What question did this study set out to answer?

This study aims to evaluate the impact of a positive psychology skill enhancement program on well-being in patients with chronic heart failure.

January 10, 2026BMC Psychology0 citationsOpen Access

The effect of a positive psychology skill enhancement program on the sense of well-being in patients with chronic heart failure

NZNarjes ZeinaliIsfahan University of Medical Sciences MAMohammad AkbariIsfahan University of Medical Sciences SGSima GhezelbashIsfahan University of Medical Sciences

Key Result

The positive psychology skill enhancement program significantly improved well-being scores in CHF patients from 30.68 to 53.06 immediately post-intervention, sustaining 44.35 one month later.

Key Points

This study aims to evaluate the impact of a positive psychology skill enhancement program on well-being in patients with chronic heart failure.
Conducted a randomized controlled trial with 78 hospitalized patients with CHF.
Assigned participants to an intervention group and a control group.
Implemented a positive psychology skill enhancement program over six sessions.
Used the Oxford Happiness Inventory to measure well-being before, immediately after, and one month post-intervention.
Analyzed data using repeated measures ANOVA to compare changes over time.
The intervention group showed significant improvements in well-being scores from baseline to post-intervention and sustained changes one month later.
Mean well-being scores increased from 30.68 to 53.06 immediately post-intervention and remained at 44.35 one month later.
The control group exhibited no significant changes over the study duration.

Structured PICO

Does a positive psychology skill enhancement program improve the sense of well-being in hospitalized patients with chronic heart failure?

Population

78 hospitalized adults (aged 35-70 years) diagnosed with chronic heart failure (CHF) for at least one year, at Chamran Medical Center in Isfahan, Iran.

Intervention

Positive psychology skill enhancement program delivered over six consecutive daily sessions (45 to 60 minutes each) by a trained psychiatric nurse.

Comparator

Control group receiving standard care (provided with an educational booklet containing the intervention training only after the study was completed).

Outcome

Sense of well-being, measured using the Oxford Happiness Inventory (OHI) at baseline, immediately post-intervention, and one month later.patient reported

A brief positive psychology skill enhancement program significantly improves self-reported well-being and happiness in hospitalized patients with chronic heart failure.

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

Chronic heart failure (CHF) can lead to significant psychological changes, including a decrease in the sense of well-being in patients. This study aimed to determine the effect of a positive psychology skill enhancement program on the sense of well-being in patients with CHF. In this randomized controlled trial, 78 hospitalized patients with CHF at Chamran Medical Center in Isfahan were randomly assigned to an intervention group ( n = 39) and a control group ( n = 39). The positive psychology skill enhancement program was implemented over six sessions. Both groups completed the Oxford Happiness Inventory before the intervention, immediately after, and one month later. Data were analyzed using repeated measures ANOVA to assess within-group and between-group changes over time. The repeated measures ANOVA revealed a statistically significant interaction between time and group membership (F = 616.57, p 0.05). The positive psychology skill enhancement program significantly improved well-being in patients with CHF, with effects persisting one month post-intervention. However, given the study’s limitations, including its short follow-up period and single-center design, further research is recommended to confirm these findings in broader settings. Clinical trial registration code was IRCT20180601039934N2 on April 8, 2023.

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