Wong Josephine Pui-Hing, Jia Cun-Xian, Vahabi Mandana, Liu Jenny Jing Wen, Li Alan Tai-Wai, Cong Xiaofeng, Poon Maurice Kwong-Lai, Yamada Janet, Ning Xuan, Gao Jianguo, Cheng Shengli, Sun Guoxiao, Wang Xinting, Fung Kenneth Po-Lun
Daphne Cockwell School of Nursing, Ryerson University, Toronto, ON, Canada.
Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Shandong, China.
JMIR Res Protoc. 2021 May 11;10(5):e25009. doi: 10.2196/25009.
Chinese students are extremely vulnerable to developing mental illness. The stigma associated with mental illness presents a barrier to seeking help for their mental health.
The Linking Hearts-Linking Youth and 'Xin' (hearts) project is an implementation science project that seeks to reduce mental illness stigma and promote the mental health of university students in Jinan, China. The Linking Hearts project consists of 3 components. In this paper, we outline the protocol for the first component, that is, the contextual assessment and analysis of the mental health needs of university students as the first step to inform the adaptation of an evidence-based intervention to be implemented in Jinan, China.
Six local universities will participate in the Linking Hearts project. A total of 100 students from each university (n=600) will engage in the contextual assessment through self-report surveys on depression, anxiety, stress, mental health knowledge, and mental health stigma. Quantitative data will be analyzed using several descriptive and inferential analyses via SPSS. A small number of participants (144 students and 144 service providers) will also be engaged in focus groups to assess the socio-environmental contexts of university students' health and availability of mental health resources. Qualitative data will be transcribed verbatim and NVivo will be used for data management. Social network analysis will also be performed using EgoNet.
Linking Hearts was funded in January 2018 for 5 years. The protocol of Linking Hearts and its 3 components was approved by the research ethics boards of all participating institutions in China in November 2018. Canadian institutions that gave approval were Ryerson University (REB2018-455) in January 2019, University of Alberta (Pro00089364), York University (e2019-162) in May 2019, and University of Toronto (RIS37724) in August 2019. Data collection took place upon ethics approval and was completed in January 2020. A total of 600 students were surveyed. An additional 147 students and 138 service providers took part in focus groups. Data analysis is ongoing. Results will be published in 2021.
Findings from this contextual assessment and analysis will generate new knowledge on university students' mental health status, mental health knowledge, and resources available for them. These findings will be used to adapt and refine the Acceptance and Commitment to Empowerment-Linking Youth N' Xin intervention model. The results of this contextual assessment will be used to inform the adaptation and refinement of the mental health intervention to promote the mental health of Chinese university students in Jinan.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/25009.
中国学生极易患上精神疾病。与精神疾病相关的污名化现象成为他们寻求心理健康帮助的障碍。
“心连心——联结青年与‘心’”项目是一项实施科学项目，旨在减少中国济南大学生的精神疾病污名化现象并促进其心理健康。心连心项目由三个部分组成。在本文中，我们概述了第一部分的方案，即对大学生心理健康需求进行背景评估和分析，这是为在中国济南实施基于证据的干预措施进行调整的第一步。
六所当地大学将参与心连心项目。每所大学共有100名学生（n = 600）将通过关于抑郁、焦虑、压力、心理健康知识和精神疾病污名化的自我报告调查参与背景评估。定量数据将通过SPSS使用多种描述性和推断性分析进行分析。少数参与者（144名学生和144名服务提供者）也将参加焦点小组，以评估大学生健康的社会环境背景和心理健康资源的可获得性。定性数据将逐字转录，NVivo将用于数据管理。还将使用EgoNet进行社会网络分析。
心连心项目于2018年1月获得为期5年的资助。心连心项目及其三个部分的方案于2018年11月获得中国所有参与机构的研究伦理委员会批准。给予批准的加拿大机构有：2019年1月的瑞尔森大学（REB2018 - 455）、阿尔伯塔大学（Pro00089364）、2019年5月的约克大学（e2019 - 162）以及2019年8月的多伦多大学（RIS37724）。数据收集在伦理批准后进行，并于2020年1月完成。共对600名学生进行了调查。另外147名学生和138名服务提供者参加了焦点小组。数据分析正在进行中。结果将于2021年发表。
此次背景评估和分析的结果将产生关于大学生心理健康状况、心理健康知识以及他们可获得的资源的新知识。这些结果将用于调整和完善“赋权接纳与承诺——联结青年与心”干预模型。此次背景评估的结果将用于为心理健康干预措施的调整和完善提供信息，以促进中国济南大学生的心理健康。
国际注册报告识别号（IRRID）：RR1 - 10.2196/25009。
