Feasibility of a web-based program for universal prevention of anxiety and depression in university students: An open trial
Abstract
Objective: To examine the feasibility of a self-guided, Web-based program for universal prevention of anxiety and depression in university students. Participants: University students (n = 651) enrolled in the tested program (March, 2016). Methods: The program delivered eight weeks of mental health skills (e.g., behavioral activation, mindfulness). Data was collected online through an entry survey, weekly check-in surveys, and a post-program feedback survey. Results: Campus-wide recruitment emails were the most encountered recruitment strategy (82%). In terms of adherence, the program was initiated by 73% of students and fully completed by 11% of students. There was some evidence of program acceptability (e.g., 71% of students endorsed the program as “useful”). Common qualitative themes further suggested acceptability for some aspects of the program while also highlighting others for revision. Conclusion: Findings support further development of the online program and recommendations are made for improving the platform before future testing.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Guided interventions are more frequently used for selective and indicated prevention, whereas self-guided ones are more frequently associated with universal prevention.
“Guided interventions are more frequently used for selective and indicated prevention, whereas self-guided ones are more frequently associated with universal prevention [12,13,14,15].”
Cites
The Discovery of Grounded Theory; Strategies for Qualitative Research
Glaser, B. G., Strauss, A. L., & Strutzel, E. (1968) · Nursing Research · doi:10.1097/00006199-196807000-00014 · Cited by 39,449 · see citing works
Gulliver, A., Griffiths, K. M., & Christensen, H. (2010) · BMC Psychiatry · doi:10.1186/1471-244x-10-113 · Cited by 3,292 · see citing works
Auerbach, R. P., Collaborators, W. W.-I., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, P., Demyttenaere, K., Ebert, D. D., Green, J. G., et al. (2018) · Journal of Abnormal Psychology · doi:10.1037/abn0000362 · Cited by 2,522 · see citing works
Webb, T. L., Joseph, J., Yardley, L., & Michie, S. (2010) · Journal of Medical Internet Research · doi:10.2196/jmir.1376 · Cited by 2,517 · see citing works
Blanco, C., Okuda, M., Wright, C., Hasin, D. S., Grant, B. F., Liu, S.-M., & Olfson, M. (2008) · Archives of General Psychiatry · doi:10.1001/archpsyc.65.12.1429 · Cited by 1,582 · see citing works
Persuasive System Design Does Matter: a Systematic Review of Adherence to Web-based Interventions
Kelders, S. M., Kok, R. N., Ossebaard, H. C., & Van Gemert-Pijnen, J. E. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.2104 · Cited by 1,308 · see citing works
Adherence in Internet Interventions for Anxiety and Depression
Christensen, H., Griffiths, K. M., & Farrer, L. (2009) · Journal of Medical Internet Research · doi:10.2196/jmir.1194 · Cited by 1,133 · see citing works
Fleming, T., Bavin, L., Lucassen, M., Stasiak, K., Hopkins, S., & Merry, S. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.9275 · Cited by 670 · see citing works
Davies, E. B., Morriss, R., & Glazebrook, C. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3142 · Cited by 499 · see citing works
Seeking help from a mental health professional: The influence of one's social network
Vogel, D. L., Wade, N. G., Wester, S. R., Larson, L., & Hackler, A. H. (2007) · Journal of Clinical Psychology · doi:10.1002/jclp.20345 · Cited by 414 · see citing works
Are We in Crisis? National Mental Health and Treatment Trends in College Counseling Centers
Xiao, H., Carney, D. M., Youn, S., Janis, R. A., Castonguay, L., Hayes, J., & Locke, B. D. (2017) · Psychological services · doi:10.1037/ser0000130 · Cited by 413 · see citing works
Karyotaki, E., Kleiboer, A., Smit, F., Turner, D. T., Pastor, A. M., Andersson, G., Berger, T., Botella, C., Breton, J. M., Carlbring, P., et al. (2015) · Psychological Medicine · doi:10.1017/s0033291715000665 · Cited by 408 · see citing works
A systematic review of online youth mental health promotion and prevention interventions
Clarke, A. M., Kuosmanen, T., & Barry, M. M. (2015) · Journal of Youth and Adolescence · doi:10.1007/s10964-014-0165-0 · Cited by 381 · see citing works
Internet Use for Health Information Among College Students
Escoffery, C., Miner, K. R., Adame, D. D., Butler, S., McCormick, L. K., & Mendell, E. (2005) · Journal of American College Health · doi:10.3200/jach.53.4.183-188 · Cited by 355 · see citing works
Do online mental health services improve help-seeking for young people? A systematic review
Kauer, S. D., Mangan, C., & Sanci, L. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3103 · Cited by 339 · see citing works
Modularity in the design and application of therapeutic interventions
Chorpita, B. F., Daleiden, E. L., & Weisz, J. R. (2005) · Applied and Preventive Psychology · doi:10.1016/j.appsy.2005.05.002 · Cited by 295 · see citing works
Self-citationMoeller, R. W., & Seehuus, M. (2019) · Journal of Adolescence · doi:10.1016/j.adolescence.2019.03.006 · Cited by 254 · see citing works
Variations in Student Mental Health and Treatment Utilization Across US Colleges and Universities
Lipson, S. K., Gaddis, S. M., Heinze, J. E., Beck, K., & Eisenberg, D. (2015) · Journal of American College Health · doi:10.1080/07448481.2015.1040411 · Cited by 219 · see citing works
Technology-based interventions for mental health in tertiary students: Systematic review
Farrer, L., Gulliver, A., Chan, J. K., Batterham, P. J., Reynolds, J., Calear, A., Tait, R., Bennett, K., & Griffiths, K. M. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2639 · Cited by 188 · see citing works
Rith-Najarian, L. R., Boustani, M. M., & Chorpita, B. F. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.06.035 · Cited by 176 · cited 4× · see citing works
“Compared to studies in a recent meta-analysis on anxiety and depression prevention in university students, only one online program was tested on a larger sample than ours, while the 12 other online programs were tested with samples of 38 to 240 students.(20) Still, only 39% of students consented to the current researc…”
BackgroundResultInfluentialRapee, R. M., Wignall, A., Sheffield, J., Kowalenko, N., Davis, A., McLoone, J., & Spence, S. H. (2006) · Prevention Science · doi:10.1007/s11121-006-0035-4 · Cited by 87 · see citing works
Gender effects on mental health symptoms and treatment in college students
Seehuus, M., Moeller, R. W., & Peisch, V. D. (2019) · Journal of American College Health · doi:10.1080/07448481.2019.1656217 · Cited by 73 · see citing works
Taylor, C. B., Ruzek, J. I., Fitzsimmons‐Craft, E. E., Sadeh‐Sharvit, S., Topooco, N., Weissman, R. S., Eisenberg, D., Mohr, D. C., Graham, A. K., Jacobi, C., et al. (2020) · Journal of Medical Internet Research · doi:10.2196/17493 · Cited by 46 · see citing works
Predicting help-seeking behavior: The impact of knowing someone close who has sought help
Disabato, D. J., Short, J. L., Lameira, D. M., Bagley, K., & Wong, S. J. (2018) · Journal of American College Health · doi:10.1080/07448481.2018.1440568 · Cited by 34 · see citing works
What's in a name? Branding of online mental health programming for university students.
Rith-Najarian, L., Sun, W., Chen, A., Chorpita, B., Chavira, D., Mougalian, S., & Gong-Guy, E. (2019) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000383 · Cited by 17 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
D'Adamo, L., Paraboschi, L., Claire Grammer, A., Fennig, M., Graham, A. K., Yaeger, L. H., Newman, M. G., Wilfley, D. E., Barr Taylor, C., Eisenberg, D., et al. (2023) · Journal of Behavioral and Cognitive Therapy · doi:10.1016/j.jbct.2023.05.002 · Cited by 37 · see citing works
Armaou, M., Pears, M., Konstantinidis, S. T., & Blake, H. (2024) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph21030375 · Cited by 18 · see citing works
Williams, A. J., Freed, M., Theofanopoulou, N., Roquet, C. D., Klasnja, P., Gross, J. J., Schleider, J. L., & Slovák, P. (2023) · JMIR Mental Health · doi:10.2196/46826 · Cited by 19 · see citing works
CASALE, A. D., Zocchi, C., Kotzalidis, G. D., Fiaschè, F., & Girardi, P. (2021) · Psychiatry International · doi:10.3390/psychiatryint2030027 · Cited by 9 · see citing works
Lambert, J. D., Loades, M. E., Marshall, N., Higson‐Sweeney, N., Chan, S. W. Y., Mahmud, A., Pile, V., Maity, A., Adam, H., Sung, B., et al. (2025) · Journal of Medical Internet Research · doi:10.2196/58164 · Cited by 9 · see citing works
Digital Intervention Barriers Scale–7 (DIBS-7): Development, Evaluation, and Preliminary Validation
Ramos, G., Montoya, A. K., Hammons, H. R., Smith, D. A., Chavira, D. A., & Rith‐Najarian, L. (2023) · JMIR Formative Research · doi:10.2196/40509 · Cited by 7 · see citing works
Hanano, M., Rith‐Najarian, L., Gong-Guy, E., & Chavira, D. A. (2024) · JMIR Formative Research · doi:10.2196/56118 · Cited by 6 · see citing works
Özer, Ö., & Köksal, B. (2023) · OSMANGAZİ JOURNAL OF MEDICINE · doi:10.20515/otd.1309551 · Cited by 5 · see citing works
Armaou, M., Tate, S., Konstantinidis, S. T., & Blake, H. (2025) · Occupational Health · doi:10.3390/occuphealth1010002
- Authors
- Rith-Najarian, L. R., Chorpita, B. F., Gong-Guy, E., Hammons, H. R., & Chavira, D. A.
- Affiliations
- Department of Psychology, University of California, Los Angeles, USA
- University of California, Los Angeles (US)
- ORCID
- Venue
- Journal of American College Health
- Publisher
- Informa UK Limited
- Published
- 2021-02-12
- Volume
- 70
- Issue
- 8
- Pages
- 2519-2526
- ISSN
- 0164-4300 (ISSN-L)
- 0744-8481
- 1940-3208
- OpenAlex
- W3128650122
- Cited by
- 9
- References
- 25
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 4 · 2021: 1
- FWCI
- 1.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of American College Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American College Health Foundation (Stephan D. Weiss Student Mental Health Award (# N/A))
- JPMorgan Chase and Company (Dolores Zohrab Liebmann Fund Fellowship (# N/A))
- University of California, Los Angeles (Graduate Division Dissertation Year Fellowship (# N/A), Life Science Innovation Fund Award (# N/A))
- 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, universal prevention, anxiety, depression, university students, behavioral activation, mindfulness, program feasibility, program acceptability, program adherence, recruitment strategies
- MeSH terms
- Anxiety, Depression, Feasibility Studies, Humans, Students, Universities, Internet
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review