PREcision promotion of positive mental WELLbeing among high-risk adult population (PREWELL): Capabilities, gamification, and digital intervention

Mental health problems cause individual, social and economic burden to societies across Europe. The mental health problems are among the highest levels in Northern Savo compared to the general Finnish population. The overarching objective of the “PREcision promotion of positive mental WELLbeing among high-risk adult population: Capabilities, gamification, and digital intervention” (PREWELL) consortium is to provide a digital screening and intervention tools that through enhanced identification of limitations in perceived mental wellbeing and capabilities offers personalized daily habits to effectively promotes mental wellbeing among adult population. PREWELL consortium will enhance the scientific understanding of underlying mechanisms of mental wellbeing among adults with high risk to mental health problems and provide cost-effective digital screening tool and intervention for promotion of mental wellbeing.

WP1 Mechanisms of mental wellbeing, theory development, and recommendations (coordinator PSHVA, collaborators UEF, ISPM, LSE & Kuopio)

WP1 aims to enhance the understanding of the underlying mechanisms of capabilities, health behaviours, and mental wellbeing among adult population, theory development of capability approach and mental wellbeing, and to formulate recommendations for scaling-up and implementation of enhanced mental health promotion.

WP2 Research-based testing and development of the Myseula and BitHabit digital tools (coordinator Wellpro, collaborators PSHVA, UEF, VTT)

WP2 aims to further develop the Myseula digital screening tool for identifying population groups with high-risk of mental health problems and to develop the BitHabit digital intervention promoting mental wellbeing among adult population, as well as to provide documentation supporting possible scaling-up and implementation of the tools on national and international levels.

WP3 Effectiveness of the intervention (coordinator PSHVA, collaborators UEF, ISPM & Wellpro)

WP3 aims to evaluate the effectiveness of the digital BitHabit intervention by examining the changes in health behaviours, mental health skills and capabilities as well as their effectiveness in changes with mental wellbeing at 12- and 24-months follow-up. The BitHabit app, originally developed and studied in the Finnish Stop Diabetes study, motivates integrating well-being promoting small habits into daily routines. We utilize a stepped wedge RCT design for 1,800 participants, digital wellbeing survey as well as user data from the app.

WP4 Cost-effectiveness of the intervention (coordinator UEF, collaborators PSHVA & LSE)

WP4 aims to evaluate the cost-effectiveness of the digital BitHabit intervention. We will apply for register data from Findata to link individual-level national register data on the use of health and social services with the RCT intervention data collected in the project. In addition, we will utilize regional registers of the North Savo Wellbeing Services County (PSHVA).