Smith A, These constructs were derived from existing literature identifying prominent factors affecting college students’ mental health [20,21]. 1 to 23; 1999 to 2021; Vol. When submitting, we indicated that we would not transfer it to other journals. Low uptake rates of traditional gambling treatments highlight the need for innovative treatment modalities. Improving HIV screening in key populations is a crucial strategy to achieve the goal of eliminating AIDS in 2030. ©Changwon Son, Sudeep Hegde, Alec Smith, Xiaomei Wang, Farzan Sasangohar. Mental health response to the COVID-19 outbreak in China. Charleston, SC: BookSurge Publishing; 2007. Corbin J, Strauss A. The findings of our study highlight the urgent need to develop interventions and preventive strategies to address the mental health of college students. URL: de Girolamo G, Cerveri G, Clerici M, Monzani E, Spinogatti F, Starace F, et al. However, the implementation of these technologies is much slower than expected. Hegde, Alec MAXQDA (VERBI GmbH) [27] was used as a computer software program to carry out the qualitative analysis. The mean PSS score for the 195 participants was 18.8 (SD 4.9), indicating moderate perceived stress in the month prior to the interview (Table 2). Additionally, a majority of our participants were from engineering majors. We also invite patients to participate (eg, as peer-reviewers) and have patient representatives on editorial boards. As highlighted in multiple recent correspondences, there is an urgent need to assess effects of the current pandemic on the mental health and well-being of college students [14-17]. May 19, 2021, Copyright © A majority of these students (89/130, 68%) referred to living with family members as being less independent and the environment to be more distractive. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. Lancet 2020 Mar 14;395(10227):912-920 [, Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Older adults want to preserve their health and autonomy and stay in their own home environment for as long as possible. To bridge the current treatment gap, other treatment approaches and delivery formats should also be evaluated. [, Husain W. Barriers in seeking psychological help: public perception in Pakistan. Table 3 presents the description and frequency of the themes and select participant quotes. JAMA Pediatr 2020 Apr 24:e201619 [. Unfolding the Determinants of COVID-19 Vaccine Acceptance in China. Major contributors to such depressive thoughts were loneliness (28/86, 33%), insecurity or uncertainty (10/86, 12%), powerlessness or hopelessness (9/86, 10%), concerns about academic performance (7/86, 8%), and overthinking (4/86, 5%). Unger K. Handbook on Supported Education: Providing Services for Students With Psychiatric Disabilities. Mental health care for international Chinese students affected by the COVID-19 outbreak. September, 1Department of Industrial and Systems Engineering, Texas A&M University, College Station, TX, United States, 2Center for Outcomes Research, Houston Methodist Hospital, Houston, TX, United States, Farzan Sasangohar, BA, BCS, MASc, SM, PhD, Department of Industrial and Systems Engineering. University Park, PA: Penn State University; 2020. Psychiatry Res 2020 Jun;288:113003 [, Zhai Y, Du X. Figure 1 illustrates the trend of cumulative confirmed cases and a timeline of major events that took place in the university and the state of Texas. It\'s just become incorporated in my life purposely or unconsciously when I do something especially related to academics.”, SNK09: “I have some problems with my family. Finally, some participants (15/105, 14%) stated that they were planning activities (eg, drafting to-do lists) for academic work and personal matters as a self-distraction method. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 03.09.2020. Psychiatry Res 2020 Jun;288:112977 [, Holmes EA, O'Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, et al. If I\'m on my phone, I\'m not paying attention to any of these lectures.”, DDP01: “My desk is right next to my bed so I could just go take a nap or go watch Netflix. Background: Student mental health in higher education has been an increasing concern. [, Fischer EP, McSweeney JC, Wright P, Cheney A, Curran GM, Henderson K, et al. So, I\'m pretty much on the computer all day.”, DDP03: “I\'ll be up until probably four or five in the morning, and sleep through the day usually. Others (9/167, 5%) stated that disruptions to their outdoor activities (eg, jogging, hiking) have affected their mental health. Our study also identifies several coping mechanisms varying between adaptive and maladaptive behaviors. Kirzinger A, Kearney A, Hamel L, Brodie M. KFF health tracking poll - early April 2020: the impact Of coronavirus on life In America. For those who were experiencing increased workloads, nearly half (51/106, 48%) thought they needed to increase their own efforts to catch up with online classes and class projects given the lack of in-person support from instructors or teaching assistants. [, Nahas ARMF, Elkalmi R, Al-Shami A, Elsayed T. Prevalence of depression among health sciences students: findings from a public university in Malaysia. - April 07, 2021, March 28, 2021 Objective: Our study aims to conduct a timely assessment of the effects of the COVID-19 pandemic on the mental health of college students. Qualitative Res Psychol 2006 Jan;3(2):77-101. 10.2196/21279 Second, participants were asked if their own and peers’ (two separate questions) stress and anxiety increased, decreased, or remained the same because of the COVID-19 pandemic. These included fear and worry about their own health and of their loved ones (177/195, 91% reported negative impacts of the pandemic), difficulty in concentrating (173/195, 89%), disruptions to sleeping patterns (168/195, 86%), decreased social interactions due to physical distancing (167/195, 86%), and increased concerns on academic performance (159/195, 82%). Peer-review reports are portable across JMIR journals and papers can be transferred, so authors save time by not having to resubmit a paper to different journal but can simply transfer it between journals. Pushing forward multidisciplinary cancer teams in Spain through a web-based self-assessment tool: acceptability and validation study of the AEMAC Program, Skip partnership section and go to footer section. However, given the nationwide similarities in universities transitioning to virtual classes and similar stay-at-home orders, we expect reasonable generalizability of these findings. The editor-in-chief is Gunther Eysenbach. With this pandemic, the symptoms are very similar to corona so I feel like I would be one of those people who would be highly affected by it.”, EGP03: “I\'m having difficulty concentrating since I\'m home. Now that most of my classes are online and the lecture isn\'t mandatory, I sleep through it and I\'ll watch the lectures later.”, SAP03: “I had a really weird sleep schedule now. : Secondary analyses from a randomized controlled trial It is the leading digital health journal globally in terms of quality/visibility (Impact Factor 2019: 5.03 ), ranking Q1 in the medical informatics category, and is also the largest journal in the field. 9 (2020): None of the authors conducted the interviews. Journal of International Medical Research is a leading international journal for rapid publication of original medical, pre-clinical and clinical research and reviews on a page charge basis. However, several limitations should be noted. COVID-19 projections. It is known that the prevalence of epidemics accentuates or creates new stressors including fear and worry for oneself or loved ones, constraints on physical movement and social activities due to quarantine, and sudden and radical lifestyle changes. She needs to pay for housing from both mine and my brothers, which is a lot.”, ERP04: “[Professors] still want me to go to a Zoom class. Since finding specific reasons behind the low use is a key to increasing college students’ uptake of available counseling support, future research is warranted to unveil underlying factors that hinder college students’ access to mental health support. Supporting Goal-Oriented Primary Health Care for Seniors’ with Multimorbidity and Complex Care Needs using Mobile Technology: Mixed-Methods, Stepped-Wedge Cluster Randomized Trial of the ePRO Tool. The effect of COVID-19 on class workload among the college students was not conclusive. The Journal of Medical Internet Research Journal Impact IF measures the average number of citations received in a particular year (2020) by papers published in the Journal of Medical Internet Research during the two preceding years (2018-2019). A majority of the participants (73/105, 70%) who used self-management mentioned doing relaxing hobbies including physical exercise (31/105), enjoying streaming services and social media (22/105), playing with pets (7/105), journaling (5/105), listening to music (4/105), reading (2/105), and drawing (2/105). Future work could focus on more deeply probing the relationships between various coping mechanisms and stressors. In light of the aforementioned projections of continued COVID-19 cases at the time of this writing [45] and our findings, there is a need for immediate attention to and support for students and other vulnerable groups who have mental health issues [17]. One study showed that only a minor fraction of students who screened positive for a mental health problem actually sought help [39]. URL: Braun V, Clarke V. Using thematic analysis in psychology. This is in line with a recent pre–COVID-19 survey conducted in the United Kingdom (mean PSS score 19.79, SD 6.37) [28]; however, the administration of PSS as interview questions (compared to allowing participants to read and respond to the 10 questions) might have introduced bias and resulted in underreporting. There were 3 graduate students and 51 participants who had missing data points and were excluded, and data from 195 participants were used in the analysis. May 21, 2021, March 25, 2021 Smith, Xiaomei These findings are in line with recent studies in China that also found concerns relating to health of oneself and of family members being highly prevalent among the general population during the pandemic. An examination of stress in college students over the course of a semester. The Journal of Medical Internet Research (JMIR), now in its 21st year, is the pioneer open access eHealth journal and is the flagship journal of JMIR Publications. [COVID-19] has impacted me a lot. Impact of Sars-Cov-2 and its reverberation in global higher education and mental health. The majority of the participants (105/138, 76%) with increased stress due to the outbreak of COVID-19 explained that they were using various means to help themselves cope with stress and anxiety during the pandemic. All manuscripts must follow ICMJE standards and will receive rigorous peer review. Some (21/115, 18%) revealed the financial difficulties of their family members, mostly parents, getting laid off or receiving pay cuts in the wake of COVID-19. [, Bruffaerts R, Mortier P, Kiekens G, Auerbach RP, Cuijpers P, Demyttenaere K, et al. Health Promot Pract 2014 May;15(3):438-447. Social networking platforms can be used to recruit high risk-taking men who have sex with men (MSM) to promote the delivery of voluntary counseling and testing (VCT) as mobile HIV testing. SSRN J 2020 Mar 24:A. We invite submissions of original research, viewpoints, reviews, tutorials, case studies, and non-conventional articles (e.g. Identifying students’ coping behavior is important to inform the planning and design of support systems. Digital technologies and telehealth applications have shown some promise to enable self-management of mental health issues [42]. This is also of interest to policy makers who try to cope with growing staff shortages and increasing health care expenses. ): Techniques and Procedures for Developing Grounded Theory. A total PSS score per participant was calculated by first reversing the scores of the positive items (4-7, 9, and 10) and then adding all the ten scores. [, Torous J, Jän Myrick K, Rauseo-Ricupero N, Firth J. Our authors do not (or should not) publish in JMIR Res Protoc (JRP) to get "impact factor brownie points". Participants described several barriers to seeking help, such as lack of trust in counseling services and low comfort levels in sharing mental health issues with others, which may be indicative of stigma. 2021 8. Is a severe clinical profile an effect modifier in a web-based depression treatment for adults with type 1 or type 2 diabetes ? And then I wake up very early or sometimes I go to sleep early. #Preprint #PeerReviewMe: Warning: This is a unreviewed preprint. 出版年份：1999 年文章数：643 投稿命中率：27.5%. - Flattening the mental health curve: COVID-19 stay-at-home orders are associated with alterations in mental health search behavior in the United States. Eisenberg D, Hunt J, Speer N, Zivin K. Mental health service utilization among college students in the United States. This is similar to recent findings of deteriorated mental health status among Chinese students [10] and increased internet search queries on negative thoughts in the United States [31]. For instance, this university allowed students to choose a pass/fail option for each course instead of a regular letter grade. [, Shore JH, Waugh M, Calderone J, Donahue A, Rodriguez J, Peters D, et al. Although participants who returned to their parental home reported concerns about distractions and independence, students might have benefited from family support and reduced social responsibilities. Front Psychol 2020;11:1168. 出版周期：quarterly 自引率：14.8% 审稿周期：平均8月 eHealth literacy is the ability of individuals to find, assess, and use health information available on the internet. Prior to the interview, participants were provided an information document about the study approved by the university’s Institutional Review Board (No 2019-1341D). J Am Coll Health 1996 Sep;45(2):59-64. 9 (2020): [. [, Huckins JF, daSilva AW, Wang W, Hedlund E, Rogers C, Nepal SK, et al. [, Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. Hegde S, Our findings suggest that the majority of our participants exhibited maladaptive coping behaviors. And I have to make appointments with a professor or a TA, ACP07: “The class I wanted to take over the summer has been canceled, which could potentially push me back a semester.”, RMP17: “I think my internship is going to be shortened or cancelled. URL: Otter.ai. J Rural Health 2016 Sep;32(4):429-438. Despite the availability of tele-counseling and widespread promotion of such services by the university, a vast majority of participants who indicated an increase in stress and anxiety (128/138, 93%) claimed that they had not used school counseling services during the pandemic. Nearly half of them (79/173, 46%) mentioned that their home is a distractive environment and a more suitable place to relax rather than to study. Rita Kukafka, DrPH, MA, FACMI, Professor, Biomedical Informatics and Sociomedical Sciences; Director, Laboratory for Precision Prevention, Columbia University, NY Impact Factor 5.03, Gunther Eysenbach, MD, MPH, FACMI, Founding Editor and Publisher; Adjunct Professor, School of Health Information Science, University of Victoria (Canada), Rita Kukafka, DrPH, MA, FACMI, Professor, Biomedical Informatics and Sociomedical Sciences; Director, Laboratory for Precision Prevention, Columbia University, NY. [, Zhou J, Liu L, Xue P, Yang X, Tang X. Psychological state of college students during COVID-19 epidemic. The worldwide burden of musculoskeletal diseases is increasing. Am J Psychiatry 2020 Jul 01;177(7):574-575. Son C, In the past month, how often have you felt that you were unable to control the important things in your life? Stud Higher Education 2017 Jun 22;44(1):120-133. 2. Only 1 participant claimed to be receiving support from a professional therapist, and another participant was using Sanvello, a mobile mental health service app provided by the university. Some (12/168, 7%) reported increased hours of sleep, while others (10/168, 6%) had poor sleep quality. PSS is a widely used instrument to measure overall stress in the past month [19]. Wang X, J Computer-Mediated Commun 2010;15(4):530-551. 6. Son, Sudeep Prevalence and relationship between burnout and depression in our future doctors: a cross-sectional study in a cohort of preclinical and clinical medical students in Ireland. Sometimes I don\'t eat at all. Vol 22, No Guest G, MacQueen K, Namey E. Applied Thematic Analysis. Additionally, actions taken by professors, such as reduced course loads, open book examinations, and other allowances on grading requirements, could also have contributed to alleviating or reducing stress. Upon verbal consent, participants were asked to respond to a questionnaire about their demographic information such as age, gender, year of college, and program of study before completing the interview. The psychological impact of the COVID-19 epidemic on college students in China. [, Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. Psychiatr Serv 2020 May 01;71(5):427-432. 7. I wake up really late. Open Access allows taxpayers to see the results of their investment. Some of the participants (26/177, 15%) expressed their worry about their family members whose occupation increased their risk of exposure to COVID-19 such as essential and health care workers. Center for Collegiate Mental Health. Be a widely cited leader in the digitial health revolution and submit your paper today! Through the classes, I don\'t think there\'s a lot of interactiveness to make people engaged.”, DDP07: “Now I\'m stuck only doing everything on a computer. To cope with stress and anxiety imposed by COVID-19, college students reported seeking support from others but were mainly using various self-management methods. This may be due, in part, to decisions taken by professors and the university to ease the students’ sudden transition to distance learning. So, I\'ve had no appetite.”, SAP04: “I eat so much now just out of boredom because there\'s nothing to do really.”, YJP05: “I moved back home. She works at [a company] warehouse in [a city in Texas]. Similar approaches can be adopted to engage college students as well to develop a mental health program that leverages their natural positive coping behaviors and addresses their specific challenges. #Preprint #PeerReviewMe: Warning: This is a unreviewed preprint. 7473764, Copyright © All interviews were conducted via Zoom [22] and were audio recorded. For instance, Nastasi et al [37] used a participatory model to develop culture-specific mental health services for high school students in Sri Lanka. Sometimes I feel like I\'m incompetent.”, SAP20: “It\'s very easy to fall into a routine of nothingness. J Med Internet Res 2020 Jun 17;22(6):e20185 [, McAlonan GM, Lee AM, Cheung V, Cheung C, Tsang KW, Sham PC, et al. In contrast, adaptive coping such as acceptance and proactive behaviors are known to positively impact mental health. New York, NY: Oxford University Press; 1997. The internet is a major source of health information. I was trying to avoid this situation by just not doing some of the work. In particular, about one-third (52/167, 31%) shared their worries about a lack of in-person interactions such as face-to-face meetings. Consistent with the national trend, Texas A&M University has seen a rise in the number of students seeking services for anxiety disorders over the past 8 years. J Affect Disord 2009 Oct;117(3):180-185. Psychiatry Res 2020 May;287:112934 [, Liu X, Liu J, Zhong X. Some of them still record those Zoom meetings and then you can watch it on your own time. Sasangohar F Effects of COVID-19 on College Students’ Mental Health in the United States: Interview Survey Study J Med Internet Res 2020;22(9):e21279 doi: Our findings suggest that self-management is preferred by students and should be supported in future work. Some (9/130, 7%) mentioned that staying inside longer due to self-quarantine or shelter-in-place orders was a primary change in their living circumstances. But it\'s something that I know I have no intention to ever act on and never would like. [. Journal of Medical Internet Research Vols. This has been attributed to the lack of focus on user acceptance and user needs. Cappella E, Jackson DR, Bilal C, Hamre BK, Soulé C. Bridging mental health and education in urban elementary schools: participatory research to inform intervention development. The Journal of Medical Internet Research (JMIR), now in its 20th year, is the pioneer open access eHealth journal and is the flagship journal of JMIR Publications. I just have more time to sleep.”, DDP07: “Now I wake up constantly. Some participants (19/177, 11%) specifically mentioned that they were worried about contracting the virus. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included. JMIR Medical Informatics (JMI, ISSN 2291-9694; Impact Factor: 2.58) (Editor-in-chief: Christian Lovis MD MPH FACMI) is a PubMed/SCIE-indexed journal that focuses on clinical informatics, big data in health and health care, decision support for health professionals, electronic health records, ehealth infrastructures and implementation.In June 2020, the journal received an impact factor of 2.58. Background: Student mental health in higher education has been an increasing concern. Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers. journal of medical internet research. Digital web-based platforms have also been proposed to enhance awareness and communication with care providers to reduce stigma related to mental health among children in underserved communities [44]. [, Jacobson NC, Lekkas D, Price G, Heinz MV, Song M, O'Malley AJ, et al. Second, participants’ answers to 12 academic-, health-, and lifestyle-related questions were analyzed to understand relative impacts of the pandemic on various aspects of college students’ mental health. Although a majority of participants expressed concerns regarding academic performance, interestingly, almost half of the participants reported lower stress levels related to academic pressure and class workload since the pandemic began. Wang, Farzan In the past month, how often have you felt that things were going your way? 4. Journal of Medical Internet Research (JMIR) is a very rubbish journal. As seen in the case of health care workers in the aftermath of the severe acute respiratory syndrome outbreak, there is a possibility that the effects of the pandemic on students may linger for a period beyond the peak of the COVID-19 pandemic itself [51]. Psychol Health Med 2019 Aug;24(7):798-811. JMIR Publications, JMIR Rehabilitation and Assistive Technologies, Adjunct Professor, School of Health Information Science, University of Victoria (Canada), Professor, Biomedical Informatics and Sociomedical Sciences; Director, Laboratory for Precision Prevention, Columbia University, NY, Blended Self-Management Interventions to Reduce Disease Burden in Patients With Chronic Obstructive Pulmonary Disease and Asthma: Systematic Review and Meta-analysis, Skip recent articles and go to articles open for peer-review section, Acceptance of Technologies for Aging in Place: A Conceptual Model, A Uniquely Targeted, Mobile App-Based HIV Prevention Intervention for Young Transgender Women: Adaptation and Usability Study, The Value of Applying Ethical Principles in Telehealth Practices: Systematic Review, Comparative Success of Recruitment Strategies for an Exercise Intervention Trial Among Women With Polycystic Ovary Syndrome: Observational Study, Acceptance of Telerheumatology by Rheumatologists and General Practitioners in Germany: Nationwide Cross-sectional Survey Study, Voice-Based Conversational Agents for the Prevention and Management of Chronic and Mental Health Conditions: Systematic Literature Review, JMIR Theme Issue 2020/21: COVID-19 Special Issue, Relationship Between Coronavirus-Related eHealth Literacy and COVID-19 Knowledge, Attitudes, and Practices among US Adults: Web-Based Survey Study, Design Guidelines of a Computer-Based Intervention for Computer Vision Syndrome: Focus Group Study and Real-World Deployment, Web-based and Mobile Health Interventions, A Smartphone-Delivered Ecological Momentary Intervention for Problem Gambling (GamblingLess: Curb Your Urge): Single-Arm Acceptability and Feasibility Trial, Mobile HIV Testing Through Social Networking Platforms: Comparative Study, Blended Acceptance and Commitment Therapy Versus Face-to-face Cognitive Behavioral Therapy for Older Adults With Anxiety Symptoms in Primary Care: Pragmatic Single-blind Cluster Randomized Trial, Predicting clinical outcomes in the Machine Learning era: The Piacenza score a purely data driven approach for mortality prediction in COVID-19 Pneumonia, Jordan Stillbirth and Neonatal Mortality Surveillance (JSANDS) system: an evaluation study, Sources of health information, technology access, and use among immigrant women:
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