[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-426208-105":3,"detail-sidebar-cat-0-en-105":80,"doc-detail-426208-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":73,"head_meta":75,"extra_data":77,"updated_unix":79},105,"en","using-metaphorical-nudges-to-promote-mental-health-help-seeking-in-older-adults-preliminary-results-of-an-rct","USING METAPHORICAL NUDGES TO PROMOTE MENTAL HEALTH HELP-SEEKING IN OLDER ADULTS - PRELIMINARY RESULTS OF AN RCT","","Older adults face elevated risks of mental health problems, while intentions to seek help remain comparatively low. This study tested whether pictorial metaphorical nudges (PMNs) and descriptive metaphorical nudges (DMNs) outperform help-seeking information alone in a three-arm randomized controlled trial. PMNs and DMNs were co-developed with experienced older volunteers and delivered daily via WhatsApp for two weeks. Primary outcomes targeted subjective norms and help-seeking intention; secondary outcomes included PHQ-9, GAD-7, and UCLA-3 measures, with results evaluated across baseline, post-intervention, and three-month follow-up.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/research-report/","Research & 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 \nMENTAL HEALTH HELP-SEEKING IN OLDER ADULTS:  \nPRELIMINARY RESULTS OF AN RCT  \nTianyin Liu, and Ho Kan Liu, The Hong Kong Polytechnic University, Hong Kong, Hong Kong, China (People’s Republic)  \nOlder adults are at an increased risk for mental health issues; however, their intention in seeking help is relatively low. To promote mental health help-seeking, nudging could be a viable strategy, but it has rarely been examined in older adults. This study evaluated the effects of pictorial metaphorical nudges (PMNs) and descriptive metaphorical nudges (DMNs) versus help-seeking information (Control) on promoting mental health help-seeking using a three-arm randomised controlled trial (RCT). The PMNsand DMNs were co-developed by older volunteers (N = 12) with experience in mental health services and delivered daily to participants via WhatsApp for two weeks. The primary outcomes were changes in subjective norms and help-seeking intention; secondary outcomes included perceived behavioral control, help-seeking attitude, perceived barriers to help-seeking, and mental health assessed by PHQ-9, GAD-7 and UCLA-3. In total, 280 participants (average age, 67.9 years; 214 females) were recruited from the community from February 1 to July 31, 2025, and they completed the baseline (T0), post-intervention (T1), and three-month follow-up (T2) questionnaires. Linear mixed models were used for data analysis. Results showed that PMN was more effective in improving subjective norms (β = 0.46, p \u003C.05) and help-seeking attitudes (β = 0.28, p \u003C.05) from T0 to T1 than Control; DMN and Control showed no significant difference. Data collection of more participants and at T2 is ongoing. Preliminary results suggest the feasibility and effects of metaphorical nudges in changing subjective norms and attitudes towards mental health help-seeking. Additionally, visual images may communicate complex information more effectively than text alone.","cbCaih9XB0evgXWz","https://ap.wps.com/l/cbCaih9XB0evgXWz","pdf",973561,"English","# Study aim and rationale\n## Intervention design (PMNs vs DMNs)\n## Participants and procedure\n## Outcomes and measures\n## Preliminary findings and implications","[{\"question\":\"What problem does the study address for older adults?\",\"answer\":\"Older adults have increased risk for mental health issues, but their intention to seek help is relatively low.\"},{\"question\":\"How were the nudges delivered and for how long?\",\"answer\":\"Pictorial and descriptive metaphorical nudges were delivered daily via WhatsApp for two weeks to trial participants.\"},{\"question\":\"What did the preliminary results show?\",\"answer\":\"PMNs improved subjective norms and help-seeking attitudes from baseline to post-intervention, while DMNs showed no significant difference versus the control group.\"}]","USING METAPHORICAL NUDGES TO PROMOTE MENTAL HEALTH HELP-SEEKING IN OLDER ADULTS - PRELIMINARY RESULTS OF AN RCT | PDF",1790639747]