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Moderators of the efficacy of a web-based stress management intervention for college students.
Abstract
= 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Our results are in line with recent studies targeting the same population, showing that online stress management interventions are more effective for students with higher levels of stress, anxiety, and depression.
“Our results are in line with recent studies targeting the same population, showing that online stress management interventions are more effective for students with higher levels of stress, anxiety, and depression [40,41].”
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“Previously, higher baseline stress scores were found to be associated with the larger effect size of a web-based stress management program (Coudray et al., 2019).”
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“Web-based interventions are increasingly used to improve cost effectiveness and use of resources in various health-care programs for university students (Coudray et al., 2019; Meredith & Frazier, 2019; Ryan et al., 2018).”
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“Students were moderately stressed, with scores comparable to those in prepandemic college student samples (e.g., Coudray et al., 2019; Sprung & Rogers, 2021).”
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An extension to the Johnson-Neyman test for generalized linear models with curvilinear effects
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“Somewhat related, one study testing a general web‐based stress management intervention found that higher distress at baseline moderated intervention effectiveness (Coudray et al. 2019).”
Metadata
- Authors
- Coudray, C., Palmer, R., & Frazier, P.
- Venue
- Journal of Counseling Psychology
- Published
- 2019-11
- Volume
- 66
- Issue
- 6
- Pages
- 747-754
- ISSN
- 0022-0167 (ISSN-L)
- 1939-2168
- OpenAlex
- W2938255757
- Cited by
- 22
- References
- 0
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 1 · 2023: 5 · 2022: 4 · 2021: 3 · 2020: 1 · 2019: 1
- FWCI
- 2.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Counseling Psychology (publishedVersion)
- PubMed (publishedVersion)
- 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
- online intervention, stress management, university students, perceived stress, stress symptoms, anxiety, depression, screening criteria, indicated prevention
- MeSH terms
- Adolescent, Counseling, Female, Humans, Male, Psychotherapy, Stress, Psychological, Students, Therapy, Computer-Assisted, Universities, Treatment Outcome, Outcome Assessment, Health Care, Internet, Young Adult
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