TY  - JOUR
AU  - Mak, Winnie WS
AU  - Chan, Amy TY
AU  - Cheung, Eliza YL
AU  - Lin, Cherry LY
AU  - Ngai, Karin CS
PY  - 2015
DA  - 2015/01/19
TI  - Enhancing Web-Based Mindfulness Training for Mental Health Promotion With the Health Action Process Approach: Randomized Controlled Trial
JO  - J Med Internet Res
SP  - e8
VL  - 17
IS  - 1
KW  - Internet-based intervention
KW  - online intervention
KW  - mindfulness
KW  - Health Action Process Approach (HAPA)
KW  - mental health promotion
AB  - 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). 
SN  - 1438-8871
UR  - http://www.jmir.org/2015/1/e8/
UR  - https://doi.org/10.2196/jmir.3746
UR  - http://www.ncbi.nlm.nih.gov/pubmed/25599904
DO  - 10.2196/jmir.3746
ID  - info:doi/10.2196/jmir.3746
ER  -