University counseling centers (UCCs) face increasing demands for mental health services, underscoring the need for innovative, campus-wide strategies that proactively promote student well-being. This study evaluated the feasibility, outcomes, and acceptability of a Motivational Interviewing (MI)-based Well-Being Coaching program designed to enhance positive attitudes toward change and flourishing among university students. Using a within-subjects, convergent mixed-methods design, participants (N = 43) engaged in one-on-one MI-based coaching meetings during the 2023 to 2024 pilot program. Students completed measures of attitudes toward change, overall flourishing, and six flourishing domains (happiness/life satisfaction, physical/mental health, purpose/meaning, character/virtue, close social relationships, and material/financial stability) at baseline and follow-up. Results showed significant improvements in self-efficacy, overall flourishing, and four of six flourishing domains. Thematic analysis of qualitative responses revealed perceived benefits including a strong coaching alliance, practical goal setting and planning, increased self-awareness and reflection, and support for holistic well-being. Participants emphasized the program’s strengths-based approach and its unique role in bridging gaps between academic advising, student support, and counseling services. Findings provide preliminary evidence that MI-based well-being coaching is a culturally responsive strategy for promoting student well-being and complementing UCC prevention, outreach, and clinical services.
AppelL. J.ChampagneC. M.HarshaD. W.CooperL. S.ObarzanekE.ElmerP. J.StevensV. J.SvetkeyL. P.VollmerW. M.YoungD. R. (2011). Effects of comprehensive lifestyle modification on blood pressure control: Main results of the PREMIER clinical trial. JAMA, 289(16), 2083–2093. https://doi.org/10.1001/jama.289.16.2083
3.
Association for University and College Counseling Center Directors. (2023). Annual report of the Association for University and College Counseling Center Directors.
BorsariB.CareyK. B. (2000). Effects of a brief motivational intervention with college student drinkers. Journal of Consulting and Clinical Psychology, 68(4), 728–733. https://doi.org/10.1037/0022-006X.68.4.728
6.
BraunV.ClarkeV. (2024). Critical review of the reporting of reflexive thematic analysis in health promotion research. Health Promotion International, 39(3), Article dac049. https://doi.org/10.1093/heapro/dac049
BraunV.ClarkeV. (2013). Successful qualitative research: A practical guide for beginners. Sage Publications.
9.
BraunV.ClarkeV. (2023a). Thematic analysis. In CooperH.CoutancheM. N.McMullenL. M.PanterA. T.RindskopfD.SherK. J. (Eds.), APA handbook of research methods in psychology: Research designs: Quantitative, qualitative, neuropsychological, and biological (2nd ed., pp. 65–81). American Psychological Association. https://doi.org/10.1037/0000319-004
10.
BraunV.ClarkeV. (2023b). Toward good practice in thematic analysis: Avoiding common problems and be(com)ing a knowing researcher, International Journal of Transgender Health, 24(1), 1–6. https://doi.org/10.1080/26895269.2022.2129597
11.
BuningM. M.WieserJ. R.HatfieldT. (2014). Professional competencies for student affairs practitioners: The ACPA/NASPA professional competency areas for student affairs practitioners. Journal of Student Affairs Research and Practice, 51(3), 294–308. https://doi.org/10.1515/jsarp-2014-0031
12.
ByrneD. (2022). A worked example of Braun and Clarke’s approach to reflexive thematic analysis. Quality & Quantity, 56(3), 1391–1412. https://doi.org/10.1007/s11135-021-01182-y
13.
CarelsR. A.YoungK. M.WingerJ. G.AshraflounL. (2021). Motivational interviewing as a tool for health behavior change in chronic conditions. Journal of Clinical Psychology in Medical Settings, 28(2), 230–240. https://doi.org/10.1007/s10880-020-09745-9
14.
CasseusM.GoodwillJ. R.ZhouS. (2021). Addressing health disparities and barriers in mental health care: Recommendations for culturally competent counseling. Journal of Multicultural Counseling and Development, 49(3), 177–191. https://doi.org/10.1002/jmcd.12234
15.
Center for Collegiate Mental Health. (2023). 2023 annual report.
16.
CowdenR. G.Weziak-BialowolskaD.VanderWeeleT. J. (2023). Examining changes in flourishing across demographic groups during the COVID-19 pandemic. Journal of Positive Psychology, 18(1), 1–14. https://doi.org/10.1080/17439760.2021.2016906
17.
DorothyL. (2021). Mixed-methods research: Why, when and how to use. Indian Journal of Continuing Nursing Education, 22(2), 143–147. https://doi.org/10.4103/ijcn.ijcn_107_21
18.
DuboviA. S.EdwardsJ.SantacroseL. B.HechtJ.MinerM. J.StephensonE. V. (2024). Measuring the impact of becoming a health-promoting campus: Creating a comprehensive evaluation model. Journal of American College Health. Advance online publication. https://doi.org/10.1080/07448481.2023.2299429
19.
DuboviA. S.SawyerJ. S. (2018). Culturally responsive coaching in higher education: Applications and benefits. Journal of Student Well-being, 12(4), 1–15. https://doi.org/10.1177/1521025118759751
20.
DuboviA. S.SheuH.-B. (2022). Testing the effectiveness of an SCT-based training program in enhancing health self-efficacy and outcome expectations among college peer educators. Journal of Counseling Psychology, 69(3), 361–373. https://doi.org/10.1037/cou0000592
21.
EkmanA.PennbrantS.SternerA.ForsbergE.HedénL.NunstedtH.SundlerA. J.LarssonM.LarssonI.AhlstrandI.AnderssonH. I.LoodQ.HallgrenJ. (2024). Health promoting resources and lifestyle factors among higher education students in healthcare and social work programmes: A survey with a longitudinal multicentre design. BMC Public Health, 24(1), Article 3097. https://doi.org/10.1186/s12889-024-20506-9
22.
ElharakeJ. A.BhuiyanN.RaifmanJ. (2022). Mental health challenges among university students during COVID-19. Journal of Adolescent Health, 70(3), 450–457. https://doi.org/10.1016/j.jadohealth.2021.11.013
23.
EylemO.de WitL.van StratenA.SteublL.MelissourgakiZ.DanışmanG. T.de VriesR.KerkhofA. J. F. M.BhuiK.CuijpersP. (2020). Stigma for common mental disorders in racial minorities and majorities a systematic review and meta-analysis. BMC Public Health, 20(1), 879. https://doi.org/10.1186/s12889-020-08964-3
24.
FaulF.ErdfelderE.LangA.-G.BuchnerA. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/bf03193146
25.
FroschD. L.ElwynG. (2011). Don’t blame patients, engage them: Transforming health systems to address health literacy. Journal of Health Communication, 16(Suppl. 3), 10–18. https://doi.org/10.1080/10810730.2011.604391
26.
GoodwillJ. R.ZhouS. (2020). Association between perceived public stigma and suicidal behaviors among college students of color in the U.S. Journal of Affective Disorders, 262, 1–7. https://doi.org/10.1016/j.jad.2019.10.019
27.
GlassG. D. (2016). Introducing a psychotherapy for the collective: A paradigm shift for college mental health. Change: The Magazine of Higher Learning, 48(6), 16–23. https://doi.org/10.1080/00091383.2016.1247576
28.
GinterP. M.KennedyR.ErwinP. C.ReedW. (2024). The Okanagan Charter to improve wellbeing in higher education: Shifting the paradigm. Frontiers in Education, 9, Article 1443937.
29.
HayesR. D.HopeD. A.SpencerT. J. (2011). Stigma and barriers to accessing mental health services: A review. Clinical Psychology Review, 31(1), 1–12. https://doi.org/10.1016/j.cpr.2010.09.006
30.
Healthy Minds Network. (2024–2025). Healthy Minds Study among colleges and universities, (2024–2025 dataset). Healthy Minds Network, University of Michigan, University of California Los Angeles, Boston University, and Wayne State University. https://healthymindsnetwork.org/research/data-for-researchers
31.
JohnsonC.MartínezC. V.LuC.KicheS.AlRasheedR.DahiyaP.TriplettN. S.Smith-LeCavalierK. N.TestorfA.DorseyS. (2025). Feasibility in community mental health research: A scoping review. Administration and Policy in Mental Health and Mental Health Services Research. Advance online publication. https://doi.org/10.1007/s10488-025-01457-8
32.
Kelly-HedrickM. E.VanderWeeleT. J.Weziak-BialowolskaD. (2020). Assessing flourishing in diverse populations: Applications of the flourishing measure. Applied Research in Quality of Life, 15(4), 1083–1102. https://doi.org/10.1007/s11482-019-09725-w
33.
KimS. H.KimK. (2015). Effects of a web-based stroke education program on recurrence prevention behaviors among stroke patients: A pilot study. Health Education Research, 30(3), 360–371. https://doi.org/10.1093/her/cyv013
LeeE.-J.DitchmanN.FongM. W. M.PiperL.FeigonM. (2014). Mental health service seeking among Korean international students in the United States: A path analysis. Journal of Community Psychology, 42(5), 639–655. https://doi.org/10.1002/jcop.21643
36.
LeeJ.JeongH. J.KimS. (2021). Stress, anxiety, and depression among undergraduate students during the COVID-19 pandemic and their use of mental health services. Innovative higher education, 46(5), 519–538. https://doi.org/10.1007/s10755-021-09552-y
37.
LeeJ.SolomonM.SteadT.DemersL. (2021). The mental health impact of COVID-19 on college students in the United States. Journal of Psychiatric Research, 137(4), 42–46. https://doi.org/10.1016/j.jpsychires.2021.01.032
38.
LevittH. M.BambergM.CreswellJ. W.FrostD. M.JosselsonR.Suárez-OrozcoC. (2018). Journal article reporting standards for qualitative primary, qualitative meta-analytic, and mixed methods research in psychology: The APA Publications and Communications Board task force report. American Psychologist, 73(1), 26–46. https://doi.org/10.1037/amp0000151
39.
LipsonK. A.ZhouS.AbelsonS.HeinzeJ.JirsaM.MorigneyJ.PettersonA.SinghM.EisenbergD. (2022). Trends in college student mental health and help-seeking by race/ethnicity: Findings from the National Healthy Minds Study. Journal of Affective Disorders, 306, 138–147. https://doi.org/10.1016/j.jad.2022.03.038
40.
LipsonS. K.KernA.EisenbergD. (2019). Mental health disparities across race/ethnicity in college students’ mental health service utilization. Journal of Adolescent Health, 64(4), 564–570. https://doi.org/10.1016/j.jadohealth.2018.11.012
NaarS.SafrenS. A. (2021). Motivational interviewing and adherence to treatment. Journal of Clinical Psychology in Medical Settings, 28(1), 14–21. https://doi.org/10.1007/s10880-020-09738-8
43.
NadeemE.LangeJ. M.EdgeD.FongwaM.BelinT.MirandaJ. (2007). Does stigma keep poor young immigrant and U.S.-born Black and Latina women from seeking mental health care?. Psychiatric Services (Washington, D.C.), 58(12), 1547–1554. https://doi.org/10.1176/ps.2007.58.12.1547
44.
NishitaC. M.CardazoneG.UeharaD. L.TomT. (2013). Empowered diabetes management: Life coaching and pharmacist counseling for employed adults with diabetes. Health Education & Behavior, 40(5), 581–591. https://doi.org/10.1177/1090198112465088
45.
ProctorE.SilmereH.RaghavanR.HovmandP.AaronsG.BungerA.GriffeyR.HensleyM. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health, 38(2), 65–76. https://doi.org/10.1007/s10488-010-0319-7
46.
RimmerJ. H. (2022). Addressing disability inequities: Let’s stop admiring the problem and do something about it. International Journal of Environmental Research and Public Health, 19(19), 11886. https://doi.org/10.3390/ijerph191911886
47.
RuggieroL.MoadsiriA.QuinnL. T.RileyB. B.DanielsonK. K.MonahanC.GerberB. S. (2014). Diabetes self-management, depression, and quality of life among Latino clinic patients in an urban Midwest city. Journal of Health Care for the Poor and Underserved, 25(1), 376–388. https://doi.org/10.1353/hpu.2014.0082
48.
SchmidtA. T.SchulteF.StewartK. E. (2019). Motivational interviewing for college students: Addressing health behaviors and well-being. Journal of College Health, 67(3), 212–220. https://doi.org/10.1080/07448481.2018.1484367
49.
SelfK. J.BorsariB.LaddB.NicolasG.GibsonC. J.JacksonK.ManuelJ. K. (2023). Cultural adaptations of motivational interviewing: A systematic review. Psychological Services, 20(Suppl. 1), 7–18. https://doi.org/10.1037/ser000061
50.
ShadishW. R.CookT. D.CampbellD. T. (2002). Experimental and quasi-experimental designs for generalized causal inference. Houghton Mifflin.
TabachnickB. G.FidellL. S. (2012). Using multivariate statistics (6th ed.). Pearson.
53.
VanderWeeleT. J. (2017). On the promotion of human flourishing. Proceedings of the National Academic of Sciences of the United States of America, 114(31), 8148–8156. https://doi.org/10.1073/pnas.1702996114
54.
WeistM. D.LeverN. A.BradshawC. P.OwensJ. S. (2014). Handbook of school mental health: Research, training, practice, and policy (2nd ed.). Springer.
55.
Weziak-BialowolskaD.BialowolskiP.VanderWeeleT. J. (2021). Indicators of flourishing in international samples. Social Indicators Research, 154(1), 451–470. https://doi.org/10.1007/s11205-021-02664-3
56.
WolffL. A.BarclayS. R.BuningM. M. (2013). Promoting student well-being on campus: It takes a village. In Degges-WhiteS.Borzumato-GaineyC. (Eds.), College student mental health counseling: A developmental approach (pp. 339–356). Springer Publishing Company.
57.
YanZ.CardinalB. J.AcockA. C. (2023). An 8-week peer health coaching intervention among college students: A randomized controlled trial. Nutrients, 15(5), Article 1284. https://doi.org/10.3390/nu15051284
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