None listed
Conditions
Brief summary
This project tests the efficacy of a guided culturally-attuned online mindfulness program for Indonesian university students who are experiencing psychological distress compared to waiting list control group. There is strong evidence that online mindfulness programs improve psychological distress and wellbeing in English-speaking participants. However, little research has evaluated online mindfulness interventions in Low or Middle Income Countries. This randomized controlled trial will recruit Indonesian university students. The main aim is to examine the mental health outcomes, participants adherence and engagement with the program, and completion rates. To do this we will recruit up to 100 Indonesian university students to participate, and allocate them into two groups, which is online guided mindfulness intervention group and waiting list control group. It is hypothesized that internet-delivered mindfulness intervention specifically tailored for Indonesian university students will significantly reduce students’ self-reported levels of psychological distress, and it will be significantly more effective than the waitlist control group at reducing students’ self-reported levels of psychological distress.
Interventions
The intervention consists of 4 online modules, over a 4 week intervention period. Participants access one online module each week. The intervention is self-administered, and is accessed via the online platform RedCap, and is delivered in Indonesian. Each online module takes approximately 15 minutes to read/listen to. It comprises a comic-based illustrated story and audio story about a character who is experiencing psychological distress, and learns about how to practice mindfulness to improve their emotional wellbeing. The comic-based illustrations have brief written text to explain about mindfulness, with an audio narration in Indonesian to explain key concepts. After each module, the participant downloads a PDF (1-3 pages) summarising the content of the online module, and will access audio and some video files of online mindfulness exercises. The audio exercises last 3-15 minutes each, and there are a total of 8 mindfulness audio exercises within the program. The approximate time commitment for participants is 30 minutes total per week. All participants will be provided weekly contact by phone, email, or text messages based on their preference, lasting up to 10 minutes from a trained counselor. The contact will provide support, guidance, and encouragement to login and do the lessons. Adherence to the intervention will be measured by module completion and self-reported questionnaires to evaluate engagement with mindfulness (e.g. weekly time spent practicing mindfulness). There would be measurement in baseline (T1), post-treatment (T2), and one month follow up (T3) to measure the outcome.
Sponsors
Study design
Eligibility
Inclusion criteria
•Indonesian university students who are studying at university in Indonesia, * Ability to speak Indonesian language fluently, * aged 18 years or over. * experiencing elevated psychological distress, defined as meeting criteria for mild psychological distress and above (minimum cut-off points is 15 on stress subscale, 8 for anxiety subscale, and 10 for depression subscale, based on DASS-21) * have access to a computer and the internet
Exclusion criteria
• Current self-reported diagnosis of psychosis, substance dependence and/or a bipolar disorder, and PTSD. • Currently receiving mindfulness-based treatment or under other psychological treatment (counselling or other psychotherapy such as CBT). • Severe depression (based on the DASS-21 depression subscale scores) with currently suicidal and/or recent deliberate self-harm (as determined by risk assessment during the telephone interview).