Hareem Ahmer, Kinza Farooqui, Karim Jivani, Rehan Adamjee, Zahra Hoodbhoy
Applying the principles for digital development to improve maternal and child health in the Peri-urban areas of Karachi, Pakistan
PLOS digital health
compromised wellbeing mental health problems pose significant threat individuals societies worldwide resourceintensive psychological treatments alone cannot alleviate burden need lowcost evidencebased interventions aimed preventing illness promoting wellbeing five activity domains appear linked wellbeing promotion across populations connecting others active taking notice learning generousgiving activities mentioned part five ways wellbeing framework webbased intervention five ways wellbeing 5waysa randomized controlled trial aims test effects 5waysa intervention webbased lowcost wellbeingpromoting measure targeting general population date five ways wellbeing framework tested specific format 5waysa intervention comprises 2 webinars sms text message reminders delivered 10week period 2021 total 969 study participants various regions across norway openly recruited web page randomly assigned either intervention group 1 2 waiting list control groups namely active passive selfreported life satisfaction satisfaction life scale swls flourishing flourishing scale fs positive emotions anxiety depression symptoms hopkins symptom checklist8 hscl8 assessed intervention 4 weeks intervention 12 weeks intervention 10 weeks data analysis conducted using linear mixed multilevel models 10 weeks 453 participants 171 intervention group 282 waiting list control group assessed outcome variables dropout rate 532 516969 results revealed significantly greater increase intervention group compared controls swls b013 95 ci 003023 p001 fs b019 95 ci 008030 p001 positive emotions b043 95 ci 027060 p001 factors combined global wellbeing measure b028 ci 016039 p001 effect sizes cohen wellbeing outcomes ranged 030 049 addition significant decrease anxiety depressive symptoms observed b017 95 ci 030 004 p001 effect size cohen 020 findings suggest webbased 5waysa intervention could serve effective approach enhancing wellbeing mental health within general population study offers individuals policy makers local stakeholders accessible potentially costeffective wellbeing intervention could easily implemented clinicaltrialsgov nct04784871 httpsclinicaltrialsgovstudynct04784871