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The present study seeks to develop, refine, and test a novel psychological treatment for boosting mental health resilience among college students. This Fundamental Adaptive Skills Training (FAST) will be evaluated in a randomized controlled trial. We will seek to recruit 5 undergraduate students as participants for a pilot phase and 100 undergraduate students for a randomized controlled trial. The primary questions we are seeking to answer in this trial are:
Do participants rate the FAST intervention as acceptable? Does FAST improve sleep quality, physical activity, anxiety sensitivity, loneliness, and social isolation for college students?
Participants will:
Receive the active FAST or a placebo control Relaxation and Mindfulness Training (RMT) and will complete measures at baseline, week 2, and week 4.
The mental health crisis among college students has intensified in recent years, with rising rates of anxiety, depression, and stress. Despite increased institutional efforts, existing mental health services often remain inaccessible or insufficient. The present study proposes and evaluates the Fundamental Adaptive Skills Training (FAST), a novel, single-session intervention designed to promote mental health resilience in college students. FAST will be developed to target empirically supported mechanisms-sleep and physical activity, anxiety sensitivity, loneliness, and social isolation-each linked to a broad range of emotional disorders. Delivered in a digital, group-based format by trained undergraduate peer facilitators, FAST will be scalable, cost-effective, and engaging. This randomized controlled trial will assess the intervention's acceptability and efficacy in improving targeted mechanisms and reducing symptoms of anxiety, depression, and stress over a four-week follow-up period. 100 participants identified as at-risk based on elevated negative affectivity will be randomly assigned to FAST or an active control condition involving mindfulness and relaxation training (RMT). Primary outcomes include improvements in sleep quality, physical activity, anxiety sensitivity, loneliness, and social isolation from baseline through week two and week four follow-up. Similarly, clinical outcomes will include improvements in anxiety, depression, and stress levels as indicators of broader emotional resilience. Findings will advance the science of developing and implementing accessible, evidence-based mental health interventions and may contribute to a novel, scalable solution for addressing mental health issues in higher education settings.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fundamental Adaptive Skills Training | Experimental |
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| Relaxation and Mindfulness Training | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fundamental Adaptive Skills Training | Behavioral | The FAST intervention will be approximately 60 minutes in duration. The video component of FAST, animated using the Vyond software, will be presented via computer or projector. Pause points and brief interactive exercises will be added throughout the presentation to promote engagement and ensure comprehension of FAST material. The treatment will be sectioned into thirds: a physical health section focused on sleep hygiene and physical activity, an anxiety sensitivity section dispelling common AS myths, and a social health section. Each section will contain brief psychoeducation focused on dispelling common myths or promoting adaptive skills use. |
| Measure | Description | Time Frame |
|---|---|---|
| Acceptability Questionnaire | Self report measure indexing intervention acceptability. Scores range from 0 to 27 with higher scores indicating more favorable acceptability. | Post-intervention through week 4 follow up |
| Athens Insomnia Scale | 8 item self report measure of sleep quality. Scores range from 0 to 24 with higher scores indicating more severe sleep problems. | Baseline through week 4 follow up |
| Brief Physical Activity Assessment Tool | 2 item self report measure indexing physical activity. Scores range from 0 to 8 with higher scores indicating more frequent engagement in physical activity. | Baseline through week 4 follow up |
| Anxiety Sensitivity Index 3 | 18 item self report measure indexing anxiety sensitivity. Scores range from 0 to 72 with higher scores indicating more severe anxiety sensitivity. | Baseline through week 4 follow up |
| UCLA Loneliness 10 | 10 item self-report measure indexing loneliness. Scores range from 10 to 40 with higher scores indicating more severe loneliness symptoms. | Baseline through week 4 follow up |
| PROMIS Anxiety Scale 8a | 8 item self report measure of anxiety. Scores range from 8 to 40 with higher scores indicating more severe anxiety symptoms. | Baseline through week 4 follow up |
| PROMIS Depression 8b |
| Measure | Description | Time Frame |
|---|---|---|
| Short Form 12 | Quality of life self report measure with 12 items. Scores range from 0 to 100 with higher scores indicating better quality of life | Baseline through week 4 follow up |
| Measure | Description | Time Frame |
|---|---|---|
| Positive and Negative Affect Schedule - Negative Affect Scale | Self report measure indexing negative affectivity. Scores range from 10 to 40 with higher scores indicating worse negative affect. | Screening through week 4 follow up |
| Demographics |
Inclusion Criteria:
Exclusion criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Frederick Schubert T Schubert, M.S. | Contact | 850-645-1766 | schubert@psy.fsu.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| FSU Anxiety and Behavioral Health Clinic | Recruiting | Tallahassee | Florida | 32301 | United States |
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| Relaxation and Mindfulness Training | Behavioral | The RMT intervention will be primarily psychoeducational and focused on explaining relaxation methods used in various psychological treatments such as progressive muscle relaxation, guided imagery, and mindfulness-focused breathing exercises. Interactive relaxation and mindfulness exercises and brief discussions following each relaxation component will be included to control for time spent on interactive exercises in the FAST condition. The intervention will take approximately 60 minutes. Tailored to control for the effects of general education, practice exercises, and time spent on the FAST intervention, RMT will be a stronger control in comparison to a waitlist or repeated contact condition. Like the FAST intervention, this program will also be digitalized to allow for ease-of-administration. |
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8 item self report measure indexing depression. Scores range from 8 to 40 with higher scores indicating more severe depression symptoms
| Baseline through week 4 follow up |
| Perceived Stress Scale | 14 item self report measure indexing stress. Scores range from 0 to 56 with higher scores reflecting more severe stress symptoms. | Baseline through week 4 follow up |
Self-report demographic questionnaire
| Baseline only |