{"id":"https://openalex.org/W7225787125","doi":"https://doi.org/10.1007/s44192-026-00648-5","title":"Feasibility, acceptance, user satisfaction, and differences between users and non-users of an online-based support service for University students","display_name":"Feasibility, acceptance, user satisfaction, and differences between users and non-users of an online-based support service for University students","publication_year":2026,"publication_date":"2026-11-11","ids":{"openalex":"https://openalex.org/W7225787125","doi":"https://doi.org/10.1007/s44192-026-00648-5"},"language":"en","primary_location":{"id":"doi:10.1007/s44192-026-00648-5","doi":"https://doi.org/10.1007/s44192-026-00648-5","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s44192-026-00648-5","pdf_url":null,"source":{"id":"https://openalex.org/S4210224676","display_name":"Discover Mental Health","issn_l":"2731-4383","issn":["2731-4383"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Discover Mental Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1007/s44192-026-00648-5","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5062444442","display_name":"Juliane Hug","orcid":"https://orcid.org/0000-0002-8793-9269","observed_orcids":["https://orcid.org/0000-0002-8793-9269"]},"institutions":[{"id":"https://openalex.org/I926574661","display_name":"Leipzig University","ror":"https://ror.org/03s7gtk40","country_code":"DE","type":"education","lineage":["https://openalex.org/I926574661"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Juliane Hug","raw_affiliation_strings":["Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany","Department of Psychiatry and Psychotherapy, University Leipzig Medical Center, Leipzig University, Leipzig, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany","institution_ids":["https://openalex.org/I926574661"]},{"raw_affiliation_string":"Department of Psychiatry and Psychotherapy, University Leipzig Medical Center, Leipzig University, Leipzig, Germany","institution_ids":["https://openalex.org/I926574661"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159140576","display_name":"Antonia Louise Schiel","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I926574661","display_name":"Leipzig University","ror":"https://ror.org/03s7gtk40","country_code":"DE","type":"education","lineage":["https://openalex.org/I926574661"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Antonia Louise Schiel","raw_affiliation_strings":["Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany","institution_ids":["https://openalex.org/I926574661"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001347808","display_name":"Aneliana da Silva Prado","orcid":"https://orcid.org/0000-0002-1424-3033","observed_orcids":["https://orcid.org/0000-0002-1424-3033"]},"institutions":[{"id":"https://openalex.org/I926574661","display_name":"Leipzig University","ror":"https://ror.org/03s7gtk40","country_code":"DE","type":"education","lineage":["https://openalex.org/I926574661"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Aneliana da Silva Prado","raw_affiliation_strings":["Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany","institution_ids":["https://openalex.org/I926574661"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079734280","display_name":"Elisabeth Kohls","orcid":"https://orcid.org/0000-0001-9093-6547","observed_orcids":["https://orcid.org/0000-0001-9093-6547"]},"institutions":[{"id":"https://openalex.org/I926574661","display_name":"Leipzig University","ror":"https://ror.org/03s7gtk40","country_code":"DE","type":"education","lineage":["https://openalex.org/I926574661"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Elisabeth Kohls","raw_affiliation_strings":["Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany","Department of Psychiatry and Psychotherapy, University Leipzig Medical Center, Leipzig University, Leipzig, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany","institution_ids":["https://openalex.org/I926574661"]},{"raw_affiliation_string":"Department of Psychiatry and Psychotherapy, University Leipzig Medical Center, Leipzig University, Leipzig, Germany","institution_ids":["https://openalex.org/I926574661"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5016537819","display_name":"Christine Rummel\u2010Kluge","orcid":"https://orcid.org/0000-0003-4857-8170","observed_orcids":["https://orcid.org/0000-0003-4857-8170"]},"institutions":[{"id":"https://openalex.org/I926574661","display_name":"Leipzig University","ror":"https://ror.org/03s7gtk40","country_code":"DE","type":"education","lineage":["https://openalex.org/I926574661"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Christine Rummel-Kluge","raw_affiliation_strings":["Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany","Department of Psychiatry and Psychotherapy, University Leipzig Medical Center, Leipzig University, Leipzig, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany","institution_ids":["https://openalex.org/I926574661"]},{"raw_affiliation_string":"Department of Psychiatry and Psychotherapy, University Leipzig Medical Center, Leipzig University, Leipzig, Germany","institution_ids":["https://openalex.org/I926574661"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5016537819"],"corresponding_institution_ids":["https://openalex.org/I926574661"],"apc_list":{"value":1490,"currency":"USD","value_usd":1490},"apc_paid":{"value":1490,"currency":"USD","value_usd":1490},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"6","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.001500000013038516,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.7601000070571899},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.6025000214576721},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.5149999856948853},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.5134000182151794},{"id":"https://openalex.org/C12725497","wikidata":"https://www.wikidata.org/wiki/Q810247","display_name":"Baseline (sea)","level":2,"score":0.48190000653266907},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.4650999903678894},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.4514000117778778},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4472000002861023},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.44369998574256897},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.4341000020503998},{"id":"https://openalex.org/C3019351904","wikidata":"https://www.wikidata.org/wiki/Q6817476","display_name":"Mental health service","level":3,"score":0.4293000102043152},{"id":"https://openalex.org/C154775046","wikidata":"https://www.wikidata.org/wiki/Q188","display_name":"German","level":2,"score":0.4066999852657318},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.39899998903274536},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.38269999623298645},{"id":"https://openalex.org/C2779116948","wikidata":"https://www.wikidata.org/wiki/Q17118983","display_name":"Help-seeking","level":3,"score":0.38269999623298645},{"id":"https://openalex.org/C170130773","wikidata":"https://www.wikidata.org/wiki/Q216378","display_name":"Usability","level":2,"score":0.38029998540878296},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.3644999861717224},{"id":"https://openalex.org/C2780433410","wikidata":"https://www.wikidata.org/wiki/Q5276090","display_name":"Digital health","level":3,"score":0.34139999747276306},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.29510000348091125},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.28279998898506165},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.2655999958515167},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.2644999921321869},{"id":"https://openalex.org/C2776436463","wikidata":"https://www.wikidata.org/wiki/Q4967030","display_name":"Brief intervention","level":3,"score":0.26420000195503235},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.2615000009536743},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.2578999996185303},{"id":"https://openalex.org/C116537","wikidata":"https://www.wikidata.org/wiki/Q2169973","display_name":"Service provider","level":3,"score":0.2513999938964844}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1007/s44192-026-00648-5","doi":"https://doi.org/10.1007/s44192-026-00648-5","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s44192-026-00648-5","pdf_url":null,"source":{"id":"https://openalex.org/S4210224676","display_name":"Discover Mental Health","issn_l":"2731-4383","issn":["2731-4383"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Discover Mental Health","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1007/s44192-026-00648-5","doi":"https://doi.org/10.1007/s44192-026-00648-5","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s44192-026-00648-5","pdf_url":null,"source":{"id":"https://openalex.org/S4210224676","display_name":"Discover Mental Health","issn_l":"2731-4383","issn":["2731-4383"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Discover Mental Health","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":34,"referenced_works":["https://openalex.org/W1674436523","https://openalex.org/W2004267009","https://openalex.org/W2043705607","https://openalex.org/W2058924438","https://openalex.org/W2099673838","https://openalex.org/W2110842912","https://openalex.org/W2172036914","https://openalex.org/W2210333894","https://openalex.org/W2272261158","https://openalex.org/W2503814187","https://openalex.org/W2555978176","https://openalex.org/W2579906737","https://openalex.org/W2610642509","https://openalex.org/W2804938170","https://openalex.org/W2809135251","https://openalex.org/W2912298370","https://openalex.org/W2950229699","https://openalex.org/W3087370087","https://openalex.org/W3145783567","https://openalex.org/W3196086198","https://openalex.org/W4200400319","https://openalex.org/W4285685360","https://openalex.org/W4288748614","https://openalex.org/W4290861006","https://openalex.org/W4362671632","https://openalex.org/W4378348782","https://openalex.org/W4382584222","https://openalex.org/W4387742524","https://openalex.org/W4387936640","https://openalex.org/W4403316250","https://openalex.org/W4408162062","https://openalex.org/W4411044404","https://openalex.org/W7124975510","https://openalex.org/W7160312858"],"related_works":[],"abstract_inverted_index":{"Abstract":[0],"Mental":[1],"health":[2,53,109,185],"problems":[3],"among":[4],"university":[5,62,245],"students":[6,121],"have":[7],"increased":[8],"markedly":[9],"in":[10,147,189],"recent":[11],"years.":[12],"Despite":[13],"their":[14,159],"prevalence,":[15],"help-seeking":[16],"remains":[17],"low,":[18],"highlighting":[19],"the":[20,45,50,143,178,226],"need":[21],"for":[22,61,158],"accessible,":[23],"low-threshold":[24,58,220],"support.":[25],"Digital":[26],"interventions,":[27],"including":[28],"online":[29],"counselling":[30,70,113,151,157,209,234],"and":[31,47,72,77,94,101,111,134,175,187,197,218,242],"app-based":[32],"tools,":[33],"may":[34],"help":[35],"bridge":[36],"this":[37],"treatment":[38],"gap.":[39],"This":[40],"study":[41,84],"aimed":[42],"to":[43],"evaluate":[44],"feasibility":[46],"acceptability":[48],"of":[49,225],"digital":[51],"mental":[52,108,184],"platform":[54,105],"\u201cenhance\u201d":[55,214],"as":[56],"a":[57,65,107,199,202,216],"support":[59,246],"service":[60],"students,":[63],"with":[64,153,201,207,230],"particular":[66],"focus":[67],"on":[68,239],"characterizing":[69],"users":[71,76],"examining":[73],"differences":[74],"between":[75],"non-users.":[78],"A":[79],"pragmatic,":[80],"self-selected":[81],"survey-based":[82],"cohort":[83],"was":[85,163],"conducted":[86],"across":[87],"six":[88],"German":[89],"universities.":[90],"Students":[91],"voluntarily":[92],"registered":[93],"completed":[95,122],"standardized":[96],"assessments":[97,124],"at":[98,148,231],"baseline":[99,123,227],"(T0)":[100],"post-intervention":[102],"(T1).":[103],"The":[104],"included":[106],"app":[110],"individual":[112],"via":[114],"chat,":[115],"video,":[116],"or":[117],"email.":[118],"Overall,":[119],"447":[120],"(mean":[125],"age":[126],"=":[127,167],"24.15":[128],"years;":[129],"76.5%":[130],"female).":[131],"Moderate":[132],"anxiety":[133],"depression":[135],"levels":[136],"were":[137,205],"reported.":[138],"Of":[139],"these,":[140],"343":[141],"downloaded":[142],"app,":[144],"117":[145],"engaged":[146,229],"least":[149,232],"one":[150,233],"session,":[152,235],"41%":[154],"choosing":[155],"video":[156],"first":[160],"contact.":[161],"Satisfaction":[162],"high":[164],"(ZUF-8:":[165],"M":[166],"20.14);":[168],"95.9%":[169],"reported":[170],"improved":[171],"well-being":[172],"after":[173],"sessions,":[174],"78.4%":[176],"found":[177],"intervention":[179],"helpful.":[180],"Most":[181],"sessions":[182],"addressed":[183],"concerns":[186],"resulted":[188],"referral":[190],"recommendations":[191],"(80.9\u200b%).":[192],"Higher":[193],"eating":[194],"disorder":[195],"symptoms":[196],"having":[198],"parent":[200],"migration":[203],"history":[204],"associated":[206],"lower":[208],"uptake.":[210],"Findings":[211],"suggest":[212],"that":[213],"is":[215],"feasible":[217],"well-accepted":[219],"intervention,":[221],"however,":[222],"only":[223],"26%":[224],"sample":[228],"warranting":[236],"further":[237],"research":[238],"long-term":[240],"effectiveness":[241],"integration":[243],"into":[244],"systems.":[247]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-12T00:00:00"}
