Evidence map›Paper›PMID 33174530›Full record

ArticleJMIR formative research2020

Assessing the Efficacy and Acceptability of a Web-Based Intervention for Resilience Among College Students: Pilot Randomized Controlled Trial.

Angel Enrique Roig, Olwyn Mooney, Alicia Salamanca-Sanabria, Chi Tak Lee, Simon Farrell, Derek Richards

Abstract read
In one paragraph

Article in JMIR formative research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. 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
  3. Individual Resilience Interventions: A Systematic Review in Adult Population Samples over the Last Decade.International journal of environmental research and public health · 2021
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  6. A Randomized Controlled Trial of Internet-Based Self-Help for Stress During the COVID-19 Pandemic.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022
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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

6 authors.

Angel Enrique RoigE-mental Health Research Group, School of Psychology, Trinity College Dublin, The University of Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0003-0585-4008
Olwyn MooneyClinical Research & Innovation, SilverCloud Health, Dublin, Ireland.ORCID https://orcid.org/0000-0002-3225-1571
Alicia Salamanca-SanabriaE-mental Health Research Group, School of Psychology, Trinity College Dublin, The University of Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0002-2756-5592
Chi Tak LeeClinical Research & Innovation, SilverCloud Health, Dublin, Ireland.ORCID https://orcid.org/0000-0002-3404-5368
Simon FarrellClinical Research & Innovation, SilverCloud Health, Dublin, Ireland.ORCID https://orcid.org/0000-0002-8257-4897
Derek RichardsE-mental Health Research Group, School of Psychology, Trinity College Dublin, The University of Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0003-0871-4078

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCollege students are at elevated risk for developing mental health problems and face specific barriers around accessing evidence-based treatment. Web-based interventions that focus on mental health promotion and strengthening resilience represent one possible solution. Providing support to users has shown to reduce dropout in these interventions. Further research is needed to assess the efficacy and acceptability of these interventions and explore the viability of automating support.

objectiveThis study investigated the feasibility of a new web-based resilience program based on positive psychology, provided with human or automated support, in a sample of college students.

methodsA 3-armed closed pilot randomized controlled trial design was used. Participants were randomized to the intervention with human support (n=29), intervention with automated support (n=26), or waiting list (n=28) group. Primary outcomes were resilience and well-being, respectively measured by the Connor-Davidson Resilience Scale and Pemberton Happiness Index. Secondary outcomes included measures of depression and anxiety, self-esteem, and stress. Outcomes were self-assessed through online questionnaires. Intention-to-treat and per-protocol analyses were conducted.

resultsAll participants demonstrated significant improvements in resilience and related outcomes, including an unexpected improvement in the waiting list group. Within- and between-group effect sizes ranged from small to moderate and within-group effects were typically larger for the human than automated support group. A total of 36 participants began the program and completed 46.46% of it on average. Participants were generally satisfied with the program and found it easy to use.

conclusionsFindings support the feasibility of the intervention. Preliminary evidence for the equal benefit of human and automated support needs to be supported by further research with a larger sample. Results of this study will inform the development of a full-scale trial, from which stronger conclusions may be drawn.

trial registrationInternational Standard Randomized Controlled Trial Number (ISRCTN) 11866034; http://www.isrctn.com/ISRCTN11866034. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.1016/j.invent.2019.100254.

Indexed as

automated supportcollege studentshuman supportpositive psychologyrandomized controlled trialresilienceweb-based interventionwell-being

Identifiers

PMID33174530
PMCPMC7688384

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.