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  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>S Education, June</journal-title>
      </journal-title-group>
    </journal-meta>
    <article-meta>
      <title-group>
        <article-title>well-being and resilience intervention in a course on digitalization for sustainability</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Cristina Martinez Montes</string-name>
          <email>montesc@chalmers.se</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Birgit Penzenstadler</string-name>
          <email>birgitp@chalmers.se</email>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Gothenburg University</institution>
          ,
          <addr-line>Gothenburg</addr-line>
          ,
          <country country="SE">Sweden</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>In the International Summer School on Sustainability at Gothenburg University</institution>
          ,
          <addr-line>we developed a</addr-line>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>Lappeenranta University of Technology</institution>
          ,
          <addr-line>Lappeenranta</addr-line>
          ,
          <country country="FI">Finland</country>
        </aff>
      </contrib-group>
      <pub-date>
        <year>2023</year>
      </pub-date>
      <volume>05</volume>
      <issue>2023</issue>
      <abstract>
        <p>Within computing education, developing sustainability competencies is still a fledgling learning objective. course titled Digitalizatoin in a Changing World that emphasized the individual well-being and resilience aspect of individuals as a prerequisite for developing IT that serves the Sustainable Development Goals. We piloted an intervention that had students explore a well-being practice and reflect on their daily state. The students' feedback in surveys and interviews indicates that those practices benefit their well-being and resilience.</p>
      </abstract>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        The field of computing education has slowly started to bring sustainability into the learning
objectives of some courses [
        <xref ref-type="bibr" rid="ref1 ref2 ref3">1, 2, 3</xref>
        ]. Both the state of the natural environment as well as societal
challenges in terms of well-being and resilience demand better integration of the development
of sustainability competencies into computing education [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]. A concept that helps individuals
better contribute to sustainability is resilience [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ].
      </p>
      <p>
        Building resilience implies working in six pillars, as explained by the psychiatrist Luis Rojas
Marcos: Afectivity, self-management, self-responsibility, self-esteem, positivity and a vital
purpose [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ]. Issues and feelings of inadequacy are addressed via favourite spiritual and/or
self-care practice, instead of patching them with consumerism from outside, then a lot of the
environmental problems we see on the planet could be resolved more easily. If we humans
learn how to better deal with self-worth and self-esteem, we are better prepared to take care of
the world around us [7, 8, 9].
      </p>
      <p>We set out to explore an intervention designed to support well-being and building resilience in
the educational setting of an IT course focused on sustainability. The University of Gothenburg
has established a month-long international summer school dedicated to Sustainability1. Each
faculty contributes at least one course in order to have coverage of a large set of subject
areas. The IT faculty is contributing a course titled “Digitalization in a Changing World” that
the second author gets to teach. She decided to establish a well-being intervention with a
reflective component as one central part of the course because (1) integrating mental health into
sustainability education allows individuals to respond to sustainability challenges in society and
natural environment from a place of resourcefulness, and (2) IT students have a responsibility to
take care of their well-being and ensure personal resilience as future developers of the systems
that to a large extent help run and administrate the processes that govern societal and economic
interactions.</p>
      <p>Research Question: How and to what extent do diferent practices, specifically meditation,
yoga, breathwork and nature walks, impact students’ well-being?</p>
      <p>Contribution: We performed an intervention for well-being and resilience over one month
and evaluated the impacts. On the quantitative side, we use validated psychological instruments
to get insights into the changes participants experienced with regards to resilience, emotional
intelligence, self-regulation, self-transcendence, and mystical experiences. On the qualitative
side, we carried out and analyze exit interviews conducted after the last day of the intervention.</p>
      <p>Impact: Running a pilot for such an intervention can provide a case for integrating mental
and emotional health in a university context in an efortless way.</p>
      <p>In the following sections, we elaborate on the study and reflect on the results and their impact.</p>
    </sec>
    <sec id="sec-2">
      <title>2. Background</title>
      <sec id="sec-2-1">
        <title>2.1. Sustainability connection to mental health</title>
        <p>Within the dimensions of sustainability [10], the individual dimension was originally inspired by
the mention of a “human” dimension by Goodland in the Encyclopedia of global environmental
change [11]. This dimension speaks to the ability and capacity of an individual human to
maintain and evolve themselves over the course of their lifetime. It refers to the well-being of
humans as individuals. This includes mental and physical health, education, skills, knowledge,
leadership, access to services, and personal values [12].</p>
        <p>In a similar vein, Horlings [13] ofers an “inner” dimension of sustainability that encompasses
a personal dimension and a collective cultural dimension, and later on added how sense of place
and values can support sustainable place-shaping [14].</p>
        <p>For the reasons of both (1) mental health being inherently present in the individual dimension
of sustainability and (2) the importance of personal sense-making for shaping sustainability
transitions, the second author decided to establish a reflective well-being practice in the IT
course designed for the International Summer School on Sustainability in Gothenburg.</p>
      </sec>
      <sec id="sec-2-2">
        <title>2.2. Current state of mental health in SE</title>
        <p>Stress and burnout have been extensively researched in the industry context. As early as the
1980s, Brod[15] came out with the term technostress in 1984 and described it as the resultant
1GU Intl. Summer School on Sustainability homepage
disease from the inability of people to adapt to the new computer technology. He examined the
impact of computers on psychological attitudes, social relationships and the structure of social
institutions.</p>
        <p>Similarly, Ivancevich et al.[16] talked about occupational stress, attitudes and health among
IS (Information Systems) professionals and explored perceived job conditions as stressful.
Weiss[17] researched the sources of organisational stress on IS managers revealing a positive
relation to psychological and physiological strains. At the same time, their results showed that
IS managers have lower social support than other managers.</p>
        <p>There are also theoretical proposals on occupational stress. One example is the one proposed
by Thong[18], who analysed 12 occupational stress models. The result suggests nine key points
to developing a theoretical framework of stress for IS professionals. In an attempt to examine
the sources of stress, Sethi[19] categorised 33 primary stressors for IS employees and then
associated them with seven factors, concluding that meeting deadlines was the primary source
of stress. Moreover, Pawlowski[20], in a similar study, found that extended hours/workload,
particularly in a project context, was the most mentioned stressor in the in-depth interviews of
20 IT professionals. Other interesting results obtained by Pawlowski were the identification
of three consequences of burnout: reduced job performance, leaving the job/profession, and
reduced physical well-being.</p>
        <p>Regarding emotions, Sanchez-Gordon[21] performed a systematic literature review (SLR) of
empirical studies on emotions. They identified 40 discrete emotions, the most frequent ones
being anger, fear, disgust, sadness, joy, love and happiness. At the same time, this study gave a
comprehensive view of the state of the art in emotions research in SE and emphasised that the
participants came from industrial contexts.</p>
        <p>In the same line, one of the most researched emotions has been happiness. Graziotin et
al.[22] aimed to improve the quality of life and working conditions for Software developers by
expanding the understanding of the happiness and unhappiness of software developers through
a series of qualitative and quantitative studies. Their results showed that the highest impact of
happiness and unhappiness is on development productivity and quality expressed by cognitive
performance.</p>
        <p>Some studies ofer a comparative perspective taking into account other work areas. Nayak [ 23]
applied a survey to 50 Software Professionals (SP) to measure their anxiety and compare it to a
similar group of 50 Mechanical Professionals (MP). The results showed that SP presented higher
levels of anxiety compared to MP. Among the same group of SP, individuals between 21 to 28
years old presented higher anxiety compared to the senior SP.</p>
        <p>As mentioned before, these results are mainly in an industry context. What about universities?
The picture is similar.</p>
      </sec>
      <sec id="sec-2-3">
        <title>2.3. Mental health in university contexts</title>
        <p>The American Psychological Association (APA) reported that student mental health is getting
worse in nearly every metric [24]. According to the Healthy Minds Study and based on their
data collection from &gt;350,00 students at 373 campuses in the US between 2013 and 2022, the
percentage of university students that met the criteria for at least one mental health problem is
more than 60% [25].</p>
        <p>Similarly, Danowitz and Beddoes [26] applied a survey that measured depression, anxiety, and
somatoform disorders (psychological disorder that leads to physical manifestations or sensations
in the body when a person is experiencing mental or emotional distress.) and identified
individuals at high risk of sufering from Serious Mental Illness to students at California Polytechnic
State University getting 800 responses. Their findings pointed out that respondents that screen
for high risk of Serious Mental Illness is roughly 38% [26]. Considering the information from
the Center for Behavioral Health Statistics and Quality of 2016, these results are higher than
the estimated 4% of the US adult population that sufers a serious mental illness and more
than double of the 17% of adults calculated to have a mental health condition overall. The
authors concluded that, in general, engineering students have a higher need for mental health
interventions compared to students from other areas. Another interesting point of these results
is that Computer Engineering ranked highest in risk for serious mental illness when separated
by engineering sub-disciplines.</p>
        <p>Although these results could be strongly related to Cal Poly’s specific context, engineering
students in other universities may be in a similar situation. Similarly, studies in the United
Kingdom have found a high prevalence of mental health problems among postgraduate students [27],
[28]. At the same time, university health services in the UK report an increase in the demand
for such services since more students present severe psychological problems [29, 30, 31]. In
Australia, the student population has also been studied. Stallman compared university students’
stress and anxiety levels with the general population. As a result, the students present higher
percentages of stress. He studied levels of generalised psychological distress in students of two
major universities in Australia, finding that 84% of them preset such symptoms, in contrast to
29% of the Australian general population [32].</p>
        <p>Bringing the situation to the Swedish context, there needs to be more information about the
mental health of university students in Sweden. One of the few studies carried out in Sweden
with students from various university disciplines and programs was done by Vaez [33], who
used self-administered questionnaires with a large number of full-time students. One of their
conclusions was that stress in students has efects both on academic performance and on being
prone to physical and psychological health problems. There are a couple of other studies outside
of Sweden with engineering students, however, there are none that focus on SE students in the
country.</p>
      </sec>
      <sec id="sec-2-4">
        <title>2.4. Role of the universities in supporting student’s mental health</title>
        <p>A wide variety of initiatives and projects have recognised the potential of universities to promote
and support mental health as well as provide help in self-identifying and managing stress in
students through programmes [34, 35].</p>
        <p>Eforts and interest in applying a health-promoting approach in higher education began
in 1990. In 1998, the WHO published a book on health-promoting universities [36], giving
legitimacy to the approach. The UK is an example of a country that adopted this approach; in
2006 the English National Healthy Universities Network was established to facilitate support
for initiatives and activities to create healthy universities [37].</p>
        <p>Rethinking learning environments to make them health-promoting, as pointed out by
Orme [38], is challenging. However, we have to start somewhere; using the currently available
scenario and integrating mental health topics into the courses that are part of the curriculum
seems natural.</p>
      </sec>
    </sec>
    <sec id="sec-3">
      <title>3. Methodology</title>
      <p>This section explains the research design, the instruments and the data analysis used in our
study.</p>
      <sec id="sec-3-1">
        <title>3.1. Research Design: Quasi Experiment</title>
        <p>In order to answer our research question, we designed a one-month intervention as part of
a course titled “Digitalization in a Changing World” at the International Summer School for
Sustainability in Gothenburg, Sweden. It is a quasi experiment since participants were allowed
to choose which option of the intervention to participate in. The ethical review application for
the study2 was approved by the Swedish Ethical Review Authority.</p>
      </sec>
      <sec id="sec-3-2">
        <title>3.2. Participants: International Students</title>
        <p>The population the participants came from was the student cohort of the Digitalization course.
The 32 students included diferent education levels from first year Bachelor studies to final year
Master studies and came from all over the world, including Sweden, Germany, UK, Austria,
China, Japan, Thailand, South Africa, Russia, US, and Australia. All 32 candidates chose to sign
up for the study.</p>
      </sec>
      <sec id="sec-3-3">
        <title>3.3. Intervention: Well-being Practice &amp; Reflective Journaling</title>
        <p>The intervention consisted of daily at least 10-20 minutes of practicing one out of four
wellbeing modalities: meditation, yoga poses, breathwork, or nature walks. Due to the diferent
intensity levels of the practices, a shorter time frame of at least 10 minutes was recommended
for meditation and breathwork and a longer time frame of at least 20 minutes was recommended
for yoga poses and nature walks.</p>
        <p>Participants were encouraged to choose a modality they did not already regularly carry out
in order to be able to observe a potential efect over the course of a month of practice. For each
modality, instruction and guidance was provided in one joint live practice with all the group
together, as well as per audio and/or video guidance that the participants could watch or listen
to in their own time when then continued the chosen practice on their own. All participants
were encouraged to write a daily reflective journal entry on their feelings and thoughts brought
up by experiences in a given day.</p>
      </sec>
      <sec id="sec-3-4">
        <title>3.4. Data Collection</title>
        <p>Data was collected at the beginning and end of the summer school using a survey and individual
semi-structured interviews.
2in Swedish titled “En studie av efekter av välbefinnande övningar”
3.4.1. Survey
The survey is made up of five questionnaires that measure diferent areas of individuals. Below
there is the description of each questionnaire.</p>
        <p>Emotional Intelligence Intelligence has been studied for several years, mainly focused
on the adaptaive use of cognition. More encompassing approaches have been proposed in
recent years by theorist such as Gardner and Sternberg. Similarly, the publication of the
book “Emotional Intelligence” by Goleman in 1995 popularised the notion of considering the
experience and expression of emotions as a branch of intelligence [39].</p>
        <p>Schutte [39] developed the Self-report Emotional Intelligence Test (SSEIT) taking as a base
the revised Mayer and Salovey [40] model. The revised model covers four areas of emotional
intelligence: emotional facilitation of thinking; appraisal and expression of emotion; perception;
and understanding, analysing and employing reflective regulation of emotions and emotional
knowledge to further emotional and intellectual growth [40]. Mayer and Salovey gave more
emphasis in their model to the cognitive components of emotional intelligence, and at the same
time, they conceptualised emotional intelligence with respect to potential for intellectual and
emotional growth [40].</p>
        <p>The SSEIT is a 33 self-reported item scale using 1 (strongly disagree) to 5 (strongly agree)
Likert responses. The SSEIT items represent the following categories: utilization of emotions in
solving problems, regulation of emotion in the self and others and appraisal and expression of
emotion in the self and others.</p>
        <p>Resilience Scale The are several ways to define resilience, for the study in hand, we use the
definition by Herrman, understood as positive adaptation, or the ability to maintain or regain
mental health, despite experiencing adversity [41]. Similarly, there have been several version
of the resilience scale (RS). The first version had 25 items (RS-25), it evaluates the individual
resilience degree through five personal characteristics [ 42]. This version has been translated
to a diferent languages and it has been consistently reliable. The construction of a shorter
version was the results of refinement studies, the final version consists of 14 items taken from
the original version (RS-25) and was named 14-Item Resilience Scale (RS-14), this version has
presented reliable internal consistency and external validity. The RS-14 measures a single
construct of psychological resilience [43], all items are rated on a 7-point Likert scale.
Short Self-Regulation Questionnaire Brown defined self-regulation as “the capacity to
plan, guide, and monitor one’s behavior flexibly in the face of changing circumstances” [ 44] p.
162. To assess self-regulation the Self-Regulation Questionnaire (SRQ) was designed by Brown,
Miller, Lawendowski [45] in 1998, it contained 63 items. Later, based on this first questionnaire,
Carey, Neal, and Collins [46] developed a 31-item version by conducting an exploratory factor
analysis of the SRQ, named Short Self-Regulation Questionnaire (SSRQ). This last version is
a self report measure of the individuals’ ability to regulate behaviour to achieve goals. The
SSRQ is a 5-point Likert scale: 1 (Strongly Disagree), 2 (Somewhat Disagree), 3 (Neutral), 4
(Somewhat Agree), and 5 (Strongly Agree), participants indicate to what extent they agree with
the 31 items.</p>
        <p>Self-transcendence Scale The term self-transcendence talks about expanded awareness, as
well as, self-boundaries to dimensions greater than the self without devaluing the individual.
Reed [47] explain that the are diferent ways of expanding self-boundaries, upward (reaching
out a higher purpose or entity), inward (through finding meaning and self-acceptance), and
temporally (integrating one’s future and past into the present) [47]. There is considerable
evidence that self-transcendece plays a crucial role in mental health. For example, it has been
found that self-transcendence has a correlation or can be a predictor of decreased depression [47]
and resilience and purpose of life [48]. At the same time, self-transcendence enhance quality of
live or well-being in patients with serious illness [49].</p>
        <p>To measure self-transcendence the Self-Transcendence Scale (STS) was developed by Reed.
This scale has been adapted for use with adolescent, adult, and older adult individuals.
Participants are asked to answered each item as it reflects in their current life.</p>
        <p>Mystical Experience Questionnaire The operational definition of mystical experiences
was provided by Stace [50] in 1960. It refers to the experience of profound unity with all that
exists, transcendence of time and space, deeply felt positive mood, a sense of the experience
of truth and reality at a fundamental level (noetic quality), a felt sense of sacredness and the
dificulty to explain the experience in words [ 50].</p>
        <p>Diferent versions of the Mystical Experience Questionnaire (MEQ) were developed based
on the previous definition. The MEQ 43 is the most frecuently used; it contains 43 items. The
last developed version is the MEQ30 (30-item revised Mystical Experience Questionnaire). This
version contains four factors: transcendence of time and space, positive mood, inefability and
mystical. The MEQ30 is an instrument derived from MEQ43, psychometrically validated.
3.4.2. Interviews
We planned for brief exit interviews on the last day of the course. The choice was for only two
prompts with the intention to keep the space wide open for exploration in whichever direction
the participants wanted to share insights into their experience and the impact it had on them.</p>
        <p>The two prompts for the exit interviews were: (1) to reflect on their experience with the
well-being practice and what efects it had for them, and (2) to solicit feedback on what would
have made their experience and practice better and if they had suggestions for improvement.</p>
      </sec>
      <sec id="sec-3-5">
        <title>3.5. Data analysis</title>
        <p>For the survey data, first, we ran the Shapiro-Wilks test to check whether the population
distribution was normal. Subsequently, depending on the result of the Shapiro-Wilks test, we
used the Wilcoxon test or T-test.</p>
        <p>The qualitative data from the interviews were analysed using thematic analysis following
Braun and Clark guidelines [51].</p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>4. Results</title>
      <p>This section presents the results of the survey and the interviews divided in two subsections.
The first section contains the quantitative part and the second subsection the qualitative results
according to the data analysis methods.</p>
      <sec id="sec-4-1">
        <title>4.1. Quantitative results</title>
        <p>We started out with 32 participants, 25 of whom completed the submission of their exit survey
and therefore provide complete data points for the quantitative evaluation. Figure 1 shows the
box plots of the five scales that formed the survey. There is a diference between the entry and
exit surveys medians. The exit survey plots show an increment in all the scales. Nevertheless,
the results of the statistical tests were only in a few questions of each scale, excluding the
Resilience scale with no questions with significant changes. Table 1 lists the questions per scale
and their P value.</p>
        <p>The Emotional Intelligence test had the highest number of questions showing significant
diferences; questions 1, 2, 13, and 27 with p-values of 0.01881, 0.01614, 0.01972, and 0.008725,
respectively. This suggests that the participants’ level of emotional intelligence was related to
their responses to these specific questions. Self-Regulation Questionnaire followed with two
significant diferences in two questions. The study found significant changes in questions 13
and 21, with p-values of 0.04 and 0.0176, respectively. Similarly, on the Mystical Experience
Questionnaire, questions 13 and 15 had statistically significant p-values of 0.047 and 0.038,
respectively. Finally, the Resilience scale did not show any significant changes in any of the
questions.</p>
      </sec>
      <sec id="sec-4-2">
        <title>4.2. Qualitative results</title>
        <p>We conducted 8 exit interviews on the last day of the course. The interviews were just about
under ten minutes. In order to gain a deeper understanding of the impact of this program on
participants’ experiences, a thematic analysis was conducted on the data collected through
these participant interviews. Three themes emerged from the analysis: Mind-Body Connection,
Group Environment, and Journaling. These themes provide insight into how participants
experienced the program and highlight the key aspects that contributed to their overall sense
of well-being. The following sections provide a description of each theme and present relevant
quotes from participants to illustrate their experiences.</p>
        <p>Mind-Body Connection This theme relates to the experience of participants’ perceptions
of their bodies and minds after performing a well-being practice. Students expressed feeling
more connected, calmer, more focused and happier. Participants also commented on physical
changes, such as reduced pain, improved sleep, and changes in mood. One participant notes
that “a lot of the old pains I had in my shoulders and my back slowly started to become less
over time when I used to do it every day”. Comparably, another participant notes that “over
time, I felt more happy, more like a lot of changes in mood and emotions”.</p>
        <p>Group Environment Regarding the experience of practising these activities in a group
setting, participants find the group setting to be motivating and accepting. It contributes to
their overall enjoyment of the activities. One student commented, “it’s nice to have everyone
else doing the same thing as you. It makes it feel a lot more accepting. It’s more motivating”.
Another participant notes that “doing it in a group made it more motivating than maybe doing
it alone,” suggesting that there is a sense of community and support that comes with group
practices.</p>
        <p>Journaling This theme focuses on the experience of journaling and the benefits that come
with it, such as improved clarity in thinking and expression. Writing a journal as part of the
assignment had two opposite perceptions from the participants. On the one hand, participants
mentioned the challenge of maintaining a daily journaling practice and finding the time to do
it regularly. One student mentioned, “maybe rather than having to do every single day... I’m
doing it like twice or three times a week or like just more than I would if that helps”. Similarly,
another participant commented, “you can write about anything pretty much. So it becomes
kind of overwhelming. So you don’t really know what to write,” indicating that journaling can
be challenging to start.</p>
        <p>On the other hand, participants also noticed the benefits of this regular practice. One
participant noted that “it made me a little bit more tired for bed and therefore I did actually go
to sleep a lot easier”. Other comments were around having a memory for the future, so they
can re-read it and remember and reflect on the experience. Overall, participants found value in
the act of journaling as a tool for reflection and improved clarity of thought.</p>
      </sec>
    </sec>
    <sec id="sec-5">
      <title>5. Discussion</title>
      <p>The survey’s results show a slight change in every questionnaire and test applied. This outcome
is expected since the study lasted only four weeks. The students’ context also played a role.
They were in a foreign country exploring and wanting to have new experiences, as expressed
by several of them. Hence, several outside factors influenced the results, and it was impossible
to measure them.</p>
      <p>Regarding the qualitative data, interviewees commented on identifying changes after the
study. In general, they felt calmer and more focused, with positive mood changes and even
physical pain relief. Similarly, most participants mentioned their willingness to continue the
practice after the course.</p>
      <p>Another common aspect was that many students expressed that doing the practices with
others causes positive outcomes such as feeling accepted, feeling part of something bigger than
themselves and sharing something meaningful with their classmates. The positive impact of
participating in this type of group activities was also captured by the study previously carried
out by Penzenstadler et al. [52]. Some others commented that they would look for places to
continue the practice in a group. It is possible that the positive feelings of doing the practice in
a group and a safe space influenced participants’ decisions to continue the well-being practice
later.</p>
      <p>These findings are particularly relevant for motivating individuals to develop skills and engage
in practices that promote emotional intelligence, mystical experiences, self-transcendence, and
self-regulation. By understanding the specific items that are associated with these constructs,
individuals can focus on developing those areas and potentially experience greater benefits in
terms of their overall well-being.</p>
      <p>It is important to note that the intervention in this study was relatively short and may not
have been long enough to produce significant changes in the constructs being measured. This
suggests that longer interventions or repeated interventions may be necessary to see meaningful
changes.</p>
      <p>Furthermore, the context of the study may have influenced the results. As the students came
from abroad to participate in a summer school program, there may have been diferences in
their daily lives that could have impacted the outcomes of the study. This highlights the need
for future research to consider the potential impact of contextual factors on the measurement
of these constructs.</p>
    </sec>
    <sec id="sec-6">
      <title>6. Conclusion</title>
      <p>In conclusion, this 4-week intervention utilising yoga, breathwork, meditation, and nature
walks as well-being practices and collecting quantitative and qualitative data, aimed to highlight
the importance of integrating mental health into university syllabi. While the results were
non-significant due to several aspects, such as the short intervention period and the novelty
for students to be in a foreign country, it is clear that universities need to prioritise their
students’ mental health. The study highlights the potential of utilising these practices to
improve mental health and well-being in students and provides a basis for further research
in this area. Ultimately, universities should prioritise including mental health and well-being
practices in their syllabuses to provide students with the tools and resources necessary to
maintain good mental health throughout their academic careers and beyond.</p>
      <p>Future work is foreseen to implement a more extended intervention with regular students. In
addition, future studies could be conducted to investigate the potential impact of these practices
on diferent populations. For example, studies could be performed on university students from
various academic disciplines to determine whether the practices are efective across diferent
student populations.</p>
      <p>One crucial aspect for future interventions is incorporating participants’ feedback to ensure
the program is engaging and efective. From this first pilot, we collected important insights
from students that will help our future programmes. Overall, future research in this area has
the potential to provide valuable insights into the potential benefits of well-being practices for
promoting mental health and well-being, and may ultimately help to inform the development
of efective mental health interventions for a range of populations.</p>
    </sec>
    <sec id="sec-7">
      <title>Acknowledgments</title>
      <p>We thank Linda Erlenhov for help with the Swedish translation of the ethical review application.
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