Validation
MoodLift has been created by the Caring Universities Consortium. Caring Universities is part of the World Mental Health International College Student (WMH-ICS) Initiative . This international initiative aims to increase knowledge about students' mental well-being. By understanding students' needs, mental health problems can be prevented, recognized early, and treated more effectively. MoodLift is a scalable set of training programs that allow early interventions to be provided to whomever needs them.
MoodLift Scientific Background Overview
MoodLift is a comprehensive, evidence-based digital mental health platform that has demonstrated measurable impact across 9,000+ students since 2020. Developed through the Caring Universities Consortium—a collaboration of leading Dutch research universities—MoodLift combines rigorous scientific validation with practical, scalable implementation designed specifically for higher education.
The Evidence: Five Years of Rigorous Validation
Randomized Controlled Trial Results
MoodLift programs have undergone extensive evaluation through multiple randomized controlled trials, demonstrating significant therapeutic benefits:
Procrastination (GetStarted) - 403 Students
Significant reduction in procrastination behavior (Cohen's d = 0.40, p < .001)
Significant reduction in perceived stress (Cohen's d = 0.32, p < .001)
50% achieved clinically meaningful improvement vs. 28% in control group (1.8x relative risk)
Sustained at 6-month follow-up with continued improvements in depression, anxiety, and stress
Random Forest Lee bounds analysis confirmed robust treatment effects
Well-Being (LifeHack) - 283 Students
Small-to-moderate improvements in mental well-being vs. waitlist control
Moderate improvements in anxiety symptoms
Moderate-to-large improvements in depression
Significant between-group effects across multiple mental health domains
Insomnia (i-Sleep & BioClock) - 195 Students
42% achieved clinically meaningful improvement (ISI reduction ≥ 8 points)
Zero participants experienced worsening of symptoms
Real-World Effectiveness Data
Beyond controlled trials, continuous monitoring across all students completing programs shows:
Effect sizes for reducing symptoms range from d = -0.41 to -0.99 across individual programs
Average effect size d = -0.59 for symptom reduction
Consistent improvements observed across diverse student populations and institutional settings
Validated Therapeutic Quality
Evidence-Based Content Development Grounded in Gold-Standard Approaches
All programs provide education and coaching on Cognitive Behavioral Therapy (CBT) and related evidence-based methodologies
Content includes validated interventions with demonstrated efficacy
Co-Created with Students
Extensive needs assessments, focus groups, and usability testing ensure relevance
Content style and delivery optimized through iterative student feedback
Topics directly address student-identified priorities and challenges
Professional Guidance Model
Trained Mental Health Coaches
Coaches complete structured training inspired by UK IAPT low-intensity model
Weekly personalized feedback sustains motivation and adherence
Quality safeguarded through feedback templates, regular audits, and clear risk-response protocols
Superior to Unguided Interventions Guided support addresses well-documented limitations of self-help interventions, including lower effect sizes, reduced adherence, and higher dropout rates.
Demonstrated User Satisfaction and Engagement: High Acceptability Across Diverse Populations
Exceptional Satisfaction Ratings
85%+ overall satisfaction across all programs
80%+ positive therapeutic alliance ratings with e-coaches
85% usability rating (System Usability Scale)
72/100 average module usefulness rating from students
Meaningful Engagement
71% of registered students complete at least one full module
43-81% adherence rates among active users depending on program format—consistent with real-world digital health services
Diverse Student Reach
47% use anonymous access, reaching students who might avoid traditional services
Effective across international students and diverse cultural backgrounds
Comprehensive, Validated Program Portfolio: 12 Evidence-Informed Interventions
MoodLift offers the most comprehensive validated program library for student mental health:
Mental Health Programs
Moodpep (Low mood) - 8-module CBT program with behavioral activation
Rel@x (Stress) - 5 core + 4 optional modules, transactional stress model
i-Sleep & Bioclock (Insomnia) - 5-module CBT-I with chronobiology
NoWorries (Worry/anxiety) - Evidence-based worry postponement techniques
Self-Regulation Programs
GetStarted (Procrastination) - RCT-validated; 50% achieve clinically meaningful improvement
GoodEnough (Perfectionism) - Based on Overcoming Perfectionism intervention (Rozental et al., 2017)
EsteemUp (Self-esteem) - RCT-validated 4-module CBT program
GetAGrip (Problem-solving) - Based on Self-Examination Therapy principles
Positive Development Programs
LifeHack (Well-being/resilience) - RCT-validated with 13 flexible modules
SociaLife (Loneliness) - Based on meta-analytic evidence for youth loneliness interventions
SpiralUp! (Mood/resilience) - Single-session behavioral activation
UseWise (Substance use) - Motivational interviewing and harm reduction
Each program includes relevant psychoeducation, practical exercises, and weekly coach support.
Institutional Integration and Scalability: Three Delivery Platforms
Main Platform: Population-Level Access
Direct student access with anonymous option
Includes peer coaching with secure chat function
Integrated screening tools with personalized feedback
Research infrastructure for continuous quality improvement
Blended Platform: Enhanced Counseling
Counselors integrate programs into face-to-face sessions
Evidence shows blended approaches enhance accessibility and engagement (Nunes-Zlotkowski et al., 2024)
Extends counselor capacity without compromising quality
Education Platform: Curriculum Integration
Faculty embed content in courses and mentoring programs
Successfully deployed across multiple universities
Faster and more flexible because research screening and peer coaching are excluded
Can easily and quickly reach thousands of students through academic channels
Proven Implementation Success
Scale Achieved
9,000+ students served across participating institutions through the main platform
Many more students served through the blended and education platforms
Largest guided digital intervention platform for student mental health in the Netherlands
Sustainable Model
Funded through institutional partnerships, not time-limited grants
Embedded within university student services for long-term sustainability
Continuous platform updates based on research findings and student feedback
Rigorous Research Infrastructure; Continuous Quality Improvement Framework
Built-In Evaluation Capacity
Feasibility monitoring tracks uptake, adherence, and satisfaction
Pre-post assessments measure symptom changes
Longitudinal data collection across cohorts
Extensive evaluation through multiple randomized controlled trials
Academic Rigor
Developed within WHO World Mental Health International College Student Initiative framework
Multiple peer-reviewed publications
Scientific committee includes senior researchers from major universities
Ethics board approval and data protection compliance at all institutions
Adaptive Research Design
Platform accommodates both traditional RCTs and comparative effectiveness trials
Tests design features (gamification, flexible sequencing) to optimize engagement
Two additional RCTs planned for 2025-2026 (SpiralUp!, GoodEnough)
Validated by Leading Research Institutions
MoodLift is developed by the Caring Universities Consortium, representing:
Vrije Universiteit Amsterdam
University of Amsterdam
Utrecht University
Erasmus University Rotterdam
Maastricht University
Scientific Expertise: Founded and guided by internationally recognized experts:
Prof. Pim Cuijpers – Founder of Caring Universities; Professor Emeritus of Clinical Psychology at Vrije Universiteit Amsterdam and Director of the WHO Collaborating Centre for Research and Dissemination of Psychological Interventions. Recognized as the world’s leading expert in psychotherapy and depression research, with over 1,000 peer-reviewed publications.
Prof. Annemieke van Straten – Senior Scientific Supervisor of Caring Universities; Professor of Clinical Psychology at Vrije Universiteit Amsterdam and leading expert in digital CBT and insomnia treatment. She has led numerous randomized controlled trials on the cost-effectiveness of e-health interventions and serves as Editor of Clinical Psychology Review.
Dr. Sascha Struijs – Project leader of Caring Universities; Assistant Professor in Clinical Psychology and licensed psychologist specialized in student mental health and psychosocial epidemiology
Further details and references available on request.
Selected References
MoodLift is the result of years of research by many different people and organizations. Below is a very short list of peer reviewed publications directly related to MoodLift.
A Guided, Internet-Based Stress Management Intervention for University Students With High Levels of Stress: Feasibility and Acceptability Study
Yagmur Amanvermez, Eirini Karyotaki, Pim Cuijpers, Marketa Ciharova, Marianne Donker, Petra Hurks, Elske Salemink, Philip Spinhoven, Sascha Struijs, Leonore M de Wit
Effectiveness of a guided internet-based intervention for procrastination among university students – A randomized controlled trial study protocol
Arpana Amarnath, Sevin Ozmen, Sascha Y Struijs, Leonore de Wit, Pim Cuijpers
A Guided Web-Based Intervention Targeting Procrastination in College Students: Protocol for an Open Trial
Sevin Ozmen, Arpana Amarnath, Sascha Struijs, Leonore de Wit, Pim Cuijpers
Moodpep: Description and Evaluation of an Online Self-Help Program for Young Adults with Feelings of Depression (2023)
Nadia Garnefski & Vivian Kraaij
Guided internet-based transdiagnostic individually tailored Cognitive Behavioral Therapy for symptoms of depression and/or anxiety in college students: A randomized controlled trial (2022)
Eirini Karyotaki, Anke Klein, Marketa Ciharova, Felix Bolinski, Lisa Krijnen, Lisa de Koning, Leonore de Wit, Claudia van der Heijde, David Ebert, Heleen Riper, Neeltje Batelaan, Peter Vonk, Randy Auerbach, Ronald C. Kessler, Ronny Bruffaerts, Sascha Struijs, Reinout Wiers & Pim Cuijpers
Effects of self-guided stress management interventions in college students: A systematic review and meta-analysis (2022)
Yagmur Amanvermez, Ruiying Zhao, Pim Cuijpers, Leonore de Wit, David Ebert, Ronald C. Kessler, Ronny Bruffaerts & Eirini Karyotaki
Feasibility and acceptability of a guided internet-based stress management intervention for university students with high levels of stress: Protocol for an open trial (2021)
Yagmur Amanvermez, Eirini Karyotaki, Pim Cuijpers, Elske Salemink, Philip Spinhoven, Sascha Struijs & Leonore de Wit
Prevention and treatment of mental health and psychosocial problems in college students: An umbrella review of meta-analyses (2021)
Pim Cuijpers, Clara Miguel, Marketa Ciharova, Pauline Aalten, Neeltje Batelaan, Elske Salemink, Philip Spinhoven, Sascha Struijs, Leonore de Wit, Claudio Gentili, David Ebert, Mathias Harrer, Ronny Bruffaerts, Ronald C. Kessler & Eirini Karyotaki
The World Health Organization World Mental Health International College Student initiative: An overview (2019)
Pim Cuijpers, Randy P. Auerbach, Corina Benjet, Ronny Bruffaerts, David Ebert, Eirini Karyotaki & Ronald C. Kessler