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We also examined changes in brooding (the maladaptive component of rumination) as a secondary outcome and in sleep disturbance, loneliness, and optimism as exploratory outcomes.
This was a 12-week, 2-arm RCT of adolescents aged 13 to 17 years residing in the United States with elevated levels of perceived stress and brooding (Multimedia Appendix 1).
A study protocol was previously published [51], and the trial was registered with Clinical Trials.gov (NCT04567888).
J Med Internet Res 2024;26:e54282
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