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

10.2196/11493 ◽  
2019 ◽  
Vol 8 (1) ◽  
pp. e11493 ◽  
Author(s):  
Dilfa Juniar ◽  
Wouter van Ballegooijen ◽  
Eirini Karyotaki ◽  
Anneke van Schaik ◽  
Jan Passchier ◽  
...  
2018 ◽  
Author(s):  
Dilfa Juniar ◽  
Wouter van Ballegooijen ◽  
Eirini Karyotaki ◽  
Anneke van Schaik ◽  
Jan Passchier ◽  
...  

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. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/11493


2009 ◽  
Vol 17 (1) ◽  
pp. 25-32 ◽  
Author(s):  
Adrienne Stauder ◽  
Barna Konkolÿ Thege ◽  
Mónika Erika Kovács ◽  
Piroska Balog ◽  
Virginia P. Williams ◽  
...  

2020 ◽  
Author(s):  
Yagmur Amanvermez ◽  
Eirini Karyotaki ◽  
Leonore M. de Wit ◽  
Pim Cuijpers ◽  
Philip Spinhoven ◽  
...  

BACKGROUND More than half of university students have high levels of stress. Stress management programs can help students improve coping skills and prevent psychological distress. However, studies have generally targeted all university students regardless of whether they experience high levels of stress or not, and thus more studies are needed to examine the feasibility and acceptability of e-health interventions for students with elevated stress. OBJECTIVE The present open trial aims to examine the feasibility and acceptability of a guided internet-based stress management program for university students with high levels of stress. METHODS In this study, participants are recruited via e-mail, newsletters, and flyers from four universities in the Netherlands to participate in a guided internet-based stress management program. Guidance is delivered by e-coaches who provide weekly asynchronous text-based motivational feedback after each module is completed. Primary outcomes are satisfaction with the intervention, assessed by the Client Satisfaction Scale (CSQ-8), and usability, assessed by the System Usability Scale (SUS-10). Secondary outcomes are perceived stress, quality of life, and depression, assessed by the Perceived Stress Scale (PSS-10), the EuroQol- 5 Dimension- 5 Level Scale (EQ- 5D- 5L), and the Patient Health Questionnaire (PHQ-9) respectively. Adherence rates to the program are assessed by examining the number of completed modules, time spent on the platform, and completed exercises. RESULTS The Caring Universities Project was funded in (September 2019). In June 2020, the project was officially announced to the students and recruitment began immediately. As of September 2020, recruitment continues. The expected date of the publication of the results is in 2021. CONCLUSIONS It is expected that the results of the proposed study will be informative for designing and implementing e-health interventions in higher education. Moreover, it is assumed that the findings will contribute to the growing literature on internet interventions by yielding preliminary evidence related to the feasibility and acceptability of an online stress management program. CLINICALTRIAL Netherlands Trial Register NL8686; https://www.trialregister.nl/trial/8686


2016 ◽  
Vol 58 (3) ◽  
pp. 254-264 ◽  
Author(s):  
Didier Allexandre ◽  
Adam M. Bernstein ◽  
Esteban Walker ◽  
Jennifer Hunter ◽  
Michael F. Roizen ◽  
...  

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