A three-armed randomized controlled trial to evaluate the effectiveness, acceptance, and negative effects of StudiCare Mindfulness, an internet- and mobile-based intervention for college students with no and "on demand" guidance.

Autor/inn/en	Küchler, Ann-Marie; Schultchen, Dana; Dretzler, Tim; Moshagen, Morten; Ebert, David D.; Baumeister, Harald
Titel	A three-armed randomized controlled trial to evaluate the effectiveness, acceptance, and negative effects of StudiCare Mindfulness, an internet- and mobile-based intervention for college students with no and "on demand" guidance. Gefälligkeitsübersetzung: Eine dreiarmige, randomisierte, kontrollierte Studie zur Bewertung der Wirksamkeit, der Akzeptanz und der negativen Auswirkungen von StudiCare Mindfulness, einer internet- und mobilbasierten Intervention für College-Studenten ohne und mit "On-Demand"-Begleitung.
Quelle	In: International journal of environmental research and public health, 20 (2023) 4, 23 S. PDF als Volltext kostenfreie Datei Link als defekt meldenVerfügbarkeit
Sprache	englisch
Dokumenttyp	online; Zeitschriftenaufsatz
ISSN	1660-4601
DOI	10.3390/ijerph20043208
Schlagwörter	Achtsamkeit; Depression; Psychische Gesundheit; Therapieerfolg; Digitale Medien; Schulberatung; Erfolgskontrolle; Stress; Bachelor-Studiengang; Belastung; Gesundheitsversorgung; Intervention; Student
Abstract	The college years can be accompanied by mental distress. Internet- and mobile-based interventions (IMIs) have the potential to improve mental health but adherence is problematic. Psychological guidance might promote adherence but is resource intensive. In this three-armed randomized controlled trial, "guidance on demand" (GoD) and unguided (UG) adherence-promoting versions of the seven-module IMI StudiCare Mindfulness were compared with a waitlist control group and each other. The GoD participants could ask for guidance as needed. A total of 387 students with moderate/low mindfulness were recruited. Follow-up assessments took place after 1 (t1), 2 (t2), and 6 (t3) months. Post-intervention (t2), both versions significantly improved the primary outcome of mindfulness (d = 0.91-1.06, 95% CI 0.66-1.32) and most other mental health outcomes (d = 0.25-0.69, 95% CI 0.00-0.94) compared with WL, with effects generally persisting after 6 months. Exploratory comparisons between UG and GoD were mostly non-significant. Adherence was low but significantly higher in GoD (39%) vs. UG (28%) at the 6-month follow-up. Across versions, 15% of participants experienced negative effects, which were mostly mild. Both versions effectively promoted mental health in college students. Overall, GoD was not associated with substantial gains in effectiveness or adherence compared with UG. Future studies should investigate persuasive design to improve adherence. (ZPID).
Erfasst von	Leibniz-Institut für Psychologie, Trier
Update	2024/1