intervention

  3. Heart Rate

    Seated resting heart rate in beats per minute, derived from a 5-minute three-lead electrocardiogram recording.

    Measured: Post-intervention visit, at the end of the 4-week intervention

  4. Heart Rate Variability

    High-frequency heart rate variability, defined as natural-log-transformed spectral power in the 0.15 to 0.40 Hz band (ln ms2), derived from a 5-minute seated three-lead electrocardiogram recording. Higher values indicate greater vagally mediated heart rate variability.

    Measured: Post-intervention visit, at the end of the 4-week intervention

Secondary outcomes (8)
  1. Positive Affect (PANAS)

    Positive affect subscale of the Positive and Negative Affect Schedule. Scores range from 10 to 50. Higher scores indicate more positive affect.

    Measured: Post-intervention visit, at the end of the 4-week intervention

  2. Negative Affect (PANAS)

    Negative affect subscale of the Positive and Negative Affect Schedule. Scores range from 10 to 50. Higher scores indicate more negative affect.

    Measured: Post-intervention visit, at the end of the 4-week intervention

  3. Perceived Stress (PSS)

    Perceived Stress Scale, 10 items. Scores range from 0 to 40. Higher scores indicate more perceived stress.

    Measured: Post-intervention visit, at the end of the 4-week intervention

  4. Secure Flourish Index

    Secure Flourish Index, 12 items across 6 domains. Each item is rated from 0 to 10 and the items are averaged, so scores range from 0 to 10. Higher scores indicate greater flourishing.

    Measured: Post-intervention visit, at the end of the 4-week intervention

  5. Difficulties in Emotion Regulation (DERS-SF)

    Difficulties in Emotion Regulation Scale Short Form, 18 items. Scores range from 18 to 90. Higher scores indicate greater difficulty regulating emotion.

    Measured: Post-intervention visit, at the end of the 4-week intervention

  6. Optimism (LOT-R)

    Life Orientation Test-Revised, 6 scored items. Scores range from 0 to 24. Higher scores indicate greater optimism.

    Measured: Post-intervention visit, at the end of the 4-week intervention

  7. Affect Valence

    Affect valence item from the end-of-study survey, rated from 1 to 9. A rating of 1 means completely happy, pleased, satisfied, content, and hopeful; a rating of 9 means completely unhappy, annoyed, unsatisfied, melancholic, despaired, and bored. The scale runs in the reverse of the usual direction: a higher score indicates more unpleasant affect. This item is distinct from the Feeling Scale used for in-session affective response.

    Measured: End of each intervention week (weeks 1, 2, 3, and 4) and post-intervention visit

  8. Affect Arousal

    Affect arousal item from the end-of-study survey, rated from 1 to 9. A rating of 1 means completely stimulated, excited, frenzied, jittery, wide-awake, and aroused; a rating of 9 means completely relaxed, calm, sluggish, dull, sleepy, and unaroused. The scale runs in the reverse of the usual direction: a higher score indicates lower arousal. This item is distinct from the Feeling Scale used for in-session affective response.

    Measured: End of each intervention week (weeks 1, 2, 3, and 4) and post-intervention visit

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Oct 2026
  2. Study start14 Nov 2025
  3. Primary completion29 Jun 2026
  4. Study completion29 Jun 2026

Resources

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
Basic science
Allocation
Randomised
Intervention model
Factorial
Model description
2x2x2 full factorial design. Each of three components (writing, squats, breathing) is set to on or off, giving eight conditions.
Masking
None (open label)
Enrolment
43 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07862478
Sponsor's protocol ID
STUDY00026780
Status last verified
Oct 2026
First submitted
1 Oct 2026
Last updated
7 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A study testing Emotional Well-Being Writing, Chair-Assisted Squats and Slow-Paced Breathing in people with Emotional Well-being and Psychological Stress, run by Penn State University at 1 site in United States.

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 8 inclusion and 5 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 7 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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?

Systolic Blood Pressure (time frame: Post-intervention visit, at the end of the 4-week intervention). The study lists 4 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 7 Oct 2026.

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