Evaluating the Feasibility of a Guided Culturally Adapted Internet-Delivered Mindfulness Intervention for Indonesian University Students Experiencing Psychological Distress

IF 3.1 2区心理学 Q2 PSYCHIATRY

Mindfulness Pub Date : 2024-04-16 DOI:10.1007/s12671-024-02346-1

Ratih Arruum Listiyandini, Annisa Andriani, Nyda Afsari, Prawestri Bayu Utari Krisnamurthi, Michelle L. Moulds, Alison E. J. Mahoney, Jill M. Newby

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引用次数: 0

Abstract

Objectives

Psychological distress is common among university students globally. A culturally relevant internet-based mindfulness intervention could be a potential solution for addressing students’ distress in low- and middle-income countries (LMICs), including Indonesia. However, internet-based mindfulness interventions are new in Indonesia. In this study, we evaluated the feasibility, acceptability, and mental health outcomes of a counsellor-guided, culturally adapted, internet-delivered mindfulness intervention for Indonesian university students experiencing psychological distress.

Method

This open pilot trial used a single-arm pre-post-test design. Indonesian university students with elevated distress (n = 40) enrolled in a 4-week counsellor-guided internet-delivered mindfulness intervention. Participants completed the Indonesian adaptation of the Depression Anxiety Stress Scales (DASS-21) at screening, baseline, and post-treatment. They also completed the Indonesian version of Kessler’s Psychological Distress Scale (K-10) prior to each lesson, Five Facet Mindfulness Questionnaire (FFMQ) and Indonesian Well-Being Scale (IWBS) at baseline and post-treatment, and questionnaires to evaluate the feasibility, acceptability, and treatment satisfaction.

Results

Results showed the feasibility and acceptability of our guided culturally adapted Indonesian internet-delivered mindfulness intervention, with good completion rates (70%). We also found large and significant improvements in distress, mindfulness, and well-being (Hedges’ g = 0.85–1.68) from pre- to post-treatment. Participants reported that the program was satisfactory.

Conclusions

This study suggested that a counsellor-guided culturally adapted internet-based mindfulness intervention was feasible, acceptable, and associated with improvements in psychological distress, well-being, and mindfulness among university students in Indonesia. A randomized controlled trial with follow-up is needed to evaluate the intervention’s effectiveness.

Preregistration

This trial was preregistered on the Australian New Zealand Clinical Trial Registry (ACTRN12620000135910).

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评估针对印尼大学生心理困扰的文化适应性互联网指导正念干预的可行性

目标全球大学生普遍存在心理困扰。在中低收入国家（LMIC），包括印度尼西亚，与文化相关的基于互联网的正念干预可能是解决学生心理困扰的一个潜在解决方案。然而，基于互联网的正念干预在印尼尚属新生事物。在这项研究中，我们评估了在辅导员指导下，针对印尼大学生的心理困扰进行文化调整、通过互联网提供正念干预的可行性、可接受性和心理健康结果。印尼大学生（n = 40）参加了为期 4 周、由辅导员指导的互联网正念干预。参与者在筛查、基线和治疗后完成了印尼版抑郁焦虑压力量表（DASS-21）。他们还在每节课前完成了印尼版凯斯勒心理压力量表（K-10），在基线和治疗后完成了五面正念问卷（FFMQ）和印尼幸福感量表（IWBS），以及评估可行性、可接受性和治疗满意度的问卷调查。结果结果表明，我们的指导性文化适应性印尼互联网正念干预具有良好的可行性和可接受性，完成率高达 70%。我们还发现，从治疗前到治疗后，患者在痛苦、正念和幸福感（Hedges' g = 0.85-1.68）方面都有显著改善。结论这项研究表明，在辅导员指导下进行的基于文化的互联网正念干预是可行的、可接受的，并能改善印度尼西亚大学生的心理困扰、幸福感和正念。为评估该干预措施的有效性，需要进行随机对照试验，并进行跟踪调查。本试验已在澳大利亚-新西兰临床试验注册中心进行了预先注册（ACRN12620000135910）。

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来源期刊

Mindfulness Multiple-

CiteScore

6.10

自引率

19.40%

发文量

224

期刊介绍： Mindfulness seeks to advance research, clinical practice, and theory on mindfulness. It is interested in manuscripts from diverse viewpoints, including psychology, psychiatry, medicine, neurobiology, psychoneuroendocrinology, cognitive, behavioral, cultural, philosophy, spirituality, and wisdom traditions. Mindfulness encourages research submissions on the reliability and validity of assessment of mindfulness; clinical uses of mindfulness in psychological distress, psychiatric disorders, and medical conditions; alleviation of personal and societal suffering; the nature and foundations of mindfulness; mechanisms of action; and the use of mindfulness across cultures. The Journal also seeks to promote the use of mindfulness by publishing scholarly papers on the training of clinicians, institutional staff, teachers, parents, and industry personnel in mindful provision of services. Examples of topics include: Mindfulness-based psycho-educational interventions for children with learning, emotional, and behavioral disorders Treating depression and clinical symptoms in patients with chronic heart failure Yoga and mindfulness Cognitive-behavioral mindfulness group therapy interventions Mindfulnessness and emotional regulation difficulties in children Loving-kindness meditation to increase social connectedness Training for parents and children with ADHD Recovery from substance abuse Changing parents’ mindfulness Child management skills Treating childhood anxiety and depression