We are students from Bachelor of Health Science (Major in Nursing), Tung Wah College. This is a public product of our project in public health, with the Challenge-Based Learning topic - Mental Health. Here are the links of our published videos. https://www.youtube.com/watch?v=5JBtyrhHjpY http://www.youtube.com/watch?v=wdGiguu6ojU LINK TO Depression Anxiety Stress Scales Quessionaire: https://docs.google.com/forms/d/1L26Nwq_uvt2tPwv2iSSdA79u98QA1WbeTehLx1RFHVE/viewform or http://http://bit.ly/19auq4F LINK TO OUR FACEBOOK FAN PAGE: http://www.facebook.com/stressgoaway

1. NUR1022 Public Health
Challenge Based Learning
Topic: Mental Health

2. What is mental health about?

a state of well-being

can cope with the normal stresses of life

can work productively and fruitfully

to make a contribution to his or her
community
(World Health Organization, 2011).

3. Mental health is important and
highly related to stages of life!
(Man, 2012)
(AM730, 2011)
(Ming Pao Health, 2013)

4. Mental Health
Emotional
Psychological
Social
What is stress?
A non-specific response of the
body to any demand for change
(Hans Selye, 1936)
How we handle stress

5. The Challenge:
To conduct a survey of stress level in tertiary
education students, and to provide health
education to them.
Survey
Health
education

6. How do we measure the stress level
in tertiary education students?
Depression Anxiety Stress Scales(DASS)
抑鬱焦慮壓力測量表

Psychology Foundation of Australia
(Lovibond & Lovibond, 1995)

7. Depression, Anxiety and
Stress Scale (DASS)
The DASS is a set of self-report scales
designed to measure the negative emotional
states of depression, anxiety and stress.

Designed for person over 17 years old

3 scales: Depression, Anxiety and Stress

Each scale contain 14 items

Total 42 items should be answered

8. Depression, Anxiety and
Stress Scale (DASS)

The questionnaire were completed on the
web by students anonymously
Survey

9. Depression, Anxiety and
Stress Scale (DASS)
He gets 1 point in this question.
I’ve dry mouth
best
sometimes.

Responders should choose the answer
describe him/her in the 4-point frequency
scales (0-4 points)

Meaning:
012of
3-
Did not apply to me at all
Applied to me to some degree, or some of the time
Applied to me to a considerable degree, or a good part
time
Applied to me very much, or most of the time

10. Depression, Anxiety and
Stress Scale (DASS)

Responder can sum up the points according to the
three scales: depression, anxiety, and stress after
answering all 42 questions

Evaluation Table:

11. Depression, Anxiety and
Stress Scale (DASS)

Interpretation of the DASS should be carried out
by qualified professional such as a clinical
psychologist

Our groups manually sent email to the
responder with the test result and some general
recommendation on coping stress.

12. DASS Questionnaires - Result

114 students responded to our questionnaire in total

Deduct 12 students that gave the wrong e-mail address

102
students reply our online questionnaire

13. Level of depression
Depression Scale
Number of responder
Normal
42
Mild
2
Moderate
26
Severe
10
Extremely severe
22
Normal
Mild
Moderate
Severe
Extremely
severe
60 students (58.82%) suffer in depression

14. Level of anxiety
Anxiety Scale
Number of responder
Normal
26
Mild
4
Moderate
18
Severe
12
Extremely severe
42
Normal
Mild
Moderate
Severe
Extremely
severe
76 students (74.51%) suffer in anxiety

15. Level of stress
Stress Scale
Number of responder
Normal
24
Mild
8
Moderate
34
Severe
12
Extremely severe
24
Normal
Mild
Moderate
Severe
Extremely
severe
78 students (76.47%) suffer in stress

16. What do we observe from the
result?
> 58.8% are suffer from depression.
> 74.5% are suffer from anxiety.
> 76.5% are suffer from stress.
More than half of the tertiary education students
are under depression, anxiety or stress.

17. HKTIHCWG DASS study
Hong Kong Tertiary Institutions Health Care Working
Group(HKTIHCWG) have done a DASS research during
2003 to 2004.
Total 7915 tertiary student responded to the
questionnaire

63% girls; 37% boys

86% aged between 19 to 24

18. Result comparison
70%
60%
50%
HKTIHCWG
(Depression)
Stress Go Away
40%
(Depression)
HKTIHCWG
30% distribution of data obtained by Stress Go Away is (Anxiety) to that by
The
similar
HKTIHCWG, but higher occurrence of depression case.Stress Go Away
20%
(Anxiety)
It can be explained due to the small sample size, and HKTIHCWG
the sampling error.
(Stress)
10%
Stress Go Away
(Stress)
0%
Normal
Mild
Morderate
Severe
Extreme
Severe

19. Result comparison
No. of
participator
HKTIHCWG
Stress Go Away
Hong Kong people
(Taouk et al., 2001)
Studied
object
Average
score
Severity
7915
Depression
Anxiety
Stress
8.66
9.36
13.97
Normal
Mild
Normal
102
Depression
Anxiety
Stress
15.88
16.38
21.08
Moderate
Severe
Moderate
729
Depression
Anxiety
Stress
5.35
6.54
11.17
Normal
Normal
Normal

20. We decided to do something
for the tertiary education
students!

21. What to do to promote mental
health in tertiary education student?
We identified several aims in implementing mental
health promotion…
Provide related information
Arouse awareness on mental health
Recommend ways to cope with stress
Health
education

22. Set up a facebook fan page
壓力鬆鬆Zone
Why to choose Facebook?

The most popular mass media for teenagers

Easy to interact with tertiary students

23. Objectives

To provide information about stress

To recommend means to assess
stress(e.g. DASS) and ways to
relieve stress

To beware of the status of mental
health of self and others

24. Contents of Facebook page

Clip arts and information
•
•
Sort out the possible sources
of stress
•
How people perceive stress
•
Possible attributes of stress
•

What stress is
Etc.
DASS questionnaire
Tool to assess own
stress level

News
To raise the awareness on mental health

25. Health promotion event in
campus
走進校園為你打打氣

Date: 17th October, 2013

Time: 1330-1530

Venue: Hong Kong
Polytechnic University

Number of participants:
Nearly 30

26. Objectives

To approach tertiary students in a direct way

To promote the awareness of mental health

To share the stress feelings through conversations

To provide ways to relieve stress

27. Video

28. Preparations
For the promotion of the event
Card board
and Facebook fans page
For one of the tricks
Paper bags
(blowing air to release stress)
Mobile
For people to “like” our
devices
Facebook fans page immediately
Sweets
As reward for participating
This event can be sustain with volunteer to do across campus.

29. Evaluation – For the DASS survey

The DASS questionnaire is easy to administrate, and simple
for us to assess the level of depression, anxiety and stress
of our target group

Number of participants
o Total 102 responses,
Questionnaire is a it is satisfactoryfor us to find out the
useful tool for students to evaluate
trend of the stress level
their statusisof mental health,the CUHK report them to find
to motivate
o The result
similar compare with
methods to reduce stress, and coherence with our
 Sending e-mail for the test result
Facebook fans page
o
Responder willing to fill in their e-mail address for the result
o
We can provide brief information about depression, anxiety,
and stress, and encourage seeking for professional aid
o
Promote for “like” our Facebook fan page

30. Evaluation – For facebook page
Resource of information posted is well supported
with academic references
Facebook page is a convenient and sustainable media
 Keep updating the group. The information can influence
to reach our target page
students if it programme and expand benefit to the
o To maintain the can be present in a interesting way.

students
  Number of “like”
Number of people following
o o To evaluate the proportion of the students
To evaluate the number of the people
participating the programme
following our page

31. Evaluation – For PolyU event

Number of participants
o
Nearly 30 students participate in this event within 2
hours, only 5 people rejected our invitation
Respond from the students
The event is anour event and agree of promotion. Students are
effective mode with our event
o They enjoyed
eager to participate in the event. The echo are greater
rational: a simple act can relieve stress
than we said they willeven the students pass by can notice our
o They expected, try the tricks when they feel stress
and promote toevent and follow our page.
their fellows

o
Some of them requested to take photo with our group
o
Students like our facebook page immediately

32. Self-Evaluation

Regular meet up
o
To evaluate process of work, define goal, brainstorm
ideas, and distribute work

Evaluation session immediately after the health
promotion event in PolyU to review the
challenges, effectiveness, and discuss for followup actions

Advice seeking from our instructors regularly to
comment on the feasibility and acceptability of
our action

Each of us participate in the work and are
responsible

33. References
•
AM730. (2011, June 23). 調查發現八成五人受困擾 失眠或抑鬱症先兆. Am730.
Retrieved from http://www.am730.com.hk/article.php?article=61699
•
Selye, H. (1936). A syndrome produced by diverse nocuous agents. Nature, 138,32.
•
Lovibond, S.H. & Lovibond, P.F. (1995). Manual for the Depression Anxiety Stress
Scales (2nd. Ed.). Sydney: Psychology Foundation.
•
Ming Pao Health. (2013, November 11). 「睇開啲」掃不走抑鬱. Ming Pao. Retrieved
from
http://www.mingpaohealth.com/cfm/health3.cfm?File=20131111/cele/yaa2.txt
•
Psychology Foundation of Australia. (2013). Lu Hui Chun adaptation of DASS.
Retrieved November 26, 2013, from
http://www2.psy.unsw.edu.au/dass/Chinese/Taiwanese%20DASS%20Lu%20Hui%20Ch
un.pdf
•
Man, P. (2012, May 23). One in six falls victim to those dark moods. The Standard.
Retrieved from
http://www.thestandard.com.hk/news_detail.asp?pp_cat=11&art_id=122710&con_t
ype=1
•
World Health Organization. (2011). Mental health: a state of well-being. Retrieved
November 26, 2013, from
http://www.who.int/features/factfiles/mental_health/en/