Effectiveness of providing university students with a mindfulness-based intervention to increase resilience to stress: one-year follow-up of a pragmatic randomised controlled trial

Galante, Julieta, Stochl, Jan, Dufour, Geraldine, Vainre, Maris, Wagner, Adam Peter and Jones, Peter Brian (2021) Effectiveness of providing university students with a mindfulness-based intervention to increase resilience to stress: one-year follow-up of a pragmatic randomised controlled trial. Journal of Epidemiology & Community Health, 75 (2). pp. 151-160. ISSN 0143-005X

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Abstract

Background There is concern that increasing demand for student mental health services reflects deteriorating student well-being. We designed a pragmatic, parallel, single-blinded randomised controlled trial hypothesising that providing mindfulness courses to university students would promote their resilience to stress up to a year later. Here we present 1-year follow-up outcomes. Methods University of Cambridge students without severe mental illness or crisis were randomised (1:1, remote software-generated random numbers), to join an 8-week mindfulness course adapted for university students (Mindfulness Skills for Students (MSS)), or to mental health support as usual (SAU). Results We randomised 616 students; 53% completed the 1-year follow-up questionnaire. Self-reported psychological distress and mental well-being improved in the MSS arm for up to 1 year compared to SAU (p<0.001). Effects were smaller than during the examination period. No significant differences between arms were detected in the use of University Counselling Service and other support resources, but there was a trend for MSS participants having milder needs. There were no differences in students' workload management; MSS participants made more donations. Home practice had positive dose-response effects; few participants meditated. No adverse effects related to self-harm, suicidality or harm to others were detected. Conclusion Loss to follow-up is a limitation, but evidence suggests beneficial effects on students' average psychological distress that last for at least a year. Effects are on average larger at stressful times, consistent with the hypothesis that this type of mindfulness training increases resilience to stress. Trial registration number ACTRN12615001160527.

Item Type: Article
Uncontrolled Keywords: health services,mental health,psychological stress,randomised trials,epidemiology,public health, environmental and occupational health,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700/2713
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 09 Sep 2020 00:03
Last Modified: 07 Oct 2021 01:27
URI: https://ueaeprints.uea.ac.uk/id/eprint/76802
DOI: 10.1136/jech-2020-214390

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