The Student Wellness and Emotional Growth Resiliency (SWAG-R) Program

Primary outcomes

1. Participant anxiety symptom severity

   Time frame: From enrollment up to 24 weeks

   GAD-7 (Generalized Anxiety Disorder 7 scale): GAD-7 total score for the seven items ranges from 0 to 21.

   0-4: minimal anxiety 5-9: mild anxiety 10-14: moderate anxiety 15-21: severe anxiety

2. Participant depression symptoms severity

   Time frame: From enrollment up to 24 weeks

   PHQ-9 (Patient Health Questionnaire 9): Interpretation of Total Score 1-4 Minimal depression 5-9 Mild depression 10-14 Moderate depression 15-19 Moderately severe depression 20-27 Severe depression

3. Participant difficulties with emotion regulation

   Time frame: From enrollment up to 24 weeks

   Difficulties in Emotion Regulation Scale (DERS): a 36-item self-report measure of six facets of emotion regulation. Items are rated on a scale of 1 ("almost never [0-10%]") to 5 ("almost always [91-100%]"). Higher scores indicate greater difficulties in emotion regulation (i.e., greater emotion dysregulation).

4. Participant Stress levels

   Time frame: From enrollment up to 24 weeks

   Perceived Stress Scale: Individual scores on the PSS can range from 0 to 40 with higher scores indicating higher perceived stress.

   Scores ranging from 0-13 would be considered low stress. Scores ranging from 14-26 would be considered moderate stress. Scores ranging from 27-40 would be considered high perceived stress.

5. Participant Resiliency

   Time frame: From enrollment up to 24 weeks

   Brief Resiliency Scale: Scoring: Add the responses varying from 1-5 for all six items giving a range from 6-30. Divide the total sum by the total number of questions answered. Higher scores indicate greater resiliency.

6. Participant quality of life and life satisfaction

   Time frame: From enrollment up to 24 weeks

   WHOQOL-BREF (World Health Organization Quality of Life Brief Inventory): contains 26 items and addresses 4 QOL domains: physical health (7 items), psychological health (6 items), social relationships (3 items) and environment (8 items). Two other items measure overall QOL and general health.

   Items are rated on a 5-point Likert scale (low score of 1 to high score of 5) to determine a raw item score. Subsequently, the mean score for each domain is calculated, resulting in a mean score per domain that is between 4 and 20. Finally, this mean domain score is then multiplied by 4 in order to transform the domain score into a scaled score, with a higher score indicating a higher QOL.

7. Participant adaptive coping

   Time frame: From enrollment up to 24 weeks

   Brief Cope Inventory: Scales are computed as follows (with no reversals of coding):

   Self-distraction, items 1 and 19 Active coping, items 2 and 7 Denial, items 3 and 8 Substance use, items 4 and 11 Use of emotional support, items 5 and 15 Use of instrumental support, items 10 and 23 Behavioral disengagement, items 6 and 16 Venting, items 9 and 21 Positive reframing, items 12 and 17 Planning, items 14 and 25 Humor, items 18 and 28 Acceptance, items 20 and 24 Religion, items 22 and 27 Self-blame, items 13 and 26 Minimum scores on sub scales =2, maximum scores = 8 with higher scores indicating greater reliance on that type of coping.