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Galante, Julieta, Stochl, Jan, Dufour, Geraldine, Vainre, Maris, Wagner, Adam Peter 
ORCID: https://orcid.org/0000-0002-9101-3477 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 |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) Faculty of Medicine and Health Sciences > Research Groups > Health Economics Faculty of Medicine and Health Sciences > Research Centres > Population Health Faculty of Medicine and Health Sciences > Research Groups > Norwich Clinical Trials Unit |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 09 Sep 2020 00:03 |
| Last Modified: | 11 Jan 2024 01:34 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/76802 |
| DOI: | 10.1136/jech-2020-214390 |
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