A culturally adapted internet-delivered mindfulness intervention with counsellor guidance for reducing distress among Indonesian university students: A randomised waitlist-controlled trial.
Saved in:
| Title: | A culturally adapted internet-delivered mindfulness intervention with counsellor guidance for reducing distress among Indonesian university students: A randomised waitlist-controlled trial. |
|---|---|
| Authors: | Listiyandini RA; School of Psychology, Faculty of Science, University of New South Wales, Sydney, NSW, 2052, Australia; Faculty of Psychology, Universitas YARSI, Jakarta, 10510, Indonesia. Electronic address: r.listiyandini@unsw.edu.au., Andriani A; Department of Psychology, Faculty of Medical and Health Sciences, Universitas Jambi, Jambi, Indonesia., Afsari N; Faculty of Psychology, Universitas Islam Indonesia, Yogyakarta, Indonesia., Marfu'atun E; Faculty of Education and Psychology, Universitas Negeri Yogyakarta, Yogyakarta, Indonesia., Hafizah N; Department of Psychology, Faculty of Medical and Health Sciences, Universitas Jambi, Jambi, Indonesia., Sholeh A; Growth Development Unit & Psychology Clinic, Rumah Sakit Dr. Oen Solo Baru, Sukoharjo, Indonesia., Nirbayaningtyas RB; Faculty of Psychology, Universitas Tarumanagara, Jakarta, Indonesia., Moulds ML; School of Psychology, Faculty of Science, University of New South Wales, Sydney, NSW, 2052, Australia., Mahoney AEJ; Clinical Research Unit for Anxiety and Depression (CRUfAD), St. Vincent's Hospital, Sydney, New South Wales, 2010, Australia; School of Psychiatry, Faculty of Medicine & Health, University of New South Wales, Sydney, NSW, 2052, Australia., Newby JM; School of Psychology, Faculty of Science, University of New South Wales, Sydney, NSW, 2052, Australia; Black Dog Institute, Sydney, NSW, 2052, Australia. |
| Source: | Behaviour research and therapy [Behav Res Ther] 2025 Oct; Vol. 193, pp. 104827. Date of Electronic Publication: 2025 Aug 05. |
| Publication Type: | Journal Article; Randomized Controlled Trial |
| Language: | English |
| Journal Info: | Publisher: Elsevier Science Country of Publication: England NLM ID: 0372477 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-622X (Electronic) Linking ISSN: 00057967 NLM ISO Abbreviation: Behav Res Ther Subsets: MEDLINE |
| Imprint Name(s): | Publication: Oxford : Elsevier Science Original Publication: Oxford [etc.] |
| MeSH Terms: | Mindfulness*/methods , Students*/psychology , Stress, Psychological*/therapy , Internet-Based Intervention* , Psychological Distress* , Counseling*/methods, Humans ; Female ; Male ; Indonesia ; Young Adult ; Universities ; Adult ; Internet ; Adolescent ; Treatment Outcome |
| Abstract: | Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Psychological distress is prevalent among university students worldwide, including in Low- and Middle-Income Countries (LMICs) such as Indonesia. Internet-delivered mindfulness interventions have been found to reduce distress. However, studies that evaluate the effectiveness of internet-delivered mindfulness interventions in LMICs are very limited. This randomised wait-list controlled trial assessed the effectiveness of a culturally adapted internet-based mindfulness intervention with lay counsellor guidance for reducing distress among university students in Indonesia. Indonesian university students experiencing elevated distress (N = 156) were randomly allocated to a 4-lesson internet-based mindfulness program with counsellor guidance (n = 77) or wait-list control (WLC) group (n = 79) during 4 weeks of intervention. Both groups completed self-report measures assessing psychological distress (DASS-21 and K-10), mindfulness (FFMQ), and well-being (IWBS) at baseline (T0), post-treatment (T1-week 5 after randomization), and 1-month follow-up (T2-week 9 after randomization). Intention-to-treat linear mixed models showed that participants on the internet-based mindfulness program guided by lay counsellors showed greater improvements at post-treatment and 1-month follow-up in psychological distress and mindfulness (between-group Hedges' gs = 0.48-1.18) compared to the WLC group. Moderate between group effect sizes for wellbeing were found at 1-month follow-up (g = 0.47). This study showed that a culturally adapted internet-based mindfulness intervention with counsellor guidance is efficacious in reducing the psychological distress of Indonesian university students. Future research should evaluate the longer-term outcomes and its cost-effectiveness in Indonesia. (Copyright © 2025 The Authors. Published by Elsevier Ltd.. All rights reserved.) |
| Contributed Indexing: | Keywords: Australian and New Zealand clinical trials registration number: ACTRN1262000095997; Indonesian; Internet; Mindfulness; Psychological distress; University students |
| Entry Date(s): | Date Created: 20250807 Date Completed: 20250926 Latest Revision: 20250929 |
| Update Code: | 20250930 |
| DOI: | 10.1016/j.brat.2025.104827 |
| PMID: | 40774069 |
| Database: | MEDLINE |
Full Text Finder 
Nájsť tento článok vo Web of Science | Abstract: | Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.<br />Psychological distress is prevalent among university students worldwide, including in Low- and Middle-Income Countries (LMICs) such as Indonesia. Internet-delivered mindfulness interventions have been found to reduce distress. However, studies that evaluate the effectiveness of internet-delivered mindfulness interventions in LMICs are very limited. This randomised wait-list controlled trial assessed the effectiveness of a culturally adapted internet-based mindfulness intervention with lay counsellor guidance for reducing distress among university students in Indonesia. Indonesian university students experiencing elevated distress (N = 156) were randomly allocated to a 4-lesson internet-based mindfulness program with counsellor guidance (n = 77) or wait-list control (WLC) group (n = 79) during 4 weeks of intervention. Both groups completed self-report measures assessing psychological distress (DASS-21 and K-10), mindfulness (FFMQ), and well-being (IWBS) at baseline (T0), post-treatment (T1-week 5 after randomization), and 1-month follow-up (T2-week 9 after randomization). Intention-to-treat linear mixed models showed that participants on the internet-based mindfulness program guided by lay counsellors showed greater improvements at post-treatment and 1-month follow-up in psychological distress and mindfulness (between-group Hedges' gs = 0.48-1.18) compared to the WLC group. Moderate between group effect sizes for wellbeing were found at 1-month follow-up (g = 0.47). This study showed that a culturally adapted internet-based mindfulness intervention with counsellor guidance is efficacious in reducing the psychological distress of Indonesian university students. Future research should evaluate the longer-term outcomes and its cost-effectiveness in Indonesia.<br /> (Copyright © 2025 The Authors. Published by Elsevier Ltd.. All rights reserved.) |
|---|---|
| ISSN: | 1873-622X |
| DOI: | 10.1016/j.brat.2025.104827 |