A pilot implementation-effectiveness trial of a single-session telehealth workshop and smartphone-based cognitive behavioral intervention for managing emotions among college students

2021 ◽  
Author(s):  
Evan Kleiman ◽  
Kate Bentley ◽  
Annmarie Wacha-Montes ◽  
Madison Taylor ◽  
Kaileigh Conti ◽  
...  
Keyword(s):  
College Students ◽  
Mental Health Treatment ◽  
Low Cost ◽  
Effectiveness Trial ◽  
Single Session ◽  
Ecological Momentary Intervention ◽  
Center Staff ◽  
Positive Attitudes ◽  
Treatment Package ◽  
Ecological Momentary

The number of college students who need mental health treatment outpaces the resources available to counseling centers to provide these needed services, presenting a need for low-cost, scalable interventions for college populations. We conducted a pilot effectiveness trial of a scalable treatment package that consisted of a single (telehealth) workshop plus a companion app that provided ecological momentary intervention. Participants (n=177) received a workshop provided by counseling center staff and trainees. We were interested in (1) engagement with the app, (2) acceptability of the treatment, and (3) initial effectiveness of the treatment. Regarding engagement, we found that participants preferred two reminder prompts per day and identified two key inflection points where engagement fluctuated: at day 15, where just over half of the sample practiced a skill on the app at least once during the day and at day 41, where just over one third of people practiced a skill on the app each day. Regarding acceptability, students generally reported positive attitudes about the single-session workshop and app, but also noted that the content and assessments in the app needed to be more dynamic to improve how engaging it is. Regarding effectiveness, we found that about 75% of the sample experienced a significant reduction in negative affect from pre- to post-ecological momentary intervention. The results of this study are promising in terms of providing initial support for this novel treatment package and provide useful information for researchers planning to develop and test similar interventions.

Effectiveness of a Brief Telehealth plus Smartphone Intervention for College Students Receiving Traditional Therapy: Longitudinal Study Using Ecological Momentary Assessment Data (Preprint)

2021 ◽  
Author(s):  
Madison Taylor ◽  
Olivia Lozy ◽  
Kaileigh Conti ◽  
Annmarie Watcha-Montes ◽  
Kate H Bentley ◽  
...  
Keyword(s):  
Mental Health ◽  
College Students ◽  
Negative Affect ◽  
Mobile App ◽  
Single Session ◽  
Post Exercise ◽  
Traditional Therapy ◽  
Center Staff ◽  
Level Model ◽  
Multi Level

BACKGROUND Brief interventions, such as mental health apps and single-session interventions, are increasingly popular, efficacious and accessible delivery formats that may be beneficial for college students whose mental health needs may not be adequately met by college counseling centers. However, no studies so far have examined the effectiveness of these modes of treatment for college students who are already receiving traditional therapy, despite it being common among this population. OBJECTIVE The aim of this study was to compare the differences in self-reported momentary negative affect between college students in therapy and not in therapy who received a brief single-session intervention delivered by counseling center staff and supplemental mobile app. METHODS Data for this study were drawn from E-Manage, a brief mHealth intervention geared towards college students [18]. Participants in the study were 173 college students who indicated whether they had received therapy. We conducted a multi-level model to determine whether there were differences between those in therapy vs. not in therapy in negative affect reported throughout the study. Following this, we conducted multi-level models with therapy status as the predictor and negative affect as the outcome. RESULTS Results of the multi-level model testing showed that the cross-level interaction between time point (i.e., pre- vs. post-exercise) and therapy status was significant (P = 0.008), with the reduction in negative affect from pre- to post-exercise greater for those in therapy (b = -0.65, 95%CI = [-0.91, -0.40], p < .001) than it was for those not in therapy (b = -0.31, 95%CI = [-0.43, -0.19], p < .001). Therapy status was unassociated with both the pre-exercise (b = -1.69, 95%CI = [-3.51, 0.13], p = .068) and post-exercise (b = -1.37, 95%CI =[-3.17, 0.43], p = .137) ratings of negative affect. CONCLUSIONS These findings suggest that app-based and single-session interventions are also appropriate to use amongst college students who are receiving traditional therapy. A RCT comparing students receiving therapy to students receiving therapy and E-Manage will be necessary to determine to what extent E-Manage contributed to the reductions in negative affect that therapy-attending college students experienced. CLINICALTRIAL NCT04636151

Suicide-Bereaved Individuals’ Attitudes Toward Therapists

Crisis ◽  
2015 ◽  
Vol 36 (2) ◽  
pp. 135-141 ◽  
Author(s):  
Erin F. Ward-Ciesielski ◽  
Madeline D. Wielgus ◽  
Connor B. Jones
Keyword(s):  
Mental Health Treatment ◽  
Online Survey ◽  
The United States ◽  
Limited Attention ◽  
Time Of Death ◽  
Loved One ◽  
Important Group ◽  
Positive Attitudes ◽  
Suicide Bereaved ◽  
Research Domain

Background: Suicide-bereaved individuals represent an important group impacted by suicide. Understanding their experiences following the suicide of a loved one is an important research domain, despite receiving limited attention. Although suicide-bereaved individuals may benefit from mental health treatment, their attitudes toward therapy and therapists are poorly understood. Aims: The present study aimed to understand the extent to which bereaved individuals’ attitudes toward therapy and therapists are impacted by whether their loved one was in therapy at the time of death. Method: Suicide-bereaved individuals (N = 243) from the United States were recruited to complete an online survey about their experience with and attitudes toward therapy and therapists following the suicide of a loved one. Results: Bereaved individuals whose loved one was in therapy at the time of death (N = 48, 19.8%) reported more negative and less positive attitudes toward the treating therapist than those whose loved one was not in therapy at the time of death (N = 81, 33.3%) or whose loved one was never in therapy/the deceased’s therapy status was unknown (N = 114, 46.9%). Conclusion: The deceased’s involvement with a therapist appears to be an important factor impacting the experience of bereaved individuals and should be considered when attempting to engage these individuals in postvention.

Questioning and Bisexual College Students Seeking Mental Health Treatment

2010 ◽  
Author(s):  
Andrew A. McAleavey ◽  
Caitlin L. Chun-Kennedy ◽  
Louis G. Castonguay ◽  
Benjamin Locke
Keyword(s):  
Mental Health ◽  
College Students ◽  
Mental Health Treatment ◽  
Health Treatment ◽  
And Bisexual

Cultural Values Influence Mental-Health Help-Seeking in Asian and Latinx College Students

2019 ◽  
Author(s):  
Elayne Zhou ◽  
Yena Kyeong ◽  
Cecilia Cheung ◽  
Kalina Michalska;Michalska
Keyword(s):  
Mental Health ◽  
College Students ◽  
Cultural Values ◽  
Mental Health Treatment ◽  
Help Seeking ◽  
Online Survey ◽  
Negative Attitudes ◽  
Help Seeking Behaviors ◽  
Seeking Behavior ◽  
Ethnic Group Membership

The current study examined the influence of cultural values on mental health attitudes and help-seeking behaviors in college students of diverse ethnic backgrounds. Asian and Latinx college students (N = 159) completed an online survey in which they reported their adherence to cultural values and general attitudes towards mental health and help-seeking behavior. Factor analysis revealed two common factors of cultural values irrespective of ethnic background: Interdependent Orientation (IO) and Cultural Obligation (CO). Regardless of ethnicity, the more students endorsed IO values, the less likely they were to perceive a need for mental health treatment. IO value adherence also predicted more negative attitudes towards mental health. CO values were not predictive of perceived need or help-seeking behaviors. Findings highlight the importance of assessing certain cultural values independently from ethnicity and considering how the multidimensionality of culture may help explain shared mental health behaviors across ethnic group membership.

Text Messaging as a Mental Health Treatment Intervention: A Corpus-Based Study

2019 ◽  
Author(s):  
Megan Partch ◽  
Cass Dykeman
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Text Messaging ◽  
Low Cost ◽  
Statistical Significance ◽  
Text Message ◽  
Treatment Session ◽  
Text Messages ◽  
Health Treatment ◽  
Emotional Tone

Mental health treatment providers seek high-impact and low-cost means of engaging clients in care. As such, text messaging is becoming more frequently utilized as a means of communication between provider and client. Research demonstrates that text message interventions increase treatment session attendance, decrease symptomology, and improve overall functioning. However, research is lacking related to the linguistic make up of provider communications. Text messages were collected from previously published articles related to the treatment of mental health disorders. A corpus of 39 mental health treatment text message interventions was composed totaling 286 words. Using Linguistic Inquiry and Word Count (LIWC) software, messages were analyzed for prevalence of terminology thought to enhance client engagement. Clout, demonstrating the writer’s confidence and expertise, and positive Emotional Tone were found to be at a high level within the corpus. Results demonstrated statistical significance for five linguistic variables. When compared with national blog norms derived from Twitter, Clout, Emotional Tone, and use of Biological terminology were found to be at higher rates than expected. Authenticity and Informal terminology were found at significantly lesser rates.

Preferences toward digital and non-digital mental health treatment delivery formats: A survey of Indian college students (Preprint)

2021 ◽  
Author(s):  
Akash Wasil ◽  
Tanvi Malhotra ◽  
Nandita Tuteja ◽  
Nivedita Nandakumar ◽  
Laleh Pandole ◽  
...  
Keyword(s):  
Mental Health ◽  
College Students ◽  
Group Therapy ◽  
Mental Health Treatment ◽  
Strong Association ◽  
Middle Income ◽  
Treatment Delivery ◽  
Intervention Delivery ◽  
Self Help ◽  
Delivery Formats

BACKGROUND Digital mental health treatments have the potential to expand access to services in low- and middle-income countries (LMICs), but the uptake of interventions has been limited. Furthermore, the attitudes of those in LMICs toward intervention formats are rarely studied. OBJECTIVE To understand the attitudes of Indian college students toward a variety of digital and non-digital treatment delivery formats. METHODS Indian college students received descriptions of seven treatment delivery formats: unguided digital self-help, guided digital self-help, bibliotherapy, one-on-one therapy with a professional, one-on-one therapy with a lay provider, group therapy with a professional, and group therapy with a lay provider. They were asked to rate each delivery format on three domains: a) perceived helpfulness, b) availability, and c) willingness to try. RESULTS 95% of individuals were willing to try one-on-one therapy with a professional, 56% were willing to try one-on-one therapy with a lay counselor, participants were less willing to try group interventions than one-on-one interventions, and <50% were willing to try digital self-help interventions. Additionally, there was a strong association between willingness to try and ratings of helpfulness (r=0.61). Ratings were not associated with gender, age, or depressive symptoms. CONCLUSIONS Our findings suggest that one barrier limiting the uptake of digital interventions in LMICs is that individuals do not perceive them as helpful. Efforts to disseminate information about non-traditional intervention delivery formats and their benefits are warranted.

scholarly journals An Ecological Momentary Intervention for Smoking Cessation: Evaluation of Feasibility and Effectiveness

2016 ◽  
Vol 18 (12) ◽  
pp. e321 ◽  
Author(s):  
Michael S Businelle ◽  
Ping Ma ◽  
Darla E Kendzor ◽  
Summer G Frank ◽  
Damon J Vidrine ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Ecological Momentary Intervention ◽  
Ecological Momentary
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