Effectiveness of Integrative Therapy on Psychological Hardiness Among Hard-of-Hearing Female Students

Summary

The goal of this clinical trial (quasi-experimental study) is to learn whether an integrative therapeutic program can enhance psychological hardiness among hard-of-hearing (HOH) female students in Saudi Arabia (Al-Ahsa Governorate). The main questions it aims to answer are:

1. What is the level of psychological hardiness among DHH female students in the Kingdom of Saudi Arabia?
2. Are there statistically significant differences in the level of psychological hardiness among DHH female students attributable to the study variables (degree of hearing loss, grade level, hearing assistive device, communication method used, parents' hearing status, and type of educational environment attended)?
3. Are there statistically significant differences at the level of (α = 0.05) between the mean scores of the experimental group on the psychological hardiness scale in the pre- and post-measurements?
4. Are there statistically significant differences at the level of (α = 0.05) between the mean scores of the experimental and control groups on the post-measurement of the psychological hardiness scale?

Researchers will compare students who participate in the integrative therapeutic program (experimental group) with those who do not (control group) to see if the program leads to improved psychological hardiness.

Participants will:

Complete a psychological hardiness scale before and after the program Participate in the integrative therapeutic training sessions (experimental group only) Continue their regular educational activities without intervention (control group)

Conditions

• Deaf
• Hard of Hearing
• Hearing Disability

Interventions

OTHER

Integrative Therapeutic Program

The therapeutic program was developed based on the integrative therapy approach, which involves combining techniques and strategies derived from multiple therapeutic schools in accordance with the characteristics of the target population, without adhering to a single theoretical framework. The integrative approach draws on contemporary integrative perspectives that emphasize flexibility in intervention according to the needs of beneficiaries. The program was also grounded in the psychological hardiness theory developed by Suzanne Kobasa, which conceptualizes hardiness through three dimensions: commitment, control, and challenge. In addition, the program incorporated techniques drawn from several therapeutic approaches, including: (Cognitive Behavioral Therapy (CBT), Rational Emotive Behavioral Therapy (REBT), Mindfulness-Based Therapy, Group Therapy, Gratitude Therapy, Reality Therapy, Supportive spiritual techniques)

Sponsors & Collaborators

• King Faisal University

  lead OTHER

Principal Investigators

• Nourah I Albash · King Faisal University

Study Design

Allocation

NA

Purpose

TREATMENT

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

13 Years

Max Age

19 Years

Sex

FEMALE

Healthy Volunteers

No

Timeline & Regulatory

Start

2025-12-25

Primary Completion

2026-02-26

Completion

2026-03-02

Countries

• Saudi Arabia

Study Locations