Evidence map›Paper›PMID 40018096›Full record

ArticleBMJ public health2024

International REACH forgiveness intervention: a multisite randomised controlled trial.

Man Yee Ho, Everett L Worthington, Richard G Cowden, Andrea Ortega Bechara, Zhuo Job Chen, Elly Yuliandari Gunatirin, Shaun Joynt, Viacheslav V Khalanskyi, Hennadii Korzhov, Ni Made Taganing Kurniati and 8 more

Registry-linked trialAbstract read
In one paragraph

Article in BMJ public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04257773 (International REACH Forgiveness Intervention), which is not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04257773 nacompletednot on this map

International REACH Forgiveness Intervention

TypeinterventionalSponsorCity University of Hong KongRan2020 to 2021Enrolled4,598ConditionsMental Health WellnessArmsREACH Forgiveness Workbook Intervention
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  10. Development of the Self-DirectedBehavioral sciences (Basel, Switzerland) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Man Yee HoShine Psychological Counseling Centre, Hong Kong, Hong Kong.
Everett L WorthingtonDepartment of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA.
Richard G CowdenHarvard University, Cambridge, Massachusetts, USA.
Andrea Ortega BecharaDepartment of Psychology, Universidad del Sinú, Monteria, Québec, Colombia.
Zhuo Job ChenUniversity of North Carolina, Charlotte, North Carolina, USA.ORCID 0000-0003-0839-1627
Elly Yuliandari GunatirinUniversitas Surabaya, Surabaya, Indonesia.
Shaun JoyntDepartment of Practical and Missional Theology, University of the Free State, Bloemfontein, South Africa.
Viacheslav V KhalanskyiDepartment of Pedagogy and Psychology, Ukrainian Institute of Arts and Sciences, Bucha, Ukraine.
Hennadii KorzhovKyiv Polytechnic Institute, Kiiv, Ukraine.ORCID 0000-0001-5459-0702
Ni Made Taganing KurniatiFaculty of Psychology Universitas Gunadarma Jawa Barat, Depok, Jawa Barat, Indonesia.
Nicole RodriguezDepartment of Psychology, Anastasiya Salnykova PhD Realis Christian Center for Education and Research, Kyiv, Ukraine.
Anastasiya Anastasiya SalnykovaRealis Christian Center for Education and Research, Kyiv, Ukraine.
Liudmyla ShtankoDepartment of Economic Cybernetics, Finance and Management Ukrainian Institute of Arts and Sciences, Bucha, Ukraine.
Sergiy TymchenkoRealis Christian Center for Education and Research, Kyiv, Ukraine.
Vitaliy L VoytenkoMichigan State University College of Human Medicine, East Lansing, Michigan, USA.
Anita ZulkaidaFaculty of Psychology Universitas Gunadarma Jawa Barat, Depok, Jawa Barat, Indonesia.
Maya B MathurDepartment of Pediatrics, Stanford University, Stanford, California, USA.
Tyler J VanderWeeleHarvard University T H Chan School of Public Health, Boston, Massachusetts, USA.ORCID 0000-0002-6112-0239

Funding

Theory and methods for mediation and interactionR01CA222147 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI TCHETGEN TCHETGEN, ERIC JOEL, VANDERWEELE, TYLER · 2018 to 2022
$2.1M
NCI NIH HHS R01 CA222147
6 · The paper itself

Abstract

Objectives: To determine whether a brief self-directed forgiveness workbook intervention could alter forgiveness, depression symptoms, and anxiety symptoms. Design: A multisite randomised waitlist-controlled trial was conducted among 4598 participants. Recruitment occurred from 11 February 2020 to 30 September 2021. Final follow-up occurred on 25 October 2021. Setting: Participants were recruited from community-based samples in sites in Colombia, Hong Kong, Indonesia, South Africa, and Ukraine. Participants: Individuals (n=7837) were screened for eligibility. For inclusion, participants needed to be ≥18 years and have experienced an interpersonal transgression. The analytic sample consisted of n=4598 participants, median age 26 and 73% female. Interventions: At each site, participants were randomly assigned to either immediate receipt of a self-directed forgiveness workbook intervention, or to receipt after a 2 week delay. Main outcomes measures: The primary outcomes were unforgiveness (Transgression-Related Interpersonal Motivations Inventory-18), depression symptoms, and anxiety symptoms (Brief Symptom Inventory-18) measured at 2 weeks following intervention assignment. Results: At 2 weeks follow-up, unforgiveness was lower among the immediate-treatment group compared with the delayed-treatment group (standardised mean difference=-0.53 (95% CI=-0.58 to -0.47)); similar patterns were found for depression (standardised mean difference=-0.22 (95% CI=-0.28 to -0.16)) and anxiety symptoms (standardised mean difference=-0.21 (95% CI=-0.27 to -0.15)). Conclusions: A brief workbook intervention promoted forgiveness and reduced depression and anxiety symptoms. The promotion of forgiveness with such workbooks has the potential for widespread dissemination to improve global mental health. Trial registration number: NCT04257773.

Indexed as

AccidentsCausalityPreventive MedicinePublic Health

Identifiers

PMID40018096
PMCPMC11812785

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.