Correction: Psychological impacts from COVID-19 among university students: Risk factors across seven states in the United States.

[This corrects the article DOI: 10.1371/journal.pone.0245327.].

"Messy transitions": Students' perspectives on the impacts of the COVID-19 pandemic on higher education.

The COVID-19 pandemic affected every area of students' lives, especially their education. Limited research has explored students' experiences during the pandemic. This study documents how students across seven United States universities viewed the impact of the COVID-19 pandemic on their educational experiences and how these students reacted to these impacts. We present qualitative data from an online survey conducted between March and May 2020 that resulted in 1267 respondents with relevant data. Conventional content analysis with an inductive approach was used to analyze open-ended responses to the question, "We are interested in the ways that the coronavirus (COVID-19) pandemic has changed how you feel and behave. What are the first three ways that come to mind?" Six categories emerged from the data: changes in instruction delivery mode, changes in schedule and everyday life, increased technology use, decreased academic opportunities and resources, negative reaction to the changes in higher education, and positive reactions to changes in higher education. Among our recommendations for practice are personalized approaches to material delivery and evaluation, synchronous classes and opportunities to connect with professors and students, and convenient support services.

Greenspace and park use associated with less emotional distress among college students in the United States during the COVID-19 pandemic.

The COVID-19 pandemic has negatively affected many people's psychological health. Impacts may be particularly severe among socially vulnerable populations such as college students, a group predisposed to mental health problems. Outdoor recreation and visits to greenspaces such as parks offer promising pathways for addressing the mental health challenges associated with COVID-19. During the early stages of the pandemic (March-May 2020), we surveyed 1280 college students at four large public universities across the United States (U.S.) to assess how, and why, outdoor recreation and park use changed since the emergence of COVID-19. We also measured students' self-reported levels of emotional distress (a proxy for psychological health) and assessed potential demographic and contextual correlates of distress, including county-level per capita park area and greenness, using generalized linear models. We found that 67% of students reported limiting outdoor activities and 54% reported reducing park use during the pandemic. Students who reduced their use of outdoor spaces cited structural reasons (e.g., lockdowns), concerns about viral transmission, and negative emotions that obstructed active lifestyles. Students who maintained pre-pandemic park use levels expressed a desire to be outdoors in nature, often with the explicit goal of improving mental and physical health. Emotional distress among students was widespread. Models showed higher levels of emotional distress were associated with reducing park use during the pandemic and residing in counties with a smaller area of parks per capita. This study of U.S. college students supports the value of park-based recreation as a health promotion strategy for diverse populations of young adults during a time of crisis.

Psychological impacts from COVID-19 among university students: Risk factors across seven states in the United States.

BACKGROUND: University students are increasingly recognized as a vulnerable population, suffering from higher levels of anxiety, depression, substance abuse, and disordered eating compared to the general population. Therefore, when the nature of their educational experience radically changes-such as sheltering in place during the COVID-19 pandemic-the burden on the mental health of this vulnerable population is amplified. The objectives of this study are to 1) identify the array of psychological impacts COVID-19 has on students, 2) develop profiles to characterize students' anticipated levels of psychological impact during the pandemic, and 3) evaluate potential sociodemographic, lifestyle-related, and awareness of people infected with COVID-19 risk factors that could make students more likely to experience these impacts. METHODS: Cross-sectional data were collected through web-based questionnaires from seven U.S. universities. Representative and convenience sampling was used to invite students to complete the questionnaires in mid-March to early-May 2020, when most coronavirus-related sheltering in place orders were in effect. We received 2,534 completed responses, of which 61% were from women, 79% from non-Hispanic Whites, and 20% from graduate students. RESULTS: Exploratory factor analysis on close-ended responses resulted in two latent constructs, which we used to identify profiles of students with latent profile analysis, including high (45% of sample), moderate (40%), and low (14%) levels of psychological impact. Bivariate associations showed students who were women, were non-Hispanic Asian, in fair/poor health, of below-average relative family income, or who knew someone infected with COVID-19 experienced higher levels of psychological impact. Students who were non-Hispanic White, above-average social class, spent at least two hours outside, or less than eight hours on electronic screens were likely to experience lower levels of psychological impact. Multivariate modeling (mixed-effects logistic regression) showed that being a woman, having fair/poor general health status, being 18 to 24 years old, spending 8 or more hours on screens daily, and knowing someone infected predicted higher levels of psychological impact when risk factors were considered simultaneously. CONCLUSION: Inadequate efforts to recognize and address college students' mental health challenges, especially during a pandemic, could have long-term consequences on their health and education.

Improving understanding and management of the complex relationship between visitor motivations and spatial behaviors in parks and protected areas.

Increases in use and changes in the behavior of visitors to parks and protected areas (PPAs) worldwide are challenging the ability of managers to provide for a quality visitor experience while also maintaining the integrity of natural resources. Understanding visitor motivations and spatial behaviors are important for effective management of PPA resources and visitor experiences, as differences in motivations and spatial behaviors can influence the distribution of impacts to a recreation landscape. However, the relationships between motivations and behaviors are not well understood. In this study, we investigated the relationship between motivations and spatial behavior patterns of recreationists within a system of urban and peri-urban PPAs in Orange County, California, USA. Data were collected using paired GPS-based tracking and visitor questionnaires. Factor analysis revealed seven primary motivations derived from a 36-item motivation scale, and classification of visitors by motivations suggests two primary types. A three-way Analysis of Variance examining the relationship between a suite of visitor spatial behaviors and activity type (mountain bike vs. pedestrian), motivation type, and recreation area visited showed that all three variables interacted to influence visitor spatial behavior patterns while recreating. A spatial analysis of visitor dispersion further illustrated these interactions. These results suggest that the relationship between visitor motivations and spatial behaviors is complex. Understanding the complexities of how motivations influence visitor spatial behavior can help land managers mitigate impacts and improve planning for outdoor recreation by predicting where use may increase, how visitors might behave, and highlight locations of future research.

A cluster-randomized trial of a college health center-based alcohol and sexual violence intervention (GIFTSS): Design, rationale, and baseline sample.

INTRODUCTION: Sexual violence (SV) on college campuses is common, especially alcohol-related SV. This is a 2-arm cluster randomized controlled trial to test a brief intervention to reduce risk for alcohol-related sexual violence (SV) among students receiving care from college health centers (CHCs). Intervention CHC staff are trained to deliver universal SV education to all students seeking care, to facilitate patient and provider comfort in discussing SV and related abusive experiences (including the role of alcohol). Control sites provide participants with information about drinking responsibly. METHODS: Across 28 participating campuses (12 randomized to intervention and 16 to control), 2292 students seeking care at CHCs complete surveys prior to their appointment (baseline), immediately after (exit), 4months later (T2) and one year later (T3). The primary outcome is change in recognition of SV and sexual risk. Among those reporting SV exposure at baseline, changes in SV victimization, disclosure, and use of SV services are additional outcomes. Intervention effects will be assessed using generalized linear mixed models that account for clustering of repeated observations both within CHCs and within students. RESULTS: Slightly more than half of the participating colleges have undergraduate enrollment of ≥3000 students; two-thirds are public and almost half are urban. Among participants there were relatively more Asian (10 v 1%) and Black/African American (13 v 7%) and fewer White (58 v 74%) participants in the intervention compared to control. CONCLUSIONS: This study will offer the first formal assessment for SV prevention in the CHC setting. Clinical Trials #: NCT02355470.

The influence of visitor use levels on visitor spatial behavior in off-trail areas of dispersed recreation use.

A variety of social and ecological factors influence the level and extent of ecological change that occurs in a park or protected area. Understanding these factors and how they are interrelated can help managers prevent undesirable ecological impacts, especially in areas without formal trails and visitor sites. This study examines the relationship between levels of visitor use and spatial patterns of visitor behavior at a variety of backcountry recreation destinations. Current assumptions in both the literature and simulation modeling efforts assume that visitor behavior either does not change with use level or that visitors are more likely to disperse at high levels of visitor use. Using visitor counts and GPS tracks of visitor behavior in locations where visitors could disperse off-trail, we found that visitors' spatial behavior does vary with visitor use level in some recreation settings, however the patterns of visitor behavior observed in this study are sometimes contrary to current generalizations. When visitor behavior does vary with use level, visitors are dispersing more at low levels of visitor use not when use level is high. Overall, these findings suggest that in certain situations the amount of visitor use at a recreation destination may be a less important driver of ecological change than visitor behavior.

The effect of minimum impact education on visitor spatial behavior in parks and protected areas: An experimental investigation using GPS-based tracking.

The unmanaged impacts of recreation and tourism can often result in unacceptable changes in resource conditions and quality of the visitor experience. Minimum impact visitor education programs aim to reduce the impacts of recreation by altering visitor behaviors. Specifically, education seeks to reduce impacts resulting from lack of knowledge both about the consequences of one's actions and impact-minimizing best practices. In this study, three different on-site minimum impact education strategies ("treatments") and a control condition were applied on the trails and summit area of Sargent Mountain in Acadia National Park, Maine. Treatment conditions were designed to encourage visitors to stay on marked trails and minimize off-trail travel. Treatments included a message delivered via personal contact, and both an ecological-based message and an amenity-based message posted on signs located alongside the trail. A control condition of current trail markings and directional signs was also assessed. The efficacy of the messaging was evaluated through the use of Global Positioning System (GPS) tracking of visitor spatial behavior on/off trails. Spatial analysis of GPS tracks revealed statistically significant differences among treatments, with the personal contact treatment yielding significantly less dispersion of visitors on the mountain summit. Results also indicate that the signs deployed in the study were ineffective at limiting off-trail use beyond what can be accomplished with trail markers and directional signs. These findings suggest that personal contact by a uniformed ranger or volunteer may be the most effective means of message delivery for on-site minimum impact education.

Enhancing the utility of visitor impact assessment in parks and protected areas: a combined social-ecological approach.

Understanding the ecological consequences of visitor use in parks and how visitors interact with resource conditions is essential for avoiding the impairment of park and protected area resources and visitor experiences. This study combined ecological measures of off-trail resource impacts with social science techniques to understand visitor judgments of ecological impacts and visitors' degree of exposure to impacts. Specifically, this paper reports on a novel integration of techniques that was tested in the Bear Lake Road Corridor of Rocky Mountain National Park, CO, USA in which resource change, as a result of visitor use off designated trails and sites, was assessed and combined with social science and visitor use data. Visual survey techniques were used to understand visitor judgments of ecologically important resource impacts and GPS-tracking of visitor use and behavior allowed for the determination of the degree of visitor's exposure to impaired resources. Results suggest that resource impacts are prevalent and intense throughout the area, but tended to be spatially limited in proximity to attraction sites. Visitors are interacting with resource conditions reported to be unacceptable for significant portions of their hikes. Overall, the work represents an advancement of predictive capabilities when managing park and protected area resources.

The effects of local ecological knowledge, minimum-impact knowledge, and prior experience on visitor perceptions of the ecological impacts of backcountry recreation.

An on-site visitor survey instrument was developed to examine visitor perceptions of resource impacts resulting from backcountry hiking activities. The survey was conducted in the Bear Lake Corridor of Rocky Mountain National Park, CO and examined visitor characteristics that may influence visitor perceptions of specific resource conditions. Findings indicate that visitors are more perceptive of recreation-related resource impacts that are the result of undesirable behavior and, while visitors do perceive resource impacts, visitors tend to be more affected by crowding. Factors such as local ecological knowledge and knowledge of minimal-impact practices positively influence visitor perceptions of resource impacts. These findings support the use of visitor education on ecological knowledge and minimum-impact as a means of increasing visitor awareness of recreation impact issues.