Internet- and App-Based Stress Intervention for Distance-Learning Students With Depressive Symptoms: Protocol of a Randomized Controlled Trial

Research output: Journal contributionsJournal articlesResearchpeer-review

Authors

  • Mathias Harrer
  • Jennifer Apolinario-Hagen
  • Lara Fritsche
  • Marie Druege
  • Ludwig Krings
  • Korinna Beck
  • Christel Salewski
  • Anna-Carlotta Zarski
  • Dirk Lehr
  • Harald Baumeister
  • David Daniel Ebert

Background: Mental disorders are highly prevalent among university students. Distance-learning students are particularly burdened and have limited access to conventional university health services. Interventions for stress are sought after in distance learners and may help increase treatment coverage. Internet-based interventions have been shown to be effective in preventing and treating depression, but it remains unclear if interventions directed at academic stress also have this potential. Aim: The trial presented here investigates the effectiveness of an Internet- and App-based stress intervention in distance-learning students with elevated levels of depression. Methods: A sample of N = 200 students of a large German distance university with elevated levels of depression [Center for Epidemiological Studies' Depression Scale (CES-D) ≥ 16] will be randomly assigned to either an Internet- and App-based stress management intervention group (IG) or a control group (CG) receiving an Internet-based psychoeducational program for academic stress. The IG consists of eight Internet-based sessions promoting stress management skills using cognitive-behavioral and problem-solving techniques. A mobile App will be employed to facilitate training transfer. Self-report data will be assessed at baseline (T0), post-treatment (T1; 7 weeks), and 3-month follow-up (T2). Potential moderators will be assessed at baseline. The primary outcome is depression (CES-D) post-treatment. Secondary outcomes include mental health outcomes, modifiable risk and protective factors, and academic outcomes. Data will be analyzed on an intention-to-treat principle along with sensitivity analyses to assess the robustness of findings. Additional health economic analyses will be conducted. Discussion: Results will provide the basis to assess the acceptance and effectiveness of Internet-delivered stress interventions in distance-learning students with symptoms of depression. Ethics and dissemination: The study has been reviewed and approved by the University of Erlangen-Nuremberg ethics committee (Erlangen, Germany; 33_17 Bc). Results of the study will be disseminated through peer-reviewed publications. Trial Registration: German Clinical Trial Registration (DRKS), identifier DRKS00011800.

Original languageEnglish
Article number361
JournalFrontiers in Psychiatry
Volume10
Issue numberMAY
Number of pages13
ISSN1664-0640
DOIs
Publication statusPublished - 21.05.2019

Bibliographical note

The study was funded through internal research funds of the Fern Universität in Hagen.

    Research areas

  • distance-learning students, randomized controlled trial, stress management, depression, telemedicine, Internet, mobile app
  • Psychology

Documents

DOI

Recently viewed

Activities

  1. "We all can do it": Localising public information messages within Europe. Insights from a cross-cultural genre analysis
  2. Research Development Workshop for Transdisciplinary Sustainability Research - RIHN 2013
  3. The professional identity of gameworkers revisited: A qualitative inquiry on the case study of German professionals
  4. Förderung selbstregulierten Lesens im Unterricht. Eine Untersuchung in BiSS-Schulen
  5. 83rd Annual Meeting of the Academy of Management: Putting the Worker Front and Center
  6. Authentizität mathematischer Modellierungsaufgaben in standardisierten Testsituationen
  7. Autumn School Infrastructures of Sense|Making 2020
  8. Digital Culture
  9. Lüneburg Workshop in Economics 2014
  10. Titel: Worker voice on digital platforms and beyond.
  11. Die Charakterisierung von Abwasser durch Summenparameter
  12. Sustainability-oriented targets in executive compensation – Symbolic measures or significant catalyst for a sustainable transition?
  13. Sozialer Rang und Arbeitslosigkeit
  14. Ammonia volatilization in an alkaline upland soil in Norhthern China: – comparative measurements and modelling results
  15. A study on the stability of attention in primary education. Results of a multi-perspective video analysis
  16. kunstenfestivaldesarts
  17. Leuphana Universität Lüneburg (Organisation)
  18. The work of disconnection
  19. d3con 2016
  20. "Oh ok. (.) Yeah, do you have like Christmas exams or anything?": Constructing small talk in learner-native speaker voice-based telecollaboration (6th Intercultural Pragmatics and Communication conference - INPRA 2014, Msida/Malta)
  21. Panel Discussion #PrivacyCamp22: A feminist Internet
  22. Emma Kunz: Drawing as a tool, Healing as a process