Online Intervention for Student Wellbeing: Universal Online Interventions Might Engage Psychologically Distressed University Students who are Unlikely to Seek Formal Help

Abstract University students are a high risk population for mental health problems, yet few seek professional help when experiencing problems. This study explored the potential role of an online intervention for promoting wellbeing in university students, by investigating students’ help-seeking behaviour, intention to use online interventions and student content preference for such interventionss; 254 university students responded to an online survey designed for this study. As predicted, students were less likely to seek help as levels of psychological distress increased. Conversely, intention to use an online intervention increased at higher levels of distress, with 39.1%, 49.4% and 57.7% of low, moderate and severely distressed students respectively indicating they would use an online program supporting student well-being. Results suggest that online interventions may be a useful way to provide help to students in need who otherwise may not seek formal help.

[1]  R. Gerrits,et al.  Master your mood online: A preventive chat group intervention for adolescents , 2007 .

[2]  J. Klein,et al.  Health information-seeking behaviour in adolescence: the place of the internet. , 2005, Social science & medicine.

[3]  F. Fincham,et al.  ePREP: COMPUTER BASED PREVENTION OF RELATIONSHIP DYSFUNCTION, DEPRESSION AND ANXIETY , 2007 .

[4]  Ritu Agarwal,et al.  Taking Charge of Your Health: The Drivers of Enrollment and Continued Participation  in Online Health Intervention Programs , 2008, Proceedings of the 41st Annual Hawaii International Conference on System Sciences (HICSS 2008).

[5]  H. Christensen,et al.  Online randomized controlled trial of brief and full cognitive behaviour therapy for depression , 2006, Psychological Medicine.

[6]  Frank P. Deane,et al.  Measuring help-seeking intentions: Properties of the General Help-Seeking Questionnaire , 2005 .

[7]  Kylie Lee,et al.  Help-seeking behaviour and the Internet: An investigation among Australian adolescents , 2004 .

[8]  K. Cavanagh,et al.  The effectiveness of computerized cognitive behavioural therapy in routine care. , 2006, The British journal of clinical psychology.

[9]  H. Christensen,et al.  Free range users and one hit wonders: community users of an Internet-based cognitive behaviour therapy program. , 2006, The Australian and New Zealand journal of psychiatry.

[10]  M. C. Keim,et al.  Stress and Coping Strategies Among Community College Students , 2007 .

[11]  Lucie Laflamme,et al.  Experienced stress, psychological symptoms, self-rated health and academic achievement: A longitudinal study of Swedish university students. , 2008 .

[12]  I. Shochet,et al.  Resourceful Adolescent Program : group leader's manual , 1997 .

[13]  R. Kessler,et al.  Short screening scales to monitor population prevalences and trends in non-specific psychological distress , 2002, Psychological Medicine.

[14]  Margaret Bradley,et al.  Measuring, monitoring and managing the psychological well-being of first year university students , 2006 .

[15]  Emily Dibble,et al.  Internet Use Among Community College Students: Implications in Designing Healthcare Interventions , 2004, Journal of American college health : J of ACH.

[16]  Ian Walker,et al.  Education and Work , 2006 .

[17]  H. Stallman Prevalence of psychological distress in university students--implications for service delivery. , 2008, Australian family physician.

[18]  Lorann Stallones,et al.  What prevents adolescents from seeking help after a suicide education program? , 2008, Suicide & life-threatening behavior.

[19]  Marion F Zabinski,et al.  Computer and Internet applications for psychological treatment: update for clinicians. , 2004, Journal of clinical psychology.

[20]  C. Escoffery,et al.  Internet Use for Health Information Among College Students , 2005, Journal of American college health : J of ACH.

[21]  H. Christensen,et al.  Internet-based mental health programs: a powerful tool in the rural medical kit. , 2007, The Australian journal of rural health.

[22]  Daniel Eisenberg,et al.  Help-Seeking and Access to Mental Health Care in a University Student Population , 2007, Medical care.

[23]  H. Stallman Psychological distress in university students: A comparison with general population data , 2010 .

[24]  K. Griffiths,et al.  Population promotion of informal self-help strategies for early intervention against depression and anxiety , 2005, Psychological Medicine.

[25]  Gary D. Malaney Student Use of the Internet , 2004 .

[26]  D. Ford,et al.  Attitudes and illness factors associated with low perceived need for depression treatment among young adults , 2006, Social Psychiatry and Psychiatric Epidemiology.

[27]  Anthony F Jorm,et al.  The Medical Journal of Australia , 2007 .

[28]  H. Christensen,et al.  Effects of a Cognitive‐Behavioural Internet Program on Depression, Vulnerability to Depression and Stigma in Adolescent Males: A School‐Based Controlled Trial , 2006, Cognitive behaviour therapy.

[29]  T. Berney,et al.  The Mental Health of Students in Higher Education , 2003 .

[30]  P. McGorry,et al.  headspace: National Youth Mental Health Foundation: making headway with rural young people and their mental health. , 2007, The Australian journal of rural health.

[31]  I. Shochet,et al.  Prevalence of mental health problems in Australian university health services , 2009 .

[32]  M. Berk,et al.  Net-effect? Online psychological interventions , 2007, Acta Neuropsychiatrica.

[33]  G. Andrews,et al.  Interpreting scores on the Kessler Psychological Distress Scale (K10) , 2001, Australian and New Zealand journal of public health.

[34]  F. Deane,et al.  Young people’s help-seeking for mental health problems , 2005 .

[35]  F. Deane,et al.  Suicidal ideation and help-negation: Not just hopelessness or prior help. , 2001, Journal of clinical psychology.

[36]  Nuran Bayram,et al.  The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students , 2008, Social Psychiatry and Psychiatric Epidemiology.

[37]  J. Brug,et al.  Internet-delivered interventions aimed at adolescents: a Delphi study on dissemination and exposure. , 2008, Health education research.

[38]  D. Richards,et al.  An informal online learning community for student mental health at university: a preliminary investigation , 2008 .

[39]  M. Syed,et al.  Internet Use and Well-Being Among College Students: Beyond Frequency of Use , 2007 .

[40]  Michele L. Ybarra,et al.  Internet-Based Mental Health Interventions , 2005, Mental health services research.