Stress and mental health difficulties are common burdens on college students. Although a small minority of these students receive psychological services, counseling centers have been overrun by demand. Thus, self-help interventions may offer a promising alternative to traditional college counseling services. The current study examined the influence of stress, motivation to change, and self-efficacy on 125 college students' use of self-help resources, to determine whether these factors would predict follow-up with self-help stress-management recommendations. Results of stepwise linear regression models suggest that motivation to change significantly predicted self-help resource utilization. In addition, motivation to change was found to be particularly important when self-help recommendations are open-ended (e.g., a handout with suggested stress-reduction strategies). Different types of self-help recommendations did not predict different levels of follow-up. These findings aim to fill gaps in the current literature regarding which college students make use of self-help resources. Specifically, the current findings may allow for targeted individual treatment recommendations to assure meaningful follow through. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com.bibliotheek.ehb.be/en-US/products/dissertations/individuals.shtml.]