Online Multicomponent Program for Mental Health Promotion of Medical Students: An Intervention Study
DOI:
https://doi.org/10.3889/oamjms.2022.9174Keywords:
Medical students, Mental health, Positive psychology, Depression, Anxiety-stress, E healthAbstract
Background: Youth mental health is a significant public health concern. Mental health issues are increasing in severity and number in college campuses. Improving adolescent mental well-being remains a challenge for most societies.
Aim: Promote the well-being and mental health outcomes of Kasr Al-Ainy medical school students.
Methods: An intervention study conducted at Kasr Al-Ainy Faculty of medicine. Study Participants (n=664) from 4th and 5th graders were assigned to either of two conditions: Fourth graders (n=325) to intervention (Horizon Egypt) website which provided information across positive psychology domains and Fifth graders (n=312) to control neutral entertainment-based website. Participants were assessed pre- and post-intervention on Depression Anxiety Stress Scale-Short form (DASS-21) and the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS).
Results: There was no pre-intervention statistically significant differences between Horizon Egypt and control group on demographic variables, DASS-21, or WEMWBS scores. Qualitative data indicated that all participants reported that Horizon Egypt website was easy to use, 85% agreed the program was fun, 91% agreed the activities were interesting and 77% agreed they would continue to use it after study completion. Compared to the control condition, participants in the Horizon Egypt condition with high levels of adherence reported significant decrease in depression, anxiety, stress and improvements in well-being score.
Conclusion & Recommendations: Acceptability of Horizon Egypt website was high. The online delivery of positive psychology programs may be an alternative way to address mental health issues and improve youth well-being.
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References
World Health Organization. Prevention of Mental Disorders: Effective Interventions and Policy Options: Summary Report. World. Geneva: World Health Organization; 2004a.
Manicavasagar V, Horswood D, Burckhardt R, Lum A. Feasibility and effectiveness of a web-based positive psychology program for youth mental health: Randomized controlled trial. J Med Internet Res. 2014;16(6):e140. https://doi.org/10.2196/jmir.3176 PMid:24901900 DOI: https://doi.org/10.2196/jmir.3176
World Health Organization. Adolescent Mental Health, 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health [Last accessed on 2021 Mar15].
Park N, Peterson C, Szvarca D, Kim ES. Positive psychology and physical health: Research and applications. Am J Lifestyle Med. 2016;10(3):200-6. https://doi.org/10.1177/1559827614550277 PMid:30202275 DOI: https://doi.org/10.1177/1559827614550277
Sin NL, Lyubomirsky S. Enhancing well-being and alleviating depressive symptoms with positive psychology interventions: A practice-friendly meta-analysis. J Clin Psychol. 2009;65(5):467-87. https://doi.org/10.1002/jclp.20593 PMid:19301241 DOI: https://doi.org/10.1002/jclp.20593
Fusar-Poli P, Pablo GS, Micheli AD, Nieman DH, Correll CU, Kessing LV, et al. What is good mental health? A scoping review. Eur Neuropsychopharmacol. 2020;31:33-46. https://doi.org/10.1016/j.euroneuro.2019.12.105 PMid:31901337 DOI: https://doi.org/10.1016/j.euroneuro.2019.12.105
World Health Organization. eHealth. Geneva: World Health Organization. Available from: https://www.emro.who.int/health-topics/ehealth [Last accessed on 2021 Mar 28].
Campbell AJ, Robards F. Using Technologies Safely and Effectively to Promote Young People’s Wellbeing: A Better Practice Guide for Services. Australia: Young and Well Cooperative Research Centre; 2013.
Cheung EO, Kwok I, Ludwig AB, Burton W. Development of a positive psychologyprogram (Lavender) for preservingmedical student well-being: A single-arm pilot study. Glob Adv Health Med. 2021;10:1-12. https://doi.org/10.1177/2164956120988481 DOI: https://doi.org/10.1177/2164956120988481
Brazeau CM, Shanafelt T, Durning SJ, Massie FS, Eacker A, Moutier C, et al. Distress among matriculating medical students relative to the general population. Acad Med. 2014;89(11):1520-25. https://doi.org/10.1097/acm.0000000000000482 PMid:25250752 DOI: https://doi.org/10.1097/ACM.0000000000000482
Dyrbye LN, Sciolla AF, Dekhtyar A, Rajasekaran S, Allgood JA, Rea M, et al. Medical school strategies to address student well-being: A national survey. Acad Med. 2019;94(6):861-8. https://doi.org/10.1097/ACM.0000000000002611 PMid:30681453 DOI: https://doi.org/10.1097/ACM.0000000000002611
Vignola R, Tucci A. Adaptation and validation of the depression, anxiety and stress scale (DASS) to Brazilian Portuguese. J Affect Disord. 2014;155:104-9. https://doi.org/10.1016/j.jad.2013.10.031 PMid:24238871 DOI: https://doi.org/10.1016/j.jad.2013.10.031
Moussa MT, Lovibond P, Laube R, Megahead HM. Psychometric properties of an Arabic Version of the depression anxiety stress scales (DASS). Res Soc Work Pract. 2017;27(3):375-86. https://doi.org/10.1177/1049731516662916 DOI: https://doi.org/10.1177/1049731516662916
Taggart F, Stewart-Brown S, Parkinson J, Warwick- Edinburgh Mental Wellbeing Scale (WEMWBS): User Guide-Version 2. Scotland: Warwick Medical School, University of Warwick, NHS Health; 2015. https://doi.org/10.1007/978-3-319-91280-6_301816 DOI: https://doi.org/10.1007/978-3-319-91280-6_301816
Warwick Medical School. University of Warwick. Collect, Score, Analyse and Interpret WEMWBS, 2021. Available from: https://warwick.ac.uk/fac/sci/med/research/platform/wemwbs/using/howto [Last accessed on 2021 Mar 28].
Stewart-Brown S, Tennant A, Tennant R, Platt S, Parkinson J, Weich S. Internal construct validity of the Warwick-Edinburgh Mental Well-being Scale (WEMWBS): A rasch analysis using data from the scottish health education population survey. Health Qual Life Outcomes. 2009;7:15. https://doi.org/10.1186/1477-7525-7-15 DOI: https://doi.org/10.1186/1477-7525-7-15
Clarke A, Friede T, Putz R, Ashdown J, Martin S, Blake A, et al. Warwick-edinburgh mental Well-being scale (WEMWBS): Validated for teenage school students in England and Scotland. A mixed methods assessment. BMC Public Health. 2011;11:487. https://doi.org/10.1186/1471-2458-11-487 PMid:21693055 DOI: https://doi.org/10.1186/1471-2458-11-487
Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52(1):397-422. https://doi.org/10.1146/annurev.psych.52.1.397 DOI: https://doi.org/10.1146/annurev.psych.52.1.397
Baños RM, Etchemendy E, Mira A, Riva G. Online positive interventions to promote well-being and resilience in the adolescent population: A narrative review. Front Psychiatry. 2017;8:10. https://doi.org/10.3389/fpsyt.2017.00010 PMid:28194117 DOI: https://doi.org/10.3389/fpsyt.2017.00010
Shapira LB, Mongrain M. The benefits of self-compassion and optimism exer-cises for individuals vulnerable to depression. J Posit Psychol. 2010;5(5):377-89. https://doi.org/10.1080/17439760.2010.516763 DOI: https://doi.org/10.1080/17439760.2010.516763
Gander F, Proyer RT, Ruch W and Wyss T. Strength-based positive interven- tions: further evidence for their potential in enhancing well-being and alleviating depression. J Happiness Stud. 2013;14:1241-59. https://doi.org/10.1007/s10902-012-9380-0 DOI: https://doi.org/10.1007/s10902-012-9380-0
Elkholy M, El-sayed E, Sedrak A, Raouf N. Prevalence and predictors of burnout syndrome among medical students of Cairo University. Egypt J Commun Med. 2019;37(3):83-92. https://doi.org/10.21608/ejcm.2019.43375 DOI: https://doi.org/10.21608/ejcm.2019.43375
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Copyright (c) 2022 Amany AboZayed, Omaima Kamel Elsalamony, Monira ElKholy, Dalia Ahmed Enaba, Hanaa Zaghloul Yousof (Author)
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