Effects of a Tabletop Games-Based Positive Mental Health Educational Intervention for Junior High School Students

Abstract

Objectives: This study aims to examine the effects of a tabletop games-based positive mental health educational intervention on junior high school students' efficacy of the PERMA—positive emotions, engagement, relationships, meaning, and accomplishment—and four health-related behaviors, including physical activity, leisure activities, nutrition, and sleep, as well as the overall positive mental health. Additionally, it explores students' opinions and feedback on the intervention.

Methods: Using a quasi-experimental research design, this study selected 249 students from a junior high school in New Taipei City in 2024, with 128 in the experimental group and 121 in the control group. The experimental group underwent pre- and post-tests and participated in a tabletop games-based positive mental health education intervention lasting three weeks, totaling 135 minutes. The control group only completed pre- and post-test questionnaires. The intervention effects was analyzed using Generalized Estimating Equations(GEE). Additionally, focus group interviews were conducted to understand the experimental group's evaluation of the course.

Results: The study results revealed that the tabletop games-based positive mental health education significantly improved junior high school students' overall PERMA efficacy (β=0.15，p=0.004) and positive mental health (β=0.14，p=0.011). However, the intervention did not significantly enhance physical activity, leisure activities, nutrition, and sleep. Additionally, the students of experimental group provided positive feedback on the course.

Conclusions: The tabletop games-based positive mental health education can significantly enhance junior high school students' overall PERMA and positive mental health. This study recommends that schools develop interdisciplinary positive mental health teaching activities and promote tabletop games-based programs to strengthen students' practice of PERMA efficacy and the four health behaviors, thereby improving their positive mental health.