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An evaluation of a low intensity mHealth enhanced mindfulness intervention for Chinese university students: A randomized controlled trial.

Psychiatry research
December 1, 2018
Brian J Hall et al. (6 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness of a low-cost, scalable mindfulness intervention in improving psychological health and sleep quality among Chinese university students.

Results Summary

The study found that mindfulness interventions significantly reduced depression, anxiety, and stress, and improved sleep quality, latency, and efficiency, with effects maintained at week 7. The largest effect was seen in subjective sleep quality (Cohen's d = 2.00).

Population

Chinese university students (mean age 22.30 ± 2.63, 69.31% female).

Effective Dosage

Two in-person guided sessions plus weekly self-guided practice for 7 weeks.

Duration

7 weeks

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness only group
decrease
depression
completers in group 2, 3 and 4
Cohen's d = 0.83
showed significantly reduced
#1
mindfulness only group
decrease
anxiety
completers in group 2, 3 and 4
Cohen's d = 0.84
showed significantly reduced
#2
mindfulness only group
decrease
stress
completers in group 2, 3 and 4
Cohen's d = 0.75
showed significantly reduced
#3
mindfulness only group
increase
subjective sleep quality
completers in group 2, 3 and 4
Cohen's d = 2.00
improved
#4
mindonly only group
increase
sleep latency
completers in group 2, 3 and 4
Cohen's d = 0.55
improved
#5
mindfulness only group
increase
habitual sleep efficiency
completers in group 2, 3 and 4
Cohen's d = 0.86
improved
#6
Abstract

Mental disorders and sleep dysfunction are common among Chinese university students. This study aimed to evaluate a low cost scalable mindfulness intervention program to improve psychological health and sleep quality among Chinese university students. A randomized controlled trial with 101 university students (mean age 22.30 ± 2.63, 69.31% female) was conducted. Participants were randomized into 4 groups: Group 1: control group (n = 25), Group 2: mindfulness only group (n = 27), Group 3: mindfulness + plain-text reminder group (n = 24), and Group 4: mindfulness + enhanced text reminder with animal meme group (n = 25).The mindfulness intervention consisted of two in-person guided sessions along with weekly self-guided practice for 7 weeks. The Depression, Anxiety and Stress Scale (DASS-21) and The Pittsburgh Sleep Quality Index (PSQI) were used to measure depression, anxiety, stress, and sleep dysfunction. After the intervention at week 4, compared to controls, completers in group 2, 3 and 4 (n = 42) showed significantly reduced depression (Cohen's d = 0.83), anxiety (Cohen's d = 0.84), and stress (Cohen's d = 0.75), and improved subjective sleep quality (Cohen's d = 2.00), sleep latency (Cohen's d = 0.55), and habitual sleep efficiency (Cohen's d = 0.86). The effect was maintained at week 7. Low-intensity mindfulness interventions might be a useful intervention program in university settings.

Medical Subject Headings (MeSH)
AdultAnxietyAsian PeopleDepressionFemaleHumansMaleMental HealthMindfulnessSingle-Blind MethodSleepStress, PsychologicalStudentsTelemedicineUniversitiesYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations26
Citations/Year3.7
Relative Citation Ratio2.20
NIH Percentile77.4%
Research Impact Scores
APT Score0.75
Weight Score2.08
Normalized Score0.69
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