ArticleJMIR formative research2021
Acceptability, Engagement, and Effects of a Mobile Digital Intervention to Support Mental Health for Young Adults Transitioning to College: Pilot Randomized Controlled Trial.
Article in JMIR formative research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04560075 (ETUDES Center- Text2Connect - Phase 2), which is not on this map. Cited by 19 papers, 5 of them syntheses that pooled it.
What it found
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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.
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.
ETUDES Center- Text2Connect - Phase 2
Who cites it
19 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Toward Participatory Precision Health With Co-Designed Recommendations: Systematic Review of Just-in-Time Adaptive Interventions in Adolescents and Young Adults.Journal of medical Internet research · 2026Pooled it
- Digital Mental Health Interventions for University Students With Mental Health Difficulties: A Systematic Review and Meta-Analysis.Early intervention in psychiatry · 2025Pooled it
- The effects of digital peer support interventions on physical and mental health: a review and meta-analysis.Epidemiology and psychiatric sciences · 2025Pooled it
- Effectiveness of Online and Remote Interventions for Mental Health in Children, Adolescents, and Young Adults After the Onset of the COVID-19 Pandemic: Systematic Review and Meta-Analysis.JMIR mental health · 2024Pooled it
- The Usability, Feasibility, Acceptability, and Efficacy of Digital Mental Health Services in the COVID-19 Pandemic: Scoping Review, Systematic Review, and Meta-analysis.JMIR public health and surveillance · 2023Pooled it
- Developing a Text Messaging Intervention to Increase Uptake of the Screening and Treatment for Anxiety and Depression Program Among Community College Students: Formative Study Using a Human-Centered Design Approach.JMIR formative research · 2026Article
- How have contemporary studies evaluating self-help digital mental health interventions for young people monitored and reported on adverse events and harms?: a systematic scoping review.Frontiers in psychology · 2026Review
- The role of self-efficacy in internet-based interventions for mental health: A systematic review and meta-analysis.Internet interventions · 2025Review
- Digital Mental Health Interventions for Young People Aged 16-25 Years: Scoping Review.Journal of medical Internet research · 2025Article
- Facilitators and Barriers to Digital Mental Health Interventions for Depression, Anxiety, and Stress in Adolescents and Young Adults: Scoping Review.Journal of medical Internet research · 2025Article
- What was done for youths aged 15 to 24 around the world? A systematic review of worldwide mental health interventions.Global mental health (Cambridge, England) · 2025Review
- Scalable Technology for Adolescents and Youth to Reduce Stress in the Treatment of Common Mental Disorders in Jordan: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2024Article
- Article
- Psychological Interventions and Those With Elements of Positive Psychology for Child and Youth Mental Health During the COVID-19 Pandemic: Literature Review, Lessons Learned, and Areas for Future Knowledge Dissemination.JMIR pediatrics and parenting · 2024Review
- Reach and uptake of digital mental health interventions based on cognitive-behavioral therapy for college students: A systematic review.Journal of behavioral and cognitive therapy · 2023Article
- Adaptation of ACTivate Your Wellbeing, a Digital Health and Well-being Program for Young Persons: Co-design Approach.JMIR formative research · 2023Article
- Measuring Engagement with Mental Health and Behavior Change Interventions: an Integrative Review of Methods and Instruments.International journal of behavioral medicine · 2023Review
- Stakeholder perspectives on digital behavioral health applications targeting adolescent depression and suicidality: Policymaker, provider, and community insights.Implementation research and practiceArticle
- Effective elements of eHealth interventions for mental health and well-being in children and adolescents: A systematic review.Digital healthReview
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundThe transition from high school to college can exacerbate mental health problems in young adults yet barriers prevent seamless mental health care. Existing digital support tools show promise but are not yet designed to optimize engagement or implementation.
objectiveThe goal of the research was to test acceptability and effects of an automated digital Mobile Support Tool for Mental Health (MoST-MH) for young adults transitioning to college.
methodsYouths aged 18 years and older with a current mental health diagnosis preparing to transition to college (n=52; 85% female [45/52], 91% White [48/52]) were recruited from a primary care (n=31) and a mental health clinic (n=21). Participants were randomized 2:1 to either receive MoST-MH (n=34) or enhanced Usual Care (eUC; n=18). MoST-MH included periodic text message and web-based check-ins of emotional health, stressors, negative impacts, and self-efficacy that informed tailored self-care support messages. Both eUC and MoST-MH participants received links to a library of psychoeducational videos and were asked to complete web-based versions of the Mental Health Self-Efficacy Scale (MHSES), College Counseling Center Assessment of Psychological Symptoms (CCAPS), and Client Service Receipt Inventory for Mental Health (C-SRI) monthly for 3 months and the Post-Study System Usability Scale (PSSUQ) at 3-months.
resultsMoST-MH participants were sent a median of 5 (range 3 to 10) text message check-in prompts over the 3-month study period and 100% were completed; participants were sent a median of 2 (range 1 to 8) web-based check-in prompts among which 78% (43/55) were completed. PSSUQ scores indicate high usability (mean score 2.0). Results from the completer analysis demonstrated reductions in mental health symptoms over time and significant between-group effects of MoST-MH compared to eUC on depressive symptom severity (d=0.36, 95% CI 0.08 to 0.64). No significant differences in mental health self-efficacy or mental health health care use were observed.
conclusionsIn this pilot trial, we found preliminary evidence that MoST-MH was engaged with at high rates and found to be highly usable and reduced depression symptoms relative to eUC among youth with mental health disorders transitioning to college. Findings were measured during the COVID-19 pandemic, and the study was not powered to detect differences in outcomes between groups; therefore, further testing is needed.
trial registrationClinicalTrials.gov NCT04560075; https://clinicaltrials.gov/ct2/show/NCT04560075.
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