Evidence map›Paper›PMID 39707816›Full record

Trial reportStress and health : journal of the International Society for the Investigation of Stress2025

Optimization of a Mobile Transdiagnostic Emotion Regulation Intervention for University Students: A Micro-Randomized Trial.

Tajda Laure, Danielle Remmerswaal, Stefan Konigorski, Rutger C M E Engels, Marilisa Boffo

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Stress and health : journal of the International Society for the Investigation of Stress, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Beyond RCTs-Better Research Designs and Methods for Psychosocial Efficacy Studies in Mental Health.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
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

5 authors.

Tajda LaureDepartment of Psychology, Education, and Child Studies, Erasmus University Rotterdam, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0001-6854-7668
Danielle RemmerswaalDepartment of Psychology, Education, and Child Studies, Erasmus University Rotterdam, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0001-7865-6673
Stefan KonigorskiDepartment of Statistics, Harvard University, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-9966-6819
Rutger C M E EngelsDepartment of Psychology, Education, and Child Studies, Erasmus University Rotterdam, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0003-1944-9126
Marilisa BoffoDepartment of Psychology, Education, and Child Studies, Erasmus University Rotterdam, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0003-4730-7838

Funding

Nationaal Programma Onderwijs
6 · The paper itself

Abstract

Increasing mental health problems among university students highlight the need for scalable, effective solutions. We have developed a transdiagnostic mobile intervention called ROOM, promoting adaptive emotion regulation (ER) skills among university students. Understanding how the intervention works and optimising content and delivery is essential for creating an effective and adaptive system. Therefore, this study aimed to optimise ROOM through a sequential explanatory mixed-methods design, combining a Micro-Randomized Trial (MRT), evaluating within-person effects using repeated randomisation, with user experience interviews. 161 university students (82% females) participated in a 3-week MRT to assess the intervention proximal outcomes, that is, participants' positive and negative emotional states after completing intervention exercises. Additionally, we evaluated impact on distal outcomes (i.e., distress symptoms and ER skills), and user experience by combining objective (e.g., exercise completion rates) and subjective (e.g., exercise likability and helpfulness ratings) engagement patterns with insights from the semi-structured interviews (n = 18). Upon receiving the intervention, positive emotional states increased and negative ones decreased. The effect on positive emotional states gradually decreased over time while the effect on negative emotional states remained stable throughout the 3-week intervention period. Distress symptoms and ER skills either remained stable or improved over the 3 weeks, which indicated the intervention's safety. Overall, engagement patterns and interview data show that the intervention was well received, students enjoyed this study design and found context-sensitive content recommendations highly relevant.

Indexed as

Emotional RegulationStudentsAdultFemaleHumansMaleMobile ApplicationsUniversitiesYoung Adultemotion regulationmental healthmHealthmicro‐interventionmicro‐randomized trialsmobile healthtransdiagnostic approachuniversity studentsuser experience

Identifiers

PMID39707816
PMCPMC11662259

What OpenQuestion holds

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LicenceCC BY-NC
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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.