Universal Informatics · Research reading room

A mindfulness-based intervention to increase resilience to stress in university students (the Mindful Student Study): a pragmatic randomised controlled trial.

Galante J, Dufour G, Vainre M, Wagner AP, Stochl J, Benton A, Lathia N, Howarth E, Jones PB. · The Lancet. Public health · 2018 · Randomized controlled trial report · single masked role verified

Original publication · Original publication · Original publication · Original publication · Original publication

Recorded summary

Exam-period distress lower: adjusted CORE-OM difference −0.14 (95% CI −0.22 to −0.06); 37% versus 57% above clinical threshold among respondents.

Recorded limitations

No active attention control; self-selected Cambridge students, 59% attended at least half the course; mixed ages and self-reported distress.

Evidence and provenance

Chapter Trust Factor uses a minimum of three distinct qualifying studies. Publication records retain their own evidence and assessment.

Study design and assessment
design
Randomized controlled trial report · single masked role verified
assessment
category
single-blind-rct
is Randomized Controlled Trial
true
peer Reviewed
true
basis
Pragmatic randomised controlled trial
masking Roles
Participants/management unmasked; automated assessments and statistician masked; computer random allocation.
sources

https://pubmed.ncbi.nlm.nih.gov/29422189/ · https://doi.org/10.1016/s2468-2667(17)30231-1 · https://pmc.ncbi.nlm.nih.gov/articles/PMC5813792/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC5813792/fullTextXML · https://api.crossref.org/works/10.1016%2Fs2468-2667%2817%2930231-1

review Scope
selected-methods
trust Factor
score
2
display Crosses
2
scope
Paper
status
assessed
rating Scale
library-trust-factor/1-3
randomized Controlled Trial
true
peer Reviewed
true
blinding
single
masking Roles
Participants/management unmasked; automated assessments and statistician masked; computer random allocation.
basis
Pragmatic randomised controlled trial
sources

https://pubmed.ncbi.nlm.nih.gov/29422189/ · https://doi.org/10.1016/s2468-2667(17)30231-1 · https://pmc.ncbi.nlm.nih.gov/articles/PMC5813792/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC5813792/fullTextXML · https://api.crossref.org/works/10.1016%2Fs2468-2667%2817%2930231-1

assessed At
2026-11-02
review Scope
selected-methods
human Approval
false
review Limit
AI source-based design assessment; human content sign-off is recorded separately.
jadad
status
unassessed
score
Not recorded
evidence
evidence Type
Randomized controlled trial report · single masked role verified
intervention
Eight weekly 75–90-minute mindfulness groups plus usual support versus usual support
provider
Not separately established; clinician/teacher/app details, if known, are retained in the intervention description
comparator
See design/intervention description; otherwise unknown
sample
616 randomised; 453 (74%) examination-period responses
population
age
Eligibility 18+; table bands 17–21, 22–30 and 31+; mixed ages
age Fit
mixed-overlap
sample
616 randomised; 453 (74%) examination-period responses
setting
Not separately established; see population/intervention description
community
Not assigned
measurement
Specific outcomes are reported in the finding and retained appraisal.
trial Id
publication-29422189
trial Registries

ACTRN12615001160527

registry Scope
Identifiers explicitly reported in article abstract; other registrations remain unverified
relationship Note
Strong rationale for offering voluntary structured skills within a wider support system, with monitoring and referral. Component evidence does not establish efficacy of the combined Universal Mind lab model.
measured Genes
None recorded
pathways
None recorded
quality
tier
priority
qualification
Qualified for the stated design-specific use in a rapid methods-based review, not necessarily low risk of bias or high certainty.
formal Risk Of Bias Tool Applied
false
jadad Score
Not recorded
masking Roles
Participants/management unmasked; automated assessments and statistician masked; computer random allocation.
harms And Attrition
One participant stopped because unwanted matters came to the fore and was referred for counselling; no intervention-related self-harm/suicidality/harm-to-others event reported.
source Access
scope
selected-methods
full Text Cached
true
methods Inspected
true
full Text Appraisal Claim
false
level
selected-methods
source URLs

https://pubmed.ncbi.nlm.nih.gov/29422189/ · https://doi.org/10.1016/s2468-2667(17)30231-1 · https://pmc.ncbi.nlm.nih.gov/articles/PMC5813792/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC5813792/fullTextXML · https://api.crossref.org/works/10.1016%2Fs2468-2667%2817%2930231-1

retrieved At
2026-11-02
Topics and recorded topic scores
  1. key
    language:mindfulness-clinical
    title
    Mindfulness-based interventions: controlled clinical trials
    collection
    language
    trust Score
    2
  2. key
    language:universal-mind-mobile-lab
    title
    Universal Mind Mobile Lab · Direct response and inspired by
    collection
    language
    trust Score
    3
  3. key
    language:mindfulness-youth
    title
    Mindfulness for youth
    collection
    language
    trust Score
    2
Citation snapshot and identifiers
id
pmid-29422189
doi
10.1016/s2468-2667(17)30231-1
pmid
29422189
citation Snapshot
count
230
source
Europe PMC
retrieved At
2026-10-26
url
https://europepmc.org/article/MED/29422189
citations By Collection
language
230
Complete approved library record
lab Relevance
relationship
inspired-by
implication
Strong rationale for offering voluntary structured skills within a wider support system, with monitoring and referral.
transfer Limit
Component evidence does not establish efficacy of the combined Universal Mind lab model.
institutions
None recorded
institution Evidence
None recorded
research Topics

Mindfulness

publication Status
pmid
29422189
checked At
2026-11-02T01:32:40.559750+00:00
pub Types

Research Support, Non-U.S. Gov't · research-article · Randomized Controlled Trial · Pragmatic Clinical Trial · Journal Article

indexed Notices
  1. source
    MED
    id
    29422186
    reference
    Lancet Public Health. 2018 Feb;3(2):e55-e56. doi: 10.1016/S2468-2667(17)30241-4.
    type
    Comment in
    order In
    1
crossref Updates
None recorded
notice Records
  1. pmid
    29422186
    type
    Comment in
    title
    Mindfulness training in higher education students.
    doi
    10.1016/s2468-2667(17)30241-4
    pmcid
    Not recorded
    url
    https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID%3A29422186+AND+SRC%3AMED&format=json&resultType=core
    sha256
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    2026-11-02T01:32:40.559750+00:00
scope
Europe PMC indexed publication types/linked notices, publisher JATS related articles and Crossref update-to metadata; absence is not a guarantee of no notice.
notice Summary
Indexed related notices are retained below; no retraction identified in this bounded metadata check. This is not an exhaustive guarantee.
randomized Study Unit Id
publication-29422189
publication Approval
status
approved-for-publication
approved By
Ben Korbel
approved At
2026-11-02
assessment
AI assessed; human approved for publication
scope
Approved research summaries for Informatics staging. No clinical peer review, treatment recommendation, partner endorsement or production release is claimed.
source Revision
r1-a95cacf5b2e0
source Content Hash
a95cacf5b2e06050f91aa011e6e3e2b03760288935c2abba4f53e5276affd0e0
source Access
scope
selected-methods
full Text Cached
true
methods Inspected
true
full Text Appraisal Claim
false
level
selected-methods
source URLs

https://pubmed.ncbi.nlm.nih.gov/29422189/ · https://doi.org/10.1016/s2468-2667(17)30231-1 · https://pmc.ncbi.nlm.nih.gov/articles/PMC5813792/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC5813792/fullTextXML · https://api.crossref.org/works/10.1016%2Fs2468-2667%2817%2930231-1

retrieved At
2026-11-02
study Family Id
publication-29422189
approaches

Mindfulness

id
pmid-29422189
aliases

youth-pmid-29422189

title
A mindfulness-based intervention to increase resilience to stress in university students (the Mindful Student Study): a pragmatic randomised controlled trial.
journal
The Lancet. Public health
neurotransmitters
None recorded
year
2018
authors
Galante J, Dufour G, Vainre M, Wagner AP, Stochl J, Benton A, Lathia N, Howarth E, Jones PB.
design
Randomized controlled trial report · single masked role verified
kind
Journal article
identity Conflict
Not recorded
doi
10.1016/s2468-2667(17)30231-1
pmid
29422189
urls

https://doi.org/10.1016/s2468-2667(17)30231-1 · https://pubmed.ncbi.nlm.nih.gov/29422189/ · https://pmc.ncbi.nlm.nih.gov/articles/PMC5813792/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC5813792/fullTextXML · https://api.crossref.org/works/10.1016%2Fs2468-2667%2817%2930231-1

collections

language

categories

Clinical & self-report

targets
None recorded
priority
1
quotes
None recorded
summary
Exam-period distress lower: adjusted CORE-OM difference −0.14 (95% CI −0.22 to −0.06); 37% versus 57% above clinical threshold among respondents.
limitation
No active attention control; self-selected Cambridge students, 59% attended at least half the course; mixed ages and self-reported distress.
citation Count
230
citation Snapshot
count
230
source
Europe PMC
retrieved At
2026-10-26
url
https://europepmc.org/article/MED/29422189
study Design Assessment
category
single-blind-rct
is Randomized Controlled Trial
true
peer Reviewed
true
basis
Pragmatic randomised controlled trial
masking Roles
Participants/management unmasked; automated assessments and statistician masked; computer random allocation.
sources

https://pubmed.ncbi.nlm.nih.gov/29422189/ · https://doi.org/10.1016/s2468-2667(17)30231-1 · https://pmc.ncbi.nlm.nih.gov/articles/PMC5813792/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC5813792/fullTextXML · https://api.crossref.org/works/10.1016%2Fs2468-2667%2817%2930231-1

review Scope
selected-methods
paper Trust Assessment
score
2
display Crosses
2
scope
Paper
status
assessed
rating Scale
library-trust-factor/1-3
randomized Controlled Trial
true
peer Reviewed
true
blinding
single
masking Roles
Participants/management unmasked; automated assessments and statistician masked; computer random allocation.
basis
Pragmatic randomised controlled trial
sources

https://pubmed.ncbi.nlm.nih.gov/29422189/ · https://doi.org/10.1016/s2468-2667(17)30231-1 · https://pmc.ncbi.nlm.nih.gov/articles/PMC5813792/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC5813792/fullTextXML · https://api.crossref.org/works/10.1016%2Fs2468-2667%2817%2930231-1

assessed At
2026-11-02
review Scope
selected-methods
human Approval
false
review Limit
AI source-based design assessment; human content sign-off is recorded separately.
citations By Collection
language
230
topics
  1. key
    language:mindfulness-clinical
    title
    Mindfulness-based interventions: controlled clinical trials
    collection
    language
    trust Score
    2
  2. key
    language:universal-mind-mobile-lab
    title
    Universal Mind Mobile Lab · Direct response and inspired by
    collection
    language
    trust Score
    3
  3. key
    language:mindfulness-youth
    title
    Mindfulness for youth
    collection
    language
    trust Score
    2
journal Key
lancetpublichealth
journal Label
The Lancet. Public health
chapter Entries
  1. title
    A mindfulness-based intervention to increase resilience to stress in university students (the Mindful Student Study): a pragmatic randomised controlled trial.
    journal
    The Lancet. Public health
    year
    2018
    authors
    Galante J, Dufour G, Vainre M, Wagner AP, Stochl J, Benton A, Lathia N, Howarth E, Jones PB.
    design
    Randomized controlled trial report · single masked role verified
    urls

    https://doi.org/10.1016/s2468-2667(17)30231-1 · https://pubmed.ncbi.nlm.nih.gov/29422189/ · https://pmc.ncbi.nlm.nih.gov/articles/PMC5813792/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC5813792/fullTextXML · https://api.crossref.org/works/10.1016%2Fs2468-2667%2817%2930231-1

    doi
    10.1016/s2468-2667(17)30231-1
    pmid
    29422189
    targets
    None recorded
    categories

    Clinical & self-report

    citation Count
    230
    citation Snapshot
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    230
    source
    Europe PMC
    retrieved At
    2026-10-26
    url
    https://europepmc.org/article/MED/29422189
    study Design Assessment
    category
    single-blind-rct
    is Randomized Controlled Trial
    true
    peer Reviewed
    true
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    Pragmatic randomised controlled trial
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    Participants/management unmasked; automated assessments and statistician masked; computer random allocation.
    sources

    https://pubmed.ncbi.nlm.nih.gov/29422189/ · https://doi.org/10.1016/s2468-2667(17)30231-1 · https://pmc.ncbi.nlm.nih.gov/articles/PMC5813792/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC5813792/fullTextXML · https://api.crossref.org/works/10.1016%2Fs2468-2667%2817%2930231-1

    review Scope
    selected-methods
    evidence
    evidence Type
    Randomized controlled trial report · single masked role verified
    intervention
    Eight weekly 75–90-minute mindfulness groups plus usual support versus usual support
    provider
    Not separately established; clinician/teacher/app details, if known, are retained in the intervention description
    comparator
    See design/intervention description; otherwise unknown
    sample
    616 randomised; 453 (74%) examination-period responses
    population
    age
    Eligibility 18+; table bands 17–21, 22–30 and 31+; mixed ages
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    mixed-overlap
    sample
    616 randomised; 453 (74%) examination-period responses
    setting
    Not separately established; see population/intervention description
    community
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    measurement
    Specific outcomes are reported in the finding and retained appraisal.
    trial Id
    publication-29422189
    trial Registries

    ACTRN12615001160527

    registry Scope
    Identifiers explicitly reported in article abstract; other registrations remain unverified
    relationship Note
    Strong rationale for offering voluntary structured skills within a wider support system, with monitoring and referral. Component evidence does not establish efficacy of the combined Universal Mind lab model.
    measured Genes
    None recorded
    pathways
    None recorded
    quality
    tier
    priority
    qualification
    Qualified for the stated design-specific use in a rapid methods-based review, not necessarily low risk of bias or high certainty.
    formal Risk Of Bias Tool Applied
    false
    jadad Score
    Not recorded
    masking Roles
    Participants/management unmasked; automated assessments and statistician masked; computer random allocation.
    harms And Attrition
    One participant stopped because unwanted matters came to the fore and was referred for counselling; no intervention-related self-harm/suicidality/harm-to-others event reported.
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    selected-methods
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    https://pubmed.ncbi.nlm.nih.gov/29422189/ · https://doi.org/10.1016/s2468-2667(17)30231-1 · https://pmc.ncbi.nlm.nih.gov/articles/PMC5813792/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC5813792/fullTextXML · https://api.crossref.org/works/10.1016%2Fs2468-2667%2817%2930231-1

    retrieved At
    2026-11-02
    id
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    quotes
    None recorded
    source Pages
    None recorded
    summary
    Exam-period distress lower: adjusted CORE-OM difference −0.14 (95% CI −0.22 to −0.06); 37% versus 57% above clinical threshold among respondents.
    limitation
    No active attention control; self-selected Cambridge students, 59% attended at least half the course; mixed ages and self-reported distress.
    paper Trust Assessment
    score
    2
    display Crosses
    2
    scope
    Paper
    status
    assessed
    rating Scale
    library-trust-factor/1-3
    randomized Controlled Trial
    true
    peer Reviewed
    true
    blinding
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    Participants/management unmasked; automated assessments and statistician masked; computer random allocation.
    basis
    Pragmatic randomised controlled trial
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    https://pubmed.ncbi.nlm.nih.gov/29422189/ · https://doi.org/10.1016/s2468-2667(17)30231-1 · https://pmc.ncbi.nlm.nih.gov/articles/PMC5813792/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC5813792/fullTextXML · https://api.crossref.org/works/10.1016%2Fs2468-2667%2817%2930231-1

    assessed At
    2026-11-02
    review Scope
    selected-methods
    human Approval
    false
    review Limit
    AI source-based design assessment; human content sign-off is recorded separately.
    collections

    language

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    Exam-period distress lower: adjusted CORE-OM difference −0.14 (95% CI −0.22 to −0.06); 37% versus 57% above clinical threshold among respondents.
    jadad
    status
    unassessed
    score
    Not recorded
    archive Entries
    None recorded
    verification
    PMID identity checked; DOI cross-checked with Crossref where supplied. Primary abstract reviewed.
    verified At
    2026-10-26
    curation Batch
    daytab-20261026
    legacy Article Stars
    Not recorded
    legacy Rating Basis
    Not recorded
    stars
    2
    rating Basis
    Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
    aliases

    youth-pmid-29422189

    neurotransmitters
    None recorded
    conditions

    stress

    condition Evidence
    1. id
      stress
      evidence
      1. field
        title
        text
        A mindfulness-based intervention to increase resilience to stress in university students (the Mindful Student Study): a pragmatic randomised controlled trial.
        matched Text
        stress
      scope
      Studied topic or reported outcome, including null findings; no diagnosis, benefit or subgroup membership is inferred.
    age Groups

    youth · adults

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    language

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    Eligibility 18+; table bands 17–21, 22–30 and 31+; mixed ages
    youth Scope
    included
    youth Source Note
    The existing youth filter includes adolescents and source-defined young people. It does not establish a separate 16–24 estimate.
    age Fit
    mixed-overlap
    source URL
    https://pubmed.ncbi.nlm.nih.gov/29422189/
    basis Type
    selected-methods-ai-editorial-assessment
    classification Note
    Broad groups describe source-reported populations or review scope. Eligibility and study mean ages are not observed participant ranges; read the reported-age wording.
    community Matches
    None recorded
    kind
    Journal article
    publication Approval
    status
    approved-for-publication
    approved By
    Ben Korbel
    approved At
    2026-11-02
    assessment
    AI assessed; human approved for publication
    scope
    Approved research summaries for Informatics staging. No clinical peer review, treatment recommendation, partner endorsement or production release is claimed.
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    retrieved At
    2026-11-02
    study Family Id
    publication-29422189
    randomized Study Unit Id
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    institutions
    None recorded
    institution Evidence
    None recorded
    research Topics

    Mindfulness

    lab Relevance
    relationship
    inspired-by
    implication
    Strong rationale for offering voluntary structured skills within a wider support system, with monitoring and referral.
    transfer Limit
    Component evidence does not establish efficacy of the combined Universal Mind lab model.
    publication Status
    pmid
    29422189
    checked At
    2026-11-02T01:32:40.559750+00:00
    pub Types

    Research Support, Non-U.S. Gov't · research-article · Randomized Controlled Trial · Pragmatic Clinical Trial · Journal Article

    indexed Notices
    1. source
      MED
      id
      29422186
      reference
      Lancet Public Health. 2018 Feb;3(2):e55-e56. doi: 10.1016/S2468-2667(17)30241-4.
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      Comment in
      order In
      1
    crossref Updates
    None recorded
    notice Records
    1. pmid
      29422186
      type
      Comment in
      title
      Mindfulness training in higher education students.
      doi
      10.1016/s2468-2667(17)30241-4
      pmcid
      Not recorded
      url
      https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID%3A29422186+AND+SRC%3AMED&format=json&resultType=core
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    scope
    Europe PMC indexed publication types/linked notices, publisher JATS related articles and Crossref update-to metadata; absence is not a guarantee of no notice.
    notice Summary
    Indexed related notices are retained below; no retraction identified in this bounded metadata check. This is not an exhaustive guarantee.
    approaches

    Mindfulness

    assessment Record
    id
    youth-pmid-29422189
    title
    A mindfulness-based intervention to increase resilience to stress in university students (the Mindful Student Study): a pragmatic randomised controlled trial.
    authors
    Galante J, Dufour G, Vainre M, Wagner AP, Stochl J, Benton A, Lathia N, Howarth E, Jones PB.
    year
    2018
    journal
    The Lancet. Public health
    doi
    10.1016/s2468-2667(17)30231-1
    pmid
    29422189
    pmcid
    PMC5813792
    trial Registries

    ACTRN12615001160527

    registry Scope
    Identifiers explicitly reported in article abstract; other registrations remain unverified
    collection
    youth-20261102
    topics

    Mindfulness

    institutions
    None recorded
    institution Evidence
    None recorded
    publication Type

    Research Support, Non-U.S. Gov't · research-article · Randomized Controlled Trial · Pragmatic Clinical Trial · Journal Article

    study Family Id
    publication-29422189
    randomized Study Unit Id
    publication-29422189
    existing Repository Matches
    1. id
      pmid-29422189
      matched By

      PMID · DOI · normalized exact title

      collections

      language

    population
    age
    Eligibility 18+; table bands 17–21, 22–30 and 31+; mixed ages
    age Fit
    mixed-overlap
    sample
    616 randomised; 453 (74%) examination-period responses
    setting
    Not separately established; see population/intervention description
    community
    Not assigned
    intervention
    description And Dose
    Eight weekly 75–90-minute mindfulness groups plus usual support versus usual support
    provider
    Not separately established; clinician/teacher/app details, if known, are retained in the intervention description
    comparator
    See design/intervention description; otherwise unknown
    design
    description
    Pragmatic randomised controlled trial
    category
    randomized-report
    randomization Methods Inspected
    true
    masking
    Participants/management unmasked; automated assessments and statistician masked; computer random allocation.
    double Blinding Verified
    false
    proposed Crosses
    2
    approved Crosses
    Not recorded
    findings
    Exam-period distress lower: adjusted CORE-OM difference −0.14 (95% CI −0.22 to −0.06); 37% versus 57% above clinical threshold among respondents.
    limitations
    No active attention control; self-selected Cambridge students, 59% attended at least half the course; mixed ages and self-reported distress.
    harms And Attrition
    One participant stopped because unwanted matters came to the fore and was referred for counselling; no intervention-related self-harm/suicidality/harm-to-others event reported.
    lab Relevance
    relationship
    inspired-by
    implication
    Strong rationale for offering voluntary structured skills within a wider support system, with monitoring and referral.
    transfer Limit
    Component evidence does not establish efficacy of the combined Universal Mind lab model.
    source Access
    scope
    selected-methods
    full Text Cached
    true
    methods Inspected
    true
    full Text Appraisal Claim
    false
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      primary bibliographic record
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      2026-11-02
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    id
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    title
    A mindfulness-based intervention to increase resilience to stress in university students (the Mindful Student Study): a pragmatic randomised controlled trial.
    authors
    Galante J, Dufour G, Vainre M, Wagner AP, Stochl J, Benton A, Lathia N, Howarth E, Jones PB.
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    2018
    journal
    The Lancet. Public health
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    10.1016/s2468-2667(17)30231-1
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    topics

    Mindfulness

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    None recorded
    institution Evidence
    None recorded
    publication Type

    Research Support, Non-U.S. Gov't · research-article · Randomized Controlled Trial · Pragmatic Clinical Trial · Journal Article

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    Exam-period distress lower: adjusted CORE-OM difference −0.14 (95% CI −0.22 to −0.06); 37% versus 57% above clinical threshold among respondents.
    limitations
    No active attention control; self-selected Cambridge students, 59% attended at least half the course; mixed ages and self-reported distress.
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Strong rationale for offering voluntary structured skills within a wider support system, with monitoring and referral. Component evidence does not establish efficacy of the combined Universal Mind lab model.
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pathways
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tier
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Qualified for the stated design-specific use in a rapid methods-based review, not necessarily low risk of bias or high certainty.
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harms And Attrition
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retrieved At
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jadad
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condition Evidence
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      A mindfulness-based intervention to increase resilience to stress in university students (the Mindful Student Study): a pragmatic randomised controlled trial.
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2 · 3

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retrieval Available
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