A Pilot Implementation-Effectiveness Trial of a Single-Session Telehealth Workshop and Smartphone-Based Cognitive Behavioral Intervention for Managing Emotions Among College Students

Kleiman, Evan M.; Bentley, Kate H.; Wacha-Montes, Annmarie; Taylor, Madison; Lozy, Olivia; Conti, Kaileigh; Mayer, W. Reese

doi:10.1016/j.beth.2022.04.008

Cited by 6 publications

(5 citation statements)

References 27 publications

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“…Payment requests were initiated for participants once they completed the cross-sectional survey. We then invited them to download the EMA study app, programmed to our specifications by the company MetricWire, which has been used in EMA studies by other investigators (Brown et al, 2022; Kleiman et al, 2022; Merrill et al, 2020). Participants were sent two emails regarding this EMA phase.…”

Section: Methodsmentioning

confidence: 99%

Novel methods for the remote investigation of emerging substances: Application to kratom.

Smith¹,

Feldman²,

Dunn³

et al. 2024

Experimental and Clinical Psychopharmacology

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The botanical product commonly called "kratom" is still relatively novel to the United States. Like other natural products marketed as supplements, kratom is highly variable, both in terms of the alkaloids naturally occurring in kratom leaves and in terms of processing and formulation. Kratom products sold in the United States are not well-characterized, nor are daily use patterns among regular users. Surveys and case reports have comprised most of the literature on kratom use among humans. To advance our understanding of real-world kratom use, we developed a protocol for the remote study of regular kratom-using adults in the United States. Our study had three aspects implemented in one pool of participants nationwide: an in-depth online survey, 15 days of ecological momentary assessment (EMA) via smartphone app, and the collection and assay of the kratom products used by participants during EMA. Here, we describe these methods, which can be used to investigate myriad drugs or supplements. Recruiting, screening, and data collection occurred between July 20, 2022 and October 18, 2022. During this time, we demonstrated that these methods, while challenging from a logistical and staffing standpoint, are feasible and can produce high-quality data. The study achieved high rates of enrollment, compliance, and completion. Substances that are emerging or novel, but still largely legal, can be productively studied via nationwide EMA combined with assays of shipped product samples from participants. We discuss challenges and lessons learned so other investigators can adapt these methods. Public Health SignificanceFor this nationwide study investigating the real-world use of kratom products, we utilized a three-phase fully remote design that included an in-depth survey, ecological momentary assessment, and collection of hundreds of participants' product samples. The methods required no in-person participant interaction. These methods permitted collection of subjective self-report data that can be compared to objective chemical characterization of the products used. While labor intensive, these novel methods can be applied to studying a wide range of emerging drugs or legal supplements.

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Section: Methodsmentioning

confidence: 99%

Novel methods for the remote investigation of emerging substances: Application to kratom.

Smith¹,

Feldman²,

Dunn³

et al. 2024

Experimental and Clinical Psychopharmacology

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“…Data from the mobile app are not included in this article. For more details on the study, see Kleiman et al’s (2022) study.…”

Section: Methodsmentioning

confidence: 99%

“…Previously published work has demonstrated that both the undergraduate and graduate workshop led to reliable improvements in a number of clinically relevant outcomes including anxiety and depression symptoms, coping self-efficacy, and emotional avoidance (Bernstein et al, 2022; Kleiman et al, 2022). However, as with all interventions, there is variability in the magnitude of improvements across participants.…”

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confidence: 99%

“…In the present study, we examine the role of psychotherapy treatment history on the outcomes of two independent, single-session, transdiagnostic group interventions for students in emerging adulthood (Bernstein et al, 2022; Kleiman et al, 2022). Both interventions were framed as mental health “workshops” and took place at large universities; one was provided to undergraduate students and the other to graduate students.…”

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confidence: 99%

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Helpful for all? Examining the effects of psychotherapy treatment history on outcomes of single session, transdiagnostic cognitive behavioral interventions for university students.

Finch¹,

Kleiman²,

Bentley³

et al. 2024

Psychological Services

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Brief, transdiagnostic interventions are an efficient form of mental health care for resource-limited settings like universities. Little research, however, has examined for whom these treatments are most effective. One important factor may be psychotherapy treatment history. Here, we evaluate if treatment history influences the effects of a single-session cognitive behavioral group intervention with optional digital follow-up support across two independent, university-based studies. Undergraduate (N = 143) and graduate (N = 51) students reported their psychotherapy treatment history and completed self-report measures of emotional health before and approximately 1-month following the intervention. Across both samples, psychotherapy treatment history did not moderate changes in depression, anxiety, or emotional avoidance following the intervention. However, participants who were currently receiving psychotherapy began the workshop with lower coping self-efficacy than peers with no prior psychotherapy and saw larger gains in coping selfefficacy at follow-up. Results suggest that regardless of whether a student has previously received psychotherapy, they may benefit from brief, group transdiagnostic interventions. Impact StatementAre brief mental health interventions beneficial for people who have previously engaged in psychotherapy? Across two university-based studies of single session, transdiagnostic interventions with optional digital support in follow-up, psychotherapy treatment history did not influence improvements in anxiety, depression, or behavioral avoidance. This suggests that brief interventions may be effective for students across the treatment-seeking spectrum, encouraging broad dissemination in university settings.

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“…The purpose of this study is to examine if there were any differences in the effectiveness of a brief single-session intervention delivered by counseling center staff and mobile app between college students in therapy and those not in therapy. To accomplish this, we analyzed data collected from 173 participants in E-Manage [ 22 ], a brief 90-minute workshop based on the Unified Protocol [ 23 ] with a supplemental mobile app implemented in a northeastern public university’s counseling center. We compared the differences in self-reported momentary negative affect across 8 weeks post workshop between students reporting attending therapy and students reporting not attending therapy.…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of a Brief Telehealth and Smartphone Intervention for College Students Receiving Traditional Therapy: Longitudinal Study Using Ecological Momentary Assessment Data

Taylor¹,

Lozy²,

Conti³

et al. 2022

JMIR Ment Health

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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 a supplemental mobile app. Methods Data for this study were drawn from E-Manage, a brief mobile health intervention geared toward college students. Participants in the study were 173 college students who indicated whether they had received therapy. We conducted a multilevel model to determine whether there were differences between those in therapy versus not in therapy in negative affect reported throughout the study. Following this, we conducted multilevel models with therapy status as the predictor and negative affect as the outcome. Results Results of the multilevel model testing showed that the cross-level interaction between the time point (ie, pre- vs postexercise) and therapy status was significant (P=.008), with the reduction in negative affect from pre- to postexercise greater for those in therapy (b=–0.65, 95% CI –0.91 to –0.40; P<.001) than it was for those not in therapy (b=–0.31, 95% CI –0.43 to –0.19; P<.001). Therapy status was unassociated with both the pre-exercise (b=–1.69, 95% CI –3.51 to 0.13; P=.07) and postexercise (b=–1.37, 95% CI –3.17 to 0.43; P=.14) ratings of negative affect. Conclusions These findings suggest that app-based and single-session interventions are also appropriate to use among college students who are receiving traditional therapy. A randomized controlled trial 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.

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A Pilot Implementation-Effectiveness Trial of a Single-Session Telehealth Workshop and Smartphone-Based Cognitive Behavioral Intervention for Managing Emotions Among College Students

Cited by 6 publications

References 27 publications

Novel methods for the remote investigation of emerging substances: Application to kratom.

Novel methods for the remote investigation of emerging substances: Application to kratom.

Helpful for all? Examining the effects of psychotherapy treatment history on outcomes of single session, transdiagnostic cognitive behavioral interventions for university students.

The Effectiveness of a Brief Telehealth and Smartphone Intervention for College Students Receiving Traditional Therapy: Longitudinal Study Using Ecological Momentary Assessment Data

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