148714 20250121150753.0 doi 10.1016/j.brat.2021.103866 sideral 127119 ART-2021-127119 eng Modrego-Alarcón, Marta Universidad de Zaragoza (orcid)0000-0003-1575-7738 Efficacy of a mindfulness-based programme with and without virtual reality support to reduce stress in university students: A randomized controlled trial 2021 Objectives: To evaluate the efficacy of a mindfulness-based programme (MBP) for reducing stress in university students and its action mechanisms and to explore the capacity of virtual reality (VR) exposure to enhance adherence to the intervention. Methods: This randomized controlled trial (RCT) involved assessment time points of baseline, posttreatment, and 6-month follow-up. A total of 280 students from two Spanish universities were randomly assigned to ‘MBP’, ‘MBP + VR’, or ‘Relaxation’ (active controls). Perceived stress posttreatment was the primary outcome; wellbeing and academic functional outcomes were assessed as well. Multilevel mixed-effects models were performed to estimate the efficacy of the programme. Results: Both ‘MBP’ (B = -2.77, d = -0.72, p = .006) and ‘MBP + VR’ (B = -2.44, d = -0.59, p = .014) were superior to ‘Relaxation’ in improving stress, as well as most of the secondary outcomes, with medium-to-large effects posttreatment and at follow-up. The long-term effects of MBPs on stress were mediated by mindfulness and self-compassion in parallel. Treatment adherence was improved in the ‘MBP + VR’ group, with higher retention rates and session attendance (p < .001). Conclusions: This RCT supports the efficacy of an MBP compared to relaxation for reducing stress in university students through mindfulness and self-compassion as mechanisms of change. VR exposure may enhance treatment adherence. Access copy available to the general public Unrestricted info:eu-repo/grantAgreement/ES/DGA/B17-17R info:eu-repo/grantAgreement/ES/ISCIII/CD20-00181 info:eu-repo/grantAgreement/ES/ISCIII/RD16-0007-0005 info:eu-repo/grantAgreement/ES/MECD/FPU15-00598 info:eu-repo/semantics/openAccess by-nc-nd http://creativecommons.org/licenses/by-nc-nd/3.0/es/ 5.321 2021 PSYCHOLOGY, CLINICAL 27 / 131 = 0.206 2021 Q1 T1 2.022 2021 Clinical Psychology 2021 Q1 Psychiatry and Mental Health 2021 Q1 Developmental and Educational Psychology 2021 Q1 6.9 2021 info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion López-del-Hoyo, Yolanda Universidad de Zaragoza (orcid)0000-0002-1690-4130 García-Campayo, Javier Universidad de Zaragoza (orcid)0000-0002-3797-4218 Pérez-Aranda, Adrián Navarro-Gil, Mayte Universidad de Zaragoza (orcid)0000-0003-4842-0453 Beltrán-Ruiz, María (orcid)0000-0003-0786-535X Morillo, Héctor Universidad de Zaragoza Delgado-Suarez, Irene Oliván-Arévalo, Rebeca Montero-Marin, Jesús 4009 730 Universidad de Zaragoza Dpto. Psicología y Sociología Área Psicología Básica 1007 745 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Psiquiatría 4009 735 Universidad de Zaragoza Dpto. Psicología y Sociología Área Psicolog.Evolut.Educac 142 (2021), 103866 [16 pp.] Behav. res. ther. Behaviour Research and Therapy 0005-7967 1228944 http://zaguan.unizar.es/record/148714/files/texto_completo.pdf Postprint 997821 http://zaguan.unizar.es/record/148714/files/texto_completo.jpg?subformat=icon icon Postprint oai:zaguan.unizar.es:148714 articulos driver 2025-01-21-14:44:00 ARTICLE