is publication a research paper

• PRO Courses Guides New Tech Help Pro Expert Videos About wikiHow Pro Upgrade Sign In
• EDIT Edit this Article
• EXPLORE Tech Help Pro About Us Random Article Quizzes Request a New Article Community Dashboard This Or That Game Popular Categories Arts and Entertainment Artwork Books Movies Computers and Electronics Computers Phone Skills Technology Hacks Health Men's Health Mental Health Women's Health Relationships Dating Love Relationship Issues Hobbies and Crafts Crafts Drawing Games Education & Communication Communication Skills Personal Development Studying Personal Care and Style Fashion Hair Care Personal Hygiene Youth Personal Care School Stuff Dating All Categories Arts and Entertainment Finance and Business Home and Garden Relationship Quizzes Cars & Other Vehicles Food and Entertaining Personal Care and Style Sports and Fitness Computers and Electronics Health Pets and Animals Travel Education & Communication Hobbies and Crafts Philosophy and Religion Work World Family Life Holidays and Traditions Relationships Youth
• Browse Articles
• Learn Something New
• Quizzes Hot
• This Or That Game New
• Train Your Brain
• Explore More
• Support wikiHow
• About wikiHow
• Log in / Sign up
• Education and Communications
• College University and Postgraduate
• Academic Writing
• Research Papers

How to Write and Publish Your Research in a Journal

Last Updated: February 26, 2024 Fact Checked

Choosing a Journal

Writing the research paper, editing & revising your paper, submitting your paper, navigating the peer review process, research paper help.

This article was co-authored by Matthew Snipp, PhD and by wikiHow staff writer, Cheyenne Main . C. Matthew Snipp is the Burnet C. and Mildred Finley Wohlford Professor of Humanities and Sciences in the Department of Sociology at Stanford University. He is also the Director for the Institute for Research in the Social Science’s Secure Data Center. He has been a Research Fellow at the U.S. Bureau of the Census and a Fellow at the Center for Advanced Study in the Behavioral Sciences. He has published 3 books and over 70 articles and book chapters on demography, economic development, poverty and unemployment. He is also currently serving on the National Institute of Child Health and Development’s Population Science Subcommittee. He holds a Ph.D. in Sociology from the University of Wisconsin—Madison. There are 13 references cited in this article, which can be found at the bottom of the page. This article has been fact-checked, ensuring the accuracy of any cited facts and confirming the authority of its sources. This article has been viewed 696,661 times.

Publishing a research paper in a peer-reviewed journal allows you to network with other scholars, get your name and work into circulation, and further refine your ideas and research. Before submitting your paper, make sure it reflects all the work you’ve done and have several people read over it and make comments. Keep reading to learn how you can choose a journal, prepare your work for publication, submit it, and revise it after you get a response back.

Things You Should Know

• Create a list of journals you’d like to publish your work in and choose one that best aligns with your topic and your desired audience.
• Prepare your manuscript using the journal’s requirements and ask at least 2 professors or supervisors to review your paper.
• Write a cover letter that “sells” your manuscript, says how your research adds to your field and explains why you chose the specific journal you’re submitting to.

• Ask your professors or supervisors for well-respected journals that they’ve had good experiences publishing with and that they read regularly.
• Many journals also only accept specific formats, so by choosing a journal before you start, you can write your article to their specifications and increase your chances of being accepted.
• If you’ve already written a paper you’d like to publish, consider whether your research directly relates to a hot topic or area of research in the journals you’re looking into.

• Review the journal’s peer review policies and submission process to see if you’re comfortable creating or adjusting your work according to their standards.
• Open-access journals can increase your readership because anyone can access them.

• Scientific research papers: Instead of a “thesis,” you might write a “research objective” instead. This is where you state the purpose of your research.
• “This paper explores how George Washington’s experiences as a young officer may have shaped his views during difficult circumstances as a commanding officer.”
• “This paper contends that George Washington’s experiences as a young officer on the 1750s Pennsylvania frontier directly impacted his relationship with his Continental Army troops during the harsh winter at Valley Forge.”

• Scientific research papers: Include a “materials and methods” section with the step-by-step process you followed and the materials you used. [5] X Research source
• Read other research papers in your field to see how they’re written. Their format, writing style, subject matter, and vocabulary can help guide your own paper. [6] X Research source

• If you’re writing about George Washington’s experiences as a young officer, you might emphasize how this research changes our perspective of the first president of the U.S.
• Link this section to your thesis or research objective.
• If you’re writing a paper about ADHD, you might discuss other applications for your research.

• Scientific research papers: You might include your research and/or analytical methods, your main findings or results, and the significance or implications of your research.
• Try to get as many people as you can to read over your abstract and provide feedback before you submit your paper to a journal.

• They might also provide templates to help you structure your manuscript according to their specific guidelines. [11] X Research source

• Not all journal reviewers will be experts on your specific topic, so a non-expert “outsider’s perspective” can be valuable.

• If you have a paper on the purification of wastewater with fungi, you might use both the words “fungi” and “mushrooms.”
• Use software like iThenticate, Turnitin, or PlagScan to check for similarities between the submitted article and published material available online. [15] X Research source

• Header: Address the editor who will be reviewing your manuscript by their name, include the date of submission, and the journal you are submitting to.
• First paragraph: Include the title of your manuscript, the type of paper it is (like review, research, or case study), and the research question you wanted to answer and why.
• Second paragraph: Explain what was done in your research, your main findings, and why they are significant to your field.
• Third paragraph: Explain why the journal’s readers would be interested in your work and why your results are important to your field.
• Conclusion: State the author(s) and any journal requirements that your work complies with (like ethical standards”).
• “We confirm that this manuscript has not been published elsewhere and is not under consideration by another journal.”
• “All authors have approved the manuscript and agree with its submission to [insert the name of the target journal].”

• Submit your article to only one journal at a time.
• When submitting online, use your university email account. This connects you with a scholarly institution, which can add credibility to your work.

• Accept: Only minor adjustments are needed, based on the provided feedback by the reviewers. A first submission will rarely be accepted without any changes needed.
• Revise and Resubmit: Changes are needed before publication can be considered, but the journal is still very interested in your work.
• Reject and Resubmit: Extensive revisions are needed. Your work may not be acceptable for this journal, but they might also accept it if significant changes are made.
• Reject: The paper isn’t and won’t be suitable for this publication, but that doesn’t mean it might not work for another journal.

• Try organizing the reviewer comments by how easy it is to address them. That way, you can break your revisions down into more manageable parts.
• If you disagree with a comment made by a reviewer, try to provide an evidence-based explanation when you resubmit your paper.

• If you’re resubmitting your paper to the same journal, include a point-by-point response paper that talks about how you addressed all of the reviewers’ comments in your revision. [22] X Research source
• If you’re not sure which journal to submit to next, you might be able to ask the journal editor which publications they recommend.

Expert Q&A

You might also like.

• If reviewers suspect that your submitted manuscript plagiarizes another work, they may refer to a Committee on Publication Ethics (COPE) flowchart to see how to move forward. [23] X Research source Thanks Helpful 0 Not Helpful 0

• ↑ https://www.wiley.com/en-us/network/publishing/research-publishing/choosing-a-journal/6-steps-to-choosing-the-right-journal-for-your-research-infographic
• ↑ https://link.springer.com/article/10.1007/s13187-020-01751-z
• ↑ https://libguides.unomaha.edu/c.php?g=100510&p=651627
• ↑ http://www.canberra.edu.au/library/start-your-research/research_help/publishing-research
• ↑ https://writingcenter.fas.harvard.edu/conclusions
• ↑ https://writing.wisc.edu/handbook/assignments/writing-an-abstract-for-your-research-paper/
• ↑ https://www.springer.com/gp/authors-editors/book-authors-editors/your-publication-journey/manuscript-preparation
• ↑ https://apus.libanswers.com/writing/faq/2391
• ↑ https://academicguides.waldenu.edu/library/keyword/search-strategy
• ↑ https://ifis.libguides.com/journal-publishing-guide/submitting-your-paper
• ↑ https://www.springer.com/kr/authors-editors/authorandreviewertutorials/submitting-to-a-journal-and-peer-review/cover-letters/10285574
• ↑ http://www.apa.org/monitor/sep02/publish.aspx
• ↑ Matthew Snipp, PhD. Research Fellow, U.S. Bureau of the Census. Expert Interview. 26 March 2020.

About This Article

To publish a research paper, ask a colleague or professor to review your paper and give you feedback. Once you've revised your work, familiarize yourself with different academic journals so that you can choose the publication that best suits your paper. Make sure to look at the "Author's Guide" so you can format your paper according to the guidelines for that publication. Then, submit your paper and don't get discouraged if it is not accepted right away. You may need to revise your paper and try again. To learn about the different responses you might get from journals, see our reviewer's explanation below. Did this summary help you? Yes No

• Send fan mail to authors

Reader Success Stories

RAMDEV GOHIL

Oct 16, 2017

Did this article help you?

David Okandeji

Oct 23, 2019

Revati Joshi

Feb 13, 2017

Shahzad Khan

Jul 1, 2017

Apr 7, 2017

Featured Articles

Trending Articles

Watch Articles

• Terms of Use
• Privacy Policy
• Do Not Sell or Share My Info
• Not Selling Info

Don’t miss out! Sign up for

wikiHow’s newsletter

Editorial Manager, our manuscript submissions site will be unavailable between 12pm April 5, 2024 and 12pm April 8 2024 (Pacific Standard Time). We apologize for any inconvenience this may cause.

When you choose to publish with PLOS, your research makes an impact. Make your work accessible to all, without restrictions, and accelerate scientific discovery with options like preprints and published peer review that make your work more Open.

• PLOS Biology
• PLOS Climate
• PLOS Complex Systems
• PLOS Computational Biology
• PLOS Digital Health
• PLOS Genetics
• PLOS Global Public Health
• PLOS Medicine
• PLOS Mental Health
• PLOS Neglected Tropical Diseases
• PLOS Pathogens
• PLOS Sustainability and Transformation
• PLOS Collections

Understanding the Publishing Process

What’s happening with my paper? The publication process explained

The path to publication can be unsettling when you’re unsure what’s happening with your paper. Learn about staple journal workflows to see the detailed steps required for ensuring a rigorous and ethical publication.

Your team has prepared the paper, written a cover letter and completed the submission form. From here, it can sometimes feel like a waiting game while the journal has your paper.  It can be unclear exactly who is currently handling your paper as most individuals are only involved in a few steps of the overall process. Journals are responsible for overseeing the peer review, publication and archival process: editors, reviewers, technical editors, production staff and other internal staff all have their roles in ensuring submissions meet rigorous scientific and ethical reporting standards. 

Read on for an inside look at how a conventional peer-reviewed journal helps authors transform their initial submission to a certified publication. 

Note that the description below is based on the process at PLOS journals. It is likely that at other journals, various roles (e.g. technical editor) may in fact also be played by the editor, and some journals may not have journal staff at all, with all roles played by volunteer academics. As such, please consider the processes and waypoints, rather than who performs them, as the key information.

Internal Checks on New Submissions

Estimated time: 10 days.

When a journal first receives your submission, there are typically two separate checks to confirm that the paper is appropriate and ready for peer review:

• Technical check.   Performed by a technical editor to ensure that the submission has been properly completed and is ready for further assessment. Blurry figures, missing ethical statements, and incomplete author affiliations are common issues that are addressed at this initial stage. Typically, there are three technical checks: upon initial submission, alongside the first decision letter, and upon acceptance. 
• Editorial screening . Once a paper passes the first check, an editor with subject expertise assesses the paper and determines whether it is within the journal’s scope and if it could potentially meet the required publication criteria. While there may be requests for further information and minor edits from the author as needed, the paper will either be desk rejected by the editor or allowed to proceed to peer review. 

Both editors at this point will additionally make notes for items to be followed-up on at later stages. The publication process involves finding a careful balance for when each check occurs. Early checks need to be thorough so that editors with relevant expertise can focus on the scientific content and more advanced reporting standards, but no one wants to be asked to reformat references only to have their paper desk rejected a few days later. 

Peer Review

Estimated time: 1 month.

Depending on the journal’s editorial structure, the editor who performed the initial assessment may also oversee peer review or another editor with more specific expertise may be assigned.  Regardless of the journal’s specific process, the various roles and responsibilities during peer review include:  

When you have questions or are unsure who your manuscripts is currently with, reach out to the journal staff for help (eg. [email protected]). They will be your lifeline, connecting you to all the other contributors working to assess the manuscript. 

Whether an editor needs a reminder that all reviews are complete or a reviewer has asked for an extension, the journal acts as a central hub of communication for those involved with the publication process. As editors and reviewers are used to hearing from journal staff about their duties, any messages you send to the journal can be forwarded to them with proper context and instructions on how to proceed appropriately. Additionally, journal staff will be able to inform you of any delays, such as reviewer availability during summer and holiday periods. 

Revision Decision

Estimated time: 1 day.

Editors evaluate peer reviewer feedback and their own expert assessment of the manuscript to reach a decision. After your editor submits a decision on your manuscript, the journal may review it before formally processing the decision and sending it on to you. 

A technical editor may scan the manuscript and the review comments to ensure that journal standards have been followed. At this stage, the technical editor will also add requests to ensure the paper, if published, will adhere to journal requirements for data sharing, copyright, ethical reporting and the like. 

Performing the second technical check at this stage and adding the journal requirements to the decision letter ultimately saves time by allowing authors to resolve the journal’s queries while making revisions based on comments from the reviewers. 

Revised Submission Received

Estimated time: 3 days.

Upon receiving your revised submission, a technical editor will assess the revisions to confirm that the requests from the journal have been properly addressed. Before the paper is returned to the editor for their consideration, the journal needs to be confident that the paper won’t have any issues related to the metadata and reporting standards that could prevent publication. The editor may contact you to resolve any serious issues, though minor items can wait until the paper is accepted.

Subsequent Peer Review

Estimated time: 2 weeks, highly variable.

When your resubmitted paper has passed the required checks, it’ll be assigned back to the same editor who handled it during the first round of peer review. At this point, your paper has gone through two sets of journal checks and one round of peer review. If all has gone well so far, the paper should feel quite solid both in terms of scientific content and proper reporting standards. 

When the editor receives your revised paper, they are asked to check if all reviewer comments have been adequately addressed and if the paper now adheres to the journal’s publication criteria. Depending on the situation, some editors may feel confident making this decision based on their own expertise while others may re-invite the previous reviewers for their opinions. 

Individual responsibilities are the same as the initial round of peer review, but it is generally expected that later stages of peer review proceed quicker unless new concerns have been introduced as part of the revision. 

Preliminary Acceptance

Estimated time: 1 week.

Your editor is satisfied with the scientific quality of your work and has chosen to accept it in principle. Before it can proceed to production and typesetting, the journal office will perform it’s third and final technical check, requesting any formatting changes or additional details that may be required. 

When fulfilling these final journal requests, double check the final files to confirm all information is correct. If you need to make changes beyond those specifically required in the decision letter, inform the journal and explain why you made the unrequested changes. Any change that could affect the scientific meaning of the work will need to be approved by the handling editor. While including your rationale for the changes will help avoid delays, if there are extensive changes made at this point the paper may need to go through another round of formal review.

Formal Acceptance and Publication

Estimated time: 2 weeks.

After a technical editor has confirmed that all requests from the provisional acceptance letter have been addressed, you will receive your formal acceptance letter. This letter indicates that your paper is being passed from the Editorial department to the production department—that all information has been editorially approved. The scientific content has been approved through peer review, and the journal’s publication requirements have been met. 

Congratulations to you and your co-authors! Your article will be available as soon as the journal transforms the submission into a typeset, consistently structured scientific manuscript, ready to be read and cited by your peers.

The contents of the Peer Review Center are also available as a live, interactive training session, complete with slides, talking points, and activities. …

The contents of the Writing Center are also available as a live, interactive training session, complete with slides, talking points, and activities. …

There’s a lot to consider when deciding where to submit your work. Learn how to choose a journal that will help your study reach its audience, while reflecting your values as a researcher…

You are using an outdated browser . Please upgrade your browser today !

How to Write and Publish a Research Paper in 7 Steps

What comes next after you're done with your research? Publishing the results in a journal of course! We tell you how to present your work in the best way possible.

This post is part of a series, which serves to provide hands-on information and resources for authors and editors.

Things have gotten busy in scholarly publishing: These days, a new article gets published in the 50,000 most important peer-reviewed journals every few seconds, while each one takes on average 40 minutes to read. Hundreds of thousands of papers reach the desks of editors and reviewers worldwide each year and 50% of all submissions end up rejected at some stage.

In a nutshell: there is a lot of competition, and the people who decide upon the fate of your manuscript are short on time and overworked. But there are ways to make their lives a little easier and improve your own chances of getting your work published!

Well, it may seem obvious, but before submitting an academic paper, always make sure that it is an excellent reflection of the research you have done and that you present it in the most professional way possible. Incomplete or poorly presented manuscripts can create a great deal of frustration and annoyance for editors who probably won’t even bother wasting the time of the reviewers!

This post will discuss 7 steps to the successful publication of your research paper:

• Check whether your research is publication-ready
• Choose an article type
• Choose a journal
• Construct your paper
• Decide the order of authors
• Check and double-check
• Submit your paper

1. Check Whether Your Research Is Publication-Ready

Should you publish your research at all?

If your work holds academic value – of course – a well-written scholarly article could open doors to your research community. However, if you are not yet sure, whether your research is ready for publication, here are some key questions to ask yourself depending on your field of expertise:

• Have you done or found something new and interesting? Something unique?
• Is the work directly related to a current hot topic?
• Have you checked the latest results or research in the field?
• Have you provided solutions to any difficult problems?
• Have the findings been verified?
• Have the appropriate controls been performed if required?
• Are your findings comprehensive?

If the answers to all relevant questions are “yes”, you need to prepare a good, strong manuscript. Remember, a research paper is only useful if it is clearly understood, reproducible and if it is read and used .

2. Choose An Article Type

The first step is to determine which type of paper is most appropriate for your work and what you want to achieve. The following list contains the most important, usually peer-reviewed article types in the natural sciences:

Full original research papers disseminate completed research findings. On average this type of paper is 8-10 pages long, contains five figures, and 25-30 references. Full original research papers are an important part of the process when developing your career.

Review papers present a critical synthesis of a specific research topic. These papers are usually much longer than original papers and will contain numerous references. More often than not, they will be commissioned by journal editors. Reviews present an excellent way to solidify your research career.

Letters, Rapid or Short Communications are often published for the quick and early communication of significant and original advances. They are much shorter than full articles and usually limited in length by the journal. Journals specifically dedicated to short communications or letters are also published in some fields. In these the authors can present short preliminary findings before developing a full-length paper.

3. Choose a Journal

Are you looking for the right place to publish your paper? Find out here whether a De Gruyter journal might be the right fit.

Submit to journals that you already read, that you have a good feel for. If you do so, you will have a better appreciation of both its culture and the requirements of the editors and reviewers.

Other factors to consider are:

• The specific subject area
• The aims and scope of the journal
• The type of manuscript you have written
• The significance of your work
• The reputation of the journal
• The reputation of the editors within the community
• The editorial/review and production speeds of the journal
• The community served by the journal
• The coverage and distribution
• The accessibility ( open access vs. closed access)

4. Construct Your Paper

Each element of a paper has its purpose, so you should make these sections easy to index and search.

Don’t forget that requirements can differ highly per publication, so always make sure to apply a journal’s specific instructions – or guide – for authors to your manuscript, even to the first draft (text layout, paper citation, nomenclature, figures and table, etc.) It will save you time, and the editor’s.

Also, even in these days of Internet-based publishing, space is still at a premium, so be as concise as possible. As a good journalist would say: “Never use three words when one will do!”

Let’s look at the typical structure of a full research paper, but bear in mind certain subject disciplines may have their own specific requirements so check the instructions for authors on the journal’s home page.

4.1 The Title

It’s important to use the title to tell the reader what your paper is all about! You want to attract their attention, a bit like a newspaper headline does. Be specific and to the point. Keep it informative and concise, and avoid jargon and abbreviations (unless they are universally recognized like DNA, for example).

4.2 The Abstract

This could be termed as the “advertisement” for your article. Make it interesting and easily understood without the reader having to read the whole article. Be accurate and specific, and keep it as brief and concise as possible. Some journals (particularly in the medical fields) will ask you to structure the abstract in distinct, labeled sections, which makes it even more accessible.

A clear abstract will influence whether or not your work is considered and whether an editor should invest more time on it or send it for review.

4.3 Keywords

Keywords are used by abstracting and indexing services, such as PubMed and Web of Science. They are the labels of your manuscript, which make it “searchable” online by other researchers.

Include words or phrases (usually 4-8) that are closely related to your topic but not “too niche” for anyone to find them. Make sure to only use established abbreviations. Think about what scientific terms and its variations your potential readers are likely to use and search for. You can also do a test run of your selected keywords in one of the common academic search engines. Do similar articles to your own appear? Yes? Then that’s a good sign.

4.4 Introduction

This first part of the main text should introduce the problem, as well as any existing solutions you are aware of and the main limitations. Also, state what you hope to achieve with your research.

Do not confuse the introduction with the results, discussion or conclusion.

4.5 Methods

Every research article should include a detailed Methods section (also referred to as “Materials and Methods”) to provide the reader with enough information to be able to judge whether the study is valid and reproducible.

Include detailed information so that a knowledgeable reader can reproduce the experiment. However, use references and supplementary materials to indicate previously published procedures.

4.6 Results

In this section, you will present the essential or primary results of your study. To display them in a comprehensible way, you should use subheadings as well as illustrations such as figures, graphs, tables and photos, as appropriate.

4.7 Discussion

Here you should tell your readers what the results mean .

Do state how the results relate to the study’s aims and hypotheses and how the findings relate to those of other studies. Explain all possible interpretations of your findings and the study’s limitations.

Do not make “grand statements” that are not supported by the data. Also, do not introduce any new results or terms. Moreover, do not ignore work that conflicts or disagrees with your findings. Instead …

Be brave! Address conflicting study results and convince the reader you are the one who is correct.

4.8 Conclusion

Your conclusion isn’t just a summary of what you’ve already written. It should take your paper one step further and answer any unresolved questions.

Sum up what you have shown in your study and indicate possible applications and extensions. The main question your conclusion should answer is: What do my results mean for the research field and my community?

4.9 Acknowledgments and Ethical Statements

It is extremely important to acknowledge anyone who has helped you with your paper, including researchers who supplied materials or reagents (e.g. vectors or antibodies); and anyone who helped with the writing or English, or offered critical comments about the content.

Learn more about academic integrity in our blog post “Scholarly Publication Ethics: 4 Common Mistakes You Want To Avoid” .

Remember to state why people have been acknowledged and ask their permission . Ensure that you acknowledge sources of funding, including any grant or reference numbers.

Furthermore, if you have worked with animals or humans, you need to include information about the ethical approval of your study and, if applicable, whether informed consent was given. Also, state whether you have any competing interests regarding the study (e.g. because of financial or personal relationships.)

4.10 References

The end is in sight, but don’t relax just yet!

De facto, there are often more mistakes in the references than in any other part of the manuscript. It is also one of the most annoying and time-consuming problems for editors.

Remember to cite the main scientific publications on which your work is based. But do not inflate the manuscript with too many references. Avoid excessive – and especially unnecessary – self-citations. Also, avoid excessive citations of publications from the same institute or region.

5. Decide the Order of Authors

In the sciences, the most common way to order the names of the authors is by relative contribution.

Generally, the first author conducts and/or supervises the data analysis and the proper presentation and interpretation of the results. They put the paper together and usually submit the paper to the journal.

Co-authors make intellectual contributions to the data analysis and contribute to data interpretation. They review each paper draft. All of them must be able to present the paper and its results, as well as to defend the implications and discuss study limitations.

Do not leave out authors who should be included or add “gift authors”, i.e. authors who did not contribute significantly.

6. Check and Double-Check

As a final step before submission, ask colleagues to read your work and be constructively critical .

Make sure that the paper is appropriate for the journal – take a last look at their aims and scope. Check if all of the requirements in the instructions for authors are met.

Ensure that the cited literature is balanced. Are the aims, purpose and significance of the results clear?

Conduct a final check for language, either by a native English speaker or an editing service.

7. Submit Your Paper

When you and your co-authors have double-, triple-, quadruple-checked the manuscript: submit it via e-mail or online submission system. Along with your manuscript, submit a cover letter, which highlights the reasons why your paper would appeal to the journal and which ensures that you have received approval of all authors for submission.

It is up to the editors and the peer-reviewers now to provide you with their (ideally constructive and helpful) comments and feedback. Time to take a breather!

If the paper gets rejected, do not despair – it happens to literally everybody. If the journal suggests major or minor revisions, take the chance to provide a thorough response and make improvements as you see fit. If the paper gets accepted, congrats!

It’s now time to get writing and share your hard work – good luck!

If you are interested, check out this related blog post

[Title Image by Nick Morrison via Unsplash]

David Sleeman

David Sleeman worked as Senior Journals Manager in the field of Physical Sciences at De Gruyter.

You might also be interested in

Academia & Publishing

Wie steht es um das wissenschaftliche Erbe der DDR? Eine Podiumsdiskussion

Die leipziger buchmesse in der ddr: ein interview mit patricia f. blume, wissenschaftspodcasts: ein blick hinter die kulissen mit nadine kreuzahler, visit our shop.

De Gruyter publishes over 1,300 new book titles each year and more than 750 journals in the humanities, social sciences, medicine, mathematics, engineering, computer sciences, natural sciences, and law.

Pin It on Pinterest

An official website of the United States government

The .gov means it’s official. Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

The site is secure. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

• Publications
• Account settings

Preview improvements coming to the PMC website in October 2024. Learn More or Try it out now .

• Advanced Search
• Journal List
• J Hum Reprod Sci
• v.10(1); Jan-Mar 2017

Preparing and Publishing a Scientific Manuscript

Padma r. jirge.

Department of Reproductive Medicine, Sushrut Assisted Conception Clinic Shreyas Hospital, Kolhapur, Maharashtra, India

Publishing original research in a peer-reviewed and indexed journal is an important milestone for a scientist or a clinician. It is an important parameter to assess academic achievements. However, technical and language barriers may prevent many enthusiasts from ever publishing. This review highlights the important preparatory steps for creating a good manuscript and the most widely used IMRaD (Introduction, Materials and Methods, Results, and Discussion) method for writing a good manuscript. It also provides a brief overview of the submission and review process of a manuscript for publishing in a biomedical journal.

B ACKGROUND

T he publication of original research in a peer-reviewed and indexed journal is the ultimate and most important step toward the recognition of any scientific work. However, the process starts long before the write-up of a manuscript. The journal in which the author wishes to publish his/her work should be chosen at the time of conceptualization of the scientific work based on the expected readership.

The journals do provide information on the “scope of the journal,” which specifies the scientific areas relevant for publication in the journal, and “instructions to authors,” which need to be adhered to while preparing a manuscript.

The publication of scientific work has become mandatory for scientists or specialists holding academic affiliations, and it is now desirable even at an undergraduate level. Despite a plethora of forums for presenting the original research work, very little of it ever gets published in a scientific journal, and even if it does, the manuscripts are usually from the same few institutions.[ 1 , 2 ] It serves the purpose of academic recognition; and certain publications may even contribute to shaping various national policies. An academic appointment, suitable infrastructure, and access to peer-reviewed journals are considered as the facilitators for publishing.[ 3 ]

The lack of technical and writing skills, institutional hurdles, and time constraints are considered as the major hurdles for any scientific publication.[ 3 ] In addition, the majority of clinicians in India are involved in providing healthcare in the private sector in individually owned hospitals or those governed by small groups of doctors. This necessitates performing a multitude of tasks apart from providing core clinical care and, hence, poses an additional limiting factor because of the long and irregular working hours.

It is extremely challenging to dedicate some time for research and writing in such a scenario. However, it is a loss to science if this group of skilled clinicians does not contribute to medical literature.

Maintaining the ethics and science of research and understanding the norms of preparing a manuscript are very important in improving the quality and relevance of clinical research in our country. This article brings together various aspects to be borne in mind while creating a manuscript suitable for publication. The inputs provided are relevant to all those interested, irrespective of whether they have an academic or institutional affiliation. While the prospect of becoming an author of a published scientific work is exciting, it is important to be prepared for minor or major revisions in the original article and even rejection. However, persevering in this endeavor may help preserving one’s work and contribute to the promotion of science.[ 4 , 5 ]

Important considerations for writing a manuscript include the following:

• (1) Conceptualization of a clinically relevant scientific work.
• (2) Choosing an appropriate journal and an alternative one.
• (3) Familiarizing with instructions to authors.
• (4) Coordination and well-defined task delegation within the team and involvement of a biostatistician from the conception of the study.
• (5) Preparing a skeletal framework for writing the manuscript.
• (6) Delegating time for thinking and writing at regular intervals.

S TEPS I NVOLVED IN M ANUSCRIPT P REPARATION

A manuscript should both be informative and readable. Even though the concept is clear in the authors’ mind, it is important to remember that they are introducing some new work for the readers, and, hence, appropriate organization of the manuscript is necessary to make the purpose and importance of the work clear to the readers.

• (1) Choosing the appropriate journal for publication : The preferred choice of journal should be one of the first steps to be considered, as mentioned earlier. The guidelines for authors may change with time and, hence, should be referred to at regular intervals and conformed to. The choice of journal principally depends on the target readers, and it may be necessary to have one or more journals in mind in case of nonacceptance from the journal of first choice. A journal’s impact factor is to be considered while choosing an appropriate journal.

Majority of the biomedical journals with good impact factor have specific authorship criteria.[ 8 ] This prevents problems related to ghost authorship and honorary authorship. Ghost authorship refers to a scenario wherein an author’s name is omitted to hide financial relationships with private companies; honorary authorship is naming someone who has not made substantial contribution to the work, either due to pressure from colleagues or to improve the chances of publication.[ 9 ]

Most of the journals conform to the authorship criteria defined by the International Committee of Medical Journal Editors.[ 10 ] They are listed as the following:

Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; ANDDrafting the work or revising it critically for important intellectual content; ANDFinal approval of the version to be published; ANDAgreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Some journals require authors to declare their contributions to the research work and manuscript preparation. This helps to prevent honorary and ghost authorship and encourages authors to be more honest and accountable.[ 11 ]

Keywords : are mentioned at the bottom of the Abstract section. These words denote the important aspects of the manuscript and help identify the manuscripts by electronic search engines. Most of the journals specify the number of keywords required, usually between 4 and 8. They need to be simple and specific to the manuscript; a good title contains majority of the keywords.

The general flow of the manuscript follows an IMRaD (Introduction, Materials and Methods, Results, and Discussion) structure. Even though this has been recommended since the early 20 th century, most of the authors started following it since the 1970s.[ 13 ]

Important components of the Introduction section

A common error while writing an introduction is an attempt to review the entire evidence available on the topic. This becomes confusing to the reader, and the purpose and importance of the study in question gets submerged in the plethora of information provided. Issues mentioned in the Introduction section will need to be addressed in the Discussion section, and it is important to avoid repetitions and overlapping. Some may prefer to write the Introduction section after preparing the draft of the Materials and Methods and Results sections.

The last paragraph in the Introduction section defines the aim of the study or the study question using active verbs. If there is more than one aim for the study, specify the primary aim and address the secondary aims in a separate sentence. It is recommended that the Introduction section should not occupy more than 10–15% of the entire text.[ 14 ]

This is followed by a detailed description of the study protocol. At times, some of the methods used may be very elaborate and not very relevant to majority of the readers, for example, if polymerase chain reaction (PCR) is used for diagnosis, the type of PCR performed should be mentioned in this section, but the entire procedure need not be elaborated in the “methods” section. Either a relevant reference can be provided or the procedural details can be given online as supplemental data.

It is important to mention both the generic and brand names of all the drugs used along with the name of the manufacturer and the place of manufacturing. Similarly, all the hematological, biochemical, hormonal assays, and radiological investigations performed should provide the specifications of the equipment used and its manufacturer’s details. For many biochemical and endocrine parameters, it is preferred that the intra- and interassay coefficients of variation are provided. In addition, the standard units of measurements and the internationally accepted abbreviations should be used.[ 18 ]

There are online guidelines available to maintain uniformity in reporting the different types of studies such as Consolidated Standards of Reporting Trials (CONSORT) for randomized controlled trials, Strengthening the Reporting of Observational studies in Epidemiology (STROBE) for observational studies, and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) for systematic reviews.[ 19 ] Adherence to these guidelines improves the clarity and completeness of reporting.

Statistical analysis : One of the most important deterrents for publishing clinical research is the inability to choose and perform appropriate statistical analysis. With the availability of various user-friendly software systems, an increasing number of the researchers are comfortable performing complex analyses without additional assistance. However, it is still a common practice to involve biostatisticians for this purpose. Coordination between the clinicians and biostatisticians is very important for sample size calculation, creation of a proper data set, and its subsequent analysis. It is important to use the appropriate statistical methodologies for a more complete representation of the data to improve the quality of a manuscript.[ 20 ] It may be helpful to refer to a recent review of the most widely used statistical analyses and their application in clinical research for a better data presentation.[ 20 ] There is some evidence that structured training involving data analysis, manuscript writing, and submission to indexed journals improves the quality of submitted manuscripts even in a low-resource setting.[ 21 ] Short, online certificate courses on biostatistics are available free of cost from many universities across the globe. The important aspects regarding the Materials and Methods section are summarized in Table 2 .

Important components of the Materials and Methods section

The results of the study are summarized in the form of tables and figures. Journals may have limitations on the number of figures and tables, as well as the rows and columns in tables. The text should only highlight the findings recorded in the tables and figures and should not repeat every detail.[ 16 ] Primary analysis should be presented in a separate paragraph. Any secondary analysis performed in view of the results seen in the primary analysis should be mentioned separately [ Table 3 ].

Important components of the Results section

When comparing two groups, it is a good practice to mention the data pertaining to the study group followed by that of the control group and to maintain the same order throughout the section. No adjectives should be used while comparing, except for the statistical significance of the findings. The Results section is written in the past tense, and the numerical values should be presented with a maximum of one decimal place.

Statistical significance as shown by P-value, if accompanied by odds ratio and 95% confidence interval gives important information of direction and size of treatment effect. The measures of central tendencies should be followed by the appropriate measures of variability (mean and standard deviation; median and interquartile range). Relative measures should be accompanied by absolute values (percentage and actual value).[ 22 ] The interpretation of results solely based on bar diagrams or line graphs could be misleading, and a more complete data may be presented in the form of box plots or scatter plots.[ 20 ]

The strengths and weaknesses of the study should be discussed in a separate paragraph. This makes way for implications for clinical practice and future research.[ 16 , 23 ]

The section ends with a conclusion of not more than one to two sentences. The Conclusion section summarizes the study findings in the context of evidence in the field. The important components of the Discussion section are summarized in Table 4 [ Figure 1 ].

Important components of the Discussion section

The hourglass structure of the Introduction and Discussion sections

A referencing tool such as EndNote™ may be used to store and organize the references. The references at the end of the manuscript need to be listed in a manner specified by the journal. The common styles used are Vancouver, Harvard, APA, etc.[ 24 ] Despite continued efforts, standardization to one global format has not yet become a reality.[ 25 ]

It is important to understand the evidence in the referenced articles to write meaningful Introduction and Discussion sections. Online search engines such as Pubmed, Medline, and Scopus are some of the sources that provide abstracts from indexed journals. However, a full-text article may not always be available unless one has subscription for the journals. Those with institutional attachments, authors, and even the research division of pharmaceutical companies may be unconventional but helpful sources for procuring full-text articles. Individual articles can be purchased from certain journals as well.

• (9) Acknowledgements : This section follows the Conclusion section. People who have helped in various aspects of the concerned research work, statistical analysis, or manuscript preparation, but do not qualify to be authors for the study, are acknowledged, preferably with their academic affiliations.[ 26 ]

The aforementioned section provides the general guidelines for preparing a good manuscript. However, an exhaustive list of available guidelines and other resources to facilitate good research reporting are provided by the Enhancing the Quality and Transparency of Health Research network ( http://www.equator-network.org ).

A DDITIONAL F ACTORS I NFLUENCING THE M ANUSCRIPT Q UALITY

• (1) Plagiarism : Plagiarism is a serious threat to scientific publications and is described by the office of Research Integrity as “theft or misappropriation of intellectual property and the substantial unattributed textual copying of another’s work and the representation of them as one’s own original work.” The primary responsibility of preventing plagiarism lies with the authors. It is important to develop the skill of writing any manuscript in one’s own words and when quoting available evidence, substantiate with appropriate references. However, the use of plagiarism detection tools and a critical analysis by the editorial team prior to submitting an article for peer review are also equally important to prevent this menace.[ 29 ] The consequences of plagiarism could range from disciplinary charges such as retraction of the article to criminal charges.[ 30 ]
• (2) Language : One of the important limitations to publication is the problem of writing in English. This can be minimized by seeking help from colleagues or using the language editing service provided by many of the journals.
• (3) Professional medical writing support : In recent years, it is acknowledged that the lack of time and linguistic constraints prevent some of the good work from being published. Hence, the role of professional medical writing support is being critically evaluated. Declared professional medical writing support is found to be associated with more complete reporting of clinical trial results and higher quality of written English. Medical writing support may play an important role in raising the quality of clinical trial reporting.[ 31 ] The role of professional medical writers should be acknowledged in the Acknowledgements section.[ 32 ]

S UBMISSION TO J OURNALS AND R EVIEWING P ROCESS

The submission of manuscripts is now exclusively an online exercise. The basic model of submission in any journal comprises the following: the title file or first page file, article file, image files, videos, charts, tables, figures, and copyright/consent forms. It is important to keep all the files ready in a folder before starting the submission process. When submitting images, it is important to have good quality, well-focused images with good resolution.[ 33 ] Some journals may offer the choice of selecting preferred reviewers to the authors and hence, one must be prepared for this. Once the manuscript is submitted, the status can be periodically checked. With minor variations, a submitted article goes through the following review process: The Editor allocates it to one of the editorial team members who checks for the suitability for publication in the journal. It is checked for plagiarism as well at this stage. The article then goes for peer review to two to three reviewers. The review process may take 4–6 weeks, at the end of which, the reviewers submit their remarks, and “article decision” is made, which could be an advice for minor/major revisions, rewriting the whole manuscript for specific reasons, acceptance without any changes (very rare), or rejection. It is important to take into consideration all the comments of the reviewers and incorporate the necessary changes in the manuscript before resubmitting. However, if the manuscript is rejected, revise to incorporate the valid suggestions given by the reviewers and consider submitting to another journal in the field. This should be effected without delay overcoming the disappointment so that the research still remains valid in the context of time.

P REDATORY J OURNALS

Some of the well-known journals provide an “open access” option to the authors, wherein if the manuscript is published, it is accessible to all the readers online free of cost. However, the authors need to pay a certain fee to make their manuscript an open access article. In addition, some of the well-known journals published by reputed publishers such as BioMed Central (BMC) and Public Library of Science (PLoS) have online “open access” journals, where the manuscripts are published for a fee but are subjected to the conventional scrutiny process, and the readers can access the full-text article.[ 34 ] The Directory of Open Access Journals, http://doaj.org , is an online directory that indexes and provides access to high-quality, open access, peer-reviewed journals. However, many online open access journals are mushrooming, which provide a legitimate face for an illegitimate publication process lacking basic industry standards, sound peer review practices, and solid basis in publication ethics. Such journals are known as “predatory journals.”[ 35 ] The pressure of needing to have scientific publications and the lack of knowledge regarding predatory journals may encourage authors to submit their articles to such journals. Currently, it is not easy to identify predatory journals, and authors should seek such information proactively from mentors, journal websites, and recent and relevant published literature. In addition, editorial oversights (editors and editorial board members), peer review practices, the quality of published articles, indexing, access, citations and ethical practices are important aspects to be considered while choosing an appropriate journal.[ 36 ]

A relevant research hypothesis and research conducted within the ethical framework are of utmost importance for clinical research. The natural progression from here is the manuscript preparation, a daunting process for most of the clinicians involved in clinical research. Choosing a journal that provides an appropriate platform for the manuscript, conforming to the instructions specific for the journal, and following certain simple guidelines can result in successful preparation and publishing of scientific work. Allocating certain time at regular intervals for writing and maintaining discipline and perseverance in this regard are very important prerequisites to achieve the goal of successful publication.

Financial support and sponsorship

Conflicts of interest.

There are no conflicts of interest.

R EFERENCES

• Privacy Policy

Buy Me a Coffee

Home » Research Paper – Structure, Examples and Writing Guide

Research Paper – Structure, Examples and Writing Guide

Table of Contents

Research Paper

Definition:

Research Paper is a written document that presents the author’s original research, analysis, and interpretation of a specific topic or issue.

It is typically based on Empirical Evidence, and may involve qualitative or quantitative research methods, or a combination of both. The purpose of a research paper is to contribute new knowledge or insights to a particular field of study, and to demonstrate the author’s understanding of the existing literature and theories related to the topic.

Structure of Research Paper

The structure of a research paper typically follows a standard format, consisting of several sections that convey specific information about the research study. The following is a detailed explanation of the structure of a research paper:

The title page contains the title of the paper, the name(s) of the author(s), and the affiliation(s) of the author(s). It also includes the date of submission and possibly, the name of the journal or conference where the paper is to be published.

The abstract is a brief summary of the research paper, typically ranging from 100 to 250 words. It should include the research question, the methods used, the key findings, and the implications of the results. The abstract should be written in a concise and clear manner to allow readers to quickly grasp the essence of the research.

Introduction

The introduction section of a research paper provides background information about the research problem, the research question, and the research objectives. It also outlines the significance of the research, the research gap that it aims to fill, and the approach taken to address the research question. Finally, the introduction section ends with a clear statement of the research hypothesis or research question.

Literature Review

The literature review section of a research paper provides an overview of the existing literature on the topic of study. It includes a critical analysis and synthesis of the literature, highlighting the key concepts, themes, and debates. The literature review should also demonstrate the research gap and how the current study seeks to address it.

The methods section of a research paper describes the research design, the sample selection, the data collection and analysis procedures, and the statistical methods used to analyze the data. This section should provide sufficient detail for other researchers to replicate the study.

The results section presents the findings of the research, using tables, graphs, and figures to illustrate the data. The findings should be presented in a clear and concise manner, with reference to the research question and hypothesis.

The discussion section of a research paper interprets the findings and discusses their implications for the research question, the literature review, and the field of study. It should also address the limitations of the study and suggest future research directions.

The conclusion section summarizes the main findings of the study, restates the research question and hypothesis, and provides a final reflection on the significance of the research.

The references section provides a list of all the sources cited in the paper, following a specific citation style such as APA, MLA or Chicago.

How to Write Research Paper

You can write Research Paper by the following guide:

• Choose a Topic: The first step is to select a topic that interests you and is relevant to your field of study. Brainstorm ideas and narrow down to a research question that is specific and researchable.
• Conduct a Literature Review: The literature review helps you identify the gap in the existing research and provides a basis for your research question. It also helps you to develop a theoretical framework and research hypothesis.
• Develop a Thesis Statement : The thesis statement is the main argument of your research paper. It should be clear, concise and specific to your research question.
• Plan your Research: Develop a research plan that outlines the methods, data sources, and data analysis procedures. This will help you to collect and analyze data effectively.
• Collect and Analyze Data: Collect data using various methods such as surveys, interviews, observations, or experiments. Analyze data using statistical tools or other qualitative methods.
• Organize your Paper : Organize your paper into sections such as Introduction, Literature Review, Methods, Results, Discussion, and Conclusion. Ensure that each section is coherent and follows a logical flow.
• Write your Paper : Start by writing the introduction, followed by the literature review, methods, results, discussion, and conclusion. Ensure that your writing is clear, concise, and follows the required formatting and citation styles.
• Edit and Proofread your Paper: Review your paper for grammar and spelling errors, and ensure that it is well-structured and easy to read. Ask someone else to review your paper to get feedback and suggestions for improvement.
• Cite your Sources: Ensure that you properly cite all sources used in your research paper. This is essential for giving credit to the original authors and avoiding plagiarism.

Research Paper Example

Note : The below example research paper is for illustrative purposes only and is not an actual research paper. Actual research papers may have different structures, contents, and formats depending on the field of study, research question, data collection and analysis methods, and other factors. Students should always consult with their professors or supervisors for specific guidelines and expectations for their research papers.

Research Paper Example sample for Students:

Title: The Impact of Social Media on Mental Health among Young Adults

Abstract: This study aims to investigate the impact of social media use on the mental health of young adults. A literature review was conducted to examine the existing research on the topic. A survey was then administered to 200 university students to collect data on their social media use, mental health status, and perceived impact of social media on their mental health. The results showed that social media use is positively associated with depression, anxiety, and stress. The study also found that social comparison, cyberbullying, and FOMO (Fear of Missing Out) are significant predictors of mental health problems among young adults.

Introduction: Social media has become an integral part of modern life, particularly among young adults. While social media has many benefits, including increased communication and social connectivity, it has also been associated with negative outcomes, such as addiction, cyberbullying, and mental health problems. This study aims to investigate the impact of social media use on the mental health of young adults.

Literature Review: The literature review highlights the existing research on the impact of social media use on mental health. The review shows that social media use is associated with depression, anxiety, stress, and other mental health problems. The review also identifies the factors that contribute to the negative impact of social media, including social comparison, cyberbullying, and FOMO.

Methods : A survey was administered to 200 university students to collect data on their social media use, mental health status, and perceived impact of social media on their mental health. The survey included questions on social media use, mental health status (measured using the DASS-21), and perceived impact of social media on their mental health. Data were analyzed using descriptive statistics and regression analysis.

Results : The results showed that social media use is positively associated with depression, anxiety, and stress. The study also found that social comparison, cyberbullying, and FOMO are significant predictors of mental health problems among young adults.

Discussion : The study’s findings suggest that social media use has a negative impact on the mental health of young adults. The study highlights the need for interventions that address the factors contributing to the negative impact of social media, such as social comparison, cyberbullying, and FOMO.

Conclusion : In conclusion, social media use has a significant impact on the mental health of young adults. The study’s findings underscore the need for interventions that promote healthy social media use and address the negative outcomes associated with social media use. Future research can explore the effectiveness of interventions aimed at reducing the negative impact of social media on mental health. Additionally, longitudinal studies can investigate the long-term effects of social media use on mental health.

Limitations : The study has some limitations, including the use of self-report measures and a cross-sectional design. The use of self-report measures may result in biased responses, and a cross-sectional design limits the ability to establish causality.

Implications: The study’s findings have implications for mental health professionals, educators, and policymakers. Mental health professionals can use the findings to develop interventions that address the negative impact of social media use on mental health. Educators can incorporate social media literacy into their curriculum to promote healthy social media use among young adults. Policymakers can use the findings to develop policies that protect young adults from the negative outcomes associated with social media use.

References :

• Twenge, J. M., & Campbell, W. K. (2019). Associations between screen time and lower psychological well-being among children and adolescents: Evidence from a population-based study. Preventive medicine reports, 15, 100918.
• Primack, B. A., Shensa, A., Escobar-Viera, C. G., Barrett, E. L., Sidani, J. E., Colditz, J. B., … & James, A. E. (2017). Use of multiple social media platforms and symptoms of depression and anxiety: A nationally-representative study among US young adults. Computers in Human Behavior, 69, 1-9.
• Van der Meer, T. G., & Verhoeven, J. W. (2017). Social media and its impact on academic performance of students. Journal of Information Technology Education: Research, 16, 383-398.

Appendix : The survey used in this study is provided below.

Social Media and Mental Health Survey

• How often do you use social media per day?
• Less than 30 minutes
• 30 minutes to 1 hour
• 1 to 2 hours
• 2 to 4 hours
• More than 4 hours
• Which social media platforms do you use?
• Others (Please specify)
• How often do you experience the following on social media?
• Social comparison (comparing yourself to others)
• Cyberbullying
• Fear of Missing Out (FOMO)
• Have you ever experienced any of the following mental health problems in the past month?
• Do you think social media use has a positive or negative impact on your mental health?
• Very positive
• Somewhat positive
• Somewhat negative
• Very negative
• In your opinion, which factors contribute to the negative impact of social media on mental health?
• Social comparison
• In your opinion, what interventions could be effective in reducing the negative impact of social media on mental health?
• Education on healthy social media use
• Counseling for mental health problems caused by social media
• Social media detox programs
• Regulation of social media use

Thank you for your participation!

Applications of Research Paper

Research papers have several applications in various fields, including:

• Advancing knowledge: Research papers contribute to the advancement of knowledge by generating new insights, theories, and findings that can inform future research and practice. They help to answer important questions, clarify existing knowledge, and identify areas that require further investigation.
• Informing policy: Research papers can inform policy decisions by providing evidence-based recommendations for policymakers. They can help to identify gaps in current policies, evaluate the effectiveness of interventions, and inform the development of new policies and regulations.
• Improving practice: Research papers can improve practice by providing evidence-based guidance for professionals in various fields, including medicine, education, business, and psychology. They can inform the development of best practices, guidelines, and standards of care that can improve outcomes for individuals and organizations.
• Educating students : Research papers are often used as teaching tools in universities and colleges to educate students about research methods, data analysis, and academic writing. They help students to develop critical thinking skills, research skills, and communication skills that are essential for success in many careers.
• Fostering collaboration: Research papers can foster collaboration among researchers, practitioners, and policymakers by providing a platform for sharing knowledge and ideas. They can facilitate interdisciplinary collaborations and partnerships that can lead to innovative solutions to complex problems.

When to Write Research Paper

Research papers are typically written when a person has completed a research project or when they have conducted a study and have obtained data or findings that they want to share with the academic or professional community. Research papers are usually written in academic settings, such as universities, but they can also be written in professional settings, such as research organizations, government agencies, or private companies.

Here are some common situations where a person might need to write a research paper:

• For academic purposes: Students in universities and colleges are often required to write research papers as part of their coursework, particularly in the social sciences, natural sciences, and humanities. Writing research papers helps students to develop research skills, critical thinking skills, and academic writing skills.
• For publication: Researchers often write research papers to publish their findings in academic journals or to present their work at academic conferences. Publishing research papers is an important way to disseminate research findings to the academic community and to establish oneself as an expert in a particular field.
• To inform policy or practice : Researchers may write research papers to inform policy decisions or to improve practice in various fields. Research findings can be used to inform the development of policies, guidelines, and best practices that can improve outcomes for individuals and organizations.
• To share new insights or ideas: Researchers may write research papers to share new insights or ideas with the academic or professional community. They may present new theories, propose new research methods, or challenge existing paradigms in their field.

Purpose of Research Paper

The purpose of a research paper is to present the results of a study or investigation in a clear, concise, and structured manner. Research papers are written to communicate new knowledge, ideas, or findings to a specific audience, such as researchers, scholars, practitioners, or policymakers. The primary purposes of a research paper are:

• To contribute to the body of knowledge : Research papers aim to add new knowledge or insights to a particular field or discipline. They do this by reporting the results of empirical studies, reviewing and synthesizing existing literature, proposing new theories, or providing new perspectives on a topic.
• To inform or persuade: Research papers are written to inform or persuade the reader about a particular issue, topic, or phenomenon. They present evidence and arguments to support their claims and seek to persuade the reader of the validity of their findings or recommendations.
• To advance the field: Research papers seek to advance the field or discipline by identifying gaps in knowledge, proposing new research questions or approaches, or challenging existing assumptions or paradigms. They aim to contribute to ongoing debates and discussions within a field and to stimulate further research and inquiry.
• To demonstrate research skills: Research papers demonstrate the author’s research skills, including their ability to design and conduct a study, collect and analyze data, and interpret and communicate findings. They also demonstrate the author’s ability to critically evaluate existing literature, synthesize information from multiple sources, and write in a clear and structured manner.

Characteristics of Research Paper

Research papers have several characteristics that distinguish them from other forms of academic or professional writing. Here are some common characteristics of research papers:

• Evidence-based: Research papers are based on empirical evidence, which is collected through rigorous research methods such as experiments, surveys, observations, or interviews. They rely on objective data and facts to support their claims and conclusions.
• Structured and organized: Research papers have a clear and logical structure, with sections such as introduction, literature review, methods, results, discussion, and conclusion. They are organized in a way that helps the reader to follow the argument and understand the findings.
• Formal and objective: Research papers are written in a formal and objective tone, with an emphasis on clarity, precision, and accuracy. They avoid subjective language or personal opinions and instead rely on objective data and analysis to support their arguments.
• Citations and references: Research papers include citations and references to acknowledge the sources of information and ideas used in the paper. They use a specific citation style, such as APA, MLA, or Chicago, to ensure consistency and accuracy.
• Peer-reviewed: Research papers are often peer-reviewed, which means they are evaluated by other experts in the field before they are published. Peer-review ensures that the research is of high quality, meets ethical standards, and contributes to the advancement of knowledge in the field.
• Objective and unbiased: Research papers strive to be objective and unbiased in their presentation of the findings. They avoid personal biases or preconceptions and instead rely on the data and analysis to draw conclusions.

Advantages of Research Paper

Research papers have many advantages, both for the individual researcher and for the broader academic and professional community. Here are some advantages of research papers:

• Contribution to knowledge: Research papers contribute to the body of knowledge in a particular field or discipline. They add new information, insights, and perspectives to existing literature and help advance the understanding of a particular phenomenon or issue.
• Opportunity for intellectual growth: Research papers provide an opportunity for intellectual growth for the researcher. They require critical thinking, problem-solving, and creativity, which can help develop the researcher’s skills and knowledge.
• Career advancement: Research papers can help advance the researcher’s career by demonstrating their expertise and contributions to the field. They can also lead to new research opportunities, collaborations, and funding.
• Academic recognition: Research papers can lead to academic recognition in the form of awards, grants, or invitations to speak at conferences or events. They can also contribute to the researcher’s reputation and standing in the field.
• Impact on policy and practice: Research papers can have a significant impact on policy and practice. They can inform policy decisions, guide practice, and lead to changes in laws, regulations, or procedures.
• Advancement of society: Research papers can contribute to the advancement of society by addressing important issues, identifying solutions to problems, and promoting social justice and equality.

Limitations of Research Paper

Research papers also have some limitations that should be considered when interpreting their findings or implications. Here are some common limitations of research papers:

• Limited generalizability: Research findings may not be generalizable to other populations, settings, or contexts. Studies often use specific samples or conditions that may not reflect the broader population or real-world situations.
• Potential for bias : Research papers may be biased due to factors such as sample selection, measurement errors, or researcher biases. It is important to evaluate the quality of the research design and methods used to ensure that the findings are valid and reliable.
• Ethical concerns: Research papers may raise ethical concerns, such as the use of vulnerable populations or invasive procedures. Researchers must adhere to ethical guidelines and obtain informed consent from participants to ensure that the research is conducted in a responsible and respectful manner.
• Limitations of methodology: Research papers may be limited by the methodology used to collect and analyze data. For example, certain research methods may not capture the complexity or nuance of a particular phenomenon, or may not be appropriate for certain research questions.
• Publication bias: Research papers may be subject to publication bias, where positive or significant findings are more likely to be published than negative or non-significant findings. This can skew the overall findings of a particular area of research.
• Time and resource constraints: Research papers may be limited by time and resource constraints, which can affect the quality and scope of the research. Researchers may not have access to certain data or resources, or may be unable to conduct long-term studies due to practical limitations.

About the author

Muhammad Hassan

Researcher, Academic Writer, Web developer

You may also like

How to Cite Research Paper – All Formats and...

Data Collection – Methods Types and Examples

Delimitations in Research – Types, Examples and...

Research Paper Format – Types, Examples and...

Research Process – Steps, Examples and Tips

Research Design – Types, Methods and Examples

Have a language expert improve your writing

Run a free plagiarism check in 10 minutes, generate accurate citations for free.

• Knowledge Base
• Research paper

Writing a Research Paper Introduction | Step-by-Step Guide

Published on September 24, 2022 by Jack Caulfield . Revised on March 27, 2023.

The introduction to a research paper is where you set up your topic and approach for the reader. It has several key goals:

• Present your topic and get the reader interested
• Provide background or summarize existing research
• Position your own approach
• Detail your specific research problem and problem statement
• Give an overview of the paper’s structure

The introduction looks slightly different depending on whether your paper presents the results of original empirical research or constructs an argument by engaging with a variety of sources.

Instantly correct all language mistakes in your text

Upload your document to correct all your mistakes in minutes

Table of contents

Step 1: introduce your topic, step 2: describe the background, step 3: establish your research problem, step 4: specify your objective(s), step 5: map out your paper, research paper introduction examples, frequently asked questions about the research paper introduction.

The first job of the introduction is to tell the reader what your topic is and why it’s interesting or important. This is generally accomplished with a strong opening hook.

The hook is a striking opening sentence that clearly conveys the relevance of your topic. Think of an interesting fact or statistic, a strong statement, a question, or a brief anecdote that will get the reader wondering about your topic.

For example, the following could be an effective hook for an argumentative paper about the environmental impact of cattle farming:

A more empirical paper investigating the relationship of Instagram use with body image issues in adolescent girls might use the following hook:

Don’t feel that your hook necessarily has to be deeply impressive or creative. Clarity and relevance are still more important than catchiness. The key thing is to guide the reader into your topic and situate your ideas.

The only proofreading tool specialized in correcting academic writing - try for free!

The academic proofreading tool has been trained on 1000s of academic texts and by native English editors. Making it the most accurate and reliable proofreading tool for students.

Try for free

This part of the introduction differs depending on what approach your paper is taking.

In a more argumentative paper, you’ll explore some general background here. In a more empirical paper, this is the place to review previous research and establish how yours fits in.

Argumentative paper: Background information

After you’ve caught your reader’s attention, specify a bit more, providing context and narrowing down your topic.

Provide only the most relevant background information. The introduction isn’t the place to get too in-depth; if more background is essential to your paper, it can appear in the body .

Empirical paper: Describing previous research

For a paper describing original research, you’ll instead provide an overview of the most relevant research that has already been conducted. This is a sort of miniature literature review —a sketch of the current state of research into your topic, boiled down to a few sentences.

This should be informed by genuine engagement with the literature. Your search can be less extensive than in a full literature review, but a clear sense of the relevant research is crucial to inform your own work.

Begin by establishing the kinds of research that have been done, and end with limitations or gaps in the research that you intend to respond to.

The next step is to clarify how your own research fits in and what problem it addresses.

Argumentative paper: Emphasize importance

In an argumentative research paper, you can simply state the problem you intend to discuss, and what is original or important about your argument.

Empirical paper: Relate to the literature

In an empirical research paper, try to lead into the problem on the basis of your discussion of the literature. Think in terms of these questions:

• What research gap is your work intended to fill?
• What limitations in previous work does it address?
• What contribution to knowledge does it make?

You can make the connection between your problem and the existing research using phrases like the following.

Now you’ll get into the specifics of what you intend to find out or express in your research paper.

The way you frame your research objectives varies. An argumentative paper presents a thesis statement, while an empirical paper generally poses a research question (sometimes with a hypothesis as to the answer).

Argumentative paper: Thesis statement

The thesis statement expresses the position that the rest of the paper will present evidence and arguments for. It can be presented in one or two sentences, and should state your position clearly and directly, without providing specific arguments for it at this point.

Empirical paper: Research question and hypothesis

The research question is the question you want to answer in an empirical research paper.

Present your research question clearly and directly, with a minimum of discussion at this point. The rest of the paper will be taken up with discussing and investigating this question; here you just need to express it.

A research question can be framed either directly or indirectly.

• This study set out to answer the following question: What effects does daily use of Instagram have on the prevalence of body image issues among adolescent girls?
• We investigated the effects of daily Instagram use on the prevalence of body image issues among adolescent girls.

If your research involved testing hypotheses , these should be stated along with your research question. They are usually presented in the past tense, since the hypothesis will already have been tested by the time you are writing up your paper.

For example, the following hypothesis might respond to the research question above:

Here's why students love Scribbr's proofreading services

Discover proofreading & editing

The final part of the introduction is often dedicated to a brief overview of the rest of the paper.

In a paper structured using the standard scientific “introduction, methods, results, discussion” format, this isn’t always necessary. But if your paper is structured in a less predictable way, it’s important to describe the shape of it for the reader.

If included, the overview should be concise, direct, and written in the present tense.

• This paper will first discuss several examples of survey-based research into adolescent social media use, then will go on to …
• This paper first discusses several examples of survey-based research into adolescent social media use, then goes on to …

Full examples of research paper introductions are shown in the tabs below: one for an argumentative paper, the other for an empirical paper.

• Argumentative paper
• Empirical paper

Are cows responsible for climate change? A recent study (RIVM, 2019) shows that cattle farmers account for two thirds of agricultural nitrogen emissions in the Netherlands. These emissions result from nitrogen in manure, which can degrade into ammonia and enter the atmosphere. The study’s calculations show that agriculture is the main source of nitrogen pollution, accounting for 46% of the country’s total emissions. By comparison, road traffic and households are responsible for 6.1% each, the industrial sector for 1%. While efforts are being made to mitigate these emissions, policymakers are reluctant to reckon with the scale of the problem. The approach presented here is a radical one, but commensurate with the issue. This paper argues that the Dutch government must stimulate and subsidize livestock farmers, especially cattle farmers, to transition to sustainable vegetable farming. It first establishes the inadequacy of current mitigation measures, then discusses the various advantages of the results proposed, and finally addresses potential objections to the plan on economic grounds.

The rise of social media has been accompanied by a sharp increase in the prevalence of body image issues among women and girls. This correlation has received significant academic attention: Various empirical studies have been conducted into Facebook usage among adolescent girls (Tiggermann & Slater, 2013; Meier & Gray, 2014). These studies have consistently found that the visual and interactive aspects of the platform have the greatest influence on body image issues. Despite this, highly visual social media (HVSM) such as Instagram have yet to be robustly researched. This paper sets out to address this research gap. We investigated the effects of daily Instagram use on the prevalence of body image issues among adolescent girls. It was hypothesized that daily Instagram use would be associated with an increase in body image concerns and a decrease in self-esteem ratings.

The introduction of a research paper includes several key elements:

• A hook to catch the reader’s interest
• Relevant background on the topic
• Details of your research problem

and your problem statement

• A thesis statement or research question
• Sometimes an overview of the paper

Don’t feel that you have to write the introduction first. The introduction is often one of the last parts of the research paper you’ll write, along with the conclusion.

This is because it can be easier to introduce your paper once you’ve already written the body ; you may not have the clearest idea of your arguments until you’ve written them, and things can change during the writing process .

The way you present your research problem in your introduction varies depending on the nature of your research paper . A research paper that presents a sustained argument will usually encapsulate this argument in a thesis statement .

A research paper designed to present the results of empirical research tends to present a research question that it seeks to answer. It may also include a hypothesis —a prediction that will be confirmed or disproved by your research.

Cite this Scribbr article

If you want to cite this source, you can copy and paste the citation or click the “Cite this Scribbr article” button to automatically add the citation to our free Citation Generator.

Caulfield, J. (2023, March 27). Writing a Research Paper Introduction | Step-by-Step Guide. Scribbr. Retrieved April 9, 2024, from https://www.scribbr.com/research-paper/research-paper-introduction/

Is this article helpful?

Jack Caulfield

Other students also liked, writing strong research questions | criteria & examples, writing a research paper conclusion | step-by-step guide, research paper format | apa, mla, & chicago templates, unlimited academic ai-proofreading.

✔ Document error-free in 5minutes ✔ Unlimited document corrections ✔ Specialized in correcting academic texts

Explore millions of high-quality primary sources and images from around the world, including artworks, maps, photographs, and more.

Explore migration issues through a variety of media types

• Part of The Streets are Talking: Public Forms of Creative Expression from Around the World
• Part of The Journal of Economic Perspectives, Vol. 34, No. 1 (Winter 2020)
• Part of Cato Institute (Aug. 3, 2021)
• Part of University of California Press
• Part of Open: Smithsonian National Museum of African American History & Culture
• Part of Indiana Journal of Global Legal Studies, Vol. 19, No. 1 (Winter 2012)
• Part of R Street Institute (Nov. 1, 2020)
• Part of Leuven University Press
• Part of UN Secretary-General Papers: Ban Ki-moon (2007-2016)
• Part of Perspectives on Terrorism, Vol. 12, No. 4 (August 2018)
• Part of Leveraging Lives: Serbia and Illegal Tunisian Migration to Europe, Carnegie Endowment for International Peace (Mar. 1, 2023)
• Part of UCL Press

Harness the power of visual materials—explore more than 3 million images now on JSTOR.

Enhance your scholarly research with underground newspapers, magazines, and journals.

Explore collections in the arts, sciences, and literature from the world’s leading museums, archives, and scholars.

200 million monthly downloads

24 million monthly readers

3 million authors submit annually

SpringerLink - Home for all research

Discover open access.

• Publish with us

• Track your research

Featured articles and journals

Browse by subject, about springerlink.

Calls for papers

Ageing in place, urban lifelines and supply chains: enhancing resilience and sustainability with foundational technologies, photons to fuels: recent progress of photocatalytic for co2 reduction and h2 production.

Trending research

Social connection and mortality in UK Biobank: a prospective cohort analysis

From clicks to consequences: a multi-method review of online grocery shopping

Highly efficient flexible structured metasurface by roll-to-roll printing for diurnal radiative cooling

Persistent cognitive slowing in post-covid patients: longitudinal study over 6 months.

Blame it on my youth: the origins of attitudes towards immigration

Creating the ICU of the future: patient-centred design to optimise recovery

Featured journals

SN Applied Sciences is now Discover Applied Sciences! We are excited to announce that SN Applied Sciences moved into our fully OA Discover journal...

Discover Sustainability is an open access journal publishing research across all fields relevant to sustainability. Average number of article...

The Journal of Epidemiology and Global Healthis an international peer reviewed journal which aims to impact global epidemiology and international...

Featured books

As part of Springer Nature, SpringerLink delivers fast access to the depth and breadth of our online collection of journals, eBooks, reference works and protocols across a vast range of subject disciplines.

SpringerLink is the reading platform of choice for hundreds of thousands of researchers worldwide. Find out how to publish your research with Springer Nature .

• Find a journal

× All floors of the JFK Library are open for summer quarter. For details see Library Access

Research Guides

Eastern Washington University Libraries

APA Style 7th Edition Tutorials for Students in Psychology and Social Work

What is apa style.

• The Importance of Citing

Why is APA Style needed?

How do i get started with apa style, let us practice what we have learned, attribution and acknowledgement.

• Basics of APA Style Tutorial
• Reference Entry Elements
• Reference Examples
• Reference List
• In-Text Citations
• Student Paper Format
• Managing References - Zotero

Origination of APA Style

• Where did APA Style come from?

Commonly Used APA Related Terms

Abstract : Abstract is a brief synopses of article. It provides a brief but comprehensive summary of the article. 

Citing : In the context of academic writing, citing is the act of acknowledging the sources of information you have used when writing your work.

Citation:  A citation gives credit to a source, and contains publication information such as author(s), title and date.

DOI (digital object identifier): It is a unique alphanumeric string assigned to a digital object, mainly a scholarly article, to provide a persistent link to its location on the internet. 

In-Text Citation : It is a brief note that appears within the body of the paper and briefly identifies the cited work by its author and date of publication. An in-text citation should always match the corresponding entry in the reference list at the end of paper.

Paraphrasing : A paraphrase restates another’s idea (or your own previously published idea) in your own words. 

Plagiarism : It is the act of presenting the words, ideas, or images of another as your own; it denies creators of content the credit they are due. 

Quoting : It is the act of reproducing the exact wording used by the original author. Direct quotations appear within quotation marks and end with a citation.

Reference : It contains details about one cited work, generally including four elements:  author, date, title, and source.  

Reference List : It identifies all the sources you cited in the text of your paper. It generally is at the end of the paper and definitely on a new page after the text of your paper. 

APA Style is the most common writing style used in college and career. Its purpose is to promote excellence in communication by helping writers create clear, precise, and inclusive sentences with a straightforward scholarly tone. It addresses areas of writing such as how to

• format a paper so it looks professional;
• credit other people’s words and ideas via citations and references to avoid plagiarism; and
• describe other people with dignity and respect using inclusive, bias-free language.

APA Style is primarily used in the behavioral sciences, which are subjects related to people, such as psychology, education, and nursing. It is also used by students in business, engineering, communications, and other classes. Students use it to write academic essays and research papers in college, and professionals use it to conduct, report, and publish scientific research.

In addition, APA Style provides you with a powerful tool that will hep you avoid deliberate or unintentional plagiarism. Please review the Avoiding Plagiarism Guide created by the APA experts to understand what two common types of plagiarism are and how to avoid them. 

Why is learning citations important? Citations help readers understand where the information used in your paper comes from, enabling them to trace the path of that information. When readers wish to explore a specific point or reference cited in the text, citations make it easier by providing information about your sources in a standardized format.

Besides showing readers where you obtained information, using citations also has a strong ethical purpose. In academic writing, it is important to credit ideas that are not your own. Citations allow you to integrate the ideas of others with your own thoughts in a fair and honest way.

The reference formats for APA Style manuals are as follows:

APA Style provides a foundation for effective scholarly communication because it helps authors present their ideas in a clear and concise, and organized manner.  Uniformity and consistency enable readers to (a) focus on the ideas being presented rather than formatting and (b) scan works quickly for key points, findings, and sources. When style works best, ideas flow logically, sources are credited appropriately, and papers are organized predictably and consistently. 

Students are encouraged to first learn about APA Style by reading works written in APA Style. A couple of guides created by APA experts from the American Psychological Association can help you with that:

Anatomy of a Journal Article   https://apastyle.apa.org/instructional-aids/anatomy-journal-article.pdf

Scholarly journal articles share a common anatomy or structure. Each part of an article serves a specific purpose. The handout of  Anatomy of a Journal Article explains how journal articles are structured and how to become more efficient at reading and understanding them. Understanding the structure of a scholarly article and the purpose of each part helps you grasp a strategy called targeted reading. Targeted reading means to read specific sections of research articles first to determine if the article seems useful for your research topic. This way you will save time, find useful article faster, and choose which articles to read in full.

Reading and Understanding Abstracts https://apastyle.apa.org/instructional-aids/reading-abstracts.pdf

Abstracts are short summaries of scientific research articles. The handout of Reading & Understanding Abstracts explains the definition and purpose of abstracts and the benefits of reading them, including analysis of a sample abstract. The skill of reading and understanding abstracts of scholarly articles not only saves time but also helps you conduct better research and write more effectively.

APA Style Writing Principles https://apastyle.apa.org/instructional-aids/writing-principles.pdf

The poster created by APA experts shows the three main principles of APA Style: clarity, precision, and inclusion and lists steps on how to achieve them. As a student writer, you always should write your academic paper with clarity, precision, and inclusion. 

Research Article Activity https://apastyle.apa.org/instructional-aids/apa-style-research-activity.pdf

Reading research articles is not an easy task for you as a student. The Research Article Activity designed by APA Style experts aims to make it easy to read and understand a scholarly article. This activity worksheet helps you find, cite, analyze, and summarize a research article. Completing this activity breaks down a lengthy research article into easily understandable chunks. This way helps you better understand the study in the article before you write about it. 

The information in this Guide   is courtesy of   the official APA Style website by the American Psychological Association.

Source Credit: Information on this LibGuide comes from APA Style website https://apastyle.apa.org/ This website has a wealth of free and authoritative resources designed to help anyone new to APA Style.

• Next: Basics of APA Style Tutorial >>
• Last Updated: Apr 6, 2024 12:06 PM
• URL: https://research.ewu.edu/APAStyleTutorial

US News & World Report Releases 2024 Rankings Of America’s Best Grad Schools

Texas A&M University is one of the nation’s leaders in graduate education, according to the latest rankings from U.S. News & World Report.

The university has 33 programs in the Top 50 spanning across agriculture, business, computer science, education, health, law, political science, public affairs, psychology, science, and veterinary medicine. U.S. News announced this week that the release of rankings for engineering, medical and clinical psychology will be delayed.

In its Best Graduate Schools ranking, the publication placed 10 of Texas A&M’s graduate programs in the Top 20; among those, six are Top 10:

College of Arts and Sciences

• Industrial and organizational psychology, No. 7 (No. 6 public)
• Inorganic chemistry, No. 5 (No. 2 public, No. 1 in Texas)
• Nuclear physics, No. 7 (No. 6 public, No. 1 in Texas)

School of Law, overall No. 26

• Dispute resolution, No. 5 (No. 3 public, No. 1 in Texas)
• Intellectual property, No. 6 (No. 2 public, No. 1 in Texas)

School of Veterinary Medicine and Biomedical Sciences, overall No. 10 (No. 9 public, No. 1 in Texas)

According to U.S. News , the rankings are based on expert opinion on program excellence and statistical indicators that measure the quality of a school’s faculty, research and students. Texas A&M currently enrolls 16,762 graduate and professional students (fall 2023), in more than 170 master’s, 94 doctoral and five professional degree programs.

“I’m so proud of our graduate students, the world-class faculty who mentor them and the outstanding programs that set them on a path to success in their chosen fields,” said Gen. (Ret.) Mark A. Welsh III, president of Texas A&M University. “Post-graduate education at Texas A&M contributes immeasurably to our research enterprise and our teaching and service missions. Congratulations to the students, faculty and staff whose work is reflected not just in rankings, but each and every day on our campuses and in the world at large.”

Texas A&M School of Law in Fort Worth, which has seen a remarkable rise in the U.S. News rankings, this year rose three spots overall, an increase of 57 spots in five years.

The Bush School of Government and Public Service, which ranks No. 26 overall in public affairs, has seen gains this round in non-profit management, up six places to No. 21. “The Bush School continues to make strides as a world-class Public Affairs school,” said Frank B. Ashley III, interim dean. “Employers know that graduates of our Public Service and Administration program are career-ready leaders with a passion for public service.”

Other notable rankings include:

• Analytical chemistry, No. 11 (No. 10 public)
• Applied mathematics, No. 13 (No. 6 public)
• Legal writing, No. 11 (No. 7 public, No. 1 in Texas)
• Marketing, No. 29 (No. 9 public)
• Management, No. 27 (No. 11 public)
• Statistics, No. 13 (No. 7 public, No. 1 in Texas)

View the full rankings for Texas A&M here and review the U.S. News methodology here .

Related Stories

Texas A&M Names Head Yell Leader 

Jake Carter, a junior management student, will guide the 2024-25 Yell Leaders. 

Texas A&M Hosts US Paralympics Cycling On The Road To Paris Summer Games

More than a quarter of the athletes competing in Bryan were military veterans, many of whom suffered injuries during combat deployments.

Thousands Of Families To Visit Aggieland For Family Weekend

Texas A&M's Family Weekend, set for April 12-14, celebrates Aggie traditions and the community with a full lineup of events.

Recent Stories

Texas A&M, University Of Colorado Research Collaboration Wins Federal Grant To Help Turn Off ‘Breast Cancer Switch’

The five-year study aims to identify more effective treatments.

Israel-Hamas War: Veteran Diplomat Discusses How We Got Here

In a recent visit to Texas A&M, former Bush School dean and six-time ambassador Ryan Crocker discussed the conflict in Gaza and U.S. foreign policy in the Middle East.

Subscribe to the Texas A&M Today newsletter for the latest news and stories every week.

This paper is in the following e-collection/theme issue:

Published on 10.4.2024 in Vol 26 (2024)

Effectiveness of a Web-Based Individual Coping and Alcohol Intervention Program for Children of Parents With Alcohol Use Problems: Randomized Controlled Trial

Authors of this article:

Original Paper

• Håkan Wall 1 , PhD   ; 
• Helena Hansson 2 , PhD   ; 
• Ulla Zetterlind 3 , PhD   ; 
• Pia Kvillemo 1 , PhD   ; 
• Tobias H Elgán 1 , PhD  

1 Stockholm Prevents Alcohol and Drug Problems, Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Stockholm, Sweden

2 School of Social Work, Faculty of Social Sciences, Lund University, Lund, Sweden

3 Clinical Health Promotion Centre, Department of Health Sciences, Lund University, Lund, Sweden

Corresponding Author:

Tobias H Elgán, PhD

Stockholm Prevents Alcohol and Drug Problems, Centre for Psychiatry Research

Department of Clinical Neuroscience

Karolinska Institutet, & Stockholm Health Care Services

Norra Stationsgatan 69

Stockholm, 11364

Phone: 46 700011003

Email: [email protected]

Background: Children whose parents have alcohol use problems are at an increased risk of several negative consequences, such as poor school performance, an earlier onset of substance use, and poor mental health. Many would benefit from support programs, but the figures reveal that only a small proportion is reached by existing support. Digital interventions can provide readily accessible support and potentially reach a large number of children. Research on digital interventions aimed at this target group is scarce. We have developed a novel digital therapist-assisted self-management intervention targeting adolescents whose parents had alcohol use problems. This program aims to strengthen coping behaviors, improve mental health, and decrease alcohol consumption in adolescents.

Objective: This study aims to examine the effectiveness of a novel web-based therapist-assisted self-management intervention for adolescents whose parents have alcohol use problems.

Methods: Participants were recruited on the internet from social media and websites containing health-related information about adolescents. Possible participants were screened using the short version of the Children of Alcoholics Screening Test-6. Eligible participants were randomly allocated to either the intervention group (n=101) or the waitlist control group (n=103), and they were unblinded to the condition. The assessments, all self-assessed, consisted of a baseline and 2 follow-ups after 2 and 6 months. The primary outcome was the Coping With Parents Abuse Questionnaire (CPAQ), and secondary outcomes were the Center for Epidemiological Studies Depression Scale, Alcohol Use Disorders Identification Test (AUDIT-C), and Ladder of Life (LoL).

Results: For the primary outcome, CPAQ, a small but inconclusive treatment effect was observed (Cohen d =–0.05 at both follow-up time points). The intervention group scored 38% and 46% lower than the control group on the continuous part of the AUDIT-C at the 2- and 6-month follow-up, respectively. All other between-group comparisons were inconclusive at either follow-up time point. Adherence was low, as only 24% (24/101) of the participants in the intervention group completed the intervention.

Conclusions: The findings were inconclusive for the primary outcome but demonstrate that a digital therapist-assisted self-management intervention may contribute to a reduction in alcohol consumption. These results highlight the potential for digital interventions to reach a vulnerable, hard-to-reach group of adolescents but underscore the need to develop more engaging support interventions to increase adherence.

Trial Registration: ISRCTN Registry ISRCTN41545712; https://www.isrctn.com/ISRCTN41545712?q=ISRCTN41545712

International Registered Report Identifier (IRRID): RR2-10.1186/1471-2458-12-35

Introduction

Children who grow up with parents who have substance use problems or disorders face extraordinary challenges. Approximately 20% of all children have parents with alcohol problems [ 1 - 5 ], while approximately 5% have parents with alcohol use disorders [ 4 , 6 , 7 ]. Children growing up with parental substance abuse are at an increased risk of several negative outcomes, such as psychiatric morbidity [ 8 - 12 ]; poor intellectual, cognitive, and academic achievement [ 13 - 15 ]; domestic physical abuse [ 16 ]; and early drinking onset and the development of substance use problems [ 9 , 17 , 18 ]. Thus, children exposed to parental substance abuse comprise a target group for selective interventions and prevention strategies [ 19 - 22 ].

In Sweden, municipalities account for most of the support offered to these children. An annual survey by the junior association of the Swedish branch of Movendi International (ie, an international temperance movement) reported that 97% of all municipalities provided support resources [ 23 ]. However, estimates from the same survey showed that approximately 2% of the children in the target group received support. Hence, an overwhelming majority never receives support, mainly because of difficulties in identifying and attracting them to intervention programs [ 22 , 24 ].

The internet has become an appealing way to reach and support a large number of people [ 25 , 26 ]. Web-based interventions seem particularly attractive to adolescents, as they generally use digital technology and social media. Furthermore, research has shown that adolescents regard the internet as inviting because it is a readily accessible, anonymous way of seeking help [ 27 ]. Web-based interventions can reduce the stigma associated with face-to-face consultations in health care settings [ 28 ], and young people appreciate the flexibility of completing web-based sessions to fit their own schedules [ 29 ]. The positive effects of web-based interventions have been detected across a broad range of conditions. A recent review by Hedman-Lagerlöf et al [ 30 ] concluded that therapist-supported internet-based cognitive behavioral therapy for adults yielded similar effects as face-to-face therapy. To date, most web-based interventions have been designed for adults. Although the number of web-based interventions targeting children or adolescents is increasing [ 25 , 31 - 33 ], the number of digital interventions aimed at children of substance-abusing parents is still scarce [ 22 , 34 - 38 ]. Those described in the literature, however, all have in common that they are quite extensive, with a duration over several weeks, and a brief digital intervention could complement these more extended interventions. For instance, our research group initiated a study on a web-based group chat for 15- to 25-year-old individuals who have parents with mental illness or substance use problems [ 35 ]. The duration of the program is 8 weeks, and it is a translated version of a program from the Netherlands [ 34 ], which has been shown to have inconclusive treatment effects [ 39 ]. In Sweden, 2 other programs with inconclusive treatment effects have been tested that target significant others and their children [ 37 , 38 ]. Finally, a digital intervention developed in Australia for 18- to 25-year-old individuals with parents with mental illness or substance use disorder [ 36 ] was tested in a pilot study demonstrating positive findings [ 40 ].

To meet the need for a brief, web-based intervention that targets adolescents having parents with alcohol problems and build on the evidence base of digital interventions targeting this vulnerable group, we developed a novel internet-delivered therapist-assisted self-management intervention called “Alcohol and Coping.” Our program originated from a manual-based face-to-face intervention called the “Individual Coping and Alcohol Intervention Program” (ICAIP) [ 41 , 42 ]. Previous studies on both the ICAIP, which aimed at college students having parents with alcohol problems, and a coping skills intervention program, which aimed at spouses of partners with alcohol dependency [ 43 ], have demonstrated positive effects regarding decreased alcohol consumption and improved mental health and coping behaviors [ 41 - 44 ]. Furthermore, the results from these studies underscore the importance of improving coping skills [ 42 , 44 ]. Among college students, those who received a combination of coping skills and an alcohol intervention program had better long-term outcomes [ 42 ].

The aim of this study was to test the effectiveness of Alcohol and Coping among a sample of adolescents aged 15-19 years with at least 1 parent with alcohol use problems. We hypothesized that the intervention group would be superior to the control group in improving coping skills. Secondary research questions concerned the participants’ improvement in (1) depression, (2) alcohol consumption, and (3) quality of life.

This study was a parallel-group randomized controlled trial in which participants were randomized to either the intervention or waitlist control group in a 1:1 allocation ratio. The trial design is illustrated in Figure 1 .

Recruitment and Screening

The participants were recruited from August 2012 to December 2013 through advertisements on social media (Facebook). The advertisements targeted individuals aged 15-19 years with Facebook accounts. Participants were recruited on the internet through advertisements on websites containing health-related information about adolescents. The advertisements included the text, “Do your parents drink too much? Participate in a study.” The advertisement contained an invitation to perform a web-based, self-assessed screening procedure. In addition to questions about age and sex, participants were screened for having parents with alcohol problems using the short version of the Children of Alcoholics Screening Test-6 (CAST-6), developed from a 30-item original version [ 45 ]. The CAST-6 is a 6-item true-false measure designed to assess whether participants perceive their parents’ alcohol consumption to be problematic. The CAST-6 has demonstrated high internal consistency ( r =0.92-0.94), test-retest reliability ( r =0.94), and high validity as compared to the 30-item version ( r =0.93) using the recommended threshold score of 3 or higher [ 45 , 46 ]. We previously translated the CAST-6 into Swedish and validated the translated version among 1450 adolescents, showing good internal consistency (α=.88), excellent test-retest reliability (intraclass correlation coefficient=0.93), and loading into 1 latent factor [ 47 ]. Additional inclusion criteria included having access to a computer and the internet and being sufficiently fluent in Swedish. Participants were excluded from the study and were referred to appropriate care if there were indications of either suicidal or self-inflicted harmful behaviors. Individuals eligible for inclusion received further information about the study and were asked to provide consent to participate by providing an email address.

Data Collection and Measures

All assessments were administered through email invitations containing a hyperlink to the web-based self-reported assessments. Up to 3 reminders were sent through email at 5, 10, and 15 days after the first invitation. A baseline assessment (t 0 ) was collected before randomization, and follow-up assessments were conducted at 2 and 6 months (t 1 and t 2 , respectively) after the initial assessment.

Participants were asked for age, sex, whether they lived with a parent (mother and father, mother or father, mother or father and stepparent, or alternate between mother and father), where their parents were born (Sweden or a Nordic country excluding Sweden or outside of the Nordic countries), parental status (employed, student, on parental leave, or unemployed), and any previous or present participation in support activities for children having parents with alcohol use problems. The primary outcome was coping, measured using the Coping With Parents Abuse Questionnaire (CPAQ) based on the Coping Behavior Scale developed by Orford et al [ 48 ]. Secondary outcomes were the Center for Epidemiological Studies Depression Scale (CES-DC) [ 49 ], the 3-question Alcohol Use Disorders Identification Test (AUDIT-C) [ 50 ], and the Ladder of Life (LoL), which measures the overall quality of life by asking about the participants’ past, present, and future ratings of their overall life satisfaction [ 50 ]. CPAQ has been shown to be reliable [ 41 , 42 ]. For this study, this scale was factor-analyzed to reduce the number of questions from 37 to 20. The resulting scale measures 6 coping typologies (discord, emotion, control, relationship, avoidance, and taking specific action) using a 4-point Likert scale, with a threshold score above 50 points (out of 80) indicating dysfunctional coping behavior. The CES-DC measures depressive symptoms during the past week using a 4-point Likert scale, where a higher total score indicates more depressive symptoms [ 49 ]. A cutoff score of ≥16 indicates symptoms of moderate depression, while a score of ≥30 indicates symptoms of severe depression [ 51 , 52 ]. The scale measures 4 dimensions of depression: depressed mood, tiredness, inability to concentrate, and feelings of being outside and lonely, and has positively stated items [ 52 ]. Additionally, this scale is a general measure of childhood psychopathology [ 53 ] and has been demonstrated to be reliable and valid among Swedish adolescents [ 52 ]. Alcohol consumption was measured using a modified AUDIT-C, which assesses the frequency of drinking, quantity consumed on a typical occasion, and frequency of heavy episodic drinking (ie, binge drinking) [ 50 ] using a 30-day perspective (as opposed to the original 12-month perspective). These questions have previously been translated into Swedish [ 54 ], and a score of ≥4 and ≥5 points for women and men, respectively, was used as a cutoff for risky drinking. This scale has been demonstrated to be reliable and valid for Swedish adolescents [ 55 ]. Furthermore, 2 questions were added concerning whether the participants had ever consumed alcohol to the point of intoxication and their age at the onset of drinking and intoxication. The original version of the LoL was designed for adults and asked the respondents to reflect on their, present, and future life status from a 5-year perspective on a 10-point Visual Analogue Scale representing life status from “worst” to “best” possible life imaginable [ 56 ]. A modified version for children, using a time frame of 1 year, has been used previously in Sweden [ 57 ] and was used in this study.

Randomization

After completing the baseline assessment, each participant was allocated to either the intervention or the control group. An external researcher generated an unrestricted random allocation sequence using random allocation software [ 58 ]. Neither the participants nor the researchers involved in the study were blinded to group allocation.

Based on the order in which participants were included in the study, they were allocated to 1 of the 2 study groups and informed of their allocation by email. Additionally, those who were randomized to the intervention group received a hyperlink to the Alcohol and Coping program, whereas the control group participants received information that they would gain access to Alcohol and Coping after the last follow-up assessment (ie, the waitlist control group). All participants were informed about other information and support available through web pages, notably drugsmart [ 59 ], which contains general information and facts about alcohol and drugs, in addition to more specific information about having substance-abusing parents. Telephone numbers and contact information for other organizations and primary health care facilities were also provided.

The Intervention

As noted previously, Alcohol and Coping is derived from the aforementioned manual-based face-to-face ICAIP intervention program [ 41 , 42 ]. The ICAIP consists of a combination of an alcohol intervention program, which is based on the short version of the Brief Alcohol Screening and Intervention for College Students program [ 60 ], and a coping intervention program developed for the purpose of the ICAIP [ 41 , 42 ]. Like the original ICAIP intervention, Alcohol and Coping builds on psychoeducational principles and includes components such as film-based lectures, various exercises, and both automated and therapist-assisted feedback. Briefly, once the participants logged into the Alcohol and Coping platform, they were introduced to the program, which followed the pattern of a board game ( Figure 2 ). Following the introduction, participants took part in 3 film-based lectures (between 8 and 15 minutes each, Figure 3 ) concerning alcohol problems within the family. The respective lectures included information about (1) dependency in general as well as the genetic and environmental risks for developing dependency, (2) family patterns and how the family adapts to the one having alcohol problems, and (3) attitudes toward alcohol and how they influence drinking and the physiological effects of alcohol. After completing the lectures, the participants were asked to answer 2 questions about their own alcohol consumption (ie, how often they drink and how often they drink to intoxication), followed by an automatic feedback message that depended on their answers. It was then suggested that the participants log out of the intervention for a 1- to 2-day break. The reason for this break was to give the participants a chance to digest all information and impressions. When they logged back into the intervention, they were asked to answer 20 questions about their coping strategies, which were also followed by automatic feedback. This feedback comprised a library covering all the prewritten feedback messages, each of which was tailored to the participants’ specific answers. The participants then participated in a 5-minute–long film-based lecture on emotion and problem-focused coping in relation to family alcohol problems ( Figure 3 ). This was followed by 4 exercises where the participants read through vignette-like stories from 4 fictional persons describing their everyday lives related to coping and alcohol problems in the family. The stories are presented by film-based introductions that are each 1-2 minutes long. Participants were then requested to respond to each story by describing how the fictive person could have coped with their situation. As a final exercise, participants were asked to reflect on their own family situation and how they cope with situations. The participants then had to take a break for a few days.

During the break, a therapist composed individual feedback that covered reflections and confirmation of the participant’s exercises and answers to questions and included suggestions on well-suited coping strategies. Additionally, the therapist encouraged the participants to talk to others in their surroundings, such as friends, teachers, or coaches, and seek further support elsewhere, such as from municipal social services, youth health care centers, or other organizations. Finally, the therapist reflected on the participants’ alcohol consumption patterns and reminded them of increased genetic and environmental risks. Those who revealed patterns of risky alcohol use were encouraged to look at 2 additional film-based lectures with more information about alcohol and intoxication (4 minutes) and alcohol use and dependency (5 minutes). Participants received this feedback once they logged back into the program, but they also had the opportunity to receive feedback through email. The total estimated effective time for completing the program was about 1 hour, but as described above, there was 1 required break when the individualized feedback was written. To keep track of the dose each participant received, each of the 15 components in the program ( Figure 1 ) is equal to completing 6.7% (1/15) of the program in total.

Sample Size

The trial was designed to detect a medium or large effect size corresponding to a standardized mean difference (Cohen d >0.5) [ 61 ]. An a priori calculation of the estimated sample size, using the software G*Power (G*Power Team) [ 62 ], revealed that a total of 128 participants (64 in each group) were required to enroll in the trial (power=0.80; α=.05; 2-tailed). However, to account for an estimated attrition rate of approximately 30% [ 34 ], it was necessary to enroll a minimum of 128/(1 – 0.3) = 183 participants in the trial. After a total of 204 individuals had been recruited and randomized into 2 study arms, recruitment was ended.

Statistical Analysis

Data were analyzed according to the intention-to-treat (ITT) principle, and all randomized participants were included, irrespective of whether they participated in the trial. The 4 research variables were depression (CES-DC), coping (CPAQ), alcohol use (AUDIT-C), and life status (LoL).

Data analysis consisted of comparing outcome measurements at t 1 and t 2 . The baseline measurement t 0 value was added as an adjustment variable in all models. The resulting data from CPAQ, CES-DC, and LoL were normally distributed and analyzed using linear mixed models. The resulting AUDIT-C scores were nonnormally distributed, with an excess of 0 values, and were analyzed using a 2-part model for longitudinal data. This model is sufficiently flexible to account for numerous 0 reports. This was achieved by combining a logistic generalized linear mixed model (GLMM) for the 0 parts and a skewed continuous GLMM for the non-0 alcohol consumption parts. R-package brms (Bayesian regression models using Stan; R Foundation for Statistical Computing) [ 63 ], a higher-level interface for the probabilistic programming language Stan [ 64 ], and a custom brms family for a marginalized 2-part lognormal distribution were used to fit the model [ 65 ]. The logistic part of the model represents the subject-specific effects on the odds of reporting no drinking. The continuous part was modeled using a gamma GLMM with a log link. The exponentiated treatment effect represents the subject-specific ratio of the total AUDIT-C scores between the treatment and waitlist control groups for those who reported drinking during the specific follow-up period.

Handling of Missing Data

GLMMs include all available data and provide unbiased ITT estimates under the assumption that data are missing at random, meaning that the missing data can be explained by existing data. However, it is impossible to determine whether the data are missing at random or whether the missing data are due to unobserved factors [ 66 ]. Therefore, we also assumed that data were not missing at random, and subsequent sensitivity analyses were performed [ 66 ]. We used the pattern mixture method, which assumes not missing at random, to compare those who completed the follow-up at 6 months (t 2 ) with those who did not (but completed the 2-month follow-up). The overall effect of this model is a combination of the effects of each subgroup. We also tested the robustness of the results by performing ANCOVAs at the 2-month follow-up, both using complete cases and with missing values imputed using multilevel multiple imputation.

The effect of the program was estimated using Cohen d , where a value of approximately 0.2 indicates a small effect size and values of approximately 0.5 and 0.8 indicate medium and large effect sizes, respectively [ 61 ].

Ethical Considerations

All procedures were performed in accordance with the ethical standards of the institutional or national research committees, the 1964 Helsinki Declaration and its later amendments, and comparable ethical standards. Informed consent was obtained from all the participants included in the study. This study was approved by the Swedish Ethical Review Authority (formerly the Regional Ethical Review Board in Stockholm, No. 2011/1648-31/5).

To enhance the response rates, participants received a cinema gift certificate corresponding to approximately EUR 11 (US $12) as compensation for completing each assessment. If a participant completed all assessments, an additional gift certificate was provided. The participants could subsequently receive 4 cinema gift certificates totaling EUR 44 (US $48).

The trial profile is depicted in Figure 1 and reveals that 2722 individuals who were aged between 15 and 19 years performed the screening procedure. A total of 1448 individuals did not fulfill the inclusion criteria and were excluded, leaving 1274 eligible participants. Another 1070 individuals were excluded because they did not provide informed consent or complete the baseline assessment, leaving 204 participants who were allocated to 1 of the 2 study groups. A total of 140 (69%) and 131 (64%) participants completed t 1 and t 2 assessments, respectively. Of the participants in the intervention group (n=101), 63% (n=64) registered an account on the Alcohol and Coping website, 35% (n=35) completed the alcohol intervention section, and 24% (n=24) completed both the alcohol and coping intervention sections.

Sample Characteristics

The mean age of the sample was 17.0 (SD 1.23) years, and the vast majority were female, with both parents born in Sweden and currently working ( Table 1 ). Approximately one-third of the participants reported living with both parents. The mean score on the CAST-6 was 5.33 (SD 0.87) out of a total of 6, and the majority of the sample (147/204, 72.1%) perceived their father to have alcohol problems. Approximately 12% (25/204) had never consumed alcohol, whereas approximately 70% (144/204) had consumed alcohol at a level of intoxication. The mean age at onset was 13.7 (SD 2.07) years and the age at first intoxication was 14.8 (SD 1.56) years. The proportion of participants with symptoms of at least moderate depression was 77.5% (158/204), of whom 55.1% (87/158) had symptoms of severe depression and 42.6% (87/204) had symptoms of dysfunctional coping behaviors. The percentage of participants who consumed alcohol at a risky level was 39.7% (81/204). Table 1 provides complete information regarding the study sample.

a Significance levels calculated by Pearson chi-square statistics for categorical variables and 2-tailed t tests for continuous variables.

Treatment Effects

For the primary outcome, coping behavior (CPAQ), we found a small but inconclusive treatment effect in favor of treatment at both 2 (t 1 ) and 6 (t 2 ) months (Cohen d =–0.05 at both t 1 and t 2 ). For the secondary outcome, alcohol use (AUDIT-C), we found a treatment effect in that the intervention group scored 38% less than the control group on the continuous part (ie, drinking when it occurred) at t 1 and 46% less at t 2 . Regarding depression (CES-DC) and life status (LoL), all between-group comparisons of treatment effects were inconclusive at both follow-up time points ( Table 2 ).

a CPAQ: Coping With Parents Abuse Questionnaire.

b CES-DC: Center for Epidemiological Studies Depression Scale.

c LoL: Ladder of Life.

d AUDIT-C: Alcohol Use Disorders Identification Test.

e N/A: not applicable.

Missing Data

In contrast to the ITT analyses, the sensitivity analyses showed that the treatment group, averaged over the levels of dropout, scored higher (ie, a negative effect) on the main outcome, coping behavior (CPAQ), at t 1 (2.44; P =.20). However, the results remain inconclusive.

Dose-Response Effects

We did not find any evidence for greater involvement in the program being linked to improved outcomes with regard to coping behavior.

We did not find any support for the primary hypothesis: the intervention was not superior to the control condition with regard to coping behavior. Inconclusive results with small effect sizes were observed at both follow-up time points. However, for the secondary outcomes, we found that those in the intervention group who drank alcohol drank approximately 40%-50% less than those in the control group at both follow-ups. These results corroborate previous findings on the precursor face-to-face ICAIP intervention program, demonstrating that participants who received a combined alcohol and coping intervention reported superior outcomes with regard to alcohol-related outcomes compared to participants in the other 2 study arms, who received only a coping or alcohol intervention [ 41 , 42 ]. In contrast to this study, Hansson et al [ 42 ] found that all groups improved their coping skills, although the between-group comparisons were inconclusive and the improvements were maintained over time. These differences could be explained by the different settings in which the precursor program was provided (ie, face-to-face to young adults in a university setting), whereas this study targeted young people (15-19 years of age) through a web-based digital intervention. Additionally, the poor adherence in this study may explain the absence of primary results favoring the intervention group. In a recent study, parents without alcohol problems were recruited to participate in a randomized trial evaluating the web-based SPARE (Supportive Parenting and Reinforcement) program to improve children’s mental health and reduce coparents’ alcohol use. In line with our study, the authors did not find the primary outcome of the SPARE program to be superior to that of the active control group (which received written psychoeducation); however, both groups reported decreased coparental alcohol consumption [ 38 ].

Considering that approximately 3600 children in 2022 participated in various forms of support provided by Swedish municipalities [ 23 ], our recruitment activities reached a large number of eligible individuals, pointing to the potential of finding these children on these platforms. There were unexpectedly high levels of depression among the participants in this study. Although the intervention did not target depressive symptoms per se , there was a trend for the intervention group to have decreased depression levels compared to the control group. A large proportion of participants had symptoms of severe depression, which may have aggravated their capacity for improvement at follow-up [ 28 , 67 ]. Targeting dysfunctional coping patterns could affect an individual’s perceived mental health, and studies have shown that healthy coping strategies positively affect depression and anxiety in a positive way [ 68 ]. Using dysfunctional coping strategies, such as negative self-talk and alcohol consumption, can lead to depressive symptoms [ 69 ]. Targeting these symptoms in the context of healthy and unhealthy coping strategies may be a viable route to fostering appropriate coping strategies that work in the long run. Given that the young people who were reached by the intervention in this study displayed high levels of depression, future interventions for this group should include programs targeting depressive symptoms.

Almost 37% (37/101) of the intervention group did not log into the intervention at all, and only 24% (24/101) of the intervention group participants completed all parts of the program. The fact that a high proportion of the participants had symptoms of severe depression could explain the low adherence. Another reason could be that the initial film-based lectures were too long to maintain the participants’ attention, as the lectures ranged from 8-15 minutes. Yet a final reason could be that we had a 1- to 2-day break built into the intervention, and for unknown reasons, some participants did not log back into the intervention. However, we did not find a dose-response relationship indicating favorable outcomes for those who completed more of the program content. High levels of attrition are not uncommon in self-directed programs such as the one in this study; for example, in a study on a smoking cessation intervention, 37% of the participants never logged into the platform [ 70 ], and in a self-directed intervention for problem gamblers, a majority dropped out after 1 week and none completed the entire program [ 71 ]. Increased intervention adherence is a priority when developing new digital interventions, particularly for young people. One method is to use more persuasive technologies, such as primary tasks, dialogue, and social support [ 72 ]. Considering children whose parents have mental disorders, Grové and Reupert [ 73 ] suggested that digital interventions should include components such as providing information about parental mental illness, access to health care, genetic risk, and suggestions for how children might initiate conversations with parents who have the illness. These suggestions should be considered in future studies on interventions for youths whose parents have substance use problems. Representatives of the target group and other relevant stakeholders should also be involved in coproducing new interventions to increase the probability of developing more engaging programs [ 74 ]. Moreover, one cannot expect study participants to return to the program more than once, and for the sake of adherence, briefer interventions should not encourage participants to log-out for a break. To keep adherence at an acceptable level, similar future interventions for this target group should also consider having symptoms of severe depression as an exclusion criterion [ 28 , 67 ]. Further, to improve adherence, strategies of coproduction could be used where all stakeholders, including the target group, are involved in intervention development [ 75 ]. Other important factors identified to improve adherence to digital interventions are to make the content relatable, useful, and even more interactive [ 76 ]. Those participants who have symptoms of severe depression should be referred to other appropriate health care. Finally, it is probably beneficial to develop shorter psychoeducative film-based lectures than ours, lasting up to 15 minutes. Future self-directed digital interventions targeting this population should, therefore, focus on a very brief and focused intervention, which, based on theory, has the potential to foster healthy coping behaviors that can lead to an increased quality of life and improved mental health for this group of young people.

Another concern for future projects would be to use a data-driven approach during the program development phase, where A/B testing can be used to test different setups of the program to highlight which setup works best. Another aspect that must be considered is the fast-changing world of technology, where young people are exposed to an infinite number of different apps that grab their attention, which also calls for interventions to be short and to the point. Furthermore, if the program is to spread and become generally available, one must consider that keeping the program alive for a longer period will require funding and staffing for both product management and technical support.

Strengths and Limitations

This study had several strengths. First, Alcohol and Coping is a web-based intervention program, and it appears as if the internet is a particularly promising way to provide support to adolescents growing up with parents with alcohol problems because it offers an anonymous means of communicating and makes intervention programs readily accessible [ 25 ]. Our recruitment strategies reached a considerable number of interested and eligible individuals, demonstrating the potential for recruiting through social media and other web platforms. Additionally, this program is one of the first brief web-based interventions aimed at adolescents with parents with alcohol-related problems. We used the CAST-6, which has been validated among Swedish adolescents [ 47 ], to screen eligible participants. Another strength is that the intervention program involved personalized, tailored feedback in the form of prewritten automatic messages and therapist-written personalized feedback, both of which have proven to be important components of web-based interventions aimed at adolescents [ 77 , 78 ]. Finally, this study evaluated the effectiveness of the Alcohol and Coping program using a randomized controlled trial design, which is considered the strongest experimental design with regard to allocation bias.

This study had some limitations. First, the design with a passive waitlist control group and an active intervention group, both unblinded to study allocation, may have resulted in biased estimates of treatment effects. Intervention adherence was low, and most of the study participants had symptoms of depression, where 55% (87/158) had symptoms of severe depression. This may have contributed to the small and overall inconclusive effects on the primary outcomes of this study. Many digital interventions have problems with low adherence, and in a review by Välimäki et al [ 79 ], some studies reported adherence rates as low as 10%. A vast proportion of the study participants were women, making the findings difficult to generalize to men. However, another limitation concerns selection bias and external validity. We recruited study participants through social media and other relevant websites containing health-related information, including information about parents with alcohol-related problems. It is, therefore, possible that the study population can be classified as “information-seeking” adolescents, who may have different personality traits relative to other adolescents in the same home situation. Additionally, as an inclusion criterion was having ready access to computers and the internet, it is possible that participants belonging to a lower socioeconomic class were underrepresented in the study. It should also be noted that the data presented here were collected approximately 10 years ago. However, we believe our findings make an important contribution to the field since, like our intervention, many recent web-based interventions use strategies of psychoeducation, films, exercises, questions, and feedback. Further, the number of web-based interventions for this target group remains scarce in the literature, which underscores the need for future research. Finally, the study was powered to detect a medium effect size. However, given the small effect sizes detected in this study, it is plausible that too few participants were recruited to detect differences between the groups.

Implications for Practice

Although growing up with parents who have alcohol problems per se is not sufficient for developing psychosocial disorders, many children need support to manage their situation. Therefore, it is difficult to recruit children to support these groups. In Sweden, not even 2% of all children growing up with parental alcohol problems attend face-to-face support groups provided by municipalities.

Offering support through web-based intervention programs seems particularly attractive to adolescents whose parents have alcohol-related problems. To date, evidence for such programs is scarce, and there is an urgent need to develop and evaluate digital interventions targeting this group of adolescents. This study makes important contributions to this novel field of research. The results provide insight into effective strategies for delivering intervention programs to children of parents with substance abuse issues, highlighting the potential for digital interventions to reach a vulnerable, hard-to-reach group of adolescents. Our findings underscore the need to develop more engaging interventions in coproduction with the target group.

Conclusions

We found that a digital therapist-assisted self-management intervention for adolescents whose parents have alcohol use problems contributed to a reduction in the adolescents’ own alcohol consumption. This result highlights the potential for digital interventions to reach a large, vulnerable, and hard-to-reach group of adolescents with support efforts. Findings were inconclusive for all other outcomes, which may be attributable to low adherence. This points to the need for future research on developing more engaging digital interventions to increase adherence among adolescents.

Acknowledgments

This work was undertaken on behalf of the Swedish Council for Information on Alcohol and Other Drugs (CAN) and was supported by grants from the Swedish National Institute of Public Health and the Swedish Council for Working Life and Social Research.

Conflicts of Interest

HH and UZ developed the study interventions. However, the parties did not derive direct financial income from these interventions. HW, PK, and THE declare no conflicts of interest.

CONSORT-eHEALTH checklist (V 1.6.1).

• Haugland SH, Elgán TH. Prevalence of parental alcohol problems among a general population sample of 28,047 Norwegian adults: evidence for a socioeconomic gradient. Int J Environ Res Public Health. 2021;18(10):5412. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Elgán TH, Leifman H. Prevalence of adolescents who perceive their parents to have alcohol problems: a Swedish national survey using a web panel. Scand J Public Health. 2013;41(7):680-683. [ CrossRef ] [ Medline ]
• Laslett AM, Ferris J, Dietze P, Room R. Social demography of alcohol-related harm to children in Australia. Addiction. 2012;107(6):1082-1089. [ CrossRef ] [ Medline ]
• Manning V, Best DW, Faulkner N, Titherington E. New estimates of the number of children living with substance misusing parents: results from UK national household surveys. BMC Public Health. 2009;9:377. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Grant BF. Estimates of US children exposed to alcohol abuse and dependence in the family. Am J Public Health. 2000;90(1):112-115. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Raninen J, Elgán TH, Sundin E, Ramstedt M. Prevalence of children whose parents have a substance use disorder: findings from a Swedish general population survey. Scand J Public Health. 2016;44(1):14-17. [ CrossRef ] [ Medline ]
• Christoffersen MN, Soothill K. The long-term consequences of parental alcohol abuse: a cohort study of children in Denmark. J Subst Abuse Treat. 2003;25(2):107-116. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Martikainen PN, Korhonen K, Moustgaard H, Aaltonen M, Remes H. Substance abuse in parents and subsequent risk of offspring psychiatric morbidity in late adolescence and early adulthood: a longitudinal analysis of siblings and their parents. Soc Sci Med. 2018;217:106-111. [ CrossRef ] [ Medline ]
• Jääskeläinen M, Holmila M, Notkola IL, Raitasalo K. Mental disorders and harmful substance use in children of substance abusing parents: a longitudinal register-based study on a complete birth cohort born in 1991. Drug Alcohol Rev. 2016;35(6):728-740. [ CrossRef ] [ Medline ]
• Velleman R, Templeton LJ. Impact of parents' substance misuse on children: an update. BJPsych Adv. Apr 11, 2018;22(2):108-117. [ FREE Full text ] [ CrossRef ]
• Ohannessian CM, Hesselbrock VM, Kramer J, Bucholz KK, Schuckit MA, Kuperman S, et al. Parental substance use consequences and adolescent psychopathology. J Stud Alcohol. 2004;65(6):725-730. [ CrossRef ] [ Medline ]
• Johnson JL, Leff M. Children of substance abusers: overview of research findings. Pediatrics. 1999;103(5 Pt 2):1085-1099. [ CrossRef ] [ Medline ]
• Berg L, Bäck K, Vinnerljung B, Hjern A. Parental alcohol-related disorders and school performance in 16-year-olds-a Swedish national cohort study. Addiction. 2016;111(10):1795-1803. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Casas-Gil MJ, Navarro-Guzman JI. School characteristics among children of alcoholic parents. Psychol Rep. 2002;90(1):341-348. [ CrossRef ] [ Medline ]
• McGrath CE, Watson AL, Chassin L. Academic achievement in adolescent children of alcoholics. J Stud Alcohol. 1999;60(1):18-26. [ CrossRef ] [ Medline ]
• Velleman R, Templeton L, Reuber D, Klein M, Moesgen D. Domestic abuse experienced by young people living in families with alcohol problems: results from a cross‐european study. Child Abuse Rev. Nov 24, 2008;17(6):387-409. [ CrossRef ]
• Rothman EF, Edwards EM, Heeren T, Hingson RW. Adverse childhood experiences predict earlier age of drinking onset: results from a representative US sample of current or former drinkers. Pediatrics. 2008;122(2):e298-e304. [ CrossRef ] [ Medline ]
• Anda RF, Whitfield CL, Felitti VJ, Chapman D, Edwards VJ, Dube SR, et al. Adverse childhood experiences, alcoholic parents, and later risk of alcoholism and depression. Psychiatr Serv. 2002;53(8):1001-1009. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Straussner SLA, Fewell CH. A review of recent literature on the impact of parental substance use disorders on children and the provision of effective services. Curr Opin Psychiatry. 2018;31(4):363-367. [ CrossRef ] [ Medline ]
• Calhoun S, Conner E, Miller M, Messina N. Improving the outcomes of children affected by parental substance abuse: a review of randomized controlled trials. Subst Abuse Rehabil. 2015;6:15-24. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Emshoff JG, Price AW. Prevention and intervention strategies with children of alcoholics. Pediatrics. 1999;103(5 Pt 2):1112-1121. [ CrossRef ] [ Medline ]
• Cuijpers P. Prevention programmes for children of problem drinkers: a review. Drugs Educ Prev Policy. 2009;12(6):465-475. [ CrossRef ]
• Wannberg H. Plats för barnen—Om kommunernas stöd till barn som växer upp med missbrukande föräldrar [Make room for the children—municipalities and their support for children who grow up with parents with substance abuse]. Stockholm, Sweden. Junis, IOGT-NTO's ungdomsförbund; 2023.
• Elgán TH, Leifman H. Children of substance abusing parents: a national survey on policy and practice in Swedish schools. Health Policy. 2011;101(1):29-36. [ CrossRef ] [ Medline ]
• de Sousa D, Fogel A, Azevedo J, Padrão P. The effectiveness of web-based interventions to promote health behaviour change in adolescents: a systematic review. Nutrients. 2022;14(6):1258. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Andersson G. Internet-delivered psychological treatments. Annu Rev Clin Psychol. 2016;12:157-179. [ FREE Full text ] [ CrossRef ] [ Medline ]
• King R, Bambling M, Lloyd C, Gomurra R, Smith S, Reid W, et al. Online counselling: the motives and experiences of young people who choose the internet instead of face to face or telephone counselling. Couns Psychother Res. 2007;6(3):169-174. [ CrossRef ]
• Borghouts J, Eikey E, Mark G, De Leon C, Schueller SM, Schneider M, et al. Barriers to and facilitators of user engagement with digital mental health interventions: systematic review. J Med Internet Res. 2021;23(3):e24387. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Boggs JM, Beck A, Felder JN, Dimidjian S, Metcalf CA, Segal ZV. Web-based intervention in mindfulness meditation for reducing residual depressive symptoms and relapse prophylaxis: a qualitative study. J Med Internet Res. 2014;16(3):e87. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Hedman-Lagerlöf E, Carlbring P, Svärdman F, Riper H, Cuijpers P, Andersson G. Therapist-supported internet-based cognitive behaviour therapy yields similar effects as face-to-face therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis. World Psychiatry. 2023;22(2):305-314. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Lehtimaki S, Martic J, Wahl B, Foster KT, Schwalbe N. Evidence on digital mental health interventions for adolescents and young people: systematic overview. JMIR Ment Health. 2021;8(4):e25847. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Li J, Theng YL, Foo S. Game-based digital interventions for depression therapy: a systematic review and meta-analysis. Cyberpsychol Behav Soc Netw. 2014;17(8):519-527. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Pennant ME, Loucas CE, Whittington C, Creswell C, Fonagy P, Fuggle P, et al. Computerised therapies for anxiety and depression in children and young people: a systematic review and meta-analysis. Behav Res Ther. 2015;67:1-18. [ CrossRef ] [ Medline ]
• Woolderink M, Smit F, van der Zanden R, Beecham J, Knapp M, Paulus A, et al. Design of an internet-based health economic evaluation of a preventive group-intervention for children of parents with mental illness or substance use disorders. BMC Public Health. 2010;10:470. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Elgán TH, Kartengren N, Strandberg AK, Ingemarson M, Hansson H, Zetterlind U, et al. A web-based group course intervention for 15-25-year-olds whose parents have substance use problems or mental illness: study protocol for a randomized controlled trial. BMC Public Health. 2016;16(1):1011. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Maybery D, Reupert A, Bartholomew C, Cuff R, Duncan Z, Foster K, et al. A web-based intervention for young adults whose parents have a mental illness or substance use concern: protocol for a randomized controlled trial. JMIR Res Protoc. 2020;9(6):e15626. [ FREE Full text ] [ CrossRef ] [ Medline ]
• EÉk N, Romberg K, Siljeholm O, Johansson M, Andreasson S, Lundgren T, et al. Efficacy of an internet-based community reinforcement and family training program to increase treatment engagement for AUD and to improve psychiatric health for CSOs: a randomized controlled trial. Alcohol Alcohol. 2020;55(2):187-195. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Siljeholm O, Lindner P, Johansson M, Hammarberg A. An online self-directed program combining Community Reinforcement Approach and Family Training and parenting training for concerned significant others sharing a child with a person with problematic alcohol consumption: a randomized controlled trial. Addict Sci Clin Pract. 2022;17(1):49. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Woolderink M. Mind the gap: evaluation of an online preventive programme for adolescents with mentally ill or addicted parents. Maastricht University. 2016. URL: https://cris.maastrichtuniversity.nl/ws/portalfiles/portal/7281149/c5531.pdf [accessed 2024-03-14]
• Maybery D, Reupert A, Bartholomew C, Cuff R, Duncan Z, McAuliffe C, et al. An online intervention for 18-25-year-old youth whose parents have a mental illness and/or substance use disorder: a pilot randomized controlled trial. Early Interv Psychiatry. 2022;16(11):1249-1258. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Hansson H, Rundberg J, Zetterlind U, Johnsson KO, Berglund M. An intervention program for university students who have parents with alcohol problems: a randomized controlled trial. Alcohol Alcohol. 2006;41(6):655-663. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Hansson H, Rundberg J, Zetterlind U, Johnsson KO, Berglund M. Two-year outcome of an intervention program for university students who have parents with alcohol problems: a randomized controlled trial. Alcohol Clin Exp Res. 2007;31(11):1927-1933. [ CrossRef ] [ Medline ]
• Zetterlind U, Hansson H, Aberg-Orbeck K, Berglund M. Effects of coping skills training, group support, and information for spouses of alcoholics: a controlled randomized study. Nord J Psychiatry. 2001;55(4):257-262. [ CrossRef ] [ Medline ]
• Hansson H, Zetterlind U, Aberg-Orbeck K, Berglund M. Two-year outcome of coping skills training, group support and information for spouses of alcoholics: a randomized controlled trial. Alcohol Alcohol. 2004;39(2):135-140. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Hodgins DC, Maticka-Tyndale E, El-Guebaly N, West M. The CAST-6: development of a short-form of the Children of Alcoholics Screening Test. Addict Behav. 1993;18(3):337-345. [ CrossRef ] [ Medline ]
• Hodgins DC, Shimp L. Identifying adult children of alcoholics: methodological review and a comparison of the CAST-6 with other methods. Addiction. 1995;90(2):255-267. [ Medline ]
• Elgán TH, Berman AH, Jayaram-Lindström N, Hammarberg A, Jalling C, Källmén H. Psychometric properties of the short version of the children of alcoholics screening test (CAST-6) among Swedish adolescents. Nord J Psychiatry. 2021;75(2):155-158. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Orford J, Guthrie S, Nicholls P, Oppenheimer E, Egert S, Hensman C. Self-reported coping behavior of wives of alcoholics and its association with drinking outcome. J Stud Alcohol. 1975;36(9):1254-1267. [ CrossRef ] [ Medline ]
• Schoenbach VJ, Kaplan BH, Grimson RC, Wagner EH. Use of a symptom scale to study the prevalence of a depressive syndrome in young adolescents. Am J Epidemiol. 1982;116(5):791-800. [ CrossRef ] [ Medline ]
• Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med. 1998;158(16):1789-1795. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Myers JK, Weissman MM. Use of a self-report symptom scale to detect depression in a community sample. Am J Psychiatry. 1980;137(9):1081-1084. [ CrossRef ] [ Medline ]
• Olsson G, von Knorring AL. Depression among Swedish adolescents measured by the self-rating scale Center for Epidemiology Studies-Depression Child (CES-DC). Eur Child Adolesc Psychiatry. 1997;6(2):81-87. [ CrossRef ] [ Medline ]
• Fendrich M, Weissman MM, Warner V. Screening for depressive disorder in children and adolescents: validating the Center for Epidemiologic Studies Depression Scale for Children. Am J Epidemiol. 1990;131(3):538-551. [ CrossRef ] [ Medline ]
• Bergman H, Källmen H, Rydberg U, Sandahl C. Tio frågor om alkohol identifierar beroendeproblem. Psykometrisk prövning på psykiatrisk akutmottagning [Ten questions about alcohol as identifier of addiction problems. Psychometric tests at an emergency psychiatric department]. Läkartidningen. 1998;95(43):4731-4735. [ FREE Full text ]
• Källmén H, Berman AH, Jayaram-Lindström N, Hammarberg A, Elgán TH. Psychometric properties of the AUDIT, AUDIT-C, CRAFFT and ASSIST-Y among Swedish adolescents. Eur Addict Res. 2019;25(2):68-77. [ CrossRef ] [ Medline ]
• Andrews FM, Withey SB. Developing measures of perceived life quality: results from several national surveys. Soc Indic Res. 1974;1(1):1-26. [ CrossRef ]
• Nagy E. Barns känsla av sammanhang—En valideringsstudie av BarnKASAM i årskurserna 1-6 (ålder 7-12 år) [Children's sense of coherence—a study validating SOC for children in grades 1-6 (7-12 years old)]. Lunds Universitet [Lund University]. 2004. URL: https://lup.lub.lu.se/luur/download?func=downloadFile&recordOId=1358959&fileOId=1358960 [accessed 2024-03-14]
• Saghaei M. Random allocation software for parallel group randomized trials. BMC Med Res Methodol. 2004;4:26. [ FREE Full text ] [ CrossRef ] [ Medline ]
• drugsmart. URL: https://www.drugsmart.se/ [accessed 2024-03-19]
• Dimeff LA, Baer JS, Kivlahan DR, Marlatt GA. Brief Alcohol Screening and Intervention for College Students: A Harm Reduction Approach. New York. The Guilford Press; 1999.
• Cohen J. A power primer. Psychol Bull. 1992;112(1):155-159. [ CrossRef ] [ Medline ]
• Faul F, Erdfelder E, Lang A, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-191. [ CrossRef ] [ Medline ]
• Bürkner PC. brms: an R package for bayesian multilevel models using stan. J Stat Soft. 2017;80(1):1-28. [ FREE Full text ] [ CrossRef ]
• Carpenter B, Gelman A, Hoffman MD, Lee D, Goodrich B, Betancourt M, et al. Stan: a probabilistic programming language. J Stat Softw. 2017;76(1):1-32. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Magnusson K, Nilsson A, Carlbring P. Modeling longitudinal gambling data: challenges and opportunities. PsyArxiv. Preprint posted online on September 12, 2019. [ FREE Full text ] [ CrossRef ]
• Coertjens L, Donche V, De Maeyer S, Vanthournout G, Van Petegem P. To what degree does the missing-data technique influence the estimated growth in learning strategies over time? A tutorial example of sensitivity analysis for longitudinal data. PLoS One. 2017;12(9):e0182615. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Kunas SL, Lautenbacher LM, Lueken PU, Hilbert K. Psychological predictors of cognitive-behavioral therapy outcomes for anxiety and depressive disorders in children and adolescents: a systematic review and meta-analysis. J Affect Disord. 2021;278:614-626. [ CrossRef ] [ Medline ]
• Stallman HM, Lipson SK, Zhou S, Eisenberg D. How do university students cope? An exploration of the health theory of coping in a US sample. J Am Coll Health. 2022;70(4):1179-1185. [ CrossRef ] [ Medline ]
• Stallman HM, Beaudequin D, Hermens DF, Eisenberg D. Modelling the relationship between healthy and unhealthy coping strategies to understand overwhelming distress: a Bayesian network approach. J Affect Disord Rep. 2021;3:100054. [ FREE Full text ] [ CrossRef ]
• McClure JB, Shortreed SM, Bogart A, Derry H, Riggs K, St John J, et al. The effect of program design on engagement with an internet-based smoking intervention: randomized factorial trial. J Med Internet Res. 2013;15(3):e69. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Humphrey G, Bullen C. Smartphone-based problem gambling evaluation and technology testing initiative ('SPGeTTI'): final report reference 354913/00 for the Ministry of Health. National Institute for Health Innovation (NIHI), Auckland UniServices Ltd, The Univerisy of Auckland. 2019. URL: https:/​/www.​health.govt.nz/​system/​files/​documents/​publications/​20190424-spgetti-354913-00-final-report.​pdf [accessed 2024-03-14]
• Kelders SM, Kok RN, Ossebaard HC, Van Gemert-Pijnen JEWC. Persuasive system design does matter: a systematic review of adherence to web-based interventions. J Med Internet Res. 2012;14(6):e152. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Grové C, Reupert A. Moving the field forward: developing online interventions for children of parents with a mental illness. Child Youth Serv Rev. 2017;82:354-358. [ CrossRef ]
• Moffat BM, Haines-Saah RJ, Johnson JL. From didactic to dialogue: assessing the use of an innovative classroom resource to support decision-making about cannabis use. Drugs Educ Prev Policy. 2016;24(1):85-95. [ FREE Full text ] [ CrossRef ]
• Bevan Jones R, Stallard P, Agha SS, Rice S, Werner-Seidler A, Stasiak K, et al. Practitioner review: co-design of digital mental health technologies with children and young people. J Child Psychol Psychiatry. 2020;61(8):928-940. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Garrido S, Millington C, Cheers D, Boydell K, Schubert E, Meade T, et al. What works and what doesn't work? A systematic review of digital mental health interventions for depression and anxiety in young people. Front Psychiatry. 2019;10:759. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Crutzen R, de Nooijer J, Brouwer W, Oenema A, Brug J, de Vries NK. Strategies to facilitate exposure to internet-delivered health behavior change interventions aimed at adolescents or young adults: a systematic review. Health Educ Behav. 2011;38(1):49-62. [ CrossRef ] [ Medline ]
• Milward J, Drummond C, Fincham-Campbell S, Deluca P. What makes online substance-use interventions engaging? A systematic review and narrative synthesis. Digit Health. 2018;4:2055207617743354. [ FREE Full text ] [ CrossRef ] [ Medline ]
• Välimäki M, Anttila K, Anttila M, Lahti M. Web-based interventions supporting adolescents and young people with depressive symptoms: systematic review and meta-analysis. JMIR Mhealth Uhealth. 2017;5(12):e180. [ FREE Full text ] [ CrossRef ] [ Medline ]

Abbreviations

Edited by YH Lin; submitted 24.08.23; peer-reviewed by X Zhang, C Asuzu, D Liu; comments to author 28.01.24; revised version received 08.02.24; accepted 27.02.24; published 10.04.24.

©Håkan Wall, Helena Hansson, Ulla Zetterlind, Pia Kvillemo, Tobias H Elgán. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 10.04.2024.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as this copyright and license information must be included.