MyStudentBody-stress: an online stress management intervention for college students
Abstract
College students who have high stress levels tend to experience an increased risk of academic difficulties, substance abuse, and emotional problems. To enhance student stress management and health promoting behaviors, an online stress management intervention called MyStudentBody-Stress (MyStudentBody-Stress) was developed and tested. College students at six U.S. colleges were randomized to one of three conditions: MyStudentBody-Stress, a control health information website, or no intervention. The differences between groups on stress control and health behavior measures were compared at baseline, and at 1, 3, and 6 months after baseline. Although there were no between-group differences on primary outcome variables, secondary analyses indicated that MyStudentBody-Stress participants were more likely to increase weekly physical activity, use specific stress management methods, and exhibit decreased anxiety and family problems. These findings indicate some potentially beneficial effects of online stress management programming for college students. Implications for college health practitioners are discussed.
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College students are more likely than the general population to use the internet and to seek health information online.
“In comparison with the general population, college students are more likely to use the internet and to seek health information online”
From Meta-analytic review of online guided self-help interventions for depressive symptoms among college students (2021) · cites this paper as Chiauzzi et al., 2008
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Singh, K. K., & Bandyopadhyay, S. (2021) · Journal of Human Behavior in the Social Environment · doi:10.1080/10911359.2020.1823294 · Cited by 24 · see citing works
“While college can be a time of academic stress and competition (Posselt & Lipson, 2016), the efficacy of the existing evidence-based interventions (e.g., Chiauzzi et al., 2008; Harrer et al., 2018) in ameliorating their impaired well-being levels is an encouraging finding.”
BackgroundImmersive virtual reality: An effective strategy for reducing stress in young adults
McGarry, S., Brown, A., Gardner, M., Plowright, C., Skou, R., & Thompson, C. (2023) · British Journal of Occupational Therapy · doi:10.1177/03080226231165644 · Cited by 24 · see citing works
“This may contribute to young adults tending not to engage in stress management initiatives, and literature highlights a need for more appropriate strategies for managing distress in these populations (Chiauzzi et al., 2008).”
BackgroundStress Management for College Students: An Experiential Multi-Modal Approach
Morgan, B. M. (2017) · Journal of Creativity in Mental Health · doi:10.1080/15401383.2016.1245642 · Cited by 23 · see citing works
Mouthaan, J., Sijbrandij, M., Reitsma, J. B., Gersons, B. P. R., & Olff, M. (2011) · European Journal of Psychotraumatology · doi:10.3402/ejpt.v2i0.8294 · Cited by 21 · see citing works
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“Many studies have assessed the clinical effectiveness of Web-based interventions among student populations for a wide range of conditions including stress [20,21], depression and anxiety [21], alcohol misuse [22-24], smoking cessation [25], and obesity [26] with positive results.”
Learning Outcomes in a Stress Management Course: Online versus Face-to-Face
Fish, K., & Kang, H. G. (2014) · Cited by 15 · see citing works
der Heijde, C. M. V., Vonk, P., & Meijman, F. J. (2015) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2015.1049950 · Cited by 14 · see citing works
“The fact that self-assessment and motivational feedback can be used with other services (such as guidance and counseling) (Chiauzzi et al., 2008), and that the information can be easily updated with new materials and developments, make the instrument even more advantageous.”
BackgroundSchultchen, D., Küchler, A., Schillings, C., Weineck, F., Karabatsiakis, A., Ebert, D. D., Baumeister, H., & Pollatos, O. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-032775 · Cited by 14 · see citing works
Harrer, M., Apolinário-Hagen, J., Fritsche, L., Drüge, M., Krings, L., Beck, K., Salewski, C., Zarski, A., Lehr, D., Baumeister, H., et al. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00361 · Cited by 15 · see citing works
A comparison of four stress reduction modalities on measures of stress among university students
Bennion, E., Olpin, M., & DeBeliso, M. (2018) · International Journal of Workplace Health Management · doi:10.1108/ijwhm-11-2017-0090 · Cited by 12 · see citing works
“Students facing high levels of stress also tend to experience an increased risk of academic difficulties, substance abuse, and emotional problems (Chiauzzi et al., 2008).”
BackgroundHow computer and Internet use influences mental health: a five-wave latent growth model
Ai, M. (2012) · Asian Journal of Communication · doi:10.1080/01292986.2012.725179 · Cited by 12 · see citing works
“A study of college students found that using the Internet to manage stress predicted a decrease in anxiety and depression and an Asian Journal of Communication increase in self-esteem (Chiauzzi, Brevard, Thurn, Decembrele, & Lord, 2008).”
BackgroundKaligis, F., Ismail, R. I., Wiguna, T., Prasetyo, S., Gunardi, H., Indriatmi, W., Pasaribu, M. M., Pandia, V., Minayati, K., Magdalena, C. C., et al. (2023) · Frontiers in Digital Health · doi:10.3389/fdgth.2023.1207583 · Cited by 10 · see citing works
Storey, Q. K., Hewitt, P. L., & Ogrodniczuk, J. S. (2022) · Journal of American College Health · doi:10.1080/07448481.2022.2093610 · Cited by 10 · see citing works
“…include weekly wellness seminars for first-year students focused on psychosocial wellness and stress management, 51 an online stress management intervention called MyStudentBody-Stress, 52 coping skills and cognitive training programs, 53 and unique “relaxation stations” designed to reduce stress.”
Lee, C. S., Bowman, M., & Wu, J. (2022) · Trends in Psychiatry and Psychotherapy · doi:10.47626/2237-6089-2021-0448 · Cited by 8 · see citing works
“5,6 10-18 Here, an asynchronous intervention refers to the lack of any real-time or including lower anxiety, 11,12,14,17 lower stress, 10,14 lower depression, 11,14,17,18 greater psychological wellbeing, 15 and greater psychological flexibility.”
BackgroundHassim, T. (2012) · Boloka Institutional Repository (North-west University) · Cited by 9 · see citing works
Role of health-promoting behaviours for on-campus and distance education students
Beccaria, L., Rogers‐Clark, C., Burton, L. J., & Beccaria, G. (2016) · Distance Education · doi:10.1080/01587919.2016.1158768 · Cited by 8 · see citing works
The Effect of Three Life Skills Instruction on the General Health of College Freshmen
Farzaneh, M. M., Shahpour, A. K., & Hossein, Z. (2011) · Majallah-i dānishgāh-i ̒ulūm-i pizishkī-i Māzandarān/Journal of Mazandaran University of Medical Sciences · Cited by 7 · see citing works
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“In addition, technology-driven health interventions have been shown to improve nutritional status [43], reduce weight gain [44], gain better stress management [45], and improve mental health-seeking scores [46] among college students.”
BackgroundHöhne, E., Fekete, S. P., Schild, J., & Zander, L. (2022) · Frontiers in Education · doi:10.3389/feduc.2022.840216 · Cited by 8 · see citing works
“Specific online stress management programs for university students that aim at strengthening their coping resources and skills by providing individual motivational feedback and teaching stress management strategies (e.g., MyStudentBody-Stress, Chiauzzi et al., 2008), or by increasing their perceived present control ove…”
BackgroundIntervention de gestion du stress par Internet chez les étudiants : revue de la littérature
Saleh, D., Camart, N., & Romo, L. (2016) · Annales Médico-psychologiques revue psychiatrique · doi:10.1016/j.amp.2016.03.013 · Cited by 6 · see citing works
Öner, K., & ARSLANTAŞ, S. (2021) · Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi · doi:10.34087/cbusbed.870052 · Cited by 6 · see citing works
Evaluating an Interactive Digital Intervention for College Weight Gain Prevention
Napolitano, M. A., Lynch, S. B., Mavredes, M. N., Shambon, B., & Posey, L. (2020) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2020.04.007 · Cited by 5 · see citing works
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Pal, R., Gao, K., Li, X., Guragai, B., Li, T., Xie, Q., & Li, G. (2023) · Brain Behavior and Immunity Integrative · doi:10.1016/j.bbii.2023.100029 · Cited by 4 · see citing works
Study-life integration and young adult students mental health
Badri, S. K. Z. (2020) · Journal of Public Mental Health · doi:10.1108/jpmh-06-2019-0069 · Cited by 4 · see citing works
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Undergraduate caregivers for individuals with chronic conditions: Stressors and needs
Mickens, M., Goldberg, L. D., Perrin, P. B., & Librandi, H. (2017) · Physical Medicine and Rehabilitation Research · doi:10.15761/pmrr.1000153 · Cited by 3 · see citing works
“University counseling centers have begun creating online trainings for instruction on study skills, relaxation, sleep hygiene, and management of substance use [39,43], and many of these behaviorally focused interventions could be applied to student caregivers, especially those reporting depression, increased worry, an…”
BackgroundMotivation to change predicts college students’ utilization of self-help resources
Kaufman, A., & Nemeroff, R. K. (2024) · Journal of American College Health · doi:10.1080/07448481.2024.2334082 · Cited by 4 · see citing works
Skubisz, C., Seeney, A. N., & Pacanowski, C. R. (2022) · American Journal of Lifestyle Medicine · doi:10.1177/15598276221082604 · Cited by 3 · see citing works
“36 In addition, during the COVID-19 pandemic, web-based formats allow interventions to be safely carried out and remain insulated from disruptions, as public health measures change over time.”
Stages of Learning during a Self-Directed Stress Management Experience.
Larson, K. L. (2015) · Journal of Health Education · Cited by 3 · see citing works
Aydemir, F. R., Değerli, M. N. Ö., & Altuntaş, O. (2025) · Psychology in the Schools · doi:10.1002/pits.23601 · Cited by 2 · see citing works
“The effect size was set at 0.53 based on the impact observed in previous research (Amanvermez 2022; Chiauzzi et al. 2008; Kim et al. 2018; Keogh et al. 2006) alpha was set to 0.05, and the statistical power of the repeated measures ANOVA for within – between subjects interaction was set at 0.80.”
InfluentialMosley, T. (2022) · Digital Archive @ GSU · doi:10.57709/5840670 · Cited by 2 · see citing works
EVALUATION OF MHEALTH FEATURES ON USER EXPERIENCE
(2022) · Issues in Information Systems · doi:10.48009/3_iis_2022_105 · Cited by 2 · see citing works
“…used to support a variety of health-related issues such as weight loss (Freyne et al. 2012, Freyne et al. 2017), smoking cessation (Borrelli et al. 2015), birth outcomes (Foster et al 2015, Joos et al. 2016, Wang 2020), stress management (Chiauzzi et al. 2008), and overall health (Kim et al. 2019).”
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A Mobile Learning Overview by Timeline and Mind Map
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Calm College: Testing a brief mobile app meditation intervention among stressed college students
Glissmann, C. (2018) · Arizona State University Library Digital Repository (Arizona State University) · Cited by 2 · see citing works
Binah-Pollak, A., Hazzan, O., & Peled, D. (2022) · European Journal of Engineering Education · doi:10.1080/03043797.2022.2125367 · Cited by 1 · see citing works
“…into three types: (1) Art-based interventions (Bittman et al. 2005; Malchiodi 2003; Mohammadian et al. 2011); (2) psychoeducational interventions (Chiauzzi et al. 2008; Yalom and Molyn 2006); and (3) cognitive behavioural stress management (Gaab et al. 2006; Hammerfald et al. 2006; Regehr,…”
BackgroundBastien, 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
“The only barrier to using app-or web-based analytics, reported by one study, was technological issues, which also presented issues for accuracy (Chiauzzi et al., 2008).”
InfluentialContemplating distress factors among college students
Dongre, S., Waiker, V., Ambad, R. S., & Muley, P. A. (2022) · International Journal of Health Sciences · doi:10.53730/ijhs.v6ns2.5016 · Cited by 1 · see citing works
“Similarly students studying in the colleges of urban area and residing in the rural area are still struggling with the poor infrastructure like laptop, mobile, computer and related gadgets along with the poor connectivity by the service provider (4).”
BackgroundCollege adjustment and burnout among undergraduate transfer and native students
Werther, E. (2012) · Cited by 1 · see citing works
Karnes, S. (2013) · Minds at UW (University of Wisconsin) · Cited by 1 · see citing works
- Authors
- Chiauzzi, E., Brevard, J., Thurn, C., Decembrele, S., & Lord, S.
- Affiliations
- Inflexxion (United States) (US)
- Veristat, LLC (United States) (US)
- Caremedic Systems, Inc.
- Medco Health Solutions, Inc.
- SEL Consulting
- Venue
- Journal of Health Communication
- Publisher
- Informa UK Limited
- Published
- 2008-08-26
- Volume
- 13
- Issue
- 6
- Pages
- 555-572
- ISSN
- 1081-0730 (ISSN-L)
- 1087-0415
- OpenAlex
- W2147227615
- Cited by
- 119
- References
- 37
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 4 · 2023: 7 · 2022: 11 · 2021: 5 · 2020: 7 · 2019: 9 · 2018: 9 · 2017: 11 · 2016: 10 · 2015: 7 · 2014: 7 · 2013: 8 · 2012: 6
- FWCI
- 5.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Health Communication (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r44mh063609-03)
- National Institute of Mental Health (2R44MH063609-02)
- 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
- stress management, university students, online intervention, health-promoting behaviors, physical activity, anxiety, family problems, student health, health information websites
- MeSH terms
- Adolescent, Adult, Female, Health Promotion, Humans, Male, Stress, Psychological, Students, United States, Universities, Internet
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