Uptake and effectiveness of a self-guided mobile app platform for college student mental health

Background: College students endorse high rates of mental health problems. While many colleges offer on-campus services, many students who could benefit from mental health services do not receive care. Indeed, nearly half of students who screen positive for depression, for example, do not receive tr...

Full description

Bibliographic Details
Main Authors: Emily G. Lattie, Katherine A. Cohen, Emily Hersch, Kofoworola D.A. Williams, Kaylee Payne Kruzan, Carolyn MacIver, Joseph Hermes, Karen Maddi, Mary Kwasny, David C. Mohr
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:Internet Interventions
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214782921001330
_version_ 1798035652636311552
author Emily G. Lattie
Katherine A. Cohen
Emily Hersch
Kofoworola D.A. Williams
Kaylee Payne Kruzan
Carolyn MacIver
Joseph Hermes
Karen Maddi
Mary Kwasny
David C. Mohr
author_facet Emily G. Lattie
Katherine A. Cohen
Emily Hersch
Kofoworola D.A. Williams
Kaylee Payne Kruzan
Carolyn MacIver
Joseph Hermes
Karen Maddi
Mary Kwasny
David C. Mohr
author_sort Emily G. Lattie
collection DOAJ
description Background: College students endorse high rates of mental health problems. While many colleges offer on-campus services, many students who could benefit from mental health services do not receive care. Indeed, nearly half of students who screen positive for depression, for example, do not receive treatment. Digital mental health programs, such as those delivered via mobile apps, may help expand access to mental health care and resources. This mixed-methods study aims to examine the uptake and effectiveness of an implementation of IntelliCare for College Students, a self-guided app-based mental health platform, on two university campuses. Methods: Data on counseling center utilization was collected prior to the implementation of the app (pre-implementation phase) and while the app was available on campus (implementation phase). Data on app usage was collected throughout the implementation phase. A subset of participants (n = 20), along with counseling center staff members (n = 10), completed feedback interviews. Results: Overall, uptake of the app platform was low. A total of 117 participants downloaded the app and registered their study ID during the implementation phase. Approximately 24% (28/117) of participants used the app only once. The number of days between the first and last day of app use ranged from 0 to 299, with a mean of 35.01 days and a median of 14 days. A relatively small portion of the sample (26.5%; 31/117) downloaded one or more of the IntelliCare interactive apps. In examining counseling center utilization, there were no significant changes in intake appointments, individual therapy sessions, or crisis appointments observed from the pre-implementation phase to the implementation phase of the study. Feedback interviews highlighted the significant level of disruption caused by the COVID-19 pandemic and shift to remote learning, including challenges disseminating information to students and a preference to spend less time with digital devices outside of class time. Conclusions: Findings from this study indicate that there is an ongoing need to identify ways to reach college students and support student mental health and wellness for the remainder of the COVID-19 pandemic and beyond.
first_indexed 2024-04-11T21:01:12Z
format Article
id doaj.art-959215c660aa4a8bb9145eea45084ecf
institution Directory Open Access Journal
issn 2214-7829
language English
last_indexed 2024-04-11T21:01:12Z
publishDate 2022-03-01
publisher Elsevier
record_format Article
series Internet Interventions
spelling doaj.art-959215c660aa4a8bb9145eea45084ecf2022-12-22T04:03:30ZengElsevierInternet Interventions2214-78292022-03-0127100493Uptake and effectiveness of a self-guided mobile app platform for college student mental healthEmily G. Lattie0Katherine A. Cohen1Emily Hersch2Kofoworola D.A. Williams3Kaylee Payne Kruzan4Carolyn MacIver5Joseph Hermes6Karen Maddi7Mary Kwasny8David C. Mohr9Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, United States of America; Corresponding author at: Center for Behavioral Intervention Technologies, 710 N Lake Shore Drive, 10th Floor, Chicago, IL 60611, United States of America.Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, United States of America; Department of Psychology, Stony Brook University, United States of AmericaDepartment of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, United States of AmericaDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, United States of AmericaDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, United States of AmericaAdaptive Health, Inc., United States of AmericaDepartment of Student Affairs, University of Illinois at Chicago, United States of AmericaDepartment of Student Affairs, University of Illinois at Chicago, United States of AmericaDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, United States of AmericaDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, United States of AmericaBackground: College students endorse high rates of mental health problems. While many colleges offer on-campus services, many students who could benefit from mental health services do not receive care. Indeed, nearly half of students who screen positive for depression, for example, do not receive treatment. Digital mental health programs, such as those delivered via mobile apps, may help expand access to mental health care and resources. This mixed-methods study aims to examine the uptake and effectiveness of an implementation of IntelliCare for College Students, a self-guided app-based mental health platform, on two university campuses. Methods: Data on counseling center utilization was collected prior to the implementation of the app (pre-implementation phase) and while the app was available on campus (implementation phase). Data on app usage was collected throughout the implementation phase. A subset of participants (n = 20), along with counseling center staff members (n = 10), completed feedback interviews. Results: Overall, uptake of the app platform was low. A total of 117 participants downloaded the app and registered their study ID during the implementation phase. Approximately 24% (28/117) of participants used the app only once. The number of days between the first and last day of app use ranged from 0 to 299, with a mean of 35.01 days and a median of 14 days. A relatively small portion of the sample (26.5%; 31/117) downloaded one or more of the IntelliCare interactive apps. In examining counseling center utilization, there were no significant changes in intake appointments, individual therapy sessions, or crisis appointments observed from the pre-implementation phase to the implementation phase of the study. Feedback interviews highlighted the significant level of disruption caused by the COVID-19 pandemic and shift to remote learning, including challenges disseminating information to students and a preference to spend less time with digital devices outside of class time. Conclusions: Findings from this study indicate that there is an ongoing need to identify ways to reach college students and support student mental health and wellness for the remainder of the COVID-19 pandemic and beyond.http://www.sciencedirect.com/science/article/pii/S2214782921001330mHealthDepressionAnxietyCollege students
spellingShingle Emily G. Lattie
Katherine A. Cohen
Emily Hersch
Kofoworola D.A. Williams
Kaylee Payne Kruzan
Carolyn MacIver
Joseph Hermes
Karen Maddi
Mary Kwasny
David C. Mohr
Uptake and effectiveness of a self-guided mobile app platform for college student mental health
Internet Interventions
mHealth
Depression
Anxiety
College students
title Uptake and effectiveness of a self-guided mobile app platform for college student mental health
title_full Uptake and effectiveness of a self-guided mobile app platform for college student mental health
title_fullStr Uptake and effectiveness of a self-guided mobile app platform for college student mental health
title_full_unstemmed Uptake and effectiveness of a self-guided mobile app platform for college student mental health
title_short Uptake and effectiveness of a self-guided mobile app platform for college student mental health
title_sort uptake and effectiveness of a self guided mobile app platform for college student mental health
topic mHealth
Depression
Anxiety
College students
url http://www.sciencedirect.com/science/article/pii/S2214782921001330
work_keys_str_mv AT emilyglattie uptakeandeffectivenessofaselfguidedmobileappplatformforcollegestudentmentalhealth
AT katherineacohen uptakeandeffectivenessofaselfguidedmobileappplatformforcollegestudentmentalhealth
AT emilyhersch uptakeandeffectivenessofaselfguidedmobileappplatformforcollegestudentmentalhealth
AT kofoworoladawilliams uptakeandeffectivenessofaselfguidedmobileappplatformforcollegestudentmentalhealth
AT kayleepaynekruzan uptakeandeffectivenessofaselfguidedmobileappplatformforcollegestudentmentalhealth
AT carolynmaciver uptakeandeffectivenessofaselfguidedmobileappplatformforcollegestudentmentalhealth
AT josephhermes uptakeandeffectivenessofaselfguidedmobileappplatformforcollegestudentmentalhealth
AT karenmaddi uptakeandeffectivenessofaselfguidedmobileappplatformforcollegestudentmentalhealth
AT marykwasny uptakeandeffectivenessofaselfguidedmobileappplatformforcollegestudentmentalhealth
AT davidcmohr uptakeandeffectivenessofaselfguidedmobileappplatformforcollegestudentmentalhealth