Patients' experiences in a guided Internet- and App-based stress intervention for college students: A qualitative study
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INTRODUCTION: Academic education is often associated with increased stress and adverse effects on mental health. Internet-based interventions have shown to be effective in reducing stress-related symptoms. However, college students as target group so far have not been reached appropriately with psychological interventions and little is known about college students' perception of Internet-based stress management interventions. The objective of this study was to explore the experiences of students participating in an Internet- and App-based stress management intervention originally developed for stressed employees and subsequently adapted and tailored to college students. METHOD: Semi-structured interviews were conducted with ten participants selected from a randomized controlled trial that evaluated the effectiveness of an Internet- and App-based stress training. The selection of participants aimed to include students with different levels of treatment success. In order to enable an in-depth examination of intervention elements causing dissatisfaction, the interviews were systematically adapted regarding participants' statements in a precedent questionnaire. The interview material was analyzed based on the grounded theory method and thematic analysis. RESULTS: Results suggest students perceive a necessity to adapt Internet-based interventions to their particular needs. Students' statements indicate that a scientific perspective on the intervention and instable life circumstances could be student-specific factors affecting treatment experience. General themes emerging from the data were attitudes towards individualization and authenticity as well as demands towards different functions of feedback. DISCUSSION: Participants' experiences hint at certain intellectual and lifestyle-related characteristics of this population. Future studies should explore whether adaptions to these characteristics lead to a higher acceptance, adherence and effectiveness in the target population.
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Reminders can also be perceived as possible stressors for users.
“However, this suggestion needs to be regarded with caution, as reminders can also be perceived as possible stressors for users [45,60].”
Students might feel overwhelmed by a cluttered design.
“A study by Fleischmann et al [60] showed that students might indeed feel overwhelmed by a cluttered design.”
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Enhancing EFL Speaking Fluency and Reducing Anxiety through Mobile-Assisted Language Learning
Marzuki, A. G., Huriyah, H., Triassanti, R., Kencanawati, D., Nur, M. D. M., & Ulfah, U. (2026) · International Journal of Interactive Mobile Technologies (iJIM) · doi:10.3991/ijim.v20i05.58509
- Authors
- Fleischmann, R. J., Harrer, M., Zarski, A.-C., Baumeister, H., Lehr, D., & Ebert, D. D.
- Affiliations
- Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
- Universität Ulm (DE)
- Leuphana University of Lüneburg (DE)
- Corresponding author
- Fleischmann, R.J.
- Venue
- Internet Interventions
- Publisher
- Elsevier BV
- Published
- 2018-06
- Volume
- 12
- Pages
- 130-140
- ISSN
- 2214-7829 (ISSN-L)
- PMC
- PMC6096317
- OpenAlex
- W2780283608
- Cited by
- 47
- References
- 58
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 3 · 2023: 10 · 2022: 5 · 2021: 7 · 2020: 3 · 2019: 7 · 2018: 3
- FWCI
- 4.07
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Internet Interventions (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Multilingual Matters (Channel View Publications) (publishedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- BARMER
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- stress management, university students, online intervention, mobile application, guided self-help, student stress, intervention adaptation, treatment experience, individualization, feedback, mental health
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