Display options
Cite
Mak WW, Chan AT, Cheung EY, et al. Enhancing Web-based mindfulness training for mental health promotion with the health action process approach: randomized controlled trial. J Med Internet Res. 2015;17(1):e8doi: 10.2196/jmir.3746.
Mak, W. W., Chan, A. T., Cheung, E. Y., Lin, C. L., & Ngai, K. C. (2015). Enhancing Web-based mindfulness training for mental health promotion with the health action process approach: randomized controlled trial. Journal of medical Internet research, 17(1), e8. https://doi.org/10.2196/jmir.3746
Mak, Winnie W S, et al. "Enhancing Web-based mindfulness training for mental health promotion with the health action process approach: randomized controlled trial." Journal of medical Internet research vol. 17,1 (2015): e8. doi: https://doi.org/10.2196/jmir.3746
Mak WW, Chan AT, Cheung EY, Lin CL, Ngai KC. Enhancing Web-based mindfulness training for mental health promotion with the health action process approach: randomized controlled trial. J Med Internet Res. 2015 Jan 19;17(1):e8. doi: 10.2196/jmir.3746. PMID: 25599904; PMCID: PMC4319090.
Copy Download .nbib Format: NLM
Share it on

J Med Internet Res. 2015 Jan 19;17(1):e8. doi: 10.2196/jmir.3746.

Enhancing Web-based mindfulness training for mental health promotion with the health action process approach: randomized controlled trial.

Journal of medical Internet research

Winnie W S Mak, Amy T Y Chan, Eliza Y L Cheung, Cherry L Y Lin, Karin C S Ngai

Affiliations

  1. Diversity & Well-Being Laboratory, Department of Psychology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, China (Hong Kong). [email protected].

PMID: 25599904 PMCID: PMC4319090 DOI: 10.2196/jmir.3746

Abstract

BACKGROUND: With increasing evidence demonstrating the effectiveness of Web-based interventions and mindfulness-based training in improving health, delivering mindfulness training online is an attractive proposition.

OBJECTIVE: The aim of this study was to evaluate the efficacy of two Internet-based interventions (basic mindfulness and Health Action Process Approach enhanced mindfulness) with waitlist control. Health Action Process Approach (HAPA) principles were used to enhance participants' efficacy and planning.

METHODS: Participants were recruited online and offline among local universities; 321 university students and staff were randomly assigned to three conditions. The basic and HAPA-enhanced groups completed the 8-week fully automated mindfulness training online. All participants (including control) were asked to complete an online questionnaire pre-program, post-program, and at 3-month follow-up.

RESULTS: Significant group by time interaction effect was found. The HAPA-enhanced group showed significantly higher levels of mindfulness from pre-intervention to post-intervention, and such improvement was sustained at follow-up. Both the basic and HAPA-enhanced mindfulness groups showed better mental well-being from pre-intervention to post-intervention, and improvement was sustained at 3-month follow-up.

CONCLUSIONS: Online mindfulness training can improve mental health. An online platform is a viable medium to implement and disseminate evidence-based interventions and is a highly scalable approach to reach the general public.

TRIAL REGISTRATION: Chinese Clinical Trial Registry (ChiCTR): ChiCTR-TRC-12002954; http://www.chictr.org/en/proj/show.aspx?proj=3904 (Archived by WebCite at http://www.webcitation.org/6VCdG09pA).

Keywords: Health Action Process Approach (HAPA); Internet-based intervention; mental health promotion; mindfulness; online intervention

References

  1. J Pers Assess. 1985 Feb;49(1):71-5 - PubMed
  2. BMJ. 2004 Jan 31;328(7434):265 - PubMed
  3. J Med Internet Res. 2005;7(1):e7 - PubMed
  4. Psychother Psychosom. 2007;76(4):196-202 - PubMed
  5. PLoS One. 2010;5(6):e10942 - PubMed
  6. J Health Soc Behav. 1983 Dec;24(4):385-96 - PubMed
  7. BMJ Open. 2012 May 21;2(3):null - PubMed
  8. Behav Res Ther. 2013 Sep;51(9):573-8 - PubMed
  9. J Med Internet Res. 2005;7(2):e16 - PubMed
  10. Psychol Med. 2006 Dec;36(12):1737-46 - PubMed
  11. Med J Aust. 2002 Oct 7;177 Suppl:S122-5 - PubMed
  12. J Med Internet Res. 2011;13(4):e126 - PubMed
  13. Am J Health Promot. 2001 Jul-Aug;15(6):422-32 - PubMed
  14. Psychol Health. 2013;28(5):579-92 - PubMed
  15. Assessment. 2006 Mar;13(1):27-45 - PubMed
  16. Health Educ Behav. 2009 Jun;36(3):601-14 - PubMed
  17. Ann N Y Acad Sci. 2009 Aug;1172:148-62 - PubMed
  18. Health Psychol. 2008 Jan;27(1 Suppl):S54-63 - PubMed
  19. J Med Internet Res. 2002 Jan-Mar;4(1):e3 - PubMed
  20. Psychol Med. 2007 Mar;37(3):319-28 - PubMed
  21. Health Psychol. 2000 Sep;19(5):487-95 - PubMed
  22. J Med Internet Res. 2004 Dec 22;6(4):e46 - PubMed
  23. Lancet. 2012 Dec 15;380(9859):2053-4 - PubMed
  24. Med J Aust. 1998 Dec 7-21;169(11-12):594-5 - PubMed
  25. J Clin Psychol. 2009 Jun;65(6):627-38 - PubMed
  26. Aust N Z J Psychiatry. 2006 Jan;40(1):59-62 - PubMed
  27. Lancet. 2013 Nov 9;382(9904):1575-86 - PubMed
  28. Br J Psychiatry. 2005 Nov;187:456-61 - PubMed
  29. J Behav Med. 2008 Apr;31(2):169-77 - PubMed
  30. J Altern Complement Med. 2008 Apr;14(3):251-8 - PubMed
  31. Ann Behav Med. 2009 Aug;38(1):28-39 - PubMed
  32. Behav Res Ther. 1995 Mar;33(3):335-43 - PubMed
  33. J Psychosom Res. 2004 Jul;57(1):35-43 - PubMed
  34. J Behav Med. 1998 Dec;21(6):581-99 - PubMed
  35. Am J Psychiatry. 1992 Jul;149(7):936-43 - PubMed
  36. Psychosom Med. 2000 Sep-Oct;62(5):613-22 - PubMed
  37. Ann Behav Med. 2007 Feb;33(1):11-21 - PubMed
  38. Clin Psychol Psychother. 2011 Nov-Dec;18(6):553-8 - PubMed
  39. Gen Hosp Psychiatry. 1995 May;17(3):192-200 - PubMed

MeSH terms

Publication Types