More than half of university students have high levels of stress. Stress management programs can help students improve coping skills and prevent psychological distress. However, studies have generally targeted all university students regardless of whether they experience high levels of stress or not, and thus more studies are needed to examine the feasibility and acceptability of e-health interventions for students with elevated stress. The present open trial aims to examine the feasibility and acceptability of a guided internet-based stress management program for university students with high levels of stress. In this study, participants are recruited via e-mail, newsletters, and flyers from four universities in the Netherlands to participate in a guided internet-based stress management program. Guidance is delivered by e-coaches who provide weekly asynchronous text-based motivational feedback after each module is completed. Primary outcomes are satisfaction with the intervention, assessed by the Client Satisfaction Scale (CSQ-8), and usability, assessed by the System Usability Scale (SUS-10). Secondary outcomes are perceived stress, quality of life, and depression, assessed by the Perceived Stress Scale (PSS-10), the EuroQol- 5 Dimension- 5 Level Scale (EQ- 5D- 5L), and the Patient Health Questionnaire (PHQ-9) respectively. Adherence rates to the program are assessed by examining the number of completed modules, time spent on the platform, and completed exercises. The Caring Universities Project was funded in (September 2019). In June 2020, the project was officially announced to the students and recruitment began immediately. As of October 2020, recruitment continues. The expected date of the publication of the results is in 2021. It is expected that the results of the proposed study will be informative for designing and implementing e-health interventions in higher education. Moreover, it is assumed that the findings will contribute to the growing literature on internet interventions by yielding preliminary evidence related to the feasibility and acceptability of an online stress management program.

Trial registration

Netherlands Trial Register NL8686; https://www.trialregister.nl/trial/8686

中文翻译：

---

基于互联网的指导性压力管理干预对高压力大学生的可行性和可接受性：公开试验方案

超过一半的大学生压力很大。压力管理计划可以帮助学生提高应对技巧并防止心理困扰。然而，研究通常针对所有大学生，无论他们是否经历高水平的压力，因此需要更多的研究来检验电子健康干预对压力高的学生的可行性和可接受性。目前的公开试验旨在检验针对高压力大学生的基于互联网的压力管理指导计划的可行性和可接受性。在这项研究中，参与者通过电子邮件、新闻通讯和来自荷兰四所大学的传单被招募来参加一个基于互联网的压力管理指导计划。指导由电子教练提供，他们在每个模块完成后每周提供基于文本的异步激励反馈。主要结果是对干预的满意度，由客户满意度量表 (CSQ-8) 评估，可用性，由系统可用性量表 (SUS-10) 评估。次要结果是感知压力、生活质量和抑郁，由感知压力量表 (PSS-10)、EuroQol- 5 维度- 5 水平量表 (EQ- 5D- 5L) 和患者健康问卷 (PHQ- 9）分别。通过检查完成模块的数量、在平台上花费的时间和完成的练习来评估对程序的遵守率。爱心大学计划于2019年9月获资助。2020年6月，项目正式向学生公布，招生即刻开始。截至 2020 年 10 月，招聘仍在继续。结果的预计发布日期是 2021 年。预计拟议研究的结果将为设计和实施高等教育中的电子卫生干预措施提供信息。此外，假设这些发现将通过产生与在线压力管理计划的可行性和可接受性相关的初步证据，为不断增长的互联网干预文献做出贡献。

试用注册

荷兰试用注册 NL8686；https://www.trialregister.nl/trial/8686