The goal of this clinical trial (quasi-experimental study) is to learn whether an integrative therapeutic program can enhance psychological hardiness among hard-of-hearing (HOH) female students in Saudi Arabia (Al-Ahsa Governorate). The main questions it aims to answer are:
1. What is the level of psychological hardiness among DHH female students in the Kingdom of Saudi Arabia?
2. Are there statistically significant differences in the level of psychological hardiness among DHH female students attributable to the study variables (degree of hearing loss, grade level, hearing assistive device, communication method used, parents' hearing status, and type of educational environment attended)?
3. Are there statistically significant differences at the level of (α = 0.05) between the mean scores of the experimental group on the psychological hardiness scale in the pre- and post-measurements?
4. Are there statistically significant differences at the level of (α = 0.05) between the mean scores of the experimental and control groups on the post-measurement of the psychological hardiness scale?
Researchers will compare students who participate in the integrative therapeutic program (experimental group) with those who do not (control group) to see if the program leads to improved psychological hardiness.
Participants will:
Complete a psychological hardiness scale before and after the program Participate in the integrative therapeutic training sessions (experimental group only) Continue their regular educational activities without intervention (control group)