Efficacy of the Fun For Wellness Online Intervention to Promote Multidimensional Well-Being: a Randomized Controlled Trial

Abstract

Subjective well-being refers to people's level of satisfaction with life as a whole and with multiple dimensions within it. Interventions that promote subjective well-being are important because there is evidence that physical health, mental health, substance use, and health care costs may be related to subjective well-being. Fun For Wellness (FFW) is a new online universal intervention designed to promote growth in multiple dimensions of subjective well-being. The purpose of this study was to provide an initial evaluation of the efficacy of FFW to increase subjective well-being in multiple dimensions in a universal sample. The study design was a prospective, double-blind, parallel group randomized controlled trial. Data were collected at baseline and 30 and 60 days-post baseline. A total of 479 adult employees at a major university in the southeast of the USA were enrolled. Recruitment, eligibility verification, and data collection were conducted online. Measures of interpersonal, community, occupational, physical, psychological, economic (i.e., I COPPE), and overall subjective well-being were constructed based on responses to the I COPPE Scale. A two-class linear regression model with complier average causal effect estimation was imposed for each dimension of subjective well-being. Participants who complied with the FFW intervention had significantly higher subjective well-being, as compared to potential compliers in the Usual Care group, in the following dimensions: interpersonal at 60 days, community at 30 and 60 days, psychological at 60 days, and economic at 30 and 60 days. Results from this study provide some initial evidence for both the efficacy of, and possible revisions to, the FFW intervention.

The Efficacy of Multi-component Positive Psychology Interventions: A Systematic Review and Meta-analysis of Randomized Controlled Trials

“…Five studies included two measures for subjective well-being, which were pooled by the authors of the current meta-analysis Gelfin et al 2018;Hausmann et al 2017;Hendriks 2018;Mohammadi et al 2018). Six studies (Chaves et al 2017;Dyrbye et al 2016;Ivtzan et al 2016;Mohammadi et al 2018;Myers et al 2017;Rogerson et al 2016) included two or more measures for psychological well-being that were pooled.…”

Accelerometer-based assessment of physical activity within the Fun For Wellness online behavioral intervention: protocol for a feasibility study

“…FFW is an online behavioral intervention designed to promote growth in well-being and physical activity by providing capability-enhancing learning opportunities to participants [36, 37]. The conceptual framework for the FFW intervention is guided by self-efficacy theory [8].…”

“…The target audience of the FFW intervention is the adult population who would be comfortable with the online platform within which the intervention is delivered. There is an emerging literature on the efficacy and the effectiveness of the FFW intervention [36–39].…”

“…A RCT completed in 2015, hereto forward referred to as the 2015 FFW efficacy trial, provided the initial test of the FFW intervention to promote well-being [36]. Figure 1 depicts the conceptual model that guided the 2015 FFW efficacy trial.…”

“…1 will be defined in the “Methods” section of this manuscript.

Fig. 1The conceptual model that guided the 2015 Fun For Wellness efficacy trial [36]

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