Short-term effect of a smartphone application on the mental health of university students: A pilot study using a user-centered design self-monitoring application for mental health

PLoS One. 2020 Sep 25;15(9):e0239592. doi: 10.1371/journal.pone.0239592. eCollection 2020.

Abstract

Background: Despite the widespread recognition of the importance of mental health in young people, only a small proportion of young people with a mental disorder, including university students, receive mental health care.

Objective: We developed a smartphone application (Mental App) for the university students and examined the effects of the app on their mental health.

Methods: The app was designed according to a questionnaire survey conducted before this study. The Mental App was installed on the students' smartphone and the psychological tests (the Link Stigma Scale, the Center for Epidemiologic Studies Depression Scale, and the 12-item General Health Questionnaire) were performed on the same day. After using the App for two weeks, the students completed a questionnaire survey and underwent the same psychological tests. We compared the results between the app user and non-user group.

Results: A total of 68 students participated, of which 57 students completed the study (app user group, n = 28; control group, n = 29). The mean number of days spent using the app was 5.66 ± 3.16 (mean ± SD). The mean total screen time of the app was 9:03 ± 06:41(min:sec). The mean number of total actions (screen taps or swipes) was 161.91 ± 107.34. There were no significant between-group differences in the ΔLink Stigma Scale score (-0.11 ± 4.28 vs. -0.59 ± 3.30, p = 0.496) or the ΔCenter for Epidemiologic Studies Depression Scale score (-4.39 ± 7.13 vs. -2.07 ± 8.78, p = 0.143). There was a significant between-group difference in the ΔGeneral Health Questionnaire score (-2.21± 2.23 vs. -0.17 ± 2.69, p = 0.007).

Conclusions: This non-randomized controlled pilot study indicates that the app we developed, may provide effective mental health care for university students, even in the short-term. Trial registration: UMIN000040332.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Humans
  • Male
  • Mental Health / statistics & numerical data*
  • Mobile Applications / statistics & numerical data*
  • Pilot Projects
  • Smartphone / statistics & numerical data*
  • Students / psychology*
  • Surveys and Questionnaires
  • Universities / statistics & numerical data*
  • Young Adult

Associated data

  • UMIN-CTR/UMIN000040332

Grants and funding

KK: the Japan Society for the Promotion of Science KAKENHI Grant Number 16K13031, https://www.jsps.go.jp/j-grantsinaid/ KK:Health Science Center Foundation Grant Number 2018-1, http://hscsagami.or.jp/zaidan.html KK:Qdai-jump Research Program Grant Number 28314, https://www.kyushu-u.ac.jp/ja/research/support/other. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.