Primasari Indira, Hoeboer Chris M, Sijbrandij Marit, Olff Miranda
Department of Psychiatry, Amsterdam UMC location University of Amsterdam, Amsterdam, the Netherlands.
Amsterdam Public Health, Mental Health, Amsterdam, The Netherlands.
Eur J Psychotraumatol. 2025 Dec;16(1):2535082. doi: 10.1080/20008066.2025.2535082. Epub 2025 Aug 12.
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 ( = 130) were randomly assigned to (1) four to seven sessions of PL + Enhanced Usual Care (PL+EUC; = 64) or (2) EUC only ( = 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 ( = -0.99, (140) = 3.64, = .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. Thai Clinical Trials Registry identifier: TCTR20230721001.
潜在创伤性事件（PTEs）在印度尼西亚学生中很普遍。基于网络的心理教育可能会提高心理健康素养并减少获得医疗保健的障碍。我们开发了Pulihkan Luka（PL），这是一个针对印度尼西亚本科生的基于网络的心理教育项目。这项试点随机对照试验评估了PL的可行性、可接受性和初步疗效。学生（n = 130）被随机分配到（1）四至七节PL + 强化常规护理（PL+EUC；n = 64）或（2）仅常规护理（n = 66）。常规护理包括一份带有可获得的（心理）健康服务转诊选项的传单。参与者接受了基线、干预后、三个月和六个月的随访评估。邀请了治疗组的20名参与者参加焦点小组讨论。基于模块完成情况、MT4C-in-Care可行性调查、IIAQ-ID和SIN-E-Stress用户满意度调查，将PL的可行性和可接受性作为主要结果进行检查。次要结果包括心理健康素养（MHL问卷）、心理健康状况（WHO-5）、求助意愿（GHSQ）、创伤后应激障碍症状（PCL-5）、抑郁（PHQ-9）、焦虑（GAD-7）和失眠（ISI）。结果表明PL具有很高的可接受性（90.63%愿意使用该干预措施，89.06%对该干预措施满意）。干预措施的接受度和依从性很高，92.18%的人完成了第一个模块，75%的人完成了所有指定模块。然而，可行性略低（59.38%的人报告有足够的精力和时间完成模块）。从基线到干预后，PL+EUC组在心理健康素养方面的改善明显大于仅接受常规护理组（β = -0.99，t(140) = 3.64，p = 0.02）。与仅接受常规护理组相比，PL+EUC组在心理健康状况和求助意愿、创伤后应激障碍、抑郁、焦虑和失眠方面的改善并不更大。PL是印度尼西亚第一个基于网络的创伤心理教育项目，被发现对印度尼西亚本科生来说是可行且可接受的，并且能提高心理健康素养。泰国临床试验注册标识符：TCTR20230721001。
