Online HOPE intervention on mental health literacy among youths in Singapore: An RCT protocol

J Adv Nurs. 2020 Jul;76(7):1831-1839. doi: 10.1111/jan.14393. Epub 2020 May 4.

Abstract

Aims: The study aims to examine the effectiveness of the online HOPE intervention to increase mental health literacy (MHL), psychological well-being (PWB); and in reducing stress among youths aged 18-24 living in Singapore.

Design: The study will be conducted in two phases. The first phase will adopt a single-group pre-post repeated quasi-experimental research design. The second phase adopts a two-group, parallel randomized control trial, with a pre-test, posttest and follow-up.

Methods: The study will be conducted in a University in Singapore, in 2019-2021. Participants will be recruited and randomly assigned into one of the two groups. Approval from the institutional review board has been obtained in August 2019. Research funding from National Youth Fund has been obtained in November 2019. Outcome measures will be measured using Depression Literacy Questionnaire, Anxiety literacy Questionnaire, validated depression vignette, Ryff's PWB Scale and Perceived Stress Scale, at baseline, postintervention and 2 months' follow-up. Participants' perceptions of the intervention will be measured qualitatively.

Discussion: The online HOPE intervention had been developed based on the principles of the Self-Efficacy Theory.

Impact: There is no research about MHL intervention in Singapore. Low MHL prevents early help-seeking and delays treatment. Hence, this study highlights the importance of mental health public education as primary care. Increased MHL will enhance early help-seeking behaviours, promoting early recovery and enhancing the health of the young people worldwide.

目的: 本研究旨在探讨线上希望干预对提高新加坡18岁至24岁青少年心理健康素养(MHL)、心理幸福感(PWB)及减轻压力的效果。 设计: 研究分两个阶段进行。第一阶段采用单组测试前和测试后重复的准实验研究设计。第二阶段采用两组进行测试前、测试后和跟踪的平行随机对照试验。 方法: 本研究将于2019年至2021年在新加坡的一所大学内进行。招募的受访者将被随机分为两组。机构审查委员会已于2019年8月获得批准。2019年11月获得了国家青年基金的研究经费。将使用抑郁症素养问卷调查、焦虑症素养问卷调查、经过验证的抑郁案例、Ryff心理幸福感量表和感知压力量表在基线、干预后和2个月的跟踪阶段衡量其疗效判定指标。受访者对干预的看法将被进行定性地衡量。 讨论: 在自我效能理论的基础上开发线上希望干预。 影响: 新加坡没有关于心理健康素养干预的研究。低值的心理健康素养能够防止早期寻求帮助和延迟治疗。因此,本研究强调心理健康公共教育作为初级保健的重要性。增强心理健康素养将加强早期寻求帮助的行为,促进早期康复和提高全世界年轻人的健康。.

Keywords: anxiety literacy; depression literacy; mental health literacy; mental health nursing; primary care; primary care nursing; psychological well-being; stress; university students.

Publication types

  • Clinical Trial Protocol

MeSH terms

  • Adolescent
  • Anxiety
  • Health Literacy*
  • Humans
  • Mental Health*
  • Randomized Controlled Trials as Topic
  • Self Efficacy
  • Singapore