@Article{info:doi/10.2196/37278,
author="Juniar, Dilfa
and van Ballegooijen, Wouter
and Schulte, Mieke
and van Schaik, Anneke
and Passchier, Jan
and Heber, Elena
and Lehr, Dirk
and Sadarjoen, Sawitri Supardi
and Riper, Heleen",
title="A Web-Based Stress Management Intervention for University Students in Indonesia (Rileks): Feasibility Study Using a Pretest-Posttest Design",
journal="JMIR Form Res",
year="2022",
month="Jul",
day="19",
volume="6",
number="7",
pages="e37278",
keywords="Indonesia; cultural adaptation; feasibility study; internet intervention; telemental health; digital mental health; low- and middle-income countries (LMIC); stress management; university students",
abstract="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. International Registered Report Identifier (IRRID): RR2-10.2196/11493 ",
issn="2561-326X",
doi="10.2196/37278",
url="https://formative.jmir.org/2022/7/e37278",
url="https://doi.org/10.2196/37278",
url="http://www.ncbi.nlm.nih.gov/pubmed/35852838"
}