scholarly journals Effects of a 6-Week Internet-Based Stress Management Program on Perceived Stress, Subjective Coping Skills, and Sleep Quality

2020 ◽  
Vol 11 ◽  
Author(s):  
Tobias Stächele ◽  
Gregor Domes ◽  
Magdalena Wekenborg ◽  
Marlene Penz ◽  
Clemens Kirschbaum ◽  
...  
2020 ◽  
Author(s):  
Yagmur Amanvermez ◽  
Eirini Karyotaki ◽  
Leonore M. de Wit ◽  
Pim Cuijpers ◽  
Philip Spinhoven ◽  
...  

BACKGROUND More than half of university students have high levels of stress. Stress management programs can help students improve coping skills and prevent psychological distress. However, studies have generally targeted all university students regardless of whether they experience high levels of stress or not, and thus more studies are needed to examine the feasibility and acceptability of e-health interventions for students with elevated stress. OBJECTIVE The present open trial aims to examine the feasibility and acceptability of a guided internet-based stress management program for university students with high levels of stress. METHODS In this study, participants are recruited via e-mail, newsletters, and flyers from four universities in the Netherlands to participate in a guided internet-based stress management program. Guidance is delivered by e-coaches who provide weekly asynchronous text-based motivational feedback after each module is completed. Primary outcomes are satisfaction with the intervention, assessed by the Client Satisfaction Scale (CSQ-8), and usability, assessed by the System Usability Scale (SUS-10). Secondary outcomes are perceived stress, quality of life, and depression, assessed by the Perceived Stress Scale (PSS-10), the EuroQol- 5 Dimension- 5 Level Scale (EQ- 5D- 5L), and the Patient Health Questionnaire (PHQ-9) respectively. Adherence rates to the program are assessed by examining the number of completed modules, time spent on the platform, and completed exercises. RESULTS The Caring Universities Project was funded in (September 2019). In June 2020, the project was officially announced to the students and recruitment began immediately. As of September 2020, recruitment continues. The expected date of the publication of the results is in 2021. CONCLUSIONS It is expected that the results of the proposed study will be informative for designing and implementing e-health interventions in higher education. Moreover, it is assumed that the findings will contribute to the growing literature on internet interventions by yielding preliminary evidence related to the feasibility and acceptability of an online stress management program. CLINICALTRIAL Netherlands Trial Register NL8686; https://www.trialregister.nl/trial/8686


2020 ◽  
Vol 31 (2) ◽  
Author(s):  
K. Jason Crandall ◽  
Kathryn Steward ◽  
Tara Warf

Stress is a serious problem in college students. Novel on-campus stress management programs are needed to teach stress management techniques to help reduce students’ perceived stress. The purpose of this paper is to describe the design, implementation, and program outcomes of a mobile app (Bingocize®) that combines exercise, health education, and bingo into a single stress management program. Preliminary results showed the mobile app may be capable of reducing perceived stress and improving stress management knowledge. Randomized controlled trials are needed, but colleges and universities may consider using the app to affect their students’ overall health and academic performance.


2019 ◽  
Vol 46 (6) ◽  
pp. 930-941 ◽  
Author(s):  
Guido G. Urizar ◽  
Menchie Caliboso ◽  
Cassandra Gearhart ◽  
Ilona S. Yim ◽  
Christine Dunkel Schetter

Background. The SMART Moms/Mamás LÍSTAS Project was a randomized control trial that tested the efficacy of a prenatal stress management program in reducing stress and cortisol levels among low-income women. The current study is a process evaluation of the stress management program (intervention arm of the original randomized controlled trial) and assessed whether implementation fidelity factors (i.e., intervention delivery, receipt, and enactment) were associated with lower stress (perceived stress, salivary cortisol), improved negative and positive mood states (Positive and Negative Affect Schedule), and increased confidence to use relaxation and coping skills. Method. Fifty-five low-income pregnant women (71% Latina, 76% annual income <$20,000) attended weekly group-based sessions over an 8-week period in which a clinically trained researcher taught relaxation and coping skills. Process evaluation measures were obtained via participant self-report and videotaped class sessions that were coded for delivery, receipt, and enactment of the intervention to determine which implementation factors were associated with changes in program outcomes (stress, mood, confidence) over the 8-week period. Results. Women in stress management showed a significant reduction in their stress and cortisol levels ( p < .001), improvements in negative and positive mood states ( p < .001) and were more confident in using relaxation and coping skills postintervention (74%). The implementation factors of delivery (i.e., instructor adherence to intervention content; p = .03) and enactment (i.e., participant use of intervention skills; p = .02) were most associated with improvements in program outcomes. Conclusion. These findings highlight that implementation factors should be considered when delivering stress management interventions in underserved communities.


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