The development of the American College Health Association-National College Health Assessment III: An improved tool to assess and enhance the health and well-being of college students

Lederer, Alyssa M.; Hoban, Mary T.

doi:10.1080/07448481.2020.1834401

Cited by 81Health and Lifestyle StudiesHealth Education and ValidationSchool Health and Nursing Education

The development of the American College Health Association-National College Health Assessment III: An improved tool to assess and enhance the health and well-being of college students

Lederer, Alyssa M., Hoban, Mary T.·2022·Journal of American College Health

DOI 10.1080/07448481.2020.1834401

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Abstract

This article describes the development of the American College Health Association-National College Health Assessment III (ACHA-NCHA III), a widely used comprehensive survey that assesses college students' health behaviors and outcomes at the institutional and national levels. Only the second major revision since the ACHA-NCHA was established in 2000, the ACHA-NCHA III launched in Fall of 2019. Background on the purpose and history of the ACHA-NCHA will first be provided. Then the systematic steps taken to create a new and enhanced version of the survey will be recounted. An overview of the final ACHA-NCHA III instrument will be given, and future directions for the survey post-implementation will be discussed.

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In 2020, 63% of surveyed students reportedly experienced overwhelming anxiety.
“The American College Health Association’s (ACHA) National College Health Assessment highlights that, in 2020, a meagre 19.4% of the students surveyed received treatment for an anxiety difficulty, despite a substantial proportion of respondents (63%) reportedly experiencing overwhelming anxiety.”
From An internet-delivered acceptance and commitment therapy program for anxious affect, depression, and wellbeing: A randomized, parallel, two-group, waitlist-controlled trial in a Middle Eastern sample of college students (2024) · cites this paper as [14]
In 2014, 54% of ACHA respondents reported experiencing overwhelming anxiety.
“Findings from the ACHA survey in 2014 indicated that only 14.3% of respondents reported receiving a professional diagnosis or treatment for anxiety difficulties and this is despite a total of 54% having reported the experience of overwhelming anxiety [14].”
From An internet-delivered acceptance and commitment therapy program for anxious affect, depression, and wellbeing: A randomized, parallel, two-group, waitlist-controlled trial in a Middle Eastern sample of college students (2024) · cites this paper as [14]
In 2020, 19.4% of surveyed students received treatment for an anxiety difficulty.
“The American College Health Association’s (ACHA) National College Health Assessment highlights that, in 2020, a meagre 19.4% of the students surveyed received treatment for an anxiety difficulty, despite a substantial proportion of respondents (63%) reportedly experiencing overwhelming anxiety.”
From An internet-delivered acceptance and commitment therapy program for anxious affect, depression, and wellbeing: A randomized, parallel, two-group, waitlist-controlled trial in a Middle Eastern sample of college students (2024) · cites this paper as [14]
In 2020, 23.3% of surveyed students reported that anxiety had a deleterious impact on their academic performance.
“A further 23.3% reported that anxiety had a deleterious impact on their academic performance [14].”
From An internet-delivered acceptance and commitment therapy program for anxious affect, depression, and wellbeing: A randomized, parallel, two-group, waitlist-controlled trial in a Middle Eastern sample of college students (2024) · cites this paper as [14]
Only a limited number of college students struggling with anxiety are able to access mental health support.
“However, it remains concerning that only a limited number of college students struggling with anxiety are able to access mental health support.”
From An internet-delivered acceptance and commitment therapy program for anxious affect, depression, and wellbeing: A randomized, parallel, two-group, waitlist-controlled trial in a Middle Eastern sample of college students (2024) · cites this paper as [14]

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Authors: Lederer, A. M., & Hoban, M. T.
Affiliations: Tulane University (US)
American College Health Association, Silver Spring, Maryland, USA
Corresponding author: Lederer, Alyssa M.
ORCID: Lederer, Alyssa M.
Hoban, Mary T.
Venue: Journal of American College Health
Publisher: Informa UK Limited
Published: 2021-01-05
Volume: 70
Issue: 6
Pages: 1606-1610
ISSN: 0164-4300 (ISSN-L)
0744-8481
1940-3208
DOI: 10.1080/07448481.2020.1834401
OpenAlex: W3119525193
Cited by: 81
References: 14
Citations by year: 2026: 23 · 2025: 30 · 2024: 19 · 2023: 5 · 2022: 4
FWCI: 7.86
Type: journal article
Language: en
Open access: closed
Locations: Journal of American College Health (publishedVersion)
PubMed (publishedVersion)
Funders: the ACHA and participating institutions
Topics: Health Sciences › Health Professions › General Health Professions › Health and Lifestyle Studies
Social Sciences › Education › Health Education and Validation
Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
Keywords: National College Health Assessment, college student health, student well-being, health behavior, questionnaire development, student health assessment
MeSH terms: Educational Status, Humans, Surveys and Questionnaires, Students, United States, Universities, Health Behavior

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The development of the American College Health Association-National College Health Assessment III: An improved tool to assess and enhance the health and well-being of college students

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