Journal of American College Health最新文献

Background: The classification accuracy of the General Anxiety Disorder Scale (GAD-7) and Patient Health Questionnaire (PHQ-9) in post-secondary students remains uncertain. Methods: Undergraduate students completed a survey (n = 159) and QuickSCID-5 (n = 130). Sensitivity, specificity, and receiver operating characteristics were calculated, and alternative scoring strategies were explored. Results: Most students identified as first-year, Canadian, and female. Among survey respondents, 42% (GAD-7) and 35% (PHQ-9) scored >10. Most students with high stress and GAD-7 scores did not meet the criteria for GAD. At a screening cut-off of >10, sensitivity and specificity were: 80.6/72.3% (GAD-7) and 92.9/72.4% (PHQ-9), respectively. Preliminary evidence supported moderate classification accuracy of GAD-7 (AUC = 0.78) for detecting GAD, but poor accuracy for detecting other disorders. PHQ-9 showed high classification accuracy (AUC = 0.92) for depression; preliminary evidence supported improved accuracy with alternative scoring. Conclusions: While PHQ-9 appears to be a useful screening measure, findings suggest the GAD-7 may capture stress rather than clinical anxiety.

Introduction: Student health centers serve as crucial access points for healthcare within universities, striving to create inclusive spaces where all students feel supported. However, evidence indicates that students in larger bodies frequently encounter weight bias and stigma during clinical interactions, negatively impacting both physical and psychological well-being. Methods: The purpose of the current study was to assess current practices, policies and environments related to body weight and size within campus health services at private, liberal arts colleges in the American South. Results: Among the respondent institutions, 88% have incorporated inclusive weighing protocols (such as blind weighing or weight-optional visits) and 71% have implemented broader size-inclusive initiatives. Discussion: Our findings demonstrate that private liberal arts colleges in the South are considering weight inclusivity in their practice, suggesting a promising shift toward reducing healthcare barriers and improving health outcomes for college students of all body sizes; however, there are opportunities to further reduce weight stigma.

College health and mental health services respond increasingly to students whose health needs, mental health concerns, and wellness behaviors are affected or compounded by identity factors. In this Comment, we suggest that employing an awareness of intersecting identities and their effects can improve the provision of college health services. In this way, we extend the Journal of American College Health's longstanding conversations about evidence-based practices and well-defined student populations. We review the intersecting identities construct, demonstrate its relevance to college health practice, and for clarity, distinguish the intersecting identities heuristic as a clinical tool from the use of intersectionality language in other more sociopolitical settings.

Objective: To make recommendations for improving medical amnesty policy implementation in collegiate athletics based on exploration of relevant policy implementation, implementation frameworks, and athletic department input.

Participants: 54 published peer-reviewed articles, 78 collegiate athletics professionals, 5 content experts with direct responsibilities related to policies that impact college student and athlete well-being, and 113 higher education institutions' Athletics Healthcare Administrators (AHA).

Methods: Mixed methods using narrative literature review, surveys, and interview data. Data coding was guided by the Consolidated Framework for Implementation Research (CFIR) and quantitative data were analyzed with descriptive statistics.

Results: Using coded data from the literature review and needs assessment, we identified modifiable implementation determinants and mapped these onto implementation strategies. With feedback from key organizational representatives, ten recommendations were developed and mostly viewed as feasible.

Conclusions: We present recommendations for amnesty policy implementation within athletics departments, but additional research and evidence-based resources are needed to support implementation.

Objective: This study examined college students' current physical activity (PA) beliefs and behaviors, as well as the perceived influence of their adolescent experiences on their current PA habits. Participants: 156 college students (M age = 19.88 years, Male n = 27, Female n = 128) attending a mid-sized midwestern public university. Methods: Students reported on current PA behaviors/beliefs and recollections of adolescent experiences (age 12-18) through surveys (n = 156) and focus groups (n = 17). Linear regression analyses examined whether adolescent experiences (parent support, friend support, physical education experiences, community support) and current perceptions (enjoyment, self-efficacy, and friend support) were associated with current PA. Thematic analyses qualitatively explored participants' perceptions. Results: Quantitative results revealed only current enjoyment, self-efficacy, and friend support were significantly associated with current PA (R²=0.34, p < 0.001). However, qualitative analysis revealed lasting influences of adolescent experiences, particularly social experiences with friends, parental support, and community resources. Conclusions: Findings indicate that while college students' physical activity is more strongly influenced by current self-efficacy, enjoyment, and friend support, positive adolescent experiences may indirectly shape ongoing attitudes and perceptions toward physical activity.

Objective: This study focused on college students to examine if the communication channel of their most recent therapy session influenced the strength of their relationship with their therapist, post-session symptoms of anxiety and depression, and their intentions to adhere to therapist recommendations.

Participants: 688 college students from a large Californian university.

Methods: The online survey took place on the Qualtrics survey platform and the proposed model was tested using structural equation modeling.

Results: College students' emotional self-disclosure was higher in mediated compared to in-person therapy sessions. Their perceived social presence from the therapist was greater in mediated compared to in-person sessions. Emotional self-disclosure and social presence were positive predictors of the patient-therapist relational bond strength, which subsequently predicted adherence and was associated with reduced post-session depression and anxiety levels.

Conclusions: A strong relational bond between patient and therapist is possible in both online and offline environments for college students.

Objective: To examine the impact of a mindful leadership training program on faculty well-being, mindfulness, and their ability to support student mental health. Participants: Forty-one university faculty members participated in a wait-list control trial. Methods: Surveys assessing mindfulness, stress, self-compassion, support, and beliefs about student well-being were administered at baseline, post-program, and 3-month follow-up. Focus groups were held at completion. Results: Faculty in the intervention group showed a 13.27% increase in mindfulness, compared to 3.13% in the control group. Participants reported greater presence, self-awareness, emotional regulation, and improved communication with students. They adopted more mindfulness practices and discussed student well-being more often. Qualitative data echoed these outcomes. Conclusions: Mindful leadership training may enhance faculty mindfulness, emotional regulation, and student support capacity. Further research is needed to explore long-term impacts and broader implementation in higher education.

Objective: Explore student experience of campus green space, examining its connections to race and ethnicity, sexual orientation, welcomeness and housing type.

Participants: Undergraduate students at a state university who completed an online survey (n = 387) and focus groups (n = 9) in Fall 2022.

Methods: Mixed methods approach, using SPSS for quantitative analysis and thematic analysis of long-response survey questions and focus groups for qualitative data.

Results: Quantitative tests revealed a significant relationship between feeling welcome and use as well as type of housing and use. Although there are no statistically significant trends based on race, ethnicity and sexual orientation, qualitative data revealed their hesitance to use campus greenspace.

Discussion: Campus green space can be used to evaluate levels of wellbeing and belonging on campus. Given the proven positive effects of greenspace, findings can inform discourse on wellbeing, belonging, and adapting greenspace so that students are encouraged to engage in it more.

Objective: To explore differences in food security and fruit/vegetable (FV) intake among private college students and differences by socioeconomic status (SES) earlier and later in the pandemic. Participants: 231 private university students at varying campuses in the greater Houston area (119 in Fall 2020; 112 in Fall 2022). Methods: Students completed an online repeated cross-sectional survey in Fall 2020 and Fall 2022. This study used a data subset of demographics, Block Fruit/Vegetable/Fiber Screener, and Food Security 6-Item Short Form. T-tests, chi-square tests, and analysis of variance tests examined differences. Results: There was no difference in food security between Fall 2020 and Fall 2022; food security was consistently lower for low/working class than middle and affluent classes. FV intake increased early to late pandemic. Conclusions: Findings inform government and university policy to improve college student nutrition, especially low-SES students at predominantly wealthy private universities.

Objective: To associate intake of ultra-processed/sweetened versus minimally processed/unsweetened beverages and snacks with body mass index (BMI) and BMI change after 12 wk among college students. Participants: 140 college student (18-24 years) participants of the Snackability trial. Methods: Participants were asked to complete three 24-h dietary recalls to record intake of snacks/beverages at baseline and recorded their weight and height at baseline and 12 wk later. ANCOVA was used for the cross-sectional associations and linear regressions for the longitudinal associations, adjusting for age, sex, energy intake of the other meals, and randomized group (longitudinal only). Results: In the cross-sectional analysis we found that college students with obesity consumed significantly more overall ultra-processed snacks than those without obesity. For the longitudinal analysis, 87 participants submitted the weight and height after 12 wk, and we found that any intake of ultra-processed snacks was associated with an increase in BMI after 12 wk (β = 0.280, p < 0.05). Conclusions: Those with obesity had higher intake of ultra-processed beverages and snacks compared to those without obesity. Also, any intake of ultra-processed snacks was associated with an increase in BMI over time.