Web-Based Stress Management Program for University Students in Indonesia: Systematic Cultural Adaptation and Protocol for a Feasibility Study.

Research output: Journal contributionsJournal articlesResearchpeer-review

Authors

  • Dilfa Juniar
  • Wouter van Ballegooijen
  • Eirini Karyotaki
  • Anneke van Schaik
  • Jan Passchier
  • Elena Heber
  • Dirk Lehr
  • Sawitri Supardi Sadarjoen
  • Heleen Riper

Background: The number of university students experiencing stress is increasing, which often leads to adverse effects such as poor grades, academic probation, and emotional problems. Unfortunately, most of these problems remain untreated because of limited professional resources and fear of stigma. Several Web-based stress management interventions are now available for student populations, but these treatments are not yet available in Indonesia. To make treatment for stress more acceptable in Indonesia, a cultural adaptation process is needed, and part of the process is assessing the feasibility of the adapted intervention. Objective: This paper describes the first two stages of a cultural adaptation process and the protocol of a feasibility study that will assess the acceptability of a culturally adapted stress management intervention for university students in Indonesia. Methods: Focus group discussions with Indonesian university students were held, and input from Indonesian psychologists was gathered for developing the adapted intervention. A single-group feasibility study with a pre-post design will be conducted. We will recruit at minimum 50 university students who have an elevated level of stress (Depression, Anxiety, and Stress Scales–42 stress subscale score ≥15), identify themselves as being of Indonesian culture (eg, able to speak Bahasa Indonesia fluently), and are studying at a university in Indonesia. The primary endpoints of this study will be rates of participant satisfaction, system usability, dropout rates, and level of adherence. We will also use qualitative data to assess the adapted intervention more thoroughly. Secondary study endpoints will be quality of life, stress, anxiety, and depression levels. Feasibility parameters (eg, participant satisfaction, system usability, and level of adherence) will be summarized with descriptive statistics. Two-tailed paired within-group t tests will be used to analyze stress, anxiety, depression, and quality of life. Results: The enrollment of pilot study is currently ongoing. First results are expected to be ready for analysis in the second half of 2019. The project was funded as part of a PhD trajectory in 2015 by the Indonesian Endowment Fund for Education. Conclusions: This is one of the first studies to assess the feasibility of a culturally adapted Web-based stress management intervention for university students in Indonesia. Strengths and limitations of the study are discussed.

Original languageEnglish
Article numbere11493
JournalJMIR Research Protocols
Volume8
Issue number1
Number of pages11
ISSN1929-0748
DOIs
Publication statusPublished - 25.01.2019

Bibliographical note

The project was funded as part of a PhD trajectory in 2015 by the Indonesian Endowment Fund for Education. Conclusions: This is one of the first studies to assess the feasibility of a culturally adapted Web-based stress management intervention for university students in Indonesia. Strengths and limitations of the study are discussed. International Registered Report Identifier (IRRID): DERR1-10.2196/11493

    Research areas

  • Psychology
  • Health sciences
  • Cultural adaptation, Feasibility study, Indonesia, Internet intervention, Low and middle income countries (LMICs), Stress management, University student

Documents

DOI

Recently viewed

Publications

  1. Lifelong learning in practice at Leuphana University
  2. Customer Orientation of Service Employees—Toward a Conceptual Framework of a Key Relationship Marketing Construct
  3. Managing Global Production Networks
  4. RAWSim-O: A Simulation Framework for Robotic Mobile Fulfillment Systems
  5. Adaptor device for transmitting e.g. blood pressure data of human body from blood pressure measuring device of data communication system to e.g. personal computer, has controller for controlling transmission of data to communication module
  6. An InfoSpace Paradigm for Local and ad hoc Peer-to-Peer Communication
  7. Using Principal Component Analysis for information-rich socio-ecological vulnerability mapping in Southern Africa
  8. Formalised and Non-Formalised Methods in Resource Management-Knowledge and Social Learning in Participatory Processes
  9. Robust Control as a Mathematical Paradigm for Innovative Engineering Applications
  10. To Fail or Not to Fail
  11. The Influence of Terrorism on Expatriate Performance: a Conceptual Approach
  12. The polarity field concept
  13. Principled Interpolation in Normalizing Flows
  14. Introduction lectures in entrepreneurship
  15. Enhancement of workability in AZ31 alloy - Processing maps
  16. The theory of socio-cultural evolution
  17. Architecture of an adaptive, human-centered assistance system
  18. Quantitative determination on hot tearing in Mg-Al binary alloys
  19. Mikrounternehmen
  20. Revisited
  21. Red mason bees cannot compete with honey bees for floral resources in a cage experiment
  22. The new European database for chemicals of concern
  23. Strategy execution in higher education
  24. Warm, lively, rough?
  25. A hybrid actuator modelling and hysteresis effect identification in camless internal combustion engines control
  26. Sudoko mathematics for and done by younger students