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Article

Effects of the Health-Awareness-Strengthening Lifestyle Program in a Randomized Trial of Young Adults with an At-Risk Mental State

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Department of Public Health (in Epidemiology and Preventive Medicine), China Medical University, Taichung 406040, Taiwan
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Department of Public Health (in Nursing), China Medical University, Taichung 406040, Taiwan
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School of Nursing, Hungkuang University, Taichung 433304, Taiwan
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Graduate Institute of Biomedical Sciences, China Medical University, Taichung 406040, Taiwan
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Department of Psychiatry, China Medical University Hospital, Taichung 404332, Taiwan
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Department of Psychology, College of Medical and Health Sciences, Asia University, Taichung 41354, Taiwan
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The Brain Disease Research Center, China Medical University Hospital, Taichung 404332, Taiwan
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Graduate Institute of Acupuncture Science, China Medical University, Taichung 404333, Taiwan
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Program for Health Science and Industry, China Medical University, Taichung 406404, Taiwan
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School of Nursing, China Medical University Hospital, Taichung 406040, Taiwan
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Department of Nursing, China Medical University Hospital, Taichung 404332, Taiwan
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Authors to whom correspondence should be addressed.
Academic Editor: Winifred Anne Gebhardt
Int. J. Environ. Res. Public Health 2021, 18(4), 1959; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18041959
Received: 8 December 2020 / Revised: 29 January 2021 / Accepted: 10 February 2021 / Published: 18 February 2021
(This article belongs to the Special Issue Interventions to Enhance an Active Lifestyle in High-Risk Populations)
Background: Increasing health awareness in health promotion is considered as one of the less stigmatized interventions for improving help-seeking behaviors and total well-being. This study aimed to explore the short-term and long-term effectiveness of the health-awareness-strengthening lifestyle (HASL) program on Taiwanese young adults with at-risk mental state. Methods: A pre- and post-test randomized trial was conducted on 92 young adults with at-risk mental state. The HASL program was provided to the experimental group as intervention, and it was only provided to the control group passively by request after the post-test for ethical reasons. The program was conducted once every six weeks, 60–90 min per session, for a total of three times. Mental health risk, anxiety level, health promotion lifestyles, quality of life, physiological index, and physical exercises were assessed one week before and after the program for both groups and followed up to 6 and 12 months for experimental group only. Results: Compared to the control group, those in the experimental group showed significant improvements regarding anxiety level, health promotion lifestyles, and quality of life one week after participating in the program. Furthermore, the experimental group also showed an additional long-term positive effect on mental risk, physical exercises, and physical health after the follow-ups. Conclusions: The outcomes highlighted the interventions of the HASL program leading to more positive health effects on young adults with at-risk mental state. The implementation of similar clinical service is recommended for young adults with at-risk mental state. View Full-Text
Keywords: at-risk mental state; health awareness; health promotion lifestyle program; high risk for psychosis; prodrome at-risk mental state; health awareness; health promotion lifestyle program; high risk for psychosis; prodrome
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MDPI and ACS Style

Tsai, C.-L.; Lin, Y.-W.; Hsu, H.-C.; Lou, M.-L.; Lane, H.-Y.; Tu, C.-H.; Ma, W.-F. Effects of the Health-Awareness-Strengthening Lifestyle Program in a Randomized Trial of Young Adults with an At-Risk Mental State. Int. J. Environ. Res. Public Health 2021, 18, 1959. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18041959

AMA Style

Tsai C-L, Lin Y-W, Hsu H-C, Lou M-L, Lane H-Y, Tu C-H, Ma W-F. Effects of the Health-Awareness-Strengthening Lifestyle Program in a Randomized Trial of Young Adults with an At-Risk Mental State. International Journal of Environmental Research and Public Health. 2021; 18(4):1959. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18041959

Chicago/Turabian Style

Tsai, Ching-Lun, Ya-Wen Lin, Hsing-Chi Hsu, Mei-Ling Lou, Hsien-Yuan Lane, Cheng-Hao Tu, and Wei-Fen Ma. 2021. "Effects of the Health-Awareness-Strengthening Lifestyle Program in a Randomized Trial of Young Adults with an At-Risk Mental State" International Journal of Environmental Research and Public Health 18, no. 4: 1959. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18041959

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