Examining an internet-delivered intervention for anxiety and depression when delivered as a part of routine care for university students: A phase IV trial
Open accessAbstract
BACKGROUND: There has been growing interest in the potential of emerging internet-delivered psychological treatments for supporting the mental health needs of university students. However, no large-scale prospective effectiveness trials examining their real-world potential have been reported. OBJECTIVE: The aim of the current study was to evaluate the acceptability and effectiveness of a brief, 5-week, internet-delivered and therapist-guided intervention for anxiety and depression, when delivered as part of routine care by a university counselling service. DESIGN: A large, prospective, single-group Phase-IV clinical trial. Students (n = 1326) engaging with the university counselling service were provided the opportunity to receive the intervention based on their preferences and identified needs. Students completed standardised measures of anxiety and depression at pre-treatment, each week of the intervention, post-treatment and 3-month follow-up. RESULTS: Over a 4 year period, 1081 students (10% of those presenting to the counselling service) participated in the intervention. Large clinical reductions in symptoms of both anxiety (% reduction = 41%; Cohen's d = 0.94) and depression (% reduction = 36%; Cohen's d = 0.81) were observed alongside high levels of acceptability. The intervention required relatively little counsellor time (M = 36.28 mins; SD = 20.56) per student, and symptom deterioration was observed in less than 5% of students. CONCLUSION: The findings of the current study are supportive of internet-delivered interventions provided as routine care to university students. Further research is needed to carefully explore whether these interventions could be used with a larger proportion of students presenting to counselling services, paying close attention to acceptability, engagement and clinical outcomes.
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Web-based interventions can be successfully integrated into routine primary care.
“They can be successfully integrated into routine primary care [24,25]”
From Web-Based Interventions to Help Australian Adults Address Depression, Anxiety, Suicidal Ideation, and General Mental Well-being: Scoping Review (2022) · cites this paper as [24]
The Discussion reports successful integration of an internet-delivered intervention into routine university counselling services. That supports integration into routine care, but the study did not evaluate routine primary care; the primary-care mentions in our copy are references to other studies. (LLM, conf=0.88)
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- Authors
- Dear, B. F., Johnson, B., Singh, A., Wilkes, B., Brkic, T., Gupta, R., Jones, M. P., Bailey, S., Dudeney, J., Gandy, M., Fogliati, R., & Titov, N.
- Affiliations
- Macquarie University (AU)
- Corresponding author
- Dear, Blake F.
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2019-09
- Volume
- 256
- Pages
- 567-577
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2954477522
- Cited by
- 36
- References
- 48
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 8 · 2023: 5 · 2022: 10 · 2021: 3 · 2020: 1
- FWCI
- 3.96
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Affective Disorders (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- Macquarie University
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- online intervention, anxiety, depression, university students, university counseling services, usual care, therapist-guided intervention, acceptability, treatment effectiveness, symptom deterioration, student mental health
- MeSH terms
- Internet-Based Intervention, Adult, Anxiety, Depression, Female, Humans, Male, Mental Health, Prospective Studies, Students, Universities, Cognitive Behavioral Therapy, Internet, Young Adult
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