PMID- 33973869
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210612
IS  - 1929-0748 (Print)
IS  - 1929-0748 (Electronic)
IS  - 1929-0748 (Linking)
VI  - 10
IP  - 5
DP  - 2021 May 11
TI  - Promoting the Mental Health of University Students in China: Protocol for 
      Contextual Assessment to Inform Intervention Design and Adaptation.
PG  - e25009
LID - 10.2196/25009 [doi]
LID - e25009
AB  - BACKGROUND: 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. OBJECTIVE: 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. METHODS: 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. 
      RESULTS: 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. CONCLUSIONS: 
      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.
CI  - (c)Josephine Pui-Hing Wong, Cun-Xian Jia, Mandana Vahabi, Jenny Jing Wen Liu, Alan 
      Tai-Wai Li, Xiaofeng Cong, Maurice Kwong-Lai Poon, Janet Yamada, Xuan Ning, 
      Jianguo Gao, Shengli Cheng, Guoxiao Sun, Xinting Wang, Kenneth Po-Lun Fung. 
      Originally published in JMIR Research Protocols 
      (https://www.researchprotocols.org), 11.05.2021.
FAU - Wong, Josephine Pui-Hing
AU  - Wong JP
AUID- ORCID: 0000-0002-8262-7725
AD  - Daphne Cockwell School of Nursing, Ryerson University, Toronto, ON, Canada.
FAU - Jia, Cun-Xian
AU  - Jia CX
AUID- ORCID: 0000-0002-2651-147X
AD  - Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, 
      Shandong University, Shandong, China.
FAU - Vahabi, Mandana
AU  - Vahabi M
AUID- ORCID: 0000-0002-7950-7335
AD  - Daphne Cockwell School of Nursing, Ryerson University, Toronto, ON, Canada.
FAU - Liu, Jenny Jing Wen
AU  - Liu JJW
AUID- ORCID: 0000-0003-2213-1346
AD  - Psychiatry/Community Mental Health, Toronto Western Hospital, University Health 
      Network, Toronto, ON, Canada.
FAU - Li, Alan Tai-Wai
AU  - Li AT
AUID- ORCID: 0000-0002-4230-0365
AD  - Regent Park Community Health Centre, Toronto, ON, Canada.
FAU - Cong, Xiaofeng
AU  - Cong X
AUID- ORCID: 0000-0002-9329-4815
AD  - Department of Social Work, School of Political Science and Law, University of 
      Jinan, Shandong, China.
FAU - Poon, Maurice Kwong-Lai
AU  - Poon MK
AUID- ORCID: 0000-0002-6525-7662
AD  - School of Social Work, York University, Toronto, ON, Canada.
FAU - Yamada, Janet
AU  - Yamada J
AUID- ORCID: 0000-0002-4869-2427
AD  - Daphne Cockwell School of Nursing, Ryerson University, Toronto, ON, Canada.
FAU - Ning, Xuan
AU  - Ning X
AUID- ORCID: 0000-0003-1459-2847
AD  - Daphne Cockwell School of Nursing, Ryerson University, Toronto, ON, Canada.
FAU - Gao, Jianguo
AU  - Gao J
AUID- ORCID: 0000-0003-0853-4114
AD  - Department of Social Work, School of Philosophy and Social Development, Shandong 
      University, Shandong, China.
FAU - Cheng, Shengli
AU  - Cheng S
AUID- ORCID: 0000-0001-9280-3844
AD  - Department of Social Work, School of Philosophy and Social Development, Shandong 
      University, Shandong, China.
FAU - Sun, Guoxiao
AU  - Sun G
AUID- ORCID: 0000-0003-1436-0472
AD  - School of Physical Education, Shandong University, Shandong, China.
FAU - Wang, Xinting
AU  - Wang X
AUID- ORCID: 0000-0002-4396-1835
AD  - Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, 
      Shandong University, Shandong, China.
FAU - Fung, Kenneth Po-Lun
AU  - Fung KP
AUID- ORCID: 0000-0002-4441-8420
AD  - Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, 
      ON, Canada.
LA  - eng
PT  - Journal Article
DEP - 20210511
PL  - Canada
TA  - JMIR Res Protoc
JT  - JMIR research protocols
JID - 101599504
PMC - PMC8150405
OTO - NOTNLM
OT  - acceptance and commitment therapy
OT  - implementation science
OT  - mental health
OT  - mental illness
OT  - protocol
OT  - stigma
OT  - student mental health
COIS- Conflicts of Interest: None declared.
EDAT- 2021/05/12 06:00
MHDA- 2021/05/12 06:01
PMCR- 2021/05/11
CRDT- 2021/05/11 12:14
PHST- 2020/10/14 00:00 [received]
PHST- 2021/04/12 00:00 [accepted]
PHST- 2021/03/10 00:00 [revised]
PHST- 2021/05/11 12:14 [entrez]
PHST- 2021/05/12 06:00 [pubmed]
PHST- 2021/05/12 06:01 [medline]
PHST- 2021/05/11 00:00 [pmc-release]
AID - v10i5e25009 [pii]
AID - 10.2196/25009 [doi]
PST - epublish
SO  - JMIR Res Protoc. 2021 May 11;10(5):e25009. doi: 10.2196/25009.