A web-based psychoeducational programme for trauma-related symptoms in Indonesian undergraduate students: a pilot randomized controlled trial
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 pi...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | European Journal of Psychotraumatology |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/20008066.2025.2535082 |
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| author | Indira Primasari Chris M. Hoeboer Marit Sijbrandij Miranda Olff |
| author_facet | Indira Primasari Chris M. Hoeboer Marit Sijbrandij Miranda Olff |
| author_sort | Indira Primasari |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-c2e794d85b2940f28c19840f19364fd5 |
| institution | Kabale University |
| issn | 2000-8066 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | European Journal of Psychotraumatology |
| spelling | doaj-art-c2e794d85b2940f28c19840f19364fd52025-08-20T03:41:05ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662025-12-0116110.1080/20008066.2025.2535082A web-based psychoeducational programme for trauma-related symptoms in Indonesian undergraduate students: a pilot randomized controlled trialIndira Primasari0Chris M. Hoeboer1Marit Sijbrandij2Miranda Olff3Department of Psychiatry, Amsterdam UMC location University of Amsterdam, Amsterdam, the NetherlandsDepartment of Psychiatry, Amsterdam UMC location University of Amsterdam, Amsterdam, the NetherlandsAmsterdam Public Health, Mental Health, Amsterdam, The NetherlandsDepartment of Psychiatry, Amsterdam UMC location University of Amsterdam, Amsterdam, the NetherlandsPotentially 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.https://www.tandfonline.com/doi/10.1080/20008066.2025.2535082Trauma-related disordersweb-based psychoeducationrandomized controlled trialinternet-based self-helpfeasibility-acceptability studyTrastornos relacionados con trauma |
| spellingShingle | Indira Primasari Chris M. Hoeboer Marit Sijbrandij Miranda Olff A web-based psychoeducational programme for trauma-related symptoms in Indonesian undergraduate students: a pilot randomized controlled trial European Journal of Psychotraumatology Trauma-related disorders web-based psychoeducation randomized controlled trial internet-based self-help feasibility-acceptability study Trastornos relacionados con trauma |
| title | A web-based psychoeducational programme for trauma-related symptoms in Indonesian undergraduate students: a pilot randomized controlled trial |
| title_full | A web-based psychoeducational programme for trauma-related symptoms in Indonesian undergraduate students: a pilot randomized controlled trial |
| title_fullStr | A web-based psychoeducational programme for trauma-related symptoms in Indonesian undergraduate students: a pilot randomized controlled trial |
| title_full_unstemmed | A web-based psychoeducational programme for trauma-related symptoms in Indonesian undergraduate students: a pilot randomized controlled trial |
| title_short | A web-based psychoeducational programme for trauma-related symptoms in Indonesian undergraduate students: a pilot randomized controlled trial |
| title_sort | web based psychoeducational programme for trauma related symptoms in indonesian undergraduate students a pilot randomized controlled trial |
| topic | Trauma-related disorders web-based psychoeducation randomized controlled trial internet-based self-help feasibility-acceptability study Trastornos relacionados con trauma |
| url | https://www.tandfonline.com/doi/10.1080/20008066.2025.2535082 |
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