AEPH
Home > Higher Education and Practice > Vol. 3 No. 6 (HEP 2026) >
Building an Integrated Supportive Ecosystem for Mental Health Education across Educational Stages in the Digital and AI Era
DOI: https://doi.org/10.62381/H261611
Author(s)
Chunqing Wang, Yenan Zhang*
Affiliation(s)
Zhejiang Technical Institute of Economics, Hangzhou, China *Corresponding Author
Abstract
To investigate the effect of positive expiratory pressure (PEP) equipment on the rapid recovery of lung cancer patients after thoracoscopic surgery and to summarize the application experience, a total of 100 lung cancer patients admitted to the Thoracic Surgery Department for thoracoscopic surgery at Changshu No.1 People's Hospital from May 2016 to March 2018 were included in this study. Randomly assign the two groups to observe or control, and include 50 cases in each group. Both groups received the same routine perioperative care for lung surgery, such as strict smoking cessation, learning effective coughing techniques, breathing exercises, positional changes in bed, etc. Patting on the back was performed to encourage sputum excretion, and aerosol inhalation was used to promote expectoration. The time to chest tube removal and the length of hospital stay were shorter in the observation group compared with the control group, and this difference was statistically significant. The amount of expectoration in the observation group and the control group before and on the first day after surgery were not statistically different. Acapella can help speed up the early excretion of sputum, reduce the duration of chest tube removal and the length of hospitalisation after thoracoscopic surgery, thus promoting the rapid recovery of patients in the post-operative period and is therefore worth promoting.
Keywords
Mental Health Education; Cross-Stage Integration; Support Ecosystem; Ecological System Theory; Artificial Intelligence
References
[1] M. Solmi et al., “Age at onset of mental disorders worldwide: large-scale meta-analysis of 192 epidemiological studies,” Mol. Psychiatry, vol. 27, no. 1, pp. 281–295, Jan. 2022. [2] R. P. Auerbach et al., “WHO world mental health surveys international college student project: prevalence and distribution of mental disorders,” J. Abnorm. Psychol., vol. 127, no. 7, pp. 623–638, Oct. 2018. [3] A. J. E. Sundqvist, P. Nyman-Kurkiala, O. Ness, and J. Hemberg, “The influence of educational transitions on loneliness and mental health from emerging adults’ perspectives,” Int. J. Qual. Stud. Health Well-being, vol. 19, no. 1, p. 2422142, Dec. 2024. [4] C. L. Odgers and M. R. Jensen, “Annual research review: adolescent mental health in the digital age: facts, fears, and future directions,” J. Child Psychol. Psychiatry, vol. 61, no. 3, pp. 336–348, Mar. 2020. [5] A. Orben, A. K. Przybylski, S.-J. Blakemore, and R. A. Kievit, “Windows of developmental sensitivity to social media,” Nat. Commun., vol. 13, no. 1, p. 1649, Mar. 2022. [6] L. Fassi, A. M. Ferguson, A. K. Przybylski, T. J. Ford, and A. Orben, “Social media use in adolescents with and without mental health conditions,” Nat. Hum. Behav., vol. 9, no. 6, pp. 1283–1299, May 2025. [7] W. Holmes et al., “Ethics of AI in education: towards a community-wide framework,” Int. J. Artif. Intell. Educ., vol. 32, no. 3, pp. 504–526, Sep. 2022. [8] J. A. Durlak, R. P. Weissberg, A. B. Dymnicki, R. D. Taylor, and K. B. Schellinger, “The impact of enhancing students’ social and emotional learning: a meta-analysis of school-based universal interventions,” Child Dev., vol. 82, no. 1, pp. 405–432, Jan. 2011. [9] C. Cipriano et al., “The state of evidence for social and emotional learning: a contemporary meta-analysis of universal school-based SEL interventions,” Child Dev., vol. 94, no. 5, pp. 1181–1204, Sep. 2023. [10] M. Margaretha, P. S. Azzopardi, J. Fisher, and S. M. Sawyer, “School-based mental health promotion: a global policy review,” Front. Psychiatry, vol. 14, p. 1126767, Apr. 2023. [11] M. D. Weist, K. Short, H. McDaniel, and A. Bode, “The school mental health international leadership exchange (SMHILE): working to advance the field through opportunities for global networking,” Int. J. Ment. Health Promot., vol. 18, no. 1, pp. 1–7, Jan. 2016. [12] S. Hoover and J. Bostic, “Schools As a vital component of the child and adolescent mental health system,” Psychiatr. Serv., vol. 72, no. 1, pp. 37–48, Jan. 2021. [13] Ma, J. Q., Gao, Y. Y., and Fan, X., “On the integrated development of mental health education across primary, secondary, and higher education in the new era [In Chinese],” Ideological and Theoretical Education, no. 9, pp. 94–99, 2024. [14] Yu, G. L. and Wang, H., “Integration of mental health education across primary, secondary, and higher education: A theoretical perspective [In Chinese],” Educational Research, vol. 40, no. 8, pp. 108–114, 2019, Accessed: Jan. 23, 2026. [15] Yu, G. L. and Zhang, Y. L., “Integration of mental health education from preschool to higher education: A personality-development perspective [In Chinese],” Educational Research, vol. 41, no. 6, pp. 125–133, 2020, Accessed: Jan. 23, 2026. [16] E. M. Rosa and J. Tudge, “Urie bronfenbrenner’s theory of human development: its evolution from ecology to bioecology,” J. Fam. Theory Rev., vol. 5, no. 4, pp. 243–258, Dec. 2013. [17] E. D. Dimova et al., “The application of bronfenbrenner’s bio-ecological model in children and young people’s mental health research: a rapid review,” Child Psychiatry Hum. Dev., pp. 1–13, Apr. 2026. [18] A. Richter, M. Sjunnestrand, M. Romare Strandh, and H. Hasson, “Implementing school-based mental health services: a scoping review of the literature summarizing the factors that affect implementation,” Int. J. Environ. Res. Public Health, vol. 19, no. 6, p. 3489, Mar. 2022. [19] E. Long, C. Zucca, and H. Sweeting, “School climate, peer relationships, and adolescent mental health: a social ecological perspective,” Youth Soc., vol. 53, no. 8, pp. 1401–1415, Nov. 2021. [20] R. Alfredo et al., “Human-Centred Learning Analytics and AI in Education: a Systematic Literature Review,” Comput. Educ.: Artif. Intell., vol. 6, p. 100215, Jun. 2024. [21] A. Nguyen, H. N. Ngo, Y. Hong, B. Dang, and B.-P. T. Nguyen, “Ethical principles for artificial intelligence in education,” Educ. Inf. Technol., vol. 28, no. 4, pp. 4221–4241, Apr. 2023. [22] A. Pardo and G. Siemens, “Ethical and privacy principles for learning analytics,” Br. J. Educ. Technol., vol. 45, no. 3, pp. 438–450, May 2014. [23] C. Donaldson, G. Moore, and J. Hawkins, “A systematic review of school transition interventions to improve mental health and wellbeing outcomes in children and young people,” Sch. Ment. Health, vol. 15, no. 1, pp. 19–35, Mar. 2023. [24] A. R. Lyon, E. H. Connors, G. M. Lawson, E. Nadeem, and J. S. Owens, “Implementation science in school mental health: a 10-year progress update and development of a new research agenda,” Sch. Ment. Health, vol. 16, no. 4, pp. 1013–1037, Dec. 2024. [25] S. K. Schäfer et al., “Barriers and facilitators for the implementation of preventative mental health interventions among secondary schools in high-income countries: a systematic review,” Eur. Child Adolesc. Psychiatry, vol. 34, no. 12, pp. 3713–3731, Dec. 2025. [26] R. S. Baker and A. Hawn, “Algorithmic bias in education,” Int. J. Artif. Intell. Educ., vol. 32, no. 4, pp. 1052–1092, Dec. 2022. [27] K. L. Broad, V. K. Sandhu, N. Sunderji, and A. Charach, “Youth experiences of transition from child mental health services to adult mental health services: a qualitative thematic synthesis,” BMC Psychiatry, vol. 17, no. 1, pp. 381–390, Dec. 2017. [28] G. Thornicroft et al., “The lancet commission on ending stigma and discrimination in mental health,” Lancet, vol. 400, no. 10361, pp. 1438–1480, Oct. 2022. [29] L. McPhail, G. Thornicroft, and P. C. Gronholm, “Help-seeking processes related to targeted school-based mental health services: systematic review,” BMC Public Health, vol. 24, no. 1, p. 1217, May 2024. [30] J. Radez, T. Reardon, C. Creswell, P. J. Lawrence, G. Evdoka-Burton, and P. Waite, “Why do children and adolescents (not) seek and access professional help for their mental health problems? A systematic review of quantitative and qualitative studies,” Eur. Child Adolesc. Psychiatry, vol. 30, no. 2, pp. 183–211, Feb. 2021. [31] G. M. Lawson, M. E. McKenzie, K. D. Becker, L. Selby, and S. A. Hoover, “The core components of evidence-based social emotional learning programs,” Prev. Sci., vol. 20, no. 4, pp. 457–467, May 2019. [32] J. Shi and A. C. K. Cheung, “Effective components of social emotional learning programs: a meta-analysis,” J. Youth Adolesc., vol. 53, no. 4, pp. 755–771, Apr. 2024. [33] C. Potts et al., “Digital mental health interventions for young people aged 16-25 years: scoping review,” J. Med. Internet Res., vol. 27, p. e72892, May 2025. [34] M. Wright, F. Reitegger, H. Cela, A. Papst, and B. Gasteiger-Klicpera, “Interventions with digital tools for mental health promotion among 11–18 year olds: a systematic review and meta-analysis,” J. Youth Adolesc., vol. 52, no. 4, pp. 754–779, Apr. 2023. [35] A. Werntz, S. Amado, M. Jasman, A. Ervin, and J. E. Rhodes, “Providing human support for the use of digital mental health interventions: systematic meta-review,” J. Med. Internet Res., vol. 25, p. e42864, Feb. 2023.
Copyright @ 2020-2035 Academic Education Publishing House All Rights Reserved