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Moderated Online Social Therapy (MOST) in Help-Seeking Young People: Pilot Randomized Controlled Study.

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This pilot study found that Moderated Online Social Therapy (MOST) is a feasible digital mental health intervention for university students, showing promising results in improving social and cognitive function and reducing symptoms.

Keywords:
digital mental health interventionmental healthpilotsocial therapyuniversityyoung adult

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Area of Science:

  • Digital mental health interventions
  • Youth mental health services
  • Online psychotherapy

Background:

  • Rising youth mental health concerns necessitate accessible digital solutions.
  • Digital interventions can support students awaiting counseling or post-therapy.
  • Moderated Online Social Therapy (MOST) combines tailored content with therapist and peer support.

Purpose of the Study:

  • To assess the feasibility of implementing MOST for university students.
  • To evaluate MOST's potential to support students using university counseling services.

Main Methods:

  • Pilot randomized controlled trial with a 2:1 allocation ratio.
  • 74 third-level students recently completing counseling were recruited.
  • Assessed social/occupational functioning, cognition, depression, anxiety, and loneliness over 26 weeks.

Main Results:

  • Recruitment target met; 70% retention at 12 weeks, 66% at 26 weeks.
  • 81% of intervention participants engaged for at least 5 weeks.
  • Modest improvements in social/cognitive function and reduced symptoms observed at 12 weeks.

Conclusions:

  • Recruitment, retention, and engagement support the feasibility of a full trial.
  • Effect sizes suggest MOST is a potentially beneficial digital mental health support for students.
  • Further research via a full randomized controlled trial is warranted.