Development and Evaluation of a Context-Focused Mobile Web Learning Application to Enhance Knowledge and Mental Health Literacy among Hill Tribe Junior High School Students in Northern Thailand
Keywords:
Mobile web application, Mental health literacy, Hill tribe studentsAbstract
The objectives of this study were to develop and evaluate the hill tribes’ context-focused mobile web learning application learning to enhance knowledge and mental health literacy among hill tribe junior high school students in Chiang Rai Province. This study was conducted in four phases. Phase I involved a situation analysis and needs assessment through 20 in-depth qualitative interviews. Phase II was the design and development phase, Phase III was a pilot test, and Phase IV was implemented with a target of 60 hill tribe junior high school students. Data were collected from December 2023 to September 2024. The qualitative data were analyzed using content analysis, and the quantitative data were analyzed using repeated-measure ANOVA. The result revealed that mobile web learning applications to promote and support adolescent health should comprise six key functions: (1) Animation-oriented learning stories for mental health literacy in seven languages: Akha, Lahu, Karen, Lisu, Hmong, Yao and Thai, (2) Infographics regarding mental health (3) Mental health screening and recommendation (4) Space or platform to release and express feelings and emotions and (5) A system for providing Frequently Asked Questions (FAQs), and (6) A platform for consulting through the system Line Official Account: www. Wai-Roon-Yak-Roo.com and Facebook Messenger. After the quasi-experiment, a one-group pretest-posttest and follow-up design, it was found that knowledge, mental health literacy, and essential counselling skills were increasing with a statistically significant p-value <0.05. In addition, most participants were very satisfied with the proposed mobile web learning application and mental health literacy training program. In conclusion, promoting mobile web applications combined with mental health literacy programs to increase knowledge, mental health literacy, and counselling skills should be encouraged among this population.
References
World Health Organization. Mental Health and Social Connection in Thailand. Available from: https://www.who.int/thailand/news/feature-stories/detail/mental-health-and-social-connection-in-thailand, accessed 28 August, 2025.
Ruanjai T, Siri S, Amyong N, Munsawaengsub C, Apidechkul T. Prevalence and Factors Associated with Depression among Hill-Tribe High School Students in Chiang Rai Province, Thailand: A Multilevel Cross-Sectional Study. Journal of the Medical Association of Thailand. 2024;107(9):708-17.
Kitchanapaibul S, Apidechkul T, Srichan P, Mulikaburt T, Singkhorn O, Udplong A, et al. Status of the stateless population in Thailand: How does stigma matter in their life? PloS one. 2022;17(3):e0264959.
Udplong A, Apidechkul T, Srichan P, Mulikaburt T, Wongnuch P, Kitchanapaibul S, et al. Drivers, facilitators, and sources of stigma among Akha and Lahu hill tribe people who used methamphetamine in Thailand: a qualitative approach. BMC Public Health. 2022;22(1):642.
Yokoya S, Maeno T, Sakamoto N, Goto R, Maeno T. A brief survey of public knowledge and stigma towards depression. Journal of clinical medicine research. 2018;10(3):202.
Apidechkul T, Laingoen O, Suwannaporn S. Inequity in accessing health care service in Thailand in 2015: a case study of the hill tribe people in Mae Fah Luang district, Chiang Rai, Thailand. Journal of Health Research. 2016;30(1):67-71.
Apidechkul T, Wongnuch P, Sittisarn S, Ruanjai T. Health situation of Akha hill tribe in Chiang Rai province, Thailand. Journal of Public Health and Development. 2016;14(1):77-9.
Chomchoei C, Apidechkul T, Keawdounglek V, Wongfu C, Khunthason S, Kullawong N, et al. Prevalence of and factors associated with depression among hill tribe individuals aged 30 years and over in Thailand. Heliyon. 2020;6(6):e04273.
Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health promotion international. 2000;15(3):259-67.
Homkhajorn E, Juntarawijit Y, Tipwareeromb W. Factors associated with Sexual Health Literacy Male High School Students. Journal of Nursing and Health Sciences. 2022;16(1):54-67. (In Thai)
Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P. “Mental health literacy”: a survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Medical journal of Australia. 1997;166(4):182-6.
Rongbudsri S, Choen-arom C, Virasiri S. Factors Predicting Help-Seeking Intention for Mental Health Problems among Medical Students. Journal of the Psychiatric Association of Thailand. 2019;64(4):351-358. (In Thai)
United Nations. Envision2030 Goal 10: Reduce Inequalities. Available from: https://www.un.org/development/desa/disabilities/envision2030-goal10.html, accessed 21 August, 2024.
Aguirre Velasco A, Cruz ISS, Billings J, Jimenez M, Rowe S. What are the barriers, facilitators and interventions targeting help-seeking behaviours for common mental health problems in adolescents? A systematic review. BMC psychiatry. 2020;20(1):1-22.
Moser A, Korstjens I. Series: Practical guidance to qualitative research. Part 3: Sampling, data collection and analysis. European journal of general practice. 2018;24(1):9-18.
Kaeodumkoeng K, Junhasobhaga J. A Development and Testing of Health Literacy on Disease Prevention and Control Assessment form for Public Health Officers. Romphruek Journal of the Humanities and Social Sciences. 2021;39(2):193-220. (In Thai)
Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC public health. 2012;12:1-13.
Atilola O, Ayinde O, Obialo F-K, Adeyemo SO, Adegbaju D, Anthony R. Towards school-based mental health programs in Nigeria: the immediate impact of a depression-literacy program among school-going adolescents and their teachers. Child and Adolescent Psychiatry and Mental Health. 2022;16(1):70.
Tay JL, Goh YSS, Sim K, Klainin-Yobas P. Impact of the HOPE intervention on mental health literacy, Psychological well-being and stress levels amongst university undergraduates: A randomised controlled trial. International Journal of Environmental Research and Public Health. 2022;19(15):9772.
Martinez AB, Lau JY, Morillo HM, Brown JS. ‘C’mon, let’s talk: a pilot study of mental health literacy program for Filipino migrant domestic workers in the United Kingdom. Social psychiatry and psychiatric epidemiology. 2022:1-17.
Hernandez MY, Organista KC. Entertainment–education? A fotonovela? A new strategy to improve depression literacy and help-seeking behaviors in at-risk immigrant Latinas. American journal of community psychology. 2013;52:224-35.
Durán L, Almeida AM, Figueiredo-Braga M. Digital audiovisual contents for literacy in depression: a pilot study with university students. Procedia Computer Science. 2021;181:239-46.
Kiropoulos LA, Griffiths KM, Blashki G. Effects of a multilingual information website intervention on the levels of depression literacy and depression-related stigma in Greek-born and Italian-born immigrants living in Australia: a randomized controlled trial. Journal of medical Internet research. 2011;13(2):e1527.
Pama SA, Purnama DS, Nurjanah AS, Adilah NA, Zatrahadi MF, Roza E. Community counseling strategies to improve mental health literacy. Jurnal Konseling dan Pendidikan. 2023;11(1):12-20.
Tian L, Wong EL, Dong D, Cheung AW, Chan SK-w, Cao Y, et al. Improving mental health literacy using web-or app-based interventions: A scoping review. Digital Health. 2024;10:20552076241243133.
Shahidi D, Johnson D. The effect of mental health literacy on psychological help-seeking intention, among Thai undergraduate students in Bangkok. ABAC ODI Journal Vision Action Outcome. 2023;10(2):73.
Thammaraksa P, Powwattana A, Boonlue S, Meeklinhom Y. Mobile Application Intervention for Prevention of Multiple Risk Behaviors among Thai Female Adolescents: A Quasi-experimental Study. International Journal of Community Based Nursing & Midwifery. 2025.
Narkarat P, Taneepanichskul S, Kumar R, Somrongthong R. Effects of mobile health education on sexual and reproductive health information among female school-going adolescents of rural Thailand. F1000Research. 2021;10:452.
Punukollu M, Marques M. Use of mobile apps and technologies in child and adolescent mental health: a systematic review. BMJ Ment Health. 2019;22(4):161-6.
Chow SK, Hashim AH, Kaur M, Azhar FL, Anuar A, Idris N, et al. Strengthening the mental health literacy and self-efficacy of school counsellors using “MDAS” module: A pilot project in Malaysia. Journal of Psychologists and Counsellors in Schools. 2024;34(3):351-64.
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