@Article{info:doi/10.2196/jmir.3746,
author="Mak, Winnie WS
and Chan, Amy TY
and Cheung, Eliza YL
and Lin, Cherry LY
and Ngai, Karin CS",
title="Enhancing Web-Based Mindfulness Training for Mental Health Promotion With the Health Action Process Approach: Randomized Controlled Trial",
journal="J Med Internet Res",
year="2015",
month="Jan",
day="19",
volume="17",
number="1",
pages="e8",
keywords="Internet-based intervention; online intervention; mindfulness; Health Action Process Approach (HAPA); mental health promotion",
abstract="Background: With increasing evidence demonstrating the effectiveness of Web-based interventions and mindfulness-based training in improving health, delivering mindfulness training online is an attractive proposition. Objective: The aim of this study was to evaluate the efficacy of two Internet-based interventions (basic mindfulness and Health Action Process Approach enhanced mindfulness) with waitlist control. Health Action Process Approach (HAPA) principles were used to enhance participants' efficacy and planning. Methods: Participants were recruited online and offline among local universities; 321 university students and staff were randomly assigned to three conditions. The basic and HAPA-enhanced groups completed the 8-week fully automated mindfulness training online. All participants (including control) were asked to complete an online questionnaire pre-program, post-program, and at 3-month follow-up. Results: Significant group by time interaction effect was found. The HAPA-enhanced group showed significantly higher levels of mindfulness from pre-intervention to post-intervention, and such improvement was sustained at follow-up. Both the basic and HAPA-enhanced mindfulness groups showed better mental well-being from pre-intervention to post-intervention, and improvement was sustained at 3-month follow-up. Conclusions: Online mindfulness training can improve mental health. An online platform is a viable medium to implement and disseminate evidence-based interventions and is a highly scalable approach to reach the general public. Trial Registration: Chinese Clinical Trial Registry (ChiCTR): ChiCTR-TRC-12002954; http://www.chictr.org/en/proj/show.aspx?proj=3904 (Archived by WebCite at http://www.webcitation.org/6VCdG09pA). ",
issn="1438-8871",
doi="10.2196/jmir.3746",
url="http://www.jmir.org/2015/1/e8/",
url="https://doi.org/10.2196/jmir.3746",
url="http://www.ncbi.nlm.nih.gov/pubmed/25599904"
}