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Efficiency of an Online Health-Promotion Program in Individuals with At-Risk Mental State during the COVID-19 Pandemic

Author

Listed:
  • Ching-Lun Tsai

    (Department of Public Health (in Epidemiology and Preventive Medicine), China Medical University, No. 100, Sec. 1, Jingmao Rd., Beitun Dist., Taichung 406040, Taiwan)

  • Cheng-Hao Tu

    (Graduate Institute of Acupuncture Science, China Medical University, No. 91 Hsueh-Shih Road, Taichung 404333, Taiwan)

  • Jui-Cheng Chen

    (Neuroscience Laboratory, Department of Neurology, China Medical University Hospital, No. 2, Yude Road, North District, Taichung 40447, Taiwan
    School of Medicine, China Medical University, No. 91 Hsueh-Shih Road, Taichung 404333, Taiwan
    Department of Neurology, China Medical University, No. 199, Sec. 1, Xinglong Rd., Hsinchu County 302056, Taiwan)

  • Hsien-Yuan Lane

    (Graduate Institute of Biomedical Sciences, China Medical University, No. 91 Hsueh-Shih Road, Taichung 404333, Taiwan
    Department of Psychiatry, China Medical University Hospital, No. 2, Yude Road, North District, Taichung 404332, Taiwan
    Department of Psychology, College of Medical and Health Sciences, Asia University, No. 500, Lioufeng Rd., Wufeng, Taichung 41354, Taiwan)

  • Wei-Fen Ma

    (PhD Program for Health Science and Industry and School of Nursing, China Medical University, No. 100, Sec. 1, Jingmao Rd., Beitun Dist., Taichung 406040, Taiwan
    Department of Nursing, China Medical University Hospital, No. 2, Yude Road, North District, Taichung 404332, Taiwan)

Abstract

Mental health issues caused by the COVID-19 pandemic greatly impact people’s daily lives. Individuals with an at-risk mental state are more vulnerable to mental health issues, and these may lead to onset of full psychotic illnesses. This study aimed to develop and evaluate an online health-promotion program for physical and mental health of the individuals with at-risk mental state during the COVID-19 pandemic. A single group study with pre- and post-tests was conducted in 39 young adults with at-risk mental state. The participants were provided with the online health-promotion program after completing the pretest. Via social media, the online counseling program released one topic of material (about 15–20 min) every two weeks and provided interactive counseling for specific personal health needs on the platform. Study questionnaires, physiological examination, and blood serum examination were completed at both pre- and post-tests. The participants showed significant improvements in mental risk, anxiety, and physical activity after participating in the program. Furthermore, those who did not complete the program had significantly more severe negative symptoms. These results imply that the online health-promotion program is effective and accessible under certain barriers such as the COVID-19 pandemic, but not for individuals with higher risk of more negative mental health symptoms.

Suggested Citation

  • Ching-Lun Tsai & Cheng-Hao Tu & Jui-Cheng Chen & Hsien-Yuan Lane & Wei-Fen Ma, 2021. "Efficiency of an Online Health-Promotion Program in Individuals with At-Risk Mental State during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(22), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:11875-:d:677623
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    References listed on IDEAS

    as
    1. Cuiyan Wang & Riyu Pan & Xiaoyang Wan & Yilin Tan & Linkang Xu & Cyrus S. Ho & Roger C. Ho, 2020. "Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China," IJERPH, MDPI, vol. 17(5), pages 1-25, March.
    2. Nicola Magnavita & Paolo Maurizio Soave & Massimo Antonelli, 2021. "A One-Year Prospective Study of Work-Related Mental Health in the Intensivists of a COVID-19 Hub Hospital," IJERPH, MDPI, vol. 18(18), pages 1-12, September.
    3. Yang, Yefei & Zhang, Xiaofei & Lee, Peter K.C., 2019. "Improving the effectiveness of online healthcare platforms: An empirical study with multi-period patient-doctor consultation data," International Journal of Production Economics, Elsevier, vol. 207(C), pages 70-80.
    4. Ching-Lun Tsai & Ya-Wen Lin & Hsing-Chi Hsu & Mei-Ling Lou & Hsien-Yuan Lane & Cheng-Hao Tu & Wei-Fen Ma, 2021. "Effects of the Health-Awareness-Strengthening Lifestyle Program in a Randomized Trial of Young Adults with an At-Risk Mental State," IJERPH, MDPI, vol. 18(4), pages 1-13, February.
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