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Efficacy of a self-guided online resilience intervention for improving mental health among university students: A randomized controlled trial.

Sonja Bartelt·Tabea Werner·Lisa von Boros·Sarah K Schäfer·Friederike Koehler·Benedikt E Wirth·Klaus Lieb·Oliver Tüscher·Michèle Wessa
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Abstract

Epidemiological data indicates that university students are an at-risk population for the development of mental disorders. Online interventions have been proposed as promising tools for reducing barriers to treatment and establishing easily accessible health-care services promoting mental health and resilience. This study investigated the efficacy of a Learning Management System (LMS)-based self-guided online resilience intervention. 216 university students took part in a randomized controlled trial with an intervention and a waitlist control group and three measurement points (pre, post and follow-up). We conducted per-protocol (PP) and intention-to-treat (ITT) analyses with mental distress as primary outcome, and self-reported resilience and resilience factors as secondary outcomes. Further, attitudes towards online interventions, adherence, satisfaction and possible negative effects were explored. Satisfaction with the intervention was high and PP analyses (n = 150) revealed significant improvements in mental distress and self-compassion at post-test and acceptance at follow-up. No favourable effects were found for self-reported resilience and resilience factors. Adherence was low and ITT analyses revealed no significant effects. Overall, the study provides preliminary evidence for the LMS-based self-guided online intervention as a potentially valuable tool for university mental health services under optimal adherence conditions. Further research into determinants of adherence is needed to improve intervention reach.

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HumansStudentsFemaleUniversitiesResilience, PsychologicalYoung AdultMental HealthMaleAdultInternet-Based InterventionMental DisordersAdolescentLearning Management SystemMental healthOnline interventionsPrimary preventionUniversity studentsJournal ArticleRandomized Controlled Trial

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Sonja Bartelt, Tabea Werner, Lisa von Boros, Sarah K Schäfer, Friederike Koehler, Benedikt E Wirth, Klaus Lieb, Oliver Tüscher, Michèle Wessa. 2026-09-02. Efficacy of a self-guided online resilience intervention for improving mental health among university students: A randomized controlled trial.. https://doi.org/10.1038/s41598-026-67088-7

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Journal Article; Randomized Controlled Trial resourceAdolescent subjectAdult subjectFemale subjectHumans subjectInternet-Based Intervention subjectJournal Article subjectMale subjectMental Health subjectRandomized controlled trials study

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