STUDY PROTOCOL article

Front. Digit. Health

Sec. Digital Mental Health

Monitoring Students' Well-Being through Journal Analysis – Study Protocol of an Explorative Approach using Natural Language Processing on Typed and Transcribed Entries to Monitor and Generate Personalized Feedback

  • 1. Universitatsklinikum Tubingen, Tübingen, Germany

  • 2. Friedrich-Alexander-Universitat Erlangen-Nurnberg Lehrstuhl fur Klinische Psychologie und Psychotherapie, Erlangen, Germany

  • 3. LMU Klinikum Institut fur Allgemeinmedizin, Munich, Germany

  • 4. Deutsches Zentrum fur Psychische Gesundheit, Mannheim, Germany

  • 5. University Hospital rechts der Isar, Technical University of Munich, Munich, Germany

  • 6. Munich Center for Machine Learning, Munich, Germany

  • 7. Eberhard Karls Universitat Tubingen Psychologisches Institut, Tübingen, Germany

  • 8. Eberhard Karls Universitat Tubingen Zentrum fur Bioinformatik Tubingen, Tübingen, Germany

  • 9. Imperial College London, London, United Kingdom

  • 10. Technische Universitat Munchen Munich Data Science Institute, Munich, Germany

The final, formatted version of the article will be published soon.

Abstract

Background: More than one-third of German students report high emotional exhaustion. One effective and low-cost method for improving emotional well-being is journaling, and advances in artificial intelligence (AI), particularly in Natural Language Processing (NLP), enable automated analysis of journal content for mental health monitoring. These analyses can be returned to users as personalized feedback, thereby enhancing the positive effects of journaling through increased self-reflection and creating an incentive for continuous use, which, in turn, improves monitoring. Journaling apps offer various input modalities (e.g., typing, speaking), potentially further increasing participation. Despite the promising potential of AI-powered journaling apps, their effects on mental health have so far been scarcely investigated. Research Question: This study investigates the performance of NLP models in predicting emotional well-being from journal entries. Specifically, it examines whether typed or spoken entries provide a more suitable input modality for these predictive models. Additionally, we explore whether receiving feedback is positively evaluated and which types of feedback students prefer. Method: In a two-week observational study, N = 100 university students (aged 18 years and older) will be recruited and randomly assigned to one of two groups (speaking vs. typing). Following a baseline assessment, participants will submit daily journal entries and annotate them using reflective questionnaires on emotional well-being, stress, and journal topics. This information will be presented to participants as personalized feedback. Additionally, the performance of NLP models in predicting emotional well-being from journal entries will be evaluated separately for the two groups. Expected Results: We expect that emotional well-being can be predicted from journal entries using NLP, with transcribed entries yielding higher accuracy than typed entries. We also expect the feedback to be well-received. Discussion: This study explores an accessible and engaging journaling application for monitoring and providing feedback on emotional well-being. It addresses several challenges in e-health research (e.g., high dropout rates, low user engagement). If this innovative approach yields strong user engagement and predictive performance, future work should evaluate automatically generated NLP-based feedback in journaling interventions to promote mental health. Trial registration: This trial was registered in the DRKS register (DRKS-ID: DRKS00034660) in July 2024 (16.07.2024).

Summary

Keywords

Feedback, journaling, Monitoring, Natural Language Processing, Personalization, User engagement

Received

23 April 2026

Accepted

08 July 2026

Copyright

© 2026 Schmitt, Schlicher, Triantafyllopoulos, Gawrilow, Eickhoff, Schuller and Löchner. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Michelle D. Schlicher

Disclaimer

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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