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Examining State Affective and Cognitive Outcomes Following Brief Mobile Phone-Based Training Sessions to Reduce
Kaitlyn Petz1, Emma Toner1, Mark Rucker1
1University of Virginia, Charlottesville, United States.
Cognitive Therapy and Research
|February 12, 2026
Summary
University students and staff experienced improved mental well-being with a mobile health app. Tailoring intervention features, like reducing writing tasks, enhanced immediate psychological benefits for stress and anxiety.
Area of Science:
- Psychology
- Digital Health
- Mental Health Interventions
Background:
- University communities face high rates of untreated stress and anxiety.
- Mobile health (mHealth) interventions offer accessible psychological support but their immediate effects are understudied.
- This study investigates the short-term impact of mHealth sessions on psychological symptoms.
Purpose of the Study:
- To evaluate the immediate impact of brief mHealth sessions on psychological well-being.
- To identify specific intervention features associated with the greatest momentary improvements.
- To understand how different stressor domains and task requirements affect outcomes.
Main Methods:
- 100 university students and staff used the Hoos Think Calmly mHealth app, employing Cognitive Bias Modification for Interpretations (CBM-I).
- Participants engaged in daily training sessions varying by stressor domain and writing requirements.
- Linear mixed effects models analyzed the predictive effects of stressor domain and writing on affect and self-efficacy.
Main Results:
- Six of eight stressor domains showed self-reported improvements in affect, reappraisal self-efficacy, and emotion regulation self-efficacy.
- Sessions with less writing correlated with greater immediate improvements in affect.
- Writing requirements did not significantly impact reappraisal or emotion regulation self-efficacy.
Conclusions:
- Stressor domain and writing requirements influence in-the-moment cognitive and affective outcomes.
- mHealth programs should be personalized to individual user needs and current stressors for optimal effectiveness.
- Tailoring intervention features can enhance the immediate benefits of digital mental health tools.
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