Evidence map›Paper›PMID 29685870›Full record

Trial reportJournal of medical Internet research2018

Effectiveness of an Internet- and App-Based Intervention for College Students With Elevated Stress: Randomized Controlled Trial.

Mathias Harrer, Sophia Helen Adam, Rebecca Jessica Fleischmann, Harald Baumeister, Randy Auerbach, Ronny Bruffaerts, Pim Cuijpers, Ronald C Kessler, Matthias Berking, Dirk Lehr and 1 more

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of medical Internet research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 101 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 11 pooled it
24.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06419868 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Acceptability and Feasibility of a Universal Preventive Intervention for Depression and Anxiety in University Students

TypeinterventionalSponsorUniversidad de los Andes, ChileRan2024 to 2025Enrolled272ConditionsDepression/AnxietyArms"Universal preventive intervention for depression and anxiety for university students"
NCT07086001 nacompletednot on this mapstarted 2022, after this paper: background citation

Does it Work? Examining the Acceptability and Effectiveness of a Self-Directed, Web-Based Resource for Stress and Coping in University: Randomized Controlled Trial

TypeinterventionalSponsorMcGill UniversityRan2022 to 2022Enrolled242ConditionsStress, Coping, Coping Behavior, Well-Being (Psychological Flourishing)Armsstress management and coping
3 · Its place in the literature

Who cites it

101 citing papers in PubMed, 11 syntheses or guidelines pooled it, 221 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Digital training for building resilience: Systematic review, meta-analysis, and meta-regression.Stress and health : journal of the International Society for the Investigation of Stress · 2022
    Pooled it
  8. Pooled it
  9. Pooled it
  10. Psychological interventions to foster resilience in healthcare students.The Cochrane database of systematic reviews · 2020
    Pooled it
  11. Pooled it
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Trial
  20. A Three-Armed Randomized Controlled Trial to Evaluate the Effectiveness, Acceptance, and Negative Effects ofInternational journal of environmental research and public health · 2023
    Trial

41 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 4 countries.

Mathias HarrerClinical Psychology and Psychotherapy, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany.ORCID 0000-0001-7016-2687
Sophia Helen AdamClinical Psychology and Psychotherapy, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany.ORCID 0000-0003-4824-8163
Rebecca Jessica FleischmannClinical Psychology and Psychotherapy, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany.ORCID 0000-0002-8425-6411
Harald BaumeisterClinical Psychology and Psychotherapy, University of Ulm, Ulm, Germany.ORCID 0000-0002-2040-661X
Randy AuerbachDepartment of Psychiatry, Columbia University, New York, NY, United States.ORCID 0000-0003-2319-4744
Ronny BruffaertsUniversitair Psychiatrisch Centrum, Katholieke Universiteit Leuven, Leuven, Belgium.ORCID 0000-0002-0330-3694
Pim CuijpersDepartment of Clinical, Neuro, and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.ORCID 0000-0001-5497-2743
Ronald C KesslerDepartment of Health Care Policy, Harvard Medical School, Boston, MA, United States.ORCID 0000-0003-4831-2305
Matthias BerkingClinical Psychology and Psychotherapy, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany.ORCID 0000-0001-5903-4748
Dirk LehrDivision of Online Health Trainings, Innovation Incubator, Leuphana University, Lüneburg, Germany.ORCID 0000-0002-5560-3605
David Daniel EbertClinical Psychology and Psychotherapy, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany.ORCID 0000-0001-6820-0146
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEColumbia University · USHarvard University · USKU Leuven · BELeuphana University of Lüneburg · DEUniversität Ulm · DEVrije Universiteit Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health problems are highly prevalent among college students. Most students with poor mental health, however, do not receive professional help. Internet-based self-help formats may increase the utilization of treatment.

objectiveThe aim of this randomized controlled trial was to evaluate the efficacy of an internet-based, app-supported stress management intervention for college students.

methodsCollege students (n=150) with elevated levels of stress (Perceived Stress Scale 4-item version, PSS-4 ≥8) were randomly assigned to either an internet- and mobile-based stress intervention group with feedback on demand or a waitlist control group. Self-report data were assessed at baseline, posttreatment (7 weeks), and 3-month follow-up. The primary outcome was perceived stress posttreatment (PSS-4). Secondary outcomes included mental health outcomes, modifiable risk and protective factors, and college-related outcomes. Subgroup analyses were conducted in students with clinically relevant symptoms of depression (Center for Epidemiological Studies' Depression Scale >17).

resultsA total of 106 participants (76.8%) indicated that they were first-time help-seekers, and 77.3% (intervention group: 58/75; waitlist control group: 58/75) showed clinically relevant depressive symptoms at baseline. Findings indicated significant effects of the intervention compared with the waitlist control group for stress (d=0.69; 95% CI 0.36-1.02), anxiety (d=0.76; 95% CI 0.43-1.09), depression (d=0.63; 95% CI 0.30-0.96), college-related productivity (d=0.33; 95% CI 0.01-0.65), academic work impairment (d=0.34; 95% CI 0.01-0.66), and other outcomes after 7 weeks (posttreatment). Response rates for stress symptoms were significantly higher for the intervention group (69%, 52/75) compared with the waitlist control group (35%, 26/75, P<.001; number needed to treat=2.89, 95% CI 2.01-5.08) at posttest (7 weeks). Effects were sustained at 3-month follow-up, and similar findings emerged in students with symptoms of depression.

conclusionsInternet- and mobile-based interventions could be an effective and cost-effective approach to reduce consequences of college-related stress and might potentially attract students with clinically relevant depression who would not otherwise seek help.

trial registrationGerman Clinical Trial Register DRKS00010212; http://www.drks.de/drks_web/navigate.do? navigationId=trial.HTML&TRIAL_ID=DRKS00010212 (Archived by WebCite at http://www.webcitation.org/6w55Ewhjd).

Indexed as

InternetMobile ApplicationsFemaleHumansMaleMental HealthPsychiatric Status Rating ScalesPsychotherapyStudentsdepressionhelp-seeking behaviorrandomized controlled trialstress, psychologicalstudentstelemedicine

Identifiers

PMID29685870
PMCPMC5938594
OpenAlexW2799434552

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.