Outcomes of Mutual Support Groups on Well-Being, Academic Skills, Career Confidence, and Psychological Support Attitudes Among Higher Education Students.

Mutual support groups are increasingly implemented in higher education settings across high-income countries to promote peer-based support, with demonstrated benefits for emotional well-being and social connectedness. However, their impact on other domains of students' lives remains underexplored, particularly in low- and middle-income contexts. This study investigates the outcomes of mutual support groups by examining students' perceived changes in mental well-being, academic skills, career certainty, social support attitudes, interpersonal functioning, and attitudes toward seeking psychological help. Using a qualitative retrospective approach, open-ended responses were collected from 20 Kosovar students (aged 18-25 years) at a major public university after a 5-week support group program. Data were thematically analyzed using a deductive approach based on predefined themes aligned with the study's objectives. Findings revealed that participating in mutual support groups contributed to reduced stress, lower anxiety, and improved mood, as students felt heard and emotionally supported by peers facing similar challenges. Students adopted more effective study habits and time management techniques through the sharing of practical strategies and encouragement. Open discussions about career uncertainty fostered clarity and confidence in students' academic and professional goals. Hearing from the perspectives of others on mental health reduced internalized stigma and increased willingness to seek psychological support. The group setting also enabled students to develop stronger interpersonal skills, including empathy, emotional expression, and a sense of connection and belonging. This study highlights the potential of mutual support groups as effective peer-led supplements in higher education by emphasizing improvements in student well-being, academic development, and mental health attitudes.