A web-based psychoeducational programme for trauma-related symptoms in Indonesian undergraduate students: a pilot randomized controlled trial.

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Názov: A web-based psychoeducational programme for trauma-related symptoms in Indonesian undergraduate students: a pilot randomized controlled trial.
Autori: Primasari I; Department of Psychiatry, Amsterdam UMC location University of Amsterdam, Amsterdam, the Netherlands.; Amsterdam Public Health, Mental Health, Amsterdam, The Netherlands.; Faculty of Psychology, Universitas Indonesia, Depok, Indonesia., Hoeboer CM; Department of Psychiatry, Amsterdam UMC location University of Amsterdam, Amsterdam, the Netherlands.; Amsterdam Public Health, Mental Health, Amsterdam, The Netherlands., Sijbrandij M; Amsterdam Public Health, Mental Health, Amsterdam, The Netherlands.; Department of Clinical, Neuro and Developmental Psychology, Faculty of Behavioural and Movement Sciences, WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands., Olff M; Department of Psychiatry, Amsterdam UMC location University of Amsterdam, Amsterdam, the Netherlands.; Amsterdam Public Health, Mental Health, Amsterdam, The Netherlands.; ARQ National Psychotrauma Centre, Diemen, The Netherlands.
Zdroj: European journal of psychotraumatology [Eur J Psychotraumatol] 2025 Dec; Vol. 16 (1), pp. 2535082. Date of Electronic Publication: 2025 Aug 12.
Spôsob vydávania: Journal Article; Randomized Controlled Trial
Jazyk: English
Informácie o časopise: Publisher: Taylor & Francis Country of Publication: United States NLM ID: 101559025 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2000-8066 (Electronic) Linking ISSN: 20008066 NLM ISO Abbreviation: Eur J Psychotraumatol Subsets: MEDLINE
Imprint Name(s): Publication: 2016- : Philadelphia, PA : Taylor & Francis
Original Publication: [Järfälla] : [Amsterdam] : Co-action Pub. ; The European Society for Traumatic Stress Studies, [2010]-
Výrazy zo slovníka MeSH: Students*/psychology , Internet-Based Intervention* , Stress Disorders, Post-Traumatic*/therapy, Humans ; Female ; Indonesia ; Pilot Projects ; Male ; Young Adult ; Adult ; Health Literacy ; Universities ; Internet ; Adolescent
Abstrakt: Potentially traumatic events (PTEs) are prevalent among Indonesian students. Web-based psychoeducation might increase mental health literacy and reduce barriers to healthcare access. We developed Pulihkan Luka (PL), a web-based psychoeducation programme for Indonesian undergraduate students. This pilot randomized controlled trial assessed the feasibility, acceptability, and preliminary efficacy of PL. Students ( N  = 130) were randomly assigned to (1) four to seven sessions of PL + Enhanced Usual Care (PL+EUC; n  = 64) or (2) EUC only ( n  = 66). EUC included a leaflet with referral options to available (mental) health services. Participants received baseline, post-intervention, three- and six-month follow-up assessments. Twenty participants from the treatment group were invited to participate in a focus group discussion. The feasibility and acceptability of PL were examined as primary outcomes based on module completion, MT4C-in-Care feasibility survey, IIAQ-ID, and SIN-E-Stress user satisfaction survey. Secondary outcomes included mental health literacy (MHL questionnaire), psychological well-being (WHO-5), help-seeking intention (GHSQ), symptoms of PTSD (PCL-5), depression (PHQ-9), anxiety (GAD-7), and insomnia (ISI). The results indicated a high acceptability of PL (90.63% willing to use the intervention and 89.06% satisfied with the intervention). The uptake and adherence to the intervention were high, with 92.18% completing the first module and 75% completing all assigned modules. However, the feasibility was somewhat lower (59.38% reported sufficient energy and time to complete the modules). The PL+EUC group improved significantly more in mental health literacy compared to EUC only from baseline to post-intervention ( b  = -0.99, t (140) = 3.64, p  = .02). The PL+EUC group did not improve more in psychological well-being and help-seeking intentions, PTSD, depression, anxiety, and insomnia compared to EUC only. PL is the first web-based trauma psychoeducation programme in Indonesia, and it was found to be feasible and acceptable for Indonesian undergraduate students, as well as to improve mental health literacy. Trial registration: Thai Clinical Trials Registry identifier: TCTR20230721001.
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Contributed Indexing: Keywords: Trastornos relacionados con trauma; Trauma-related disorders; autoayuda basada en internet; ensayo controlado aleatorizado; estudio de viabilidad y aceptabilidad; feasibility-acceptability study; internet-based self-help; psicoeducación basado en la web; randomized controlled trial; web-based psychoeducation
Local Abstract: [plain-language-summary] Pulihkan Luka (PL) is the first web-based psychoeducation programme for trauma-related mental health symptoms in Indonesia.PL proved feasible and acceptable for Indonesian undergraduate students.The long-term effectiveness and cost-effectiveness of PL need to be investigated in future studies.
Entry Date(s): Date Created: 20250812 Date Completed: 20250812 Latest Revision: 20250817
Update Code: 20250817
PubMed Central ID: PMC12356506
DOI: 10.1080/20008066.2025.2535082
PMID: 40792380
Databáza: MEDLINE
Popis
Abstrakt:Potentially traumatic events (PTEs) are prevalent among Indonesian students. Web-based psychoeducation might increase mental health literacy and reduce barriers to healthcare access. We developed Pulihkan Luka (PL), a web-based psychoeducation programme for Indonesian undergraduate students. This pilot randomized controlled trial assessed the feasibility, acceptability, and preliminary efficacy of PL. Students ( N  = 130) were randomly assigned to (1) four to seven sessions of PL + Enhanced Usual Care (PL+EUC; n  = 64) or (2) EUC only ( n  = 66). EUC included a leaflet with referral options to available (mental) health services. Participants received baseline, post-intervention, three- and six-month follow-up assessments. Twenty participants from the treatment group were invited to participate in a focus group discussion. The feasibility and acceptability of PL were examined as primary outcomes based on module completion, MT4C-in-Care feasibility survey, IIAQ-ID, and SIN-E-Stress user satisfaction survey. Secondary outcomes included mental health literacy (MHL questionnaire), psychological well-being (WHO-5), help-seeking intention (GHSQ), symptoms of PTSD (PCL-5), depression (PHQ-9), anxiety (GAD-7), and insomnia (ISI). The results indicated a high acceptability of PL (90.63% willing to use the intervention and 89.06% satisfied with the intervention). The uptake and adherence to the intervention were high, with 92.18% completing the first module and 75% completing all assigned modules. However, the feasibility was somewhat lower (59.38% reported sufficient energy and time to complete the modules). The PL+EUC group improved significantly more in mental health literacy compared to EUC only from baseline to post-intervention ( b  = -0.99, t (140) = 3.64, p  = .02). The PL+EUC group did not improve more in psychological well-being and help-seeking intentions, PTSD, depression, anxiety, and insomnia compared to EUC only. PL is the first web-based trauma psychoeducation programme in Indonesia, and it was found to be feasible and acceptable for Indonesian undergraduate students, as well as to improve mental health literacy. Trial registration: Thai Clinical Trials Registry identifier: TCTR20230721001.
ISSN:2000-8066
DOI:10.1080/20008066.2025.2535082