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Table 5 Penetration, participation, implementation, and effectiveness of randomized controlled health behaviour change trials in university students

From: Health behaviour interventions to improve mental health outcomes for students in the university setting: a systematic review of randomised controlled trials

Study

Country

Age Range

Sample Size (baseline)

Intervention

Penetration Rate (%)

Implementation (Fidelity)

Participation Rate (%)

Effectiveness

Health Behaviour

Mental Health

Intervention vs. Control

Hahn, 2021

US

≥ 18

200

Diet

18

Low

25

NS

NS

Sharp,2016

Canada

≥ 17

184

Exercise

NAC

Low

NAC

NS

NS

Taylor, 2014

US

18–27

34

Sleep

NAC

High

20

S

NS

Freeman,2017

UK

≥ 18

3755

Sleep

NAC

Low

44

S

S

Hershner,2018

US

≥ 18

549

Sleep

28

Low

81

S

S

Huberty, 2019

US

≥ 18

109

Sleep

NAC

Low

33

NS

S

Spanhel, 2022

Germany

20–42

81

Sleep

NAC

Low

59

S

S – depression only

Murphy,2012

US

18–21

82

Alcohol Intake

NAC

High

7

NS

NS

Pengpid,2013

South Africa

≥ 18

152

Alcohol Intake

NAC

Moderate

21

S- alcohol intake only

NS

Murphy,2019

US

N

393

Alcohol Intake

NAC

High

7

S

S – depression and anxiety only

Paulus, 2021

US

≥ 18

125

Alcohol Intake

NAC

Low

12

S

NS

Shuai,2022

UK

18–25

76

Alcohol Intake

NAC

Low

34

NS

S – depression only

Buckner,2020

US

≥ 18

102

Drug Use

NAC

Low

NAC

S

S

Greene,2012

US

18–24

1689

Diet and Exercise

NAC

Low

19

S

S

Kattelman,2014

US

18–24

1639

Diet and Exercise

NAC

Low

26

S- diet and sleep only

NS

Duan, 2017

China

17–24

493

Diet and Exercise

53

Low

87

S- diet only

NS

Duan,2022

China

≥ 18

565

Diet and Exercise

NAC

Low

89

S

NS

Sandrick, 2017

US

18–30

60

Diet, Exercise, Sleep

NAC

Low

71

S – exercise only

NS

Yang,2020

China

16–24

532

Diet, Exercise, Sleep

NAC

Low

NAC

S

NS

Yan,2023

US

≥ 18

52

Diet, Exercise, Sleep

NAC

Low

NAC

S-exercise only

NS

Intervention vs. Intervention

Okajima, 2022

Japan

N

48

Sleep

NAC

Low

27

S

S- depression and anxiety only

Duan,2022

China

≥ 18

565

Diet and Exercise

NAC

Low

89

S- diet only

NS

Whatnall,2019

Australia

17–35

124

Diet and Alcohol Intake

NAC

Low

41

S-diet only

NS

Murphy,2019

US

N

393

Alcohol Intake

NAC

High

7

NS

NS

  1. Low fidelity: no manual or checklist; Moderate fidelity: only manual but no checklist or other measures of quality assurance; NAC: not able to calculate; NS: not significant; S: significant improvements compared to control