EFFECTS OF ONLINE HEALTH AND WELL-BEING PROGRAM ON COLLEGE STUDENTS' DEPRESSION, ANXIETY, AND STRESS MEAN SCORES: PRE-POST STUDY DESIGN
RESTI TITO H. VILLARINO
Abstract:
The COVID-19 pandemic significantly impacted the health and well-being of college students. However, limited studies were conducted on developing health and well- being programs to mitigate the negative health impacts among college students during the pandemic. Thus, this study assessed if there is a significant difference between the pre-post means in depression, anxiety, and stress levels among college students after an online health and well-program. The article reports a quantitative research conducted on 178 college students using a pretest-posttest design. The experimental group participated in an online health and wellness program for three months, while the control group resumed their activities of daily living. The DASS-21 (Depression, Anxiety, and Stress Scale) was the primary research instrument. The first step consisted of collecting participant information, while the final phase consisted of post-evaluation. IBM SPSS Statistics 27 was utilized to evaluate the data. The results indicate that the experimental group’s pretest mean for depression (10.60,±5.67) got an interpretation of mild and decreased to normal in the posttest (9.33, ±6.52). The anxiety pretest mean (9.56,±6.17) was interpreted as mild and decreased to normal in the posttest (8.75,±6.99). The pretest stress mean (13.76,±5.72) decreased in the posttest (12.73,±7.20) with an overall interpretation of normal. Moreover, the control group’s depression pretest mean (10.16,±6.29) decreased to normal (9.84,±7.10) in the posttest. The anxiety pretest mean (9.53, ±6.87) and the posttest (9.27, ±7.00) also got an interpretation of mild. The stress means of the control in the pretest (14.26, ±7.03) decreased in the posttest (13.11, ±7.13) with an interpretation of normal. The pre-post mean of depression, anxiety, stress, and overall DASS 21 for both within and between groups were all insignificant using a two-tailed t-test. Moreover, Cohen’s d results for the experimental and control groups within and between groups indicate a small effect size. Our study provides no evidence of a significant difference between the pretest and posttest means for depression, anxiety, and stress among college students after the online health and well-being program. However, our depression, anxiety, and stress scales (DASS-21) findings served as the basis for screening depression, anxiety, and stress among the participants that might need immediate clinical intervention and referral. A larger sample size, inclusion of causal inferences, and longer study duration may be undertaken for future studies.
References:
- Albert, J., & Gaspar, R. (2015). Who are the middle class? https://www.rappler.com/voices/thought-leaders/who-are-middle-class
- Almeda, N., García-Alonso, C., & Salvador-Carulla, L. (2021). Mental health planning at a very early stage of the COVID-19 crisis: A systematic review of online international strategies and recommendations. BMC Psychiatry, 21(1), 43. https://doi.org/10.1186/s12888-020-03015-y
- Aristovnik, A., Keržič, D., Ravšelj, D., Tomaževič, N., & Umek, L. (2020). Impacts of the COVID-19 Pandemic on Life of Higher Education Students: A Global Perspective [Preprint]. SOCIAL SCIENCES. https://doi.org/10.20944/preprints202008.0246.v2
- Banquirigo, R. S., Conopio, A. Y., Vista, G. A., & Mangubat, J. H. T. (2021). Level of depression, anxiety, stress, and coping strategies among filipino healthcare workers (Hcw) with confirmed covid-19 infection using the filipino-translated depression anxiety stress scale (dass) 21 and filipino coping strategies scale in perpetual succour hospital from march 2020 to september 2020: A one-center descriptive study. Phillippine Journal of Internal Medicine, 120–132.
- Barrable, A., Papadatou-Pastou, M., & Tzotzoli, P. (2018). Supporting mental health, wellbeing and study skills in Higher Education: An online intervention system. International Journal of Mental Health Systems, 12(1), 54. https://doi.org/10.1186/s13033-018-0233-z
- Bengwasan, P. D., Bernardo, A. B. I., & Maximo, S. I. (2022). Translation and Initial Validation of the Depression Anxiety and Stress Scale (DASS-21) in Ilokano. Psychological Studies, 1–11. https://doi.org/10.1007/s12646-022-00696-1
- Billote, W. J. S. M., Reyes, C. E. P. D., Jr, R. A. A., Capuno, R. G., Manguilimotan, R. P., Pinili, L. C., Etcuban, J. O., Igot, V. J., & Manalastas, R. D. (2022). Depression, Anxiety, and Stress among Students in an Island Higher Education Institution amidst the COVID-19 Pandemic. Journal of Positive School Psychology, 1501–1514.
- Chang, J., & Samson, F. L. (2018). Ethnically heterogeneous friendships and symptoms of depression and anxiety among Filipino Americans. Asian American Journal of Psychology, 9(2), 158–168. https://doi.org/10.1037/aap0000102
- CHED. (2018). CHED, DBM Release Guidelines on Free Tuition in SUCs—CHED. https://ched.gov.ph/ched-dbm-release-guidelines-free-tuition-sucs/
- Clavecillas, E., & Perez, H. (2020). Psychological distress as a predictor of quality of life among selected Filipino school personnel. International Journal of Psychology and Counselling, 12(3), 73–84. https://doi.org/10.5897/IJPC2020.0608
- Congressional Policy and Budget Research Department. (2022). FF2022-09: Inflation of the Bottom 30% Income Households in January 2022. https://cpbrd.congress.gov.ph/2012-06-30-13-06-51/2012-06-30-13-36-50/1442-ff2022-09-inflation-of-the-bottom-30-income-households-in-january-2022
- Council of Europe. (2021). Improving well-being at school. Democratic Schools for All. https://www.coe.int/en/web/campaign-free-to-speak-safe-to-learn/improving-well-being-at-school
- Dalky, H. F., & Gharaibeh, A. (2019). Depression, anxiety, and stress among college students in Jordan and their need for mental health services. Nursing Forum, 54(2), 205–212. https://doi.org/10.1111/nuf.12316
- Depression Anxiety Stress Scales – Short Form (DASS-21). (2021). NovoPsych. https://novopsych.com.au/assessments/depression/depression-anxiety-stress-scales-short-form-dass-21/
- Hamaideh, S. H., Al-Modallal, H., Tanash, M., & Hamdan-Mansour, A. (2021). Depression, anxiety and stress among undergraduate students during COVID-19 outbreak and “home-quarantine.” Nursing Open, n/a(n/a). https://doi.org/10.1002/nop2.918
- Harrer, M., Adam, S. H., Baumeister, H., Cuijpers, P., Karyotaki, E., Auerbach, R. P., Kessler, R. C., Bruffaerts, R., Berking, M., & Ebert, D. D. (2019). Internet interventions for mental health in university students: A systematic review and meta‐analysis. International Journal of Methods in Psychiatric Research, 28(2), e1759. https://doi.org/10.1002/mpr.1759
- Herbert, C., Meixner, F., Wiebking, C., & Gilg, V. (2020). Regular Physical Activity, Short-Term Exercise, Mental Health, and Well-Being Among University Students: The Results of an Online and a Laboratory Study. Frontiers in Psychology, 11. https://www.frontiersin.org/articles/10.3389/fpsyg.2020.00509
- Huckins, J. F., daSilva, A. W., Wang, W., Hedlund, E., Rogers, C., Nepal, S. K., Wu, J., Obuchi, M., Murphy, E. I., Meyer, M. L., Wagner, D. D., Holtzheimer, P. E., & Campbell, A. T. (2020). Mental Health and Behavior of College Students During the Early Phases of the COVID-19 Pandemic: Longitudinal Smartphone and Ecological Momentary Assessment Study. Journal of Medical Internet Research, 22(6), e20185. https://doi.org/10.2196/20185
- IBM. (2020). IBM SPSS Statistics 27 helps optimize business results through an enriched set of statistical models, procedural advancements, productivity improvements, and extended IBM SPSS Statistics Base Edition [CT555]. IBM Corporation. https://www.ibm.com/products/us/en/
- Khademian, F., Delavari, S., Koohjani, Z., & Khademian, Z. (2021). An investigation of depression, anxiety, and stress and its relating factors during COVID-19 pandemic in Iran. BMC Public Health, 21(1), 275. https://doi.org/10.1186/s12889-021-10329-3
- Lee, J. H., Lee, H., Kim, J. E., Moon, S. J., & Nam, E. W. (2021). Analysis of personal and national factors that influence depression in individuals during the COVID-19 pandemic: A web-based cross-sectional survey. Globalization and Health, 17(1), 3. https://doi.org/10.1186/s12992-020-00650-8
- Marshall, C. (2020). Analysis of a comprehensive wellness program’s impact on job satisfaction in the workplace. International Hospitality Review, 34(2), 221–241. https://doi.org/10.1108/IHR-05-2020-0014
- Mirasol, P. (2021). Localized psychology scales reveal more anxious and depressed Filipinos. BusinessWorld Online. https://www.bworldonline.com/health/2021/05/05/366074/localized-anxiety-scales-reveal-more-depressed-filipinos/
- Morgan, B., & Simmons, L. (2021). A ‘PERMA’ Response to the Pandemic: An Online Positive Education Programme to Promote Wellbeing in University Students. Frontiers in Education, 6. https://doi.org/10.3389/feduc.2021.642632
- Philippine Statistics Authority. (2018). Statistical Tables on 2018 Family Income and Expenditure Survey | Philippine Statistics Authority. https://psa.gov.ph/content/statistical-tables-2018-family-income-and-expenditure-survey
- Rector, N. A., & Beck, A. T. (2012). Cognitive Behavioral Therapy for Schizophrenia: An Empirical Review Neil A. Rector, PhD and Aaron T. Beck, MD (2001). Reprinted from the J Nerv Ment Dis 189:278–287. Journal of Nervous & Mental Disease, 200(10), 832–839. https://doi.org/10.1097/NMD.0b013e31826dd9af
- Shen, M., Peng, Z., Guo, Y., Rong, L., Li, Y., Xiao, Y., Zhuang, G., & Zhang, L. (2020). Assessing the effects of metropolitan-wide quarantine on the spread of COVID-19 in public space and households. International Journal of Infectious Diseases, 96, 503–505. https://doi.org/10.1016/j.ijid.2020.05.019
- Song, Z., & Baicker, K. (2019). Effect of a Workplace Wellness Program on Employee Health and Economic Outcomes: A Randomized Clinical Trial. JAMA, 321(15), 1491–1501. https://doi.org/10.1001/jama.2019.3307
- Tee, M. L., Tee, C. A., Anlacan, J. P., Aligam, K. J. G., Reyes, P. W. C., Kuruchittham, V., & Ho, R. C. (2020). Psychological impact of COVID-19 pandemic in the Philippines. Journal of Affective Disorders, 277, 379–391. https://doi.org/10.1016/j.jad.2020.08.043
- Villarino, R. T., Arcay, C. A., Temblor, M. C., Villarino, M. L., Bagsit, R., Ocampo, L., & Bernard, P. (2021). The Effects of Lifestyle Intervention Using the Modified Beliefs, Attitude, Subjective Norms, Enabling Factors Model in Hypertension Management: Quasi-Experimental Study. JMIR Cardio, 5(2), e20297. https://doi.org/10.2196/20297
- Villarino, R. T. H., Villarino, M. L. F., Temblor, M. C. L., Bernard, P., & Plaisent, M. (2022). Developing a health and well-being program for college students: An online intervention. World Journal on Educational Technology: Current Issues, 14(1), 64–78. https://doi.org/10.18844/wjet.v14i1.6638
- WHO. (2020). WHO/Europe | Coronavirus disease (COVID-19) outbreak—WHO announces COVID-19 outbreak a pandemic. https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/3/who-announces-covid-19-outbreak-a-pandemic
- Xiong, J., Lipsitz, O., Nasri, F., Lui, L. M. W., Gill, H., Phan, L., Chen-Li, D., Iacobucci, M., Ho, R., Majeed, A., & McIntyre, R. S. (2020). Impact of COVID-19 pandemic on mental health in the general population: A systematic review. Journal of Affective Disorders, 277, 55–64. https://doi.org/10.1016/j.jad.2020.08.001
ISSN 2980-4728 (Online)
ISSN 0117-3294 (Print)