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Designing scalable micro‑interventions for student wellbeing in higher education: a comparative study of digital and paper colouring

Emma Palmer‐cooper, Hannah Walmsley, Caitlin Foster, Evie Woodford, Rose Seneviratne

Journal of Mental Health September 18, 2026 DOI: 10.1080/09638237.2026.2732896 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Quasi-experimental study Peer reviewed
Sample size 297
Population University students aged 18–26
Duration Two weeks (at least 6 colouring sessions)
Measures Perceived Stress Scale (PSS), State-Trait Anxiety Inventory (STAI-S/T), Hospital Anxiety and Depression Scale depression subscale (HADS-D), Multidimensional Quality of Life Inventory (MQLI), Mindful Attention Awareness Scale (MAAS)
Key findings Mindful colouring was associated with improvements in stress, mindfulness, quality of life, depression symptoms, trait anxiety, and state anxiety over two weeks, with larger gains among participants who began with poorer wellbeing. Paper and digital formats did not differ significantly, suggesting digital colouring may be a scalable, accessible option.

Abstract

Background Mindful colouring is a low-effort intervention that improves student wellbeing and mindfulness. However, the effectiveness of different colouring formats remains unclear.Aims This study evaluated a self-guided mindful colouring intervention for university student wellbeing, comparing outcomes between paper and digital formats.Methods In this quasi-experimental study (non-random time-based allocation), 297 participants between 18–26 years of age completed ≥6 colouring sessions over two weeks in their allocated format (paper: n = 134; digital: n = 163). Participants self-reported perceived stress (PSS), anxiety (STAI-S/T), depression (HADS-D), quality-of-life (MQLI), and dispositional mindfulness (MAAS). Effects over time and group were investigated with linear mixed‑effects models.Results Across both groups, mindful colouring was associated with significant improvements in stress (η2p = .26), mindfulness (η2p = .10), quality-of-life (η2p = .12), and self-reported symptoms of depression (η2p = .17), trait anxiety (η2p = .16), and state anxiety (η2p = .03). Results highlight that poorer baseline wellbeing led to larger improvements. There were no significant time x group interactions.Conclusions Mindful colouring is a feasible, low-cost, scalable intervention that is associated with improved student wellbeing over two weeks. Digital colouring may therefore be suitable to enhance accessibility and portability of intervention materials in resource-limited settings.

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