Improvement In Confidence Research Articles

Experience in the use of circular incision bi-pedicled vertical flap based mastectomy for grade III gynecomastia: A case series

Introduction and importanceSurgical management of grade III gynecomastia with excess redundant skin is challenging. The choice of the surgical technique is mainly decided upon the size of the gynecomastia, the skin redundancy and correction of nipple position. Case presentationWe report our experience in the use of the circular incision bi-pedicled vertical flap based mastectomy for grade III gynecomastia according to Simon classification. This is a retrospective study conducted between January 2022 and April 2023 at two selected units in Sri Lanka. Clinical discussionA total of 7 patients with bilateral grade III gynecomastia were included in this study with a median age of 24 years (range: 18–42 years). The mean BMI was 23.2 kg/m2. All patients exhibited near symmetrical breasts and large areolar diameters. All patients complained of physical and psychological dissatisfaction with their condition and sought an aesthetic correction. Two patients were diagnosed with Klinefelter syndrome and others were apparently healthy. The main complication was seroma formation (7/7). No patients developed haematoma. Nipple hypothesia was noted in two patients which improved on follow up. The mean follow- up duration was 4–9 months. The survey of patient satisfaction showed 9 for contour, 8.6 for wound scars, 9.2 for overall satisfaction and 9.6 for improvement in self-confidence. ConclusionThe above surgical technique achieved satisfactory aesthetic results while avoiding unsightly scars or serious complications and can be considered in the surgical decision making for grade III gynecomastia.

Thinking like a nurse: the power of drama on nursing students’ professional education and communication skills

Various educational methods are used in nursing education to develop the knowledge and skills suitable for the profession. Drama is a teaching technique that aims for students to acquire knowledge, skills, and understanding about human relations by using game techniques. This study was conducted to determine the power of drama on nursing students’ professional education and communication skills. This study was carried out using a phenomenological method with nursing students comprising the five focus groups. During focus interviews, 28 students answered whether through drama-method learning experience and drama has affected personal development. The content analysis method was used in the interpretation of the data. As a result of the content analysis conducted in this study, four main themes and nine subthemes were determined. Themes are; 1. Learning (effective learning, learning by having fun); 2. Confidence (improvement in self-confidence, improvement in creativity); 3. Sufficiency (taking responsibility, collaborating); 4. Communication (empathy, awareness, socialization). This study showed that education through the drama method improves the learning of nursing students. Education through the drama method enables nursing students to learn effectively. In addition, it helps them to develop skills such as empathy, communication, and self-confidence. Through drama, the students’ skills of responsibility, cooperation, and creativity improve.

141 Simulation Training: The Impact on the Confidence and Preparedness of Novice Otolaryngology ST3 Registrars

Abstract Aim This research employs the HoloLens2™ and a variety of models to evaluate the impact on the confidence and preparedness of ST3 trainees following their engagement in simulated otolaryngology cases. Method A total of 29 ST3 trainees engaged in ten 1-hour long simulation stations across a span of two days. The participants engaged in both technical and non-technical skills within elective, emergency, and ward-based scenarios. Questionnaires were used to document self-reported confidence and preparedness before and after each simulation. Primary outcomes included change in trainee confidence and preparedness pre- and post-station. Results The participants reported a significant increase in confidence (p<0.001) and preparedness (p<0.001) after all stations. The greatest improvements in comparison to all other stations were self-preparedness in the rigid bronchoscopy station and self-confidence in the sphenopalatine artery (SPA) ligation station. A significant improvement in self-confidence (p<0.001) and self-preparedness (p<0.0001) was observed after the non-technical HoloLensTM session. Conclusions The use of Otolaryngology simulation stations improved confidence and preparedness of managing common ENT presentations in the ward, elective, and emergency settings for ENT ST3 trainees. This approach serves as a valuable supplement to the conventional surgical apprenticeship, facilitating the acquisition of both technical and non-technical skills. The implementation of mixed reality technology creates an immersive environment to develop trainees’ non-technical skills. However, future work is required to assess the impact on the long-term benefits of trainee skill retention and clinical proficiency.

The Effects of MZ Generation Sociocultural Attitude on Beauty Care Behavior and Psychological Utility

The purpose of this study is to investigate the influence of the MZ generation’s sociocul tural attitudes on beauty care behavior and psychological effectiveness. 904 survey data for MZ generation women at the center of consumption culture were analyzed using SPSS WI N 20.0. As a result, first, there was a correlation between socio-cultural attitudes, beauty c are behaviors, and psychological utility variables. Second, it was confirmed that the MZ ge neration’s sociocultural attitudes (media influence, appearance influence) affect beauty care behavior (hair, skin, nails, makeup). Third, it was confirmed that beauty care behavior (hai r, skin, nails, makeup) affects psychological utility (self-satisfaction, self-confidence improv ement). Therefore, it was confirmed that the sociocultural attitude of the MZ generation aff ects beauty care behavior and psychological effectiveness, and beauty care behavior affects psychological effectiveness. Based on the results of this study, it is hoped that it will be h elpful as basic data to help establish marketing strategies to respond to the MZ generation, which is a major consumer class, and to develop the beauty industry.

Attitudes, Self-Confidence, and Knowledge of Primary Care Professionals towards School Bullying.

Attitudes, practices, and knowledge about bullying were evaluated in a sample of 274 primary care professionals, including general practitioners, pediatricians, community, pediatric and school nurses, and residents of these specialties. This study was based on a mixed method with a parallel convergent design without dominance between phases, data were collected concurrently, and conversion of the results from both phases was carried out during data interpretation. The quantitative phase had a cross-sectional observational design, using The Healthcare Provider's Practices, Attitudes, Self-confidence, and Knowledge Regarding Bullying Questionnaire as an instrument. Descriptive and bivariate analyses were performed, which showed a positive correlation between higher self-confidence and knowledge scores and a greater predisposition to detect cases. However, although the dimensions of attitudes and knowledge yielded generally high data, low self-confidence was evident in addressing this problem. In addition, a lack of clear guidelines in the workplace was expressed, highlighting the need to create and provide specific resources to intervene in bullying in said context, which could develop an improvement in self-confidence, leading to greater well-being for the educational community regarding bullying.

Virtual leadership program for adolescents with muscular dystrophy: a process evaluation

ABSTRACT Children with muscular dystrophy go through the challenge of moving into adolescence compounded with the challenge of living with a debilitating muscle disease. This paper describes the process evaluation of a group leadership program for adolescents with muscular dystrophy. A five-day online program was conducted for 14 participants, 12 males, and 2 females, between 13 and 18 years, beneficiaries of Mobility in Dystrophy (MIND) trust, Kerala, India. The sessions, which lasted around one and a half hours each, focused on self-discovery through a participatory strength-based approach. The participants’ feedback was thematically analyzed. The process evaluation parameters, fidelity, dose delivered and received, reach, and context were found to be effective. The 100% attendance of the participants and their perceived improvement in self-confidence, self-awareness, friends circle, skills-set, and leadership were identified as positive outcomes. Psychosocial intervention programs through the online platform, with structured follow-ups for adolescents with life-limiting conditions would be beneficial.

Effects of a guideline for children with cerebral visual impairment on the daily practices of vision habilitation and rehabilitation workers

To support vision rehabilitation workers, an intervention guideline for the rehabilitation of children with cerebral visual impairment (CVI) was developed. It combines currently available theoretical and practice-based knowledge in the domains of academic performance and mobility. The aim of this study was to evaluate the perceived value of the guideline by professionals. Two studies were performed. First, a process analysis of the guideline was performed to evaluate its strengths and weaknesses. Eleven therapists used a concept of the guideline for 3 months and were interviewed about their expectations (before) and experiences (afterwards). In a second study, the guideline was introduced to 24 professionals working with school-aged children with CVI. The participants filled in a short survey with five questions about their perceived knowledge of and skills in dealing with CVI. The guideline complied with the expectations of the professionals, and the professionals improved in knowledge of CVI and the ability to explain what CVI is. The survey results indicated improvement in self-confidence to perform CVI-specific interventions, and the interviews also showed professionals had expected to learn more options for intervention. After training, the professionals felt more secure about their interventions while using the guideline. This was probably caused by an improvement in their knowledge about CVI and about available interventions. However, the improvement was small and still not perfect and could be enlarged by adding more concrete intervention suggestions to the guideline. The intervention guideline for CVI offers an overview of available theoretical and practice-based knowledge. Improvement in knowledge on CVI can be used directly in rehabilitation practices. A great advantage of the guideline is that therapists are now better prepared to explain the nature and consequences of CVI to a client.

Effectiveness of undergraduate medical students training on LGBTQIA + people health: a systematic review and meta-analysis

BackgroundAdequacy of learning models and their ability to engage students and match session’s objectives are critical factors in achieving the desired outcome. In this systematic review and meta-analysis, we assess the methodological approach, content, and effectiveness of training initiatives addressing medical students’ knowledge, attitudes, confidence and discrimination perception towards LGBTQIA + people.MethodPubMed, Web of Science, Medline and Scopus were searched to identify published studies, from 2013 to 2023, on effectiveness of training initiatives addressing medical students’ knowledge, attitudes, confidence and discrimination perception towards LGBTQIA + people. The risk of bias of the selected studies was assessed by the Medical Education Research Study Quality Instrument. Overall effect sizes were calculated using a Mantel–Haenszel method, fixed effect meta-analyses.Results A total of 22 studies were included, representing 2,164 medical students. The interventions were highly diverse and included seminars, lectures, videos, real-case discussions, roleplay, and group discussions with people from the LGBTQIA + community. After the interventions, there was a significant improvement in self-confidence and comfort interacting with patients and in the understanding of the unique and specific health concerns experienced by LGBTQIA + patients.ConclusionOur findings indicated that the outcomes of interventions training actions for medical students that promote knowledge and equity regarding LGBTQIA + people, regardless of their scope, methodology and duration, result in a considerable increase in students’ self-confidence and comfort interacting with LGBTQIA + patients, highlight the need for more actions and programs in this area promoting a more inclusive society and greater equity.

Development, piloting, and dissemination of a suicide prevention brief online course for non-health professionals

Introduction: The use of online gatekeeper training resources facilitates the dissemination of useful knowledge and skills for suicide prevention with an integrated care perspective and a focus in the community, especially in a context of a pandemic and of limited human and economic resources. 
 Aim: To develop and evaluate the impact of a short online gatekeeper training course in Spanish for non-health professionals in the community. To disseminate the course among this group of professionals as a free and easy to access online resource. 
 Methods: An expert panel developed the training after the review of the evidence and available programs. Evaluation was carried out in two phases (Pilot 1&2). In the 2nd pilot a greater variety of professional fields was included and the evaluation questionnaire was shortened. In both cases, a single group design of repeated measures (before, immediate post and 3 months post) was used as well as a one-factor analysis of variance with repeated measures. Participants responded to an ad-hoc online questionnaire which evaluated satisfaction, knowledge, self-confidence (pilot 1&2), and attitudes (pilot 2). We consecutively recruited all interested professionals in the community who responded to an invitation email sent by the public health coordinators in the counties. A dissemination plan in 4 stages has been developed in coordination with Public Health coordinators. 
 Results: Sample for the pilot was made up of 272 (53+219) professionals. Improvements in self-confidence, knowledge about suicide and attitudes were found, with statistically significant differences. Overall satisfaction with the training was 8.5 out of a maximum of 10. The dissemination phase is now starting. The aim is to reach as many professionals working with vulnerable groups as possible. Results of this phase will be available by May 2023. 
 Conclusions: Results of the evaluation pilot are promising and suggest the usefulness of this training to improve professionals' self-confidence and knowledge about suicide prevention. The challenge is to make this training available to the greatest possible number of community professionals.

Enhancing Preschool English Vocabulary Through Multimedia Tools: Insights from a Mixed-Methods Study

Purpose – The primary objective of this research was to evaluate the effectiveness of multimedia tools in augmenting English vocabulary enrichment in preschool environments. This study was driven by the need to explore innovative approaches in early childhood language education and assess these tools' impact in enhancing learning experiences. Design/methods/approach – Adopting a mixed-methods approach, the study, conducted in two North Aceh preschools, evaluated multimedia integration in teaching and its impact on student outcomes, motivation, and engagement. It combined observations, document analysis, interviews, and tests, employing qualitative (educator interviews) and quantitative (vocabulary pre-and post-tests) data collection methods. Findings – The findings significantly improved students' vocabulary acquisition and active participation. Using multimedia tools in teaching and incredibly interactive PowerPoint presentations led to enhanced engagement and effectiveness in learning. Students showed marked improvements in self-confidence and language skills. The study also observed that multimedia integration fostered collaborative learning and increased technological proficiency among students. Research implications/limitations – These findings imply a potential paradigm shift in early childhood language education, suggesting incorporating multimedia tools for more engaging and compelling learning experiences. The study's limitations include its focus on specific preschool environments and the potential challenge of replicating the approach in resource-limited settings. Further research is needed to assess the approach's applicability in diverse educational contexts and its long-term impacts. Originality/value – This study offers novel insights into the application of multimedia tools in early childhood language education. It highlights how innovative teaching methods can significantly improve vocabulary skills and educational outcomes. These findings suggest impactful changes in teaching practices and pave the way for future research and potential shifts in educational policies. Paper Type Research paper

MENTAL HEALTH FIRST AID TRAINING: EVIDENCE OF ITS EFFECTIVENESS FOR MENTAL HEALTH PROMOTION AMONG OLDER ADULTS

Abstract Background About 15% of adults aged 60 and over have a mental health disorder. However, stigma and lack of knowledge of mental health resources act as barriers for them to seek professional help. Mental Health First Aid (MHFA) is an evidence-based program that teaches participants how to identify, understand and respond to signs of mental illnesses and substance use disorders. The Older Adults version of this training focuses on the unique experiences and needs of older adults. This study evaluated the effectiveness of a Substance Abuse and Mental Health Services Administration (SAMHSA) funded MHFA training program among older adults. Method: Data were collected from MHFA training sessions delivered to 27 staff and 36 residents at two assisted living facilities from January to March 2023. A quasi-experimental, pre-post design was used. Two outcomes mental health literacy and stigma were measured at the pretest, posttest, and 4 months after the the training. A paired sample t-test was performed to test the differences between the pre- and post-test. Results Statistically significant improvements in self-confidence in promoting help-seeking and reduction in stigmatizing attitudes were observed among participants in post-tests and 4-month tests. Participants reported increased knowledge in how to provide initial support to someone who may be mental health crisis and help connect them to the appropriate care. Conclusion Results indicate MHFA is likely to improve mental health awareness and reduce stigma among older adults. This study adds new evidence to the literature on the MHFA program’s effectiveness among older adults and their caregivers.

Early Childhood Role Models and Gross Motor Activities Could Assist to Build a Sense of Enterprise in Kids

This study explores the impact of gross motor activities and role-play centers on cultivating entrepreneurial spirit in early childhood. Employing both qualitative and quantitative methods, the research involved 50 children aged 4-6 years from various kindergartens. Gross motor activities such as running and jumping were integrated with role-playing games that included simulations of small business activities. The study found that a combination of physical activities and social role-playing significantly enhanced the children’s cognitive, social, and emotional skills, which are crucial components of an entrepreneurial mindset. Results showed improvements in self-confidence, creativity, and collaborative abilities in children, in addition to strengthening their understanding of basic business and economic concepts. These findings highlight the importance of incorporating entrepreneurial education in early childhood curriculums, laying the foundation for the development of entrepreneurial skills and attitudes for the future.

Exploring Women’s Psychological and Emotional Experiences in Long-Term Strength Training Adherence

ABSTRACT Background Lack of physical activity is a contributor to mental health issues. Strength training exercise has been an effective intervention that yields physical and psychological benefits. Purpose This qualitative study aimed to explore and identify the perceived factors to maintain long-term strength training programs among women, and to examine the association of these factors with psychological and emotional health. Methods Seventeen face-to-face, semi-structured interviews were conducted with women aged 35–81 (M = 54.6) over a five-month span. The interviews were audio recorded, transcribed verbatim, and manually coded. Data was analyzed using a thematic analysis. Results Most of the women had been strength training for over a decade (82.4%). A primary theme: Emotional Resilience will be highlighted in this study. Additional subthemes include I Feel Good, I Feel Better; Calm Emotions and Reduce Stress, and A Boost in Confidence. Discussion Strength training exercise plays a role to enhance women’s mental focus and emotional resilience needed to cope with adversity. Translation to Health Education Practice Health professionals and policy makers may need to consider strength training as a useful practice that can lead to improvements in self-confidence, quality of life, and physical, mental, and emotional wellbeing.

The Use of Nautical Activities in Formal Education: A Systematic Review.

The implementation of nautical sports, particularly in coastal areas, during the school stage is a growing phenomenon. It offers unique opportunities for students to develop the necessary competencies outlined in their physical education curriculum in an immersive manner, within a natural and inherently motivating environment. This study aims to delve deeper into this subject by conducting a systematic review of the utilization of water sports in formal education. To carry out this bibliographic search, the following keywords were employed: "Nautical Activities", "Nautical Sports", "Nautical Camps", "Formal Education", "Children Education", "Primary School", and "Secondary School". The Boolean operator "and" was used to combine these keywords during the search conducted in databases such as Scopus, PubMed, Web of Science, and SPORTDiscus. The PRISMA Protocol was utilized for the search process, resulting in the selection and categorization of eight papers into the following thematic areas: Wellbeing, Physical and Mental Health, Education, and Management. The primary findings of this review indicate that the inclusion of these programs within physical education classes enhances overall physical health, mental well-being, and personal development. The results demonstrate a positive impact on peer interaction and short-term improvement in self-confidence.

Exploring service users’ and practitioners’ priorities regarding outcomes of cognitive behavioural therapy for distressing voices: a thematic analysis

ABSTRACT Background The outcomes of Cognitive Behavioural Therapy for distressing voices and their measurement have mostly been determined by professionals, with little focus on the outcomes that matter to people who hear voices. The aim of this qualitative study was to explore views about the outcomes of Cognitive Behavioural Therapy for distressing voices from the perspectives of lived and professional experience. Methods Fifteen service users and fourteen practitioners were recruited from mental health services. Semi-structured interview schedules were used to guide individual interviews with service users and focus groups with practitioners. All interviews were audio recorded and transcribed verbatim. Thematic analysis was applied to generate themes. Results Four themes were identified: “I want what I can’t have”, “Feeling empowered”, “Understanding and managing my emotions”, and “Doing more of what I want to do”. Two themes contained sub-themes. Discussion Valued outcomes by service users and practitioners appeared to reflect changes in voice characteristics, improvements in self-confidence and self-respect, acceptance of voices, understanding and managing emotions and personal outcomes. Findings suggest discrepancies between service users’ and practitioners’ priorities in regard to changes in voice characteristics and understanding and managing negative emotions. Recommendations include a greater focus on managing emotions by practitioners.

대학생들의 진로탐색 활동을 통한 관점과 인식의 변화경험에 관한 질적 사례연구

Objectives This study seeks to explore what kind of changes the experience of career activities through participation in the career exploration credit system makes university students experience changes in their perspectives and perceptions.
 Methods To this end, five university students who participated in the career exploration credit system activities implemented by K University were asked, ‘What kind of experience did participating in the career exploration credit system have?’ and ‘What is the meaning of the experience of participating in the career exploration credit system?’ It was conducted as a case study.
 Results As a result of the study, core components such as ‘positive change in perspective and perception through the experience of designing and executing career activities by oneself’ and ‘improvement of self-confidence through voluntary participation experience’ were derived.
 Conclusions The implications obtained through this study are as follows. First, it is necessary to provide college students with experiences of self-directed class design and practice. Second, it is necessary to expand career subjects that college students can be interested in through self-directed activity experiences. Third, it is necessary to prepare an institutional device for university students to experience a lot of application of the process of planning, designing, and executing themselves. In conclusion, it is expected that a new career-related model, such as the career exploration credit system, will be continuously developed and implemented for college students who are struggling between career and employment, so that they can design and realize practical field-oriented activity experiences or projects unrelated to their major.

영어 비교과 프로그램 운영사례를 통한 글로벌 역량 효과 연구

This study investigates how the extra-curriculum programme, which is called English Clinic operated by J university, affects global competency. To find out the mean difference between pre and post survey on global competency for the participants, the paired t-test is applied. And to find out what the learners achieved, the participants’ self-reports with regard to how they have changed before and after taking the programme were analyzed. The results demonstrate that the participation of English Clinic leads to the improvement of overall global competencies, not only foreign language literacy also global citizenship and multicultural acceptance. In addition, the learners show positive attitude changes on internal motivation to study English and on improvement of self-confidence.

Who benefits more from mindfulness? A preliminary study exploring moderating effect of personality traits on competition anxiety in athletes

Objective Mindfulness can help athletes better regulate their emotions, and analyzing personality traits may help identify those who would benefit more from psychological intervention activities to optimize subsequent training effects. This study sought to examine the effects of mindfulness training on athletes’ competition anxiety and to consider the role of personality traits. Methods Fifty athletes (mean age = 21.87 years, SD = 1.62; 23 females and 27 males) were randomly assigned to a mindfulness group (n = 23), which received 8 weeks of mindfulness training, and a control group (n = 27) receiving no intervention. The athletes’ personality traits, mindfulness level, and competition anxiety were measured according to the study plan before and after mindfulness training, and at an 8-week follow up. Results Compared with the control group, mindfulness training had a positive effect on the level of mindfulness and self-confidence in the mindfulness group, as well as a greater improvement in cognitive/somatic state anxiety. Improvements remained stable from the end of training to follow up. Additionally, athletes with high activity and high extraversion had more improvement in mindfulness levels and cognitive/somatic state anxiety, respectively, while athletes with low neuroticism demonstrated greater improvement in self-confidence. Conclusions Mindfulness training helps to reduce athletes’ competition anxieties, and personality traits might affect the improvement effect to a certain extent, which provided a reference for optimizing mindfulness training and developing more personalized psychological training for athletes who display certain personality traits.

Struggle in the bubble - a prospective study on the effect of remote learning and distance education on confidence in practical surgical skills acquired during COVID-19

BackgroundThe coronavirus disease (COVID-19) has significantly changed healthcare systems and medical education. Universities were required to develop innovative curricula based on remote and distance education to continue medical education. This prospective questionnaire-based study aimed to investigate the impact of COVID-19-associated remote learning on the surgical training of medical students.MethodsA 16-item questionnaire-based survey was distributed to medical students at the University Hospital of Münster before and after a surgical skills laboratory (SSL). Two cohorts were included: summer semester 2021 (COV-19), with rigorous social-distancing restrictions requiered SSL to be remotely, and winter semester 2021 (postCOV-19), in which the SSL was provided as a face-to-face, hands-on course.ResultsBoth, cohorts showed a significant improvement in self-assessment of pre- and post-course confidence. While no significant difference in the average gain in self-confidence for sterile working was observed between the two cohorts, improvement in self-confidence was significantly higher in the COV-19 cohort regarding skin suturing and knot tying (p < 0.0001). However the average improvement regarding history and physical was significantly higher in the postCOV-19 cohort (p < 0.0001). In subgroup analysis, gender-associated differences varied in the two cohorts and were not related to specific subtasks, while age-stratified analysis revealed superior results for younger students.ConclusionThe results of our study underline the usability, feasibility, and adequacy of remote learning for the surgical training of medical students. The on-site distance education version, presented in the study, allows the continuing of hands-on experience in a safe environment in compliance with governmental social-distancing restrictions.

Social return on investment of face-to-face versus online lifestyle coaching to improve mental wellbeing

BackgroundThe percentage of people in Wales experiencing severe mental health issues more than doubled during the COVID-19 pandemic. Additionally, hundreds of people in Wales wait more than a year for help with their mental health. The EmotionMind Dynamic (EMD) programme is a six-session programme over 3 months involving self-reflective introspection, self-analysis, problem solving, goal setting, and action taking. Furthermore, this programme challenges negative self-perception and increases self-awareness, self-confidence, and self-esteem. We aimed to estimate the social return on investment of EMD lifestyle coaching, both face-to-face and online formats, by comparing the costs of running the programme with the social value generated from clients as measured by improvement in self-confidence and mental wellbeing. MethodsWe included 15 clients from previous face-to-face EMD coaching and 17 clients from a new online version of EMD. For face-to-face clients, quantitative data were collected retrospectively with a one-time only questionnaire. For new online clients, quantitative data were collected from baseline and follow-up questionnaires. Qualitative data were collected after intervention from interviews with both groups. Outcomes from questionnaires for both groups included changes in mental wellbeing measured with the Short Warwick Edinburgh Mental Wellbeing Scale (SWEMWBS) and self-efficacy assessed with the General Self-Efficacy Scale (GSES). FindingsFor every £1 invested, lifestyle coaching generated social values ranging from £4·12 to £7·08 for face-to-face clients compared with £2·37 to £3·35 for online participants. Quantitative and qualitative data from questionnaires and interviews indicated that many clients had improved mental wellbeing and self-efficacy. All 15 face-to-face clients and 11 (65%) of 17 online clients reported an increase of 5 points or more on the SWEMWBS questionnaire. Similarly, all 15 face-to-face clients and ten (59%) of 17 online clients reported an increase of 5 points or more on the GSES questionnaire. InterpretationThe results showed that both face-to-face and online formats of the EMD lifestyle coaching generated a positive social return on investment ratios. With continued long waiting lists for people with mental health challenges, face-to-face and online lifestyle coaching might become more essential across statutory, private, and third sectors to meet the growing demand for mental health support. FundingAccelerate: the Welsh Health Innovation and Technology Accelerator.