Poor student well-being at UK universities is overstretching institutional support services, highlighting a need for effective new resources. Despite extensive literature on mental health and well-being interventions, students' engagement with support remains unexplored. The study aimed to understand students' experience of engagement with well-being support, identify their well-being needs and form concrete recommendations for future intervention design and delivery. The Person-Based Approach to intervention design was followed to centralise users' experience, in turn maximising acceptability and effectiveness of resources. An online survey (N = 52) was followed by three focus groups (N = 14). Survey data were analysed descriptively, and reflexive thematic analysis was performed on qualitative data.Mixed-methods data integration produced four key student priorities for well-being resources -ease of access, inclusive and preventative approach, sense of community and a safe space, and applying skills to real-life contexts. Five actionable guiding principles for intervention design were produced through consultation with expert stakeholders. This work helps understand why and how students engage with support at university. The resulting recommendations can inform future intervention development, leading to more acceptable, engaging and effective student well-being resources.
K E Y W O R D Sintervention development, mental health, person-based approach, university students, wellbeing
| INTRODUCTIONOne in five university students experience mental health concerns, a five-fold increase over the past decade (Thorley, 2017). Students also report poorer well-being (i.e., subjective feelings of life satisfaction and fulfilment -a term broader than and distinct from mental health; Barkham et al., 2019;Hughes & Spanner, 2019) than the general population (Insight Network & Dig-In, 2020). Affected students often underperform or fail academically (Vaez & Laflamme, 2008), or drop out of university altogether (Thorley, 2017), with long-term implications for achievement, careers and life outcomes (Royal College of Psychiatrists [RCP], 2011). The human cost of student mental health This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.