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NCT Number: NCT07768995

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

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.

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Key information

Conditions

Anxiety Disorders Mental Disorders Mental Health Recovery Nursing Models Patient-centered Care Psychiatric Nursing Psychological Resilience Self-Compassion Telehealth

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Health Sciences, Gulhane Institute of Health Sciences

Ankara, 06010, Turkey (Türkiye)

About this study

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

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Online Psychiatric Nursing Approach Based on the Tidal Model

Behavioral

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).

Primary outcomes

  1. Change in Psychological Resilience Scale Score

    Time frame: Baseline (Week 0, pre-test 1 day before intervention) and Post-test (Week 8, 1 day after completion of the 8-week intervention)

    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.

Secondary outcomes

  1. Change in Self-Compassion Scale Score

    Time frame: Baseline (Week 0, pre-test 1 day before intervention) and Post-test (Week 8, 1 day after completion of the 8-week intervention)

    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.

Sponsors and collaborators

Lead sponsor

Aslı Tekaüt

Other

Registry information

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Aug 17, 2026
Registry last updated
Aug 17, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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