A Web-Based Stress Management Intervention for University Students in Indonesia (Rileks): Feasibility Study Using a Pretest-Posttest Design

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  • Dilfa Juniar
  • Wouter Van Ballegooijen
  • Mieke Schulte
  • Anneke Van Schaik
  • Jan Passchier
  • Elena Heber
  • Dirk Lehr
  • Sawitri Supardi Sadarjoen
  • Heleen Riper

Background: University students are susceptible to excessive stress. A web-based stress management intervention holds promise to improve stress but is still at a novel stage in Indonesia. Objective: The aim of this paper was to report the feasibility of the intervention we developed—Rileks—among university students in Indonesia in terms of acceptability and usability, and to propose recommendations for future improvements. Methods: A single-group pretest and posttest design was used. Participants with scores of 15 or higher on the stress subscale of the 42-item Depression Anxiety Stress Scales were given access to the intervention (N=68). The main outcome measures were the 8-item Client Satisfaction Questionnaire (CSQ-8) score, the System Usability Scale (SUS) score, and intervention uptake. Participants’ experience in each session was evaluated using closed- and open-ended questions for future improvements. Descriptive statistics were used to examine primary outcome and qualitative session evaluations. Participants’ responses to each topic of the open questions were summarized. Results: The intervention was evaluated as being satisfactory (CSQ-8 mean score 21.89, SD 8.72; range 8-32). However, the intervention’s usability was still below expectation (SUS mean score 62.8, SD 14.74; range 0-100). The core modules were completed by 10 out of 68 participants (15%), and the study dropout rate was 63% (43/68) at postassessment. In general, the module content was rated positively, with some notes for improvement covering content and technical aspects. Conclusions: This study indicates that Rileks is potentially feasible for Indonesian university students. In order to be optimally applied in such a context and before scaling up web-based interventions in Indonesia, in general, further development and refinement are needed.

Original languageEnglish
Article numbere37278
JournalJMIR Formative Research
Issue number7
Number of pages15
Publication statusPublished - 19.07.2022

Bibliographical note

Funding Information:
This project was supported by the Indonesian Endowment Fund for Education in 2015, funded as part of the principal investigator’s (DJ) PhD trajectory.

Publisher Copyright:
© 2022 by the Author(s).

    Research areas

  • cultural adaptation, digital mental health, feasibility study, Indonesia, internet intervention, low- and middle-income countries (LMIC), stress management, telemental health, university students
  • Health sciences
  • Psychology