Logan Nina, Morgan Amy, Ross Anna, Tsiamis Ellie, Reavley Nicola
Melbourne School of Population and Global Health, Centre for Mental Health and Community Wellbeing), University of Melbourne, Melbourne, VIC, Australia.
Melbourne School of Population and Global Health, Centre for Health Equity), University of Melbourne, Melbourne, VIC, Australia.
J Prev (2022). 2025 Aug 20. doi: 10.1007/s10935-025-00872-9.
The Push-Up Challenge is an Australian health promotion event combining mental health awareness with an exercise goal. This study aimed to evaluate its impact on participants' resilience, wellbeing and mental health, physical activity, social connectedness, and mental health literacy. Using a pre-post design, we analysed survey data across three timepoints: pre-event (N = 29,069), two weeks post-event (N = 9,970), and three months post-event (N = 4,346). Outcomes included resilience, depression and anxiety symptoms, wellbeing, help-seeking behaviours, self-care activities, and physical activity levels. Survey respondents were mostly male (64.8%) with a mean age of 35.68 years (SD = 12.8). Mixed-effects models were used to assess change over time, adjusting for factors associated with missingness. At three-month follow-up, results showed very small significant reductions in depression (d = -0.09, p < 0.001) and anxiety symptoms (d = -0.09, p < 0.001), and small improvements in positive wellbeing (d = 0.15, p < 0.001). There were no significant changes in resilience, physical activity, social connection, or odds of experiencing a mental health problem. Participants were more likely to seek help for mental health problems (OR = 2.05 [1.31, 3.19]) and adopt self-care strategies (OR = 3.79 [2.64, 5.45]). Physical activity levels increased significantly post-event (d = 0.10, p < 0.001) but were not maintained at follow-up. While improvements in mental health symptoms were small, this is consistent with similar population-level mental health promotion interventions. Findings suggest that The Push-Up Challenge shows promise as a multifaceted intervention combining exercise-based mental health promotion with mental health awareness and literacy components.
俯卧撑挑战是一项澳大利亚的健康促进活动，将心理健康意识与运动目标相结合。本研究旨在评估其对参与者的恢复力、幸福感、心理健康、身体活动、社会联系和心理健康素养的影响。采用前后设计，我们分析了三个时间点的调查数据：活动前（N = 29,069）、活动后两周（N = 9,970）和活动后三个月（N = 4,346）。结果包括恢复力、抑郁和焦虑症状、幸福感、寻求帮助行为、自我护理活动和身体活动水平。调查对象大多为男性（64.8%），平均年龄为35.68岁（标准差 = 12.8）。使用混合效应模型评估随时间的变化，并对与数据缺失相关的因素进行调整。在三个月的随访中，结果显示抑郁（d = -0.09，p < 0.001）和焦虑症状（d = -0.09，p < 0.001）有非常小的显著降低，积极幸福感有小幅改善（d = 0.15，p < 0.001）。恢复力、身体活动、社会联系或出现心理健康问题的几率没有显著变化。参与者更有可能为心理健康问题寻求帮助（比值比 = 2.05 [1.31, 3.19]）并采取自我护理策略（比值比 = 3.79 [2.64, 5.45]）。活动后身体活动水平显著提高（d = 0.10，p < 0.001），但在随访中未保持。虽然心理健康症状的改善很小，但这与类似的人群水平心理健康促进干预措施一致。研究结果表明，俯卧撑挑战作为一种将基于运动的心理健康促进与心理健康意识和素养成分相结合的多方面干预措施，具有前景。
