{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T06:00:16Z","timestamp":1790402416629,"version":"4.1.0"},"update-to":[{"DOI":"10.12688\/f1000research.168558.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000}},{"DOI":"10.12688\/f1000research.168558.2","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000}},{"DOI":"10.12688\/f1000research.168558.3","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000}}],"reference-count":34,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns3:p>Background First year university students may be at risk of poor health behaviours and outcomes. Unfortunately, online surveys assessing multiple aspects of the health and well-being of university students have poor response rates, meaning the representativeness of such data may be questionable. This study sought to develop and implement an online survey to examine the health and well-being behaviours of medical and allied health students, with higher participation and response rate than have been reported in previous surveys. Methods A cross-sectional online survey was developed following recommendations to maximise the participation and response rates. All new students (defined as commencing a degree in May or September 2024) from undergraduate medical and postgraduate allied health programs from one Australian university were requested to participate. The survey included 136 items, most of which were validated questionnaires commonly used in national surveys. Participants were requested to complete the survey on their own device during scheduled class time within the first two weeks of their degree. Results Of 273 eligible students, 217 (79.5%) accessed the survey, with 201 (73.6%) completing it at least partially and 63.7% completing it fully. Median completion time was 14.4 (IQR: 12.3\u201316.8) minutes, and item-level response rates were high across disciplines. Differences in completion rates and survey duration were observed, with occupational therapy students taking the longest time to complete the survey (17.4 min). Conclusions The BOOST-Well survey achieved markedly higher response rates than comparable studies. This may reflect the student-informed survey design, concise format, strategic timing, and evidence-based recruitment and implementation strategies.<\/ns3:p>","DOI":"10.12688\/f1000research.168558.4","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T10:04:07Z","timestamp":1789725847000},"page":"808","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Reflections on the Development and Implementation of a University Student Health and Well-being Online Survey: the BOOST-Well Project"],"prefix":"10.12688","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9851-1068","authenticated-orcid":false,"given":"Justin","family":"Keogh","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences and Medicine Robina Queensland 4227 Bond University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyne","family":"Rathbone","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Medicine Robina Queensland 4227 Bond University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy J","family":"Brown","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Medicine Robina Queensland 4227 Bond University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth","family":"Mozolic-Staunton","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Medicine Robina Queensland 4227 Bond University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4334-608X","authenticated-orcid":false,"given":"Gregory","family":"Cox","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Medicine Robina Queensland 4227 Bond University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Furness","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Medicine Robina Queensland 4227 Bond University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaclyn","family":"Szkwara","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Medicine Robina Queensland 4227 Bond University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2560","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2430","DOI":"10.1186\/s12889-022-14690-9","article-title":"Towards a health promoting university: descriptive findings on health, wellbeing and academic performance amongst university students in Australia.","volume":"22","author":"L Sanci","year":"2022","journal-title":"BMC Public Health."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"97-103","DOI":"10.1016\/j.jad.2017.07.044","article-title":"Mental health problems in college freshmen: Prevalence and academic functioning.","volume":"225","author":"R Bruffaerts","year":"2018","journal-title":"J. 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I believe that the authors have greatly improved this manuscript. I believe that the integrity of this manuscript is sound, and it can provide useful information for researchers on how to increase participation in research surveys. There remain, however, several points which should be addressed before it can go to indexation. Some of these were raised in previous versions of the manuscript, but I do not feel they have been comprehensively addressed yet. However, I believe that the integration of the points below will improve clarify and aid interpretation of this interesting and beneficial study. A point-by-point response to the review comments would be useful. \n<b>Response: <\/b>\n<b>we thank the reviewer for the positive comments regarding some aspects of the manuscript as well is identifying other areas for further improvement.<\/b>  \n<b>Specific Comments Introduction:<\/b> - The justification for including students in the study is presented well. However, further justification for the inclusion of medical and allied health programmes specifically is needed and will provide important context for the study. This was raised in my previous review of this manuscript. Please add this at the end of the first paragraph. \n<b>Response: some additional information has been provided as requested. However, it was felt best not to include this at the end of the first paragraph in the introduction but in the first paragraph of the section entitled Materials and Methods \/ Study Design and Setting, as that is where we first mentioned the faculty from which these students were recruited.<\/b> \n<b>In this section, we have now provided some additional detail regarding how the inclusion of these programs reflected a combination of commonalities between these programs in terms of: 1) the students\u2019 high contact hours, hospital-based practicums and challenging assessments that could adversely affect their physical and mental health; and 2) coursework research subjects that are contained in these degrees in which student-focused survey data might provide interesting alternatives to the systematic reviews and clinical audits commonly performed by the students in these programs.<\/b>  \n<b>Method:<\/b> - Appendix 2 is still not available to view. \n<b>Response: we apologise for this mistake, with Appendix 2 now being included in the main manuscript as requested by a previous reviewer and labelled Table 2.<\/b>  Can you provide some more information about how the student representatives involved in developing recruitment strategies selected? (Perhaps this information is in Appendix 2?). \n<b>Response: some additional information is now provided regarding the student\u2019s involvement in the recruitment strategies in the Participants and recruitment section within Materials and methods.<\/b>  - Thank you for adding more information about how\/when the participants completed the survey. In line with reviewer 5, please add a few sentences in the limitations section about how completing the survey during class time may have created participation pressure for. \n<b>Response: some additional detail has been provided in the Limitations section regarding the limitations of our in-class recruitment process.<\/b>  Further, is it possible that some participants may have felt a reduced sense of privacy to complete the survey if they were sitting in a lecture hall among their peers? This may have resulted in a social desirability bias. Was this considered? If so, how?&nbsp; \n<b>Response: &nbsp;while it is possible that some participants may have some reduced sense of privacy, the students routinely participate in a range of online surveys in class assessing their understanding of the subject content. In these typical classroom situations as well is this online survey, the students complete the surveys on personal smartphones and not on classroom computer screens, further reducing any uneasiness about privacy would be minimal, if any. It was also made clear to the participants that they should not look at their classmates responses.<\/b>  - My previous point about how absent students were dealt with (e.g., whether they were provided another opportunity to participate, etc.) has not been addressed. This has also been raised by reviewer 4. \n<b>Response: any students who were absent from class on the day the survey was to be completed were not eligible to be included in the survey. This information is provided at the end of the Participants and recruitment section within Materials and methods.<\/b>  \n<b>Results:<\/b> - How were the&nbsp;seven earlier student surveys presented in Table 2 selected? \n<b>Response: the studies were identified from our reading of the literature and database searches using keywords that included \u201cuniversity or college\u201d, \u201cstudent\u201d and \u201chealth survey\u201d, with a date range between 2015 and present, so to ensure that such studies\u2019 results are likely still to be relevant to university students studying today. It has now been made more explicit that these seven studies is not an exhaustive list, but merely an example of the research conducted in this area since 2015.<\/b>  - Small frequencies remain in Table 4 which may put the anonymity of participants at risk, particularly given that the name of the institution and specific course names are provided (e.g., one &quot;man&quot; in the Nutrition and Dietetics course). This point has been raised in response to previous versions of the manuscript and by other reviewers. Please ensure that the appropriate measures are taken to protect participants' identities, and are applied consistently across the&nbsp;\n<b><i>entire&nbsp;<\/i><\/b>table. \n<b>Response: we agree that protecting participant confidentiality is important and feel that we have addressed this comment already. Whilst the results table might still contain some lower frequencies, we have taken all necessary steps to protect any potential identification. Other than a single person (the data custodian not linked to the medical or allied health programs) who produced the results for this table, no one else had access to any information related to the small group of individuals since all the IDs collected anonymously were recoded and participants from programs (physiotherapy, occupational therapy, and nutrition and dietetics) were merged into one subgroup called \u2018Allied Health\u2019 prior to the data being made available to anyone else, so that no particular individuals from the smaller allied health programs can be identified. This de-identified data set in which each individual is categorised as \u201cMedicine\u201d or \u201cAllied Health\u201d can be found in the appendices (2024_May_BOOST_data_201.xlsx)<\/b>    \n<b>Discussion:<\/b> - Add explicit acknowledgment of the participation pressure and social desirability bias due to completing the survey during class time into the limitations section. \n<b>Response: this has been done as requested.<\/b>","URL":"https:\/\/f1000research.com\/articles\/14-808\/v4#referee-comment-17170","order":2,"name":"referee-comment-17170","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.5256\/f1000research.193546.r465772, Alba Madrid Cagigal, University of Galway, Galway, 28 Mar 2026, version 2, 2 approved with reservations, 1 not approved","URL":"https:\/\/f1000research.com\/articles\/14-808\/v2#referee-response-465772","order":3,"name":"referee-response-465772","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.5256\/f1000research.210716.r522392, Hengki Yandri, Institut Agama Islam Negeri Kerinci, Jambi, 26 Sep 2026, version 4, indexed","URL":"https:\/\/f1000research.com\/articles\/14-808\/v4#referee-response-522392","order":4,"name":"referee-response-522392","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.5256\/f1000research.199248.r507586, Shaimaa Ezzat Basha, Psychology, Fujairah University, Fujairah, Fujairah, 25 Aug 2026, version 3, 4 approved with reservations, 1 not approved","URL":"https:\/\/f1000research.com\/articles\/14-808\/v3#referee-response-507586","order":5,"name":"referee-response-507586","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"The author(s) declared that no grants were involved in supporting this work","order":6,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}