The agent-based model of psychological resilience

Project introduction: Mental health promotion programmes are categorized into universal, selective, and indicated based on their intended audiences. A universal programme is intended to engage all the general audiences. A selective programme is indicated for groups at a higher risk of having mental health disorders. An indicated programme is reserved for patients with specific health conditions (Miguel et al. 2023). Physical activity, psychosocial intervention, and lifestyle modification had small to moderate effect in promoting mental health (Miguel et al. 2023; Salazar de Pablo et al. 2020).

Research question: How cost-effective is the workplace-based universal mental health promotion programmes on the community level?

Project impetus: Mental health public intervention programmes have been widely investigated, mainly as school-based and workplace-based mental health promotion programmes. Due to quality and methodological differences of the programmes, health-economics evaluation of universal, selective, and indicated mental health promotion programmes remains a controversial affair (Le et al. 2021).

Project objective: This project aim to implement an agent-based model to evaluate the comparison of cost-effectiveness in the universal, selective, and indicated mental health promotion programmes. To resolve programme differences and provide better generalisability, our model will consider several common scenarios when evaluating the cost-effectiveness. Scenarios will be based on intervention approaches, baseline mental disorder prevalence, baseline stressor indicators, and baseline psychopharmaca uses.

Project results: The output of this project is a protocol document and a scientific manuscript. The protocol document will highlight model conceptualization, parameterization, and validation. The scientific manuscript will provide a comparison of three mental health promotion approaches by detailing cost and benefit associated with reaching a certain level of resilience.

Outside scope of the project: This model will only consider resilience as a residual between stressor and mental health outcome. We limit the scope of stressor to Long-term Difficulties Inventory, and the scope of mental disorders to major depressive disorder and anxiety disorder detected with Mini International Neuropsychiatric Interview.

Effects: Compare the cost-effectiveness of workplace-based universal mental health promotion programmes in improving resilience and reducing the prevalence of major depressive disorder and anxiety disorder.

Users: Subject matter experts in outcome research, health economics researchers, and stakeholders in public health interventions.

Constraints: Designing a generalisable scenario-based model is challenging.

Relation with other projects: Nothing to disclose.

References

Le, Long Khanh-Dao, Adrian Cuevas Esturas, Cathrine Mihalopoulos, Oxana Chiotelis, Jessica Bucholc, Mary Lou Chatterton, and Lidia Engel. 2021. “Cost-Effectiveness Evidence of Mental Health Prevention and Promotion Interventions: A Systematic Review of Economic Evaluations.” Edited by Vikram Patel. PLOS Medicine 18 (5): e1003606. https://doi.org/10.1371/journal.pmed.1003606.
Miguel, Clara, Arpana Amarnath, Aemal Akhtar, Aiysha Malik, Gergő Baranyi, Corrado Barbui, Eirini Karyotaki, and Pim Cuijpers. 2023. “Universal, Selective and Indicated Interventions for Supporting Mental Health at the Workplace: An Umbrella Review of Meta-Analyses.” Occupational and Environmental Medicine 80 (4): 225–36. https://doi.org/10.1136/oemed-2022-108698.
Salazar de Pablo, Gonzalo, Andrea De Micheli, Dorien H. Nieman, Christoph U. Correll, Lars Vedel Kessing, Andrea Pfennig, Andreas Bechdolf, et al. 2020. “Universal and Selective Interventions to Promote Good Mental Health in Young People: Systematic Review and Meta-Analysis.” European Neuropsychopharmacology 41 (December): 28–39. https://doi.org/10.1016/j.euroneuro.2020.10.007.
Back to top