The short-term effects of a wellness on-boarding program with health sciences students on depression, anxiety, healthy lifestyle beliefs and healthy lifestyle behaviors
Bernadette Mazurek Melnyk, RN, CPNP/PMHNP, FAANP, FNAP, FAAN; Caitlin Slevin, CCRP; Lisa K. Militello, CPNP, RN; Jacqueline Hoying, RN, NEA-BC; Colleen McGovern, RN, LSN; Alice M. Teall, RN, FNP, PNP; Laura Szalacha, EdM
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- The Ohio State University, Columbus, Ohio, USA
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Session presented on Monday, November 9, 2015:
Background: First year health sciences students are subject to high stress levels as they enter their professional programs. Although these academic programs prepare students to deliver excellent care to their patients, few incorporate wellness programs and self-care into their curricula. Aim: The purpose of this pilot intervention study was to evaluate the feasibility, acceptability and preliminary short-term effects of a wellness on-boarding program for health sciences students, including dentistry, health and rehabilitation sciences, medicine, nursing, optometry, pharmacy, and veterinary medicine, on their healthy lifestyle beliefs and behaviors four months after the intervention. Methods: A pre-experimental study was conducted with 91 health sciences students at a major public land grant University in the mid-west region of the United States. Within two to four weeks after commencing the first semester academic programs, students completed a personalized wellness assessment, a biometric screen that included height, weight, blood pressure, Hemoglobin A1c and lipid panel, and developed a personalized wellness plan. Valid and reliable measures included the Healthy Lifestyles Belief Scale, the Healthy Lifestyle Behaviors Scale, the Personalized Health Assessment-9 Scale for depression, and the Generalized Anxiety Scale-7. Demographic questions and single item questions regarding healthy lifestyle behaviors (e.g., activity and sleep) also were collected. At the end the first semester, a follow-up assessment was completed. Results: At baseline, 25.6% of the graduate students reported elevated symptoms of depression and 22.6% reported elevated symptoms of anxiety. At follow-up, 28.1% of students reported elevated depressive symptoms and 22.9% reported elevated symptoms of anxiety. Although there was no change in healthy lifestyle beliefs across time, there was a significant decrease in healthy lifestyle behaviors (p<.05) as well as a drop in physical activity from a mean of 51 minutes per week to 32 minutes. Average hours of sleep across time stayed consistent at six hours. The most frequent barriers student reported that deterred them from engaging in healthy lifestyle behaviors and meeting their wellness goals were time constraints, school, and motivation. Conclusions: There is a need for more intensive wellness interventions with health sciences students when entering their professional programs. Personalized wellness assessments and completion of a personalized wellness plan alone does not seem to be enough to increase their healthy lifestyle behaviors. Screening for depression and anxiety should occur with all health sciences students when entering their programs and monitored regularly, with targeted evaluations and interventions provided to those with elevated symptomatology. Since the follow-up assessment, nurse practitioner students have been assigned to these health sciences students to serve as health coaches during their second academic semester along with the texting of healthy lifestyle messages. Another follow-up assessment will occur at the end of the second semester to determine the benefits of adding a health coach to the health sciences' students' wellness programming. Future intervention studies need to be conducted with this population to determine the best evidence-based interventions to enhance health and wellness outcomes.
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Showing items related by title, author, creator and subjects.
An innovative wellness onboarding program for health sciences students: Baseline findings with implications for practice and future research Melnyk, Bernadette Mazurek; Hoying, Jacqueline; Slevin, Caitlin; McGovern, Colleen; Teall, Alice M. (2016-03-17)Session presented on Saturday, July 25, 2015: It is well known that the transition from high school to college is very stressful for many students across the world. In the freshman year, high levels of stress, anxiety, ...
Evidence to support routine mental health screening and intervention in graduate health sciences students Melnyk, Bernadette Mazurek; Hoying, JacquelineThe prevalence of depression is growing in the United States and suicide is second leading cause of death among people ages 15-34. Providing screening and using APRN students as wellness coaches to deliver an evidence-based ...
Hoying, Jacqueline (2017-07-26)Mental health disorders account for nearly one half of the disease burden for U.S. young adults and the prevalence of depression among college students continues to rise. The Wellness Onboarding study examined the relationship ...
Hoying, Jacqueline; Melnyk, Bernadette Mazurek; Howard, Matthew S. (Sigma Theta Tau International, 2020-06-17)This episode discusses research related to the Worldviews on Evidence Based Nursing article "Prevalence and Correlates of Depression, Anxiety, Stress, Healthy Beliefs, and Lifestyle Behaviors in First‐Year Graduate Health ...
TEXT2COPE: Correlates of healthy beliefs, behaviors, and mobile messaging in families with an overweight or obese preschooler Militello, Lisa K.; Melnyk, Bernadette Mazurek; Hekler, Eric C.; Small, Leigh; Jacobson, Diana L. (2016-03-17)Session presented on Sunday, July 26, 2015: Maladaptive thinking or faulty cognitive appraisal by parents of overweight/obese (OW/OB) preschoolers can manifest through obesogenic behaviors. The TEXT2COPE program targeted ...