Development of an Internet Intervention to Promote Wellbeing in College Students
Abstract
Objective: While tertiary students commonly experience distress that substantially impacts functioning and performance, few seek help. Innovative strategies are needed to promote wellbeing and address this distress. The current article describes the development, acceptability testing, and use of an Internet intervention to promote student wellbeing and resilience-thedesk. Method: Acceptability and useability of the program were evaluated by user analytics and focus groups. Results: In the first 3.5years, 118,000 individuals accessed the website and had 163,000 sessions averaging 5.3min and 6.9 accessed pages. Users' wellbeing scores were positively skewed, suggesting that the engaged content has broad relevance. While the percentage of people leaving the site after viewing the homepage was considered acceptable at 50%, there is significant room to improve engagement. Responses from consumer focus groups suggested high acceptability, perceived usability, and likely utility. Concerns included data security and, for international students, the need for greater direction on program use. Conclusions: While further research is needed to evaluate the effects of thedesk on wellbeing and distress, the current results suggest that it provides highly accessible support that is well accepted by most tertiary students and has the potential for use as a stand-alone intervention or, adjunctively, to increase the impact of other student support.
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Overall, 11 studies did not report the recruitment and/or selection process of study participants.
“Overall, 11 studies did not report the recruitment and/or selection process of study participants [30-40].”
From Barriers to and facilitators of user engagement with digital mental health interventions: Systematic review (2021) · cites this paper as [39]
Cites
The WHO-5 well-being index: A systematic review of the literature
Topp, C. W., Østergaard, S. D., Søndergaard, S., & Bech, P. (2015) · Psychotherapy and Psychosomatics · doi:10.1159/000376585 · Cited by 4,708 · see citing works
Garnefski, N., Kraaij, V., Schroevers, M. J., & Somsen, G. A. (2008) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-008-9136-5 · Cited by 2,487 · see citing works
Prevalence and correlates of depression, anxiety, and suicidality among university students
Eisenberg, D., Gollust, S. E., Golberstein, E., & Hefner, J. L. (2007) · American Journal of Orthopsychiatry · doi:10.1037/0002-9432.77.4.534 · Cited by 1,592 · see citing works
Psychological distress in university students: A comparison with general population data
Stallman, H. M. (2010) · Australian Psychologist · doi:10.1080/00050067.2010.482109 · Cited by 1,372 · see citing works
Self-citationHelp-Seeking and Access to Mental Health Care in a University Student Population
Eisenberg, D., Golberstein, E., & Gollust, S. E. (2007) · Medical Care · doi:10.1097/mlr.0b013e31803bb4c1 · Cited by 1,131 · see citing works
Bech, P., Olsen, L. R., Kjoller, M., & Rasmussen, N. K. (2003) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.145 · Cited by 1,015 · 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
Christensen, H., Griffiths, K. M., & Korten, A. (2002) · Journal of Medical Internet Research · doi:10.2196/jmir.4.1.e3 · Cited by 292 · see citing works
Ryan, M. L., Shochet, I. M., & Stallman, H. M. (2010) · Advances in Mental Health · doi:10.5172/jamh.9.1.73 · Cited by 252 · see citing works
Self-citationWired for wellness: e-Interventions for addressing college drinking
Walters, S. T., Miller, E. B., & Chiauzzi, E. J. (2005) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2005.05.006 · Cited by 98 · see citing works
Cavanagh, K. (2010) · Oxford Guide to Low Intensity CBT Interventions · doi:10.1093/med:psych/9780199590117.003.0021 · Cited by 76 · see citing works
Saekow, J., Jones, M., Gibbs, E., Jacobi, C., Fitzsimmons-Craft, E. E., Wilfley, D., & Barr Taylor, C. (2015) · Internet Interventions · doi:10.1016/j.invent.2015.10.004 · Cited by 63 · see citing works
indicated, N. A. (1998) · PsycTESTS Dataset · doi:10.1037/t36093-000 · Cited by 58 · see citing works
University Counselling Services in Australia and New Zealand: Activities, Changes, and Challenges
Stallman, H. M. (2011) · Australian Psychologist · doi:10.1111/j.1742-9544.2011.00023.x · Cited by 51 · see citing works
Self-citationTime to abandon the term mental illness
Baker, M., & Menken, M. (2001) · BMJ · doi:10.1136/bmj.322.7291.937 · Cited by 32 · see citing works
Stallman, H. M., Kavanagh, D. J., Arklay, A. R., & Bennett–Levy, J. (2016) · Australian Psychologist · doi:10.1111/ap.12113 · Cited by 22 · see citing works
Self-citationKAY‐LAMBKIN, F. J., White, A., Baker, A., Kavanagh, D. J., Klein, B., Proudfoot, J. G., Drennan, J. C., Connor, J. P., & Young, R. M. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-277 · Cited by 19 · see citing works
Self-citationNational Survey of College Counseling Centers 2013, Section One: 4-Year Directors
Gallagher, R. P. (2014) · D-Scholarship@Pitt (University of Pittsburgh) · Cited by 6 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Borghouts, J., Eikey, E., Mark, G., De Leon, C., Schueller, S. M., Schneider, M., Stadnick, N., Zheng, K., Mukamel, D., & Sorkin, D. H. (2021) · Journal of Medical Internet Research · doi:10.2196/24387 · Cited by 1,069 · see citing works
“As seen in Multimedia Appendix 2, the 208 articles included in this review [27-237] reported on 2 types of user studies: (1) 69 studies were needs assessments that aimed to understand user needs and attitudes toward DMHIs without or before engaging with a specific intervention as part of a study and (2) 135 studies we…”
BackgroundBaumel, A., Edan, S., & Kane, J. M. (2019) · Translational Behavioral Medicine · doi:10.1093/tbm/ibz147 · Cited by 143 · see citing works
Viskovich, S., & Pakenham, K. I. (2020) · Journal of Clinical Psychology · doi:10.1002/jclp.22848 · Cited by 123 · see citing works
Skromanis, S., Cooling, N., Rodgers, B., Purton, T., Fan, F., Bridgman, H., Harris, K., Presser, J., & Mond, J. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15061147 · Cited by 113 · see citing works
“A recent prototype in an Australian university, thedesk, appears to be well accepted by most tertiary students including international students—as long as they are instructed in its use [34].”
BackgroundViskovich, S., & Pakenham, K. I. (2018) · Journal of Clinical Psychology · doi:10.1002/jclp.22656 · Cited by 77 · see citing works
Farrer, L. M., Gulliver, A., Katruss, N., Fassnacht, D. B., Kyrios, M., & Batterham, P. J. (2019) · Internet Interventions · doi:10.1016/j.invent.2019.100276 · Cited by 46 · see citing works
“However, internet users, particularly young people and students, may have a preference for open, simultaneous access to all components of a program in order to rapidly access the content most relevant to them (Stallman and Kavanagh, 2018).”
BackgroundThe role of social support, being present and self-kindness in university student well-being
Stallman, H. M., Ohan, J. L., & Chiera, B. (2017) · British Journal of Guidance and Counselling · doi:10.1080/03069885.2017.1343458 · Cited by 41 · see citing works
Self-citationCao, T. Q., Vuong, Q., Pham, H., Luong, D., Ho, M., Hoang, A.-D., & Do, M.-T. (2021) · European Journal of Investigation in Health Psychology and Education · doi:10.3390/ejihpe11030056 · Cited by 39 · see citing works
“, [4,103]) and general factors such as acculturation [60,72,73] accounted for the prevailing research keywords in the first half of the 2010s, whereas the second half of the decade witnessed a stronger focus on contemporary problems such as COVID-19 [8,91,95], the Internet and social media use [2,104].”
BackgroundA Trauma-Informed Approach to Building College Students’ Resilience
Oehme, K., Perko, A., Clark, J. J., Ray, E. C., Arpan, L. M., & Bradley, L. (2018) · Journal of Evidence-Based Social Work · doi:10.1080/23761407.2018.1533503 · Cited by 38 · see citing works
Reducing distress in university students: A randomised control trial of two online interventions
Stallman, H. M., Ohan, J. L., & Chiera, B. (2019) · Australian Psychologist · doi:10.1111/ap.12375 · Cited by 32 · see citing works
Self-citationKüchler, A., Kählke, F., Vollbrecht, D., Peip, K., Ebert, D. D., & Baumeister, H. (2022) · Mindfulness · doi:10.1007/s12671-022-01949-w · Cited by 35 · see citing works
“Evidence suggests the effectiveness, acceptability, and suitability of IMI targeting mental health for this population (Harrer et al., 2019; Stallman & Kavanagh, 2018).”
BackgroundAmanvermez, Y., Karyotaki, E., Cuijpers, P. J., Salemink, E., Spinhoven, P., Struijs, S. Y., & de Wit, L. M. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100369 · Cited by 28 · see citing works
“Besides, internet interventions have additional benefits such as anonymity, flexibility in time, and easy, lowcost access to mental health support (Andersson and Titov, 2014; Ebert et al., 2017; Stallman and Kavanagh, 2018).”
BackgroundCaballero-García, P., & Ruiz, S. (2025) · Journal of Intelligence · doi:10.3390/jintelligence13040042 · Cited by 21 · see citing works
“…in higher education; however, their implementation is still limited (Durlak 2016; Durlak et al. 2011; Extremera-Pacheco and Rey 2016; Sánchez-Ruiz 2020; Stallman and Kavanagh 2018) compared to other stages or groups (Brackett et al. 2011; Fernández-Berrocal et al. 2022), hence their necessity.”
Flourish-HE: An online positive education programme to promote university student wellbeing
Morgan, B., Simmons, L., & Ayles, N. (2023) · Frontiers in Education · doi:10.3389/feduc.2023.1124983 · Cited by 12 · see citing works
“It has been suggested that international students prefer more guidance on how to use the programme, particularly with the use of accompanying online resources (Stallman and Kavanagh, 2016).”
BackgroundLo, B., Shi, J., Hollenberg, E., Abi-Jaoudé, A., Johnson, A., & Wiljer, D. (2020) · JMIR Mental Health · doi:10.2196/15942 · Cited by 13 · see citing works
“Stallman and Kavanagh [74] leveraged the Google Analytics engine to examine if referral source as a metric influenced their outcomes.”
Schultchen, 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
van Zyl, L. E., Shankland, R., Klibert, J., Verger, N. B., Rothmann, S., Cho, V., Feng, Y., See-To, E. W. K., Roll, L. C., Ghosh, A., et al. (2024) · Frontiers in Education · doi:10.3389/feduc.2024.1409099 · Cited by 9 · see citing works
Cho, S., Bastien, L., Petrovic, J., Böke, B. N., & Heath, N. L. (2024) · JMIR Formative Research · doi:10.2196/50018 · Cited by 7 · see citing works
“Previous literature has noted the promising benefits of web-based stress management resources for university students, including their cost-effectiveness and flexibility [49-52].”
BackgroundViskovich, S., Fowler, J. A., & Pakenham, K. I. (2023) · Australian Psychologist · doi:10.1080/00050067.2023.2212150 · Cited by 3 · see citing works
Conceptualizing University Internationalization
Gao, C. Y. (2019) · Palgrave studies in global higher education · doi:10.1007/978-3-030-21465-4_2 · Cited by 2 · see citing works
Using Music to Manage Anxiety: A Mixed Methods Intervention Study Between Two Lockdowns
McFerran, K. S., Cheong-Clinch, C., Bibb, J., & Chin, T. (2023) · OBM Integrative and Complementary Medicine · doi:10.21926/obm.icm.2301013 · Cited by 1 · see citing works
Teague, F., Munn, C., Kandasamy, S., Gordon, L., Gillett, J., Brown, D. M. Y., & Kwan, M. W. (2025) · Academia Mental Health and Well-Being · doi:10.20935/mhealthwellb8021 · 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
“Further research [21–24] has shown high levels of acceptance and usability of online-and mobile-based interventions among university students.”
Nicklin, A., & Morgan, J. (2023) · Preprints.org · doi:10.20944/preprints202307.0817.v1 · Cited by 1 · see citing works
Morgan, J., & Nicklin, A. (2025) · Journal of Further and Higher Education · doi:10.1080/0309877x.2025.2588460 · Cited by 1 · see citing works
“Stallman and Kavanagh (2018) suggest that finding low-intensity, preventative and sustainable stress reduction methods is a priority.”
Peila, K., Trespalacios, J., Rice, K., & Hsu, Y.-C. (2025) · Quarterly review of distance education · doi:10.1108/qrde-07-2025-0004
Mindfulness Through Virtual Reality Applications: Aid or Deterrent to Consumer Well-Being?
Ranade, T., & Menon, P. (2026) · International Conference on Modern Sustainable Systems (CMSS) · doi:10.1109/cmss69636.2026.11688512
“Extensive research has been done to test the efficacy of traditional interventions like mindfulness, delivered digitally, across a range of health-based outcomes like stress, sleep, obesity, depressive and anxiety symptoms, eating behaviors and overall mental well-being [2, 19, 26].”
- Authors
- Stallman, H. M., & Kavanagh, D. J.
- Affiliations
- The University of Queensland (AU)
- Queensland University of Technology (AU)
- Corresponding author
- Stallman, Helen M
- Venue
- Australian Psychologist
- Publisher
- Informa UK Limited
- Published
- 2018-02-01
- Volume
- 53
- Issue
- 1
- Pages
- 60-67
- ISSN
- 0005-0067 (ISSN-L)
- 1742-9544
- OpenAlex
- W2509683881
- Cited by
- 27
- References
- 18
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 2 · 2023: 4 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 4 · 2018: 4 · 2017: 1
- FWCI
- 4.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Australian Psychologist (publishedVersion)
- UniSA Research Outputs Repository (University of South Australia) (submittedVersion)
- Faculty of Health; Institute of Health and Biomedical Innovation
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Keywords
- online intervention, student well-being, university students, resilience, student distress, help-seeking, acceptability, usability, user engagement, data security, international students, student support
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