FSST on Campus Study Recruitment
This is a hybrid research trial testing Focused Skill and Strategy Training (FSST), a structured, evidence-based cognitive remediation intervention designed to enhance the academic persistence and performance of college students with mental health conditions.
To learn more about the FSST national study, email us at HYPE@umassmed.edu
FSST Overview
What is FSST?
Focused Skill and Strategy Training (FSST) is a manualized, one-on-one coaching intervention that is designed based on cognitive remediation literature. This intervention:
- Builds effective, durable habits to succeed in school;
- Focuses on executive functioning skills, including time and task management, prioritizing tasks, and planning to meet deadlines;
- Teaches practical academic strategies for success, including study strategies, note-taking skills, active listening, and encoding strategies; and
- Results in helping students to effectively manage the competing demands of college and maintain enrollment
In a previous trial, FSST has improved the odds of maintaining enrollment by 7 times...and we are designing this study so that you can see the same outcome for your students.
Structure:
- 12 weekly sessions, 1 hour each
- Delivered individually, in person
- Includes gamification, practice, and real-world application
What problem is the project trying to solve?
The problem we are trying to solve is the high attrition rate of students with mental health conditions. This group experiences the highest attrition rate of all student groups, which results in long-term vocational consequences.
Given the published literature and our internal data, students with mental health conditions have GPAs that do not suggest that they are leaving school due to poor academic performance. Our group’s hypothesis is that these students leave not due to inability, but rather from the amount of personal effort it takes to complete their coursework.
Based on FSST’s previous findings, Dr. Mullen has developed and is evaluating a new theory, The White Knuckle Effect.
This theory states that students exert extreme effort to meet the expectations of school, leading to “white knuckling” it. This effort results in semesters where they can “hold on” and complete their courses satisfactorily (and often well), and yet other semesters that are littered with withdrawals, incompletes, and Ds and Fs that typically result in difficulty finishing the semester. These periodic cycles of “crash and burn” pull down their GPA and eat through their financial aid.
Dr. Mullen’s hypothesis is that without refined self-regulated learning and self-management skills, students use sheer will and effort to meet the heavy demands of school. Without effective cognitive offloading strategies and refined self-management systems to plan, prepare, and complete assignments, students enter into a prolonged phase of cognitive overload. For all people, regardless of the presence or absence of a mental health condition, cognitive overload results in increased feelings of distress and reduced performance. These experiences of falling behind, and “white knuckling” it, potentially then lead to exacerbation of symptoms, inconsistent performance, and cycles of dropout and re-enrollment.
To help break these cycles, our lab focuses on the development of executive functioning skills, which are the foundation of academic and vocational success as a method to prevent cognitive overload, enhance academic persistence, and improve graduation rates.
What skills do students learn?
Students learn strategies across four areas:
- Prospective Memory (Remembering to Remember), including:
- Time management, organization, planning, & prioritization
- Conversational and Task Attention, including:
- Managing distractions, active listening, and note-taking
- Learning & Memory, including:
- Study techniques, recall methods
- Cognitive Flexibility & Problem-solving, including:
- Adapting, decision-making, self-monitoring
Does FSST work?
Yes! Prior studies show strong results. In addition to FSST completers being 7 times more likely to stay enrolled for an additional academic year than non-FSST students, FSST demonstrated statistically significant results where participants:
- Used more cognitive strategies, such as calendaring, to-do lists, reminders, and study strategies
- Reported fewer cognitive problems, like forgetting appointments, missing assignments, and losing/misplacing belongings
- Completed more courses and credits
- Reported fewer symptoms and academic barriers
- Improved their working memory and attention scores on neurocognitive assessments
What would our campus need to do?
If selected, your campus would:
- Host FSST within your Center for Academic Support
- Identify:
- An excited FSST Supervisor, and
- An adequate number of staff/ graduate students to train in FSST
- Participate in training and implementation support
- Provide iPads for FSST services
- Provide additional resources/support to verify mental health diagnoses (if needed) and conduct neurocognitive assessments (pre & post FSST intervention)
- Lead cross-campus communication strategies to increase awareness of FSST on campus
- Help with student recruitment and outreach
- Maintain FSST services after research activities are concluded
What makes a strong campus partner?
Campuses are selected through a competitive process based on:
Integrated collaboration across counseling, disability, and advising
- A good-fit campus must show functional collaboration across offices:
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- Active or developing partnerships between Disability/Accessibility Services, Counseling/Mental Health Services, Advising, and other related behavioral and academic supports.
- Defined referral pathways to other campus services (e.g., warm handoffs, follow-up systems)
- Process for sharing student information across offices (within compliance limits)
- Clear crisis response and triage processes
Real staffing capacity (including a dedicated supervisor)
- Minimum staffing expectations
- A supervisor who can allot 30% of their time to FSST oversight and fidelity monitoring
- Have staff/students ready (or hired) in time
- Engage in summer virtual site visit + onboarding
- Train campus staff in Fall 2026; services will start in January 2027
- Staff characteristics
- Qualified direct service staff (or student trainees) capable of:
- Delivering skill-based interventions
- Working with students with mental health conditions
- Qualified direct service staff (or student trainees) capable of:
- Required elements
- Participate in training and fidelity monitoring
- Supervisor training and technical assistance to support effective intervention fidelity monitoring
Ability to recruit students with mental health conditions who need executive functioning support
- Required or preferred capabilities
- Ability to identify/verify mental health conditions (diagnostic capacity or partnerships)
Ability to deliver structured, weekly 1:1 interventions
- Sufficient staff to:
- Deliver weekly 1:1 sessions (12 sessions per student)
- For up to ~50 students simultaneously over 12-16 weeks
- Complete required research-based data reporting
- Basic but essential infrastructure:
- Private, dedicated space for confidential 1:1 sessions
- Ability to provide weekly services in person, consistently
- Operational continuity (including summer availability for onboarding/site visit)
Basic clinical/assessment capability or existing community partnership where
- Staff trained in:
- Neurocognitive assessment tools (e.g., MATRICS battery)
- Capacity to complete assessments for up to ~100 participants (pre and post)
Institutional and operational readiness for a research partnership
- Leadership letter of support
- Organizational readiness of leadership, management, and direct services staff for both research and direct service-related activities
- Ability to execute
Why should our campus participate?
Potential benefits include:
- Access to an evidence-based program shown to improve course completion, reduce symptoms, and enhance academic persistence
- Enhanced support for students with mental health conditions
- Staff training in high-impact academic coaching strategies
- Contribution to a national research effort on student success
How are staff trained?
Training includes:
- Blended learning model:
- In-Person Training
- Live technical assistance
- Approximately 3 months of preparation before launch
- Practice delivering FSST with students before the study begins
- Ongoing coaching and feedback to ensure quality
What support will our campus receive?
Your campus will receive:
- Structured implementation support (Implementation Facilitation)
- Ongoing technical assistance
- Training from the FSST developers
- Tools to ensure high-quality, consistent delivery
How are students recruited?
Students can be recruited through:
- Campus offices (advising, counseling, accessibility services)
- Flyers and digital outreach
- Social media and campus communications
- Self-referral options
Which students are eligible?
Students must:
- Be an undergraduate, ages 18–24
- Have a diagnosed mental health condition
- Be enrolled full-time and have at least 2 years remaining
- Be at risk for attrition (e.g., probation, incompletes, returning from leave, previous academic disruption)
What is the time commitment for students?
- 12 weekly sessions (~3 months total)
- Periodic surveys and check-ins over ~8 months
- Minimal, but additional time outside sessions practicing related skills
What is the research design?
- A hybrid trial, where we evaluate student outcomes and determine if methodologies to train staff and supervisors are adequate to maintain intervention fidelity.
- Consent 100 students to enter into the study
- Students are randomized into:
- FSST intervention group
- Campus services as usual (comparison group)
- Student follow-up data is collected for two semesters
- Administrative data collected to evaluate the durability of FSST's impact
What outcomes are being measured?
- Academic persistence (enrollment, credits, courses);
- Executive functioning skills and strategy use;
- Academic barriers;
- Stress and mental health symptoms;
- Changes in cognitive capacity, specifically working memory and attention, and
- Other student-related factors impacting academic persistence and performance.
Are you ready to champion student success?
Learn how your institution can join the FSST national study. Email HYPE for application details.