Impact of the HOPE Intervention on Mental Health Literacy, Psychological Well-Being and Stress Levels amongst University Undergraduates: A Randomised Controlled Trial

Int J Environ Res Public Health. 2022 Aug 8;19(15):9772. doi: 10.3390/ijerph19159772.

Abstract

Mental health literacy (MHL) promotes mental health among youths. We aimed to evaluate the effectiveness of the newly developed HOPE intervention in improving depression literacy, anxiety literacy, psychological well-being, and reducing personal stigma and stress levels amongst young adults at a university in Singapore. After two pilot studies, we conducted a randomised controlled trial (RCT) and recruited 174 participants aged 18-24 years old through social media platforms. The HOPE intervention group received four online sessions over two weeks and the control group received online inspirational quotes. Study outcomes were measured with self-reported questionnaires and they were assessed at baseline, post-intervention, and two-month follow-up (ClinicalTrials.gov: NCT04266119). Compared with the control arm, the intervention group was associated with increased depression and anxiety literacy levels at post-intervention and two-month follow-up. In addition, personal stigma for depression was reduced at the post-intervention juncture. However, there were no statistically significant changes in the ratings of psychological well-being and stress levels between the two groups. Longitudinal studies with larger sample sizes are warranted to replicate and extend the extant findings.

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

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Anxiety
  • Health Literacy*
  • Humans
  • Mental Health*
  • Social Stigma
  • Stress, Psychological
  • Universities
  • Young Adult

Associated data

  • ClinicalTrials.gov/NCT04266119

Grants and funding

This work was supported by the National Youth Fund (grant number: NYF/Jul19/01); and the Nursing Graduate Research Student Project Fund (grant number: N/A).