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Effects of the Health-Awareness-Strengthening Lifestyle Program in a Randomized Trial of Young Adults with an At-Risk Mental State

Author

Listed:
  • Ching-Lun Tsai

    (Department of Public Health (in Epidemiology and Preventive Medicine), China Medical University, Taichung 406040, Taiwan)

  • Ya-Wen Lin

    (Department of Public Health (in Nursing), China Medical University, Taichung 406040, Taiwan)

  • Hsing-Chi Hsu

    (Department of Public Health (in Nursing), China Medical University, Taichung 406040, Taiwan)

  • Mei-Ling Lou

    (Department of Public Health (in Nursing), China Medical University, Taichung 406040, Taiwan
    School of Nursing, Hungkuang University, Taichung 433304, Taiwan)

  • Hsien-Yuan Lane

    (Graduate Institute of Biomedical Sciences, China Medical University, Taichung 406040, Taiwan
    Department of Psychiatry, China Medical University Hospital, Taichung 404332, Taiwan
    Department of Psychology, College of Medical and Health Sciences, Asia University, Taichung 41354, Taiwan
    The Brain Disease Research Center, China Medical University Hospital, Taichung 404332, Taiwan)

  • Cheng-Hao Tu

    (The Brain Disease Research Center, China Medical University Hospital, Taichung 404332, Taiwan
    Graduate Institute of Acupuncture Science, China Medical University, Taichung 404333, Taiwan)

  • Wei-Fen Ma

    (The Brain Disease Research Center, China Medical University Hospital, Taichung 404332, Taiwan
    Program for Health Science and Industry, China Medical University, Taichung 406404, Taiwan
    School of Nursing, China Medical University Hospital, Taichung 406040, Taiwan
    Department of Nursing, China Medical University Hospital, Taichung 404332, Taiwan)

Abstract

Background: Increasing health awareness in health promotion is considered as one of the less stigmatized interventions for improving help-seeking behaviors and total well-being. This study aimed to explore the short-term and long-term effectiveness of the health-awareness-strengthening lifestyle (HASL) program on Taiwanese young adults with at-risk mental state. Methods: A pre- and post-test randomized trial was conducted on 92 young adults with at-risk mental state. The HASL program was provided to the experimental group as intervention, and it was only provided to the control group passively by request after the post-test for ethical reasons. The program was conducted once every six weeks, 60–90 min per session, for a total of three times. Mental health risk, anxiety level, health promotion lifestyles, quality of life, physiological index, and physical exercises were assessed one week before and after the program for both groups and followed up to 6 and 12 months for experimental group only. Results: Compared to the control group, those in the experimental group showed significant improvements regarding anxiety level, health promotion lifestyles, and quality of life one week after participating in the program. Furthermore, the experimental group also showed an additional long-term positive effect on mental risk, physical exercises, and physical health after the follow-ups. Conclusions: The outcomes highlighted the interventions of the HASL program leading to more positive health effects on young adults with at-risk mental state. The implementation of similar clinical service is recommended for young adults with at-risk mental state.

Suggested Citation

  • 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.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1959-:d:501059
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    Cited by:

    1. 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.

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