College Student Perspectives of Telemental Health: a Review of the Recent Literature

Hadler, Nicole; Bu, Paula; Winkler, Aaron; Alexander, Amy W.

doi:10.1007/s11920-020-01215-7

Cited by 59 publications

(68 citation statements)

References 54 publications

(52 reference statements)

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“…Overall, the low experience rates regarding digi-MHSs in our sample (5%) correspond to earlier surveys from Germany (Webelhorst et al, 2020;Breil et al, 2021) and international findings across different populations (Toscos et al, 2018;Clough et al, 2019;Richardson et al, 2020). Although research has revealed positive attitudes and the readiness to try stand-alone digi-MHSs among university students (Hadler et al, 2021), in direct comparison face-to-face support, including blended care, have been shown to be preferred in surveys, including discrete choice experiments (Phillips et al, 2021). Future experiments on acceptance-facilitating interventions may therefore extend the scope to blended interventions.…”

Section: Rq2: Differences In Acceptancesupporting

confidence: 84%

“…Interestingly, research indicated a higher acceptance of digi-MHSs among university students with personal use experience, but the utilization rates of existing digital interventions remain very low (Dunbar et al, 2018;Hadler et al, 2021;Lavergne and Kennedy, 2021). Potentially, suitable digi-MHSs are yet not well known and thus seldom used by university students despite overall positive attitudes (Mayer et al, 2019;Apolinário-Hagen et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

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Investigating the Persuasive Effects of Testimonials on the Acceptance of Digital Stress Management Trainings Among University Students and Underlying Mechanisms: A Randomized Controlled Trial

et al. 2021

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Objective: This experiment aims to investigate the influence of narrative information varying in the degree of perceived similarity and source credibility in supplemented testimonials on the acceptance of digital mental health services (digi-MHSs).Methods: In fall 2020, n=231 university students were randomly assigned to an active control group (aCG, n=55, “information only”) or one of three intervention groups (IGs) receiving information plus different testimonials being presented either by nonacademic staff (IG1, n=60), university students (IG2, n=58) or experts (IG3, n=58). We assessed mediation effects of similarity and credibility on acceptance in terms of attitudes and usage intentions.Results: Exposure to testimonials was associated with higher usage intentions (d=0.50) and more positive attitudes toward digi-MHSs (d=0.32) compared to mere information (aCG). Regarding source-related effects, one-way ANOVA showed group differences in intentions (ηp2=0.13) that were significantly higher after exposure to testimonials targeted at students than in the other groups after adjusting for baseline intentions (ηp2=0.24). Concerning underlying mechanisms, there were full mediation effects of similarity (IG1 versus IG2) on attitudes [95%CI (0.030, 0.441)] and intentions to use digi-MHSs [95%CI (0.100, 0.528)] and of credibility on attitudes [IG2 versus IG3; 95%CI (−0.217, −0.004)], all favoring students’ testimonials.Conclusion: Overall, this study indicates that the acceptance of digi-MHSs can be substantially increased by providing a simple, context-sensitive information intervention, including testimonials by university students. Since we identified mediating effects of credibility on cognitive attitudes and similarity on affect-driven intentions, a future trial could vary these features using narrative versus statistic information on digi-MHSs.

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Section: Rq2: Differences In Acceptancesupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Investigating the Persuasive Effects of Testimonials on the Acceptance of Digital Stress Management Trainings Among University Students and Underlying Mechanisms: A Randomized Controlled Trial

et al. 2021

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“…academic, social, mental health, financial), in order to offer the appropriate support. Given the limitations of still ongoing COVID-19 containment measures, and a presumable affinity for internet use, coordinated online support could be a suitable way to reduce loneliness among university students and their risk of mental disorders 37 .…”

Section: Discussionmentioning

confidence: 99%

The impact of lockdown stress and loneliness during the COVID-19 pandemic on mental health among university students in Germany

Werner

Tibubos

Mülder

et al. 2021

Sci Rep

114

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The COVID-19 pandemic led to a shutdown of universities in Germany. In a longitudinal design, we compared mental health (depression, anxiety, somatic complaints) of university students in Germany before (June to August 2019) and in the course of the COVID-19 pandemic (June 2020) and determined the impact of pandemic-related stress and loneliness on students’ mental health in self-report online surveys. We investigated 443 participants (mean age 22.8 years), among them 77% female, and 10.4% medical students. A small increase of depression mean scores was observed (F(1,420) = 5.21; p = .023), anxiety and somatic complaints have not significantly changed. There was a medium increase in loneliness from pre-pandemic scores to the pandemic situation (F(1,423) = 30.56; p < .001). Analyzed with regression analyses, current loneliness and pre-pandemic distress represented the strongest associations with mental health during the pandemic. Additionally, health-related concerns during the pandemic were associated with symptoms of depression [b = 0.21; 95%CI(0.08; 0.34); t = 3.12; p = .002], anxiety [b = 0.07; 95%CI(0.01; 0.12); t = 2.50; p = .013], somatic complaints [b = 0.33; 95%CI(0.18; 0.47); t = 4.49; p < .001], and loneliness [b = 0.10; 95%CI(0.03; 0.17); t = 2.74; p = .006]. Social stress due to the pandemic situation was associated with loneliness [b = 0.38; 95%CI(0.32; 0.45); t = 11.75; p < .001]. The results imply that university students represent a risk group for psychosocial long-term ramifications of the pandemic.

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“…academic, social, mental health, financial), in order to offer the appropriate support. Given the limitations by on-going COVID-19 containment measures, and a presumable affinity for internet use, coordinated online support could be a suitable way to reduce loneliness among university students and their risk of mental disorders 32 .…”

Section: Discussionmentioning

confidence: 99%

The impact of lockdown stress and loneliness during the COVID-19 pandemic on mental health among university students in Germany

Werner¹,

Tibubos²,

Mülder³

et al. 2021

Preprint

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The COVID-19 pandemic led to a shutdown of universities in Germany. In a longitudinal design, we compared mental health (depression, anxiety, somatic complaints) of university students in Germany before (June to August 2019) and in the course of the COVID-19 pandemic (June 2020) with two online surveys. Additionally, we determined the impact of lockdown stress and loneliness on students’ mental health. Among 443 participants (mean age 22.8 years), there were 77% female, and 10.4% medical students. Elevated levels of depression were reported more often during than before the pandemic (38.5% vs. 27.7%). Likewise, symptoms of anxiety (35.8% vs. 29.8%) and somatic complaints (32.3% vs. 27.5%) were more present in the course of the pandemic. A small increase of depression mean scores was observed, no significant changes of anxiety and somatic complaints became evident. Current loneliness and pre-pandemic distress represented the strongest associations with mental health during the pandemic. Pandemic-related psychosocial stress contributed indirectly to mental health through loneliness.The results imply increased levels of loneliness as the most substantial consequence of the pandemic. Given their high levels of pre-pandemic distress and pandemic-specific stress, university students represent a risk group for social and economic long-term ramifications of the pandemic.

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College Student Perspectives of Telemental Health: a Review of the Recent Literature

Cited by 59 publications

References 54 publications

Investigating the Persuasive Effects of Testimonials on the Acceptance of Digital Stress Management Trainings Among University Students and Underlying Mechanisms: A Randomized Controlled Trial

Investigating the Persuasive Effects of Testimonials on the Acceptance of Digital Stress Management Trainings Among University Students and Underlying Mechanisms: A Randomized Controlled Trial

The impact of lockdown stress and loneliness during the COVID-19 pandemic on mental health among university students in Germany

The impact of lockdown stress and loneliness during the COVID-19 pandemic on mental health among university students in Germany

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