Using online interventions to deliver college student mental health resources: Evidence from randomized clinical trials.
Abstract
This study evaluated the efficacy of Internet-based stress management programs for college students. This approach is particularly fitting for students owing to a lack of mental health resources on campus and to high levels of Internet use among students. Because a history of interpersonal trauma (IPT) is associated with more distress and poorer academic performance, IPT history was assessed as a moderator of intervention efficacy. Students (N = 365) were randomly assigned to a mindfulness plus present control intervention, a mindfulness only intervention, or a stress management information condition that served as an active comparison. Prior research has supported the efficacy of the mindfulness plus present control intervention (Nguyen-Feng et al., 2015). Outcome measures were self-report measures of stress, anxiety, depression, and perceived stress completed online at preintervention, postintervention, and 2 follow-ups (2-3 weeks and 4-5 weeks postintervention). Linear mixed modeling was used to assess change over time. Participants in all 3 groups reported significant decreases on all primary outcomes. All time-by-intervention group interaction effects were nonsignificant, suggesting that the 3 conditions were equally effective. When examining IPT history as a moderator, the mindfulness plus present control and stress management conditions were both more effective for IPT survivors than the mindfulness only intervention. Results suggested that Internet-based interventions are effective for lowering distress among college students and that specific approaches may be differentially effective for certain subgroups of students. They also suggested that providing students with stress management information without providing training in 1 specific skill may also be helpful. (PsycINFO Database Record
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Global data show that online programs can effectively treat mental disorders and be used in prevention efforts among student populations.
“Global data show that such programs can effectively treat mental disorders and be used in prevention efforts among student populations [37, 38].”
From Effectiveness and mediators of change of an online CBT intervention for students with adjustment disorder—study protocol for a randomized controlled trial (2023) · cites this paper as [37]
RCTs focusing on college student samples suggest comparable efficacy to other populations.
“RCTs focusing on college student samples suggest comparable efficacy [27–31]”
RCTs focusing on college student samples are often compromised by methodological limitations such as small sample sizes or no long-term follow-up.
“but are often compromised by methodological limitations such as small sample sizes [29–31] or no long-term follow-up [27–29, 31].”
Participants sometimes received money or course credits for study participation, therefore possibly not representing real students in need.
“Additionally, participants sometimes received money or course credits for study participation [27–29], therefore possibly not representing real students in need.”
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“Self-guided online interventions have proven effective in improving mood, anxiety, and distress in individuals who have experienced various types of trauma (Nguyen-Feng et al., 2017).”
Psychological Well-Being of Students in Higher Education Institutions
Hako, A. N., & Mbongo, E. N. (2023) · Advances in higher education and professional development book series · doi:10.4018/979-8-3693-2833-0.ch013 · Cited by 2 · see citing works
Canine-Assisted Interventions: Insights from the B.A.R.K. Program and Future Research Directions
Binfet, J.-T. (2023) · Nebraska Symposium on Motivation/The Nebraska symposium on motivation · doi:10.1007/978-3-031-29789-2_6 · Cited by 1 · see citing works
Chesin, M. S., Cascardi, M. A., & Gilleran, K. (2024) · Journal of Interpersonal Violence · doi:10.1177/08862605241260602 · Cited by 2 · see citing works
“To an extent, such interventions have been adapted for the IHE student population to accommodate their schedule, preference for a telehealth modality, developmental concerns, and their unique and transitioning social supports from family to friends (Nguyen-Feng et al., 2015, 2017).”
Bastien, L., Cho, S., Petrovic, J., Khoury, B., Bloom, E. L., & Heath, N. L. (2025) · Internet Interventions · doi:10.1016/j.invent.2025.100868 · Cited by 1 · see citing works
Schillings, C., Schultchen, D., Küchler, A., Mack, M., Baumeister, H., & Pollatos, O. (2026) · BMC Psychology · doi:10.1186/s40359-026-04631-1 · Cited by 1 · see citing works
“Perceived stress decreased due to the online MBI from pre-to follow-up intervention compared to the control group, which is in line with our hypothesis and previous findings [31, 39–41, 43, 44, 46, 47].”
Rodrigues, T. C. M. M., Barbosa, G. C., & Tonete, V. L. P. (2022) · Revista Família Ciclos de Vida e Saúde no Contexto Social · doi:10.18554/refacs.v10i3.5718 · Cited by 1 · see citing works
Bhadouria, A. S., Arya, H., Agrawal, B., & Kulshrestha, D. (2024) · Algorithms for intelligent systems · doi:10.1007/978-981-97-0327-2_47 · Cited by 1 · see citing works
Supporting Music Therapy Majors with Mental Health Conditions
Gooding, L. F., & Ferrer, A. J. (2024) · Music Therapy Perspectives · doi:10.1093/mtp/miae012 · Cited by 2 · see citing works
Impact of Psychoeducational Campaign “DEEP” in Portuguese University Students
Durán, L., & Almeida, A. M. P. (2020) · Iberian Conference on Information Systems and Technologies (CISTI) · doi:10.23919/cisti49556.2020.9140878
“2020 15th Iberian Conference on Information Systems and Technologies (CISTI) 24 – 27 June 2020, Seville, Spain ISBN: 978-989-54659-0-3 Torna-se, assim, primordial desenvolver estudos que permitam validar este tipo intervenções [20-22].”
BackgroundMindfulness Virtual Community for Student’s Mental Health: A Randomized Control Trial (Preprint)Preprint
Ahmad, F., Morr, C. E., Ritvo, P., Othman, N., Moineddin, R., & MVC Team (2019) · doi:10.2196/preprints.15520
Mercado, M. S., Salcedo, C. H. L., Servo, J. P. L., Tomenio, D. Y. C., Paster, A. B., & Cabuyao, A. P. (2023) · INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH AND ANALYSIS · doi:10.47191/ijmra/v6-i2-33
How Can Instagram be a Better Space for You?
Burling, M. G. H. (2023) · doi:10.32920/23978808
How Can Instagram be a Better Space for You?
Burling, M. G. H. (2023) · doi:10.32920/23978808.v1
Bugis, B. A., Alzayed, L. Z., Helabi, M. H. B., & Alqurashi, H. (2023) · Neurosciences · doi:10.17712/nsj.2023.4.20230011
“11,12 Likewise, many of our respondents agreed that health care workers who specialize in providing face-to-face mental health services are capable or may be capable of providing telemental health services, while only a few said they either do not know or do not agree that such individuals are…”
BackgroundResearch Progress on the Application of Mindfulness Training among College Students
Wang, M. (2024) · Advances in Psychology · doi:10.12677/ap.2024.143128
- Authors
- Nguyen-Feng, V. N., Greer, C. S., & Frazier, P.
- Affiliations
- University of Minnesota (US)
- Venue
- Psychological Services
- Published
- 2017-11
- Volume
- 14
- Issue
- 4
- Pages
- 481-489
- ISSN
- 1541-1559 (ISSN-L)
- 1939-148X
- OpenAlex
- W2767554345
- Cited by
- 73
- References
- 29
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 6 · 2023: 20 · 2022: 9 · 2021: 11 · 2020: 6 · 2019: 9 · 2018: 3 · 2017: 2
- FWCI
- 6.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Services (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Keywords
- online intervention, college student mental health, stress management, mindfulness, interpersonal trauma, trauma survivors, anxiety, depression, perceived stress, intervention efficacy, treatment moderators
- MeSH terms
- Psychological Trauma, Adult Survivors of Child Adverse Events, Adult, Female, Humans, Male, Mental Health Services, Stress, Psychological, Student Health Services, Students, Outcome Assessment, Health Care, Telemedicine, Internet, Young Adult, Mindfulness
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