Effectiveness of Mindfulness-Based Stress Management in The Mental Health of Iranian University Students: A Comparison of Blended Therapy, Face-to-Face Sessions, and mHealth App (Aramgar)

Stress is an important part of a college student’s life. Psycho-technology has greatly helped students cope more effectively with stress. The aim of the present study was to compare the effectiveness of three methods of intervention for stress management in students based on mindfulness-based stress reduction, including blended therapy, smartphone mobile application, and face-to-face therapy. A quasi-experimental study was designed with pretests, posttests, and follow-ups for a month on randomly selected students. The first group was treated by the Aramgar application only, the second group by both the face-to-face therapy and Aramgar application, and the third group by the face-to-face therapy only. The DASS-21 was utilized for both pretest and posttest administration. The ANOVA and post hoc tests were applied to analyze the data. The mean age of the participants was 24.29 ± 3.21 years. There was a significant difference in the mean score reduction of depression, stress, and anxiety between the three groups (P < 0.001). The post hoc test showed that the blended therapy group had the greatest mean score reduction on stress, depression, and anxiety among the three groups. The blended approach could improve the mental health of students more than the two other approaches. Therefore, the use of mobile platforms of new technologies is highly suggested along with face-to-face interventions in clinics to support people within their daily routine.