| Item | Before | 3 months | 6 months | Significance p value |
| Health awareness | 20.15 | 21.22 | 21.57** | p < 0.01 |
| Stress management | 23.27 | 23.53 | 23.85 | NS |
| Self-efficacy | 73.0 | 73.53 | 72.65 | NS |