Investigating the Efficacy of the Web-Based Common Elements Toolbox (COMET) Single-Session Interventions in Improving UK University Student Well-Being: Randomized Controlled Trial (Preprint)

Опубликована: Март 8, 2024

Mental health problems in university students are associated with many negative outcomes, yet there is a gap between need and timely access to help. Single-session interventions (SSIs) designed be scalable accessible, delivering core evidence-based intervention components within one-off encounter. COMET (Common Elements Toolbox) an online self-help SSI that includes behavioral activation, cognitive restructuring, gratitude, self-compassion. has previously been evaluated India, Kenya, the United States promising results. This study tests acceptability, appropriateness, perceived utility, efficacy of among UK during peripandemic period. We conducted randomized controlled trial evaluating compared control group, 2- 4-week follow-ups. Outcome variables were subjective well-being, depression severity, anxiety positive affect, stress. also measured satisfaction immediately after completion COMET. All internet eligible participate informed online. The data analyzed using linear mixed models reported accordance CONSORT-EHEALTH (Consolidated Standards Reporting Trials Electronic Mobile Health Applications Online Telehealth) checklist. Of 831 people screened, 468 participants condition, 407 completed postintervention survey, 147 returned 2-week follow-up 118 89 both. 239 randomized, 212 Significant between-group differences favor observed at follow-ups for well-being (Warwick-Edinburgh Well-Being Scale; mean difference [MD] 1.39, 95% CI 0.19-2.61; <i>P</i>=.03), severity (9-item Patient Questionnaire; MD –1.31, –2.51 –0.12; stress (4-item Perceived Stress –1.33, –2.10 –0.57; <i>P</i><.001). Overall, satisfied COMET, majority endorsing its modules as acceptable, appropriate, exhibiting high utility. self-compassion module was most often participants’ favorite activation their least favorite. Qualitative analysis revealed found generally but too long, experienced immediate long-term beneficial effects. demonstrated engagement intervention, along preliminary short-term efficacy. Almost all attrition high. Participant feedback indicated level overall accessibility, benefits, potential impact being notable findings. These findings support value mental highlight important areas further improvement. ClinicalTrials.gov NCT05718141; https://clinicaltrials.gov/ct2/show/NCT05718141

Язык: Английский

Implementing I-CBT (Moodgym) for African Students with Symptoms of Low Mood During the Covid-19 Pandemic: A Qualitative Feasibilty Study

Research Square (Research Square), Год журнала: 2023, Номер unknown

Опубликована: Окт. 9, 2023

Abstract Background Online therapies have been shown to be effective in improving students’ mental health. They are cost-effective and therefore particular advantages low-income countries like Zambia where health resources limited. This study aimed explore the perceived impact of COVID-19 pandemic feasibility implementing an iCBT intervention (‘moodgym’) improve resilience vulnerable Zambian students. Methods The was a qualitative interview study. Participants identifying as having symptoms low mood completing baseline, online survey (n=620) had option volunteer for semi-structured views about their experience acceptability benefits limitations using moodgym. Results A total 50 students (n= 24 female, n=26 male) participated One theme with 4 sub-themes, captured severe emotional social pandemic. second, very strong theme, 5 reflected considerable negative effects on educational experience. included challenges learning. third three subthemes, moodgym, particularly terms understanding relationship between thoughts feelings academic performance. fourth described technical difficulties experienced by attempting use Conclusion caused fear impacted wellbeing severely impaired quality findings suggest that moodgym might valuable support income country.

Язык: Английский