# Detecting change processes during an ACT-based course for enhancing university students’ well-being and study skills

**Authors:** Nina Katajavuori, Sara Rönkkönen, Liisa Postareff, Anni Rytkönen, Henna Asikainen

PMC · DOI: 10.3389/fpsyg.2025.1697887 · Frontiers in Psychology · 2025-12-19

## TL;DR

This study examines how university students' well-being and study skills change during an ACT-based online course, identifying different patterns of behavioral and psychological change.

## Contribution

The study introduces four distinct change profiles in students undergoing ACT-based interventions, revealing how psychological flexibility influences behavioral outcomes.

## Key findings

- There was a significant overall increase in psychological flexibility and time management skills during the course.
- Study-related burnout decreased except for Inadequacy in the Initial Change profile.
- Students in the Initial Change profile may need more support to sustain behavioral improvements.

## Abstract

Acceptance and Commitment Therapy (ACT)-based interventions have proven effective in supporting student well-being. However, the change processes occurring during such interventions remain unclear. This study explored changes reported by university students participating in an ACT-based online course which also included study skills.

The data included reflection journals and questionnaire responses on psychological flexibility, time and effort management, and study-related burnout at the start and end of the course.

Both qualitative and quantitative findings indicated numerous positive effects. Utilizing the transtheoretical model, we identified four change profiles among the students: No Change, Change in Thinking, Initial Change and Change in Behavior profiles. These profiles reflected varying levels of behavioral changes related to well-being and studying supported by differing processes of psychological flexibility. While profiles did not differ significantly at the beginning of the course, there was a significant overall increase in psychological flexibility and time and effort management skills, alongside a decrease in study-related burnout dimensions—except for Inadequacy, which increased in the Initial Change profile.

Students in Initial Change profile may benefit from additional support to enhance their well-being and study practices. These findings provide insights into the diverse change processes among students, highlighting the need for tailored support to encourage behavioral change. Future research should examine individual differences to better target interventions for students at different stages of change.

## Full-text entities

- **Diseases:** burnout (MESH:D002055)

## Full text

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## Figures

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## References

94 references — full list in the complete paper: https://tomesphere.com/paper/PMC12757962/full.md

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Source: https://tomesphere.com/paper/PMC12757962