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Konflik ataupun perselisihan perkawinan yang belum terselesaikan biasanya mengakibatkan turunnya tingkat kesejahteraan diri pasangan. Penelitian ini bertujuan untuk mengembangkan gaya penyelesaian konflik antara pasangan yang telah menikah dibawah 5 tahun melalui pendekatan konseling marital dan mengembangkan konflik yang konstruktif, diharapkan menyelesaikan konflik secara konstruktif. Penyusunan konseling marital dengan menggunakan pendekatan konstruktif dari Olson (2006) pertama kali diuji coba pada dua pasangan suami istri yang berada pada usia pernikahan < 5 tahun di kota Bandung, Jawa Barat. Hasil menunjukkan bahwa konseling marital ini bisa meningkatkan pemahaman partisipan mengenai konflik perkawinan yang konstruktif. Selain itu, konseling marital bisa mengembangkan gaya penyelesaian konflik antra pasangan yang sudah menikah < 5 tahun perkawinan dengan menyelesaikan konseling marital secara konstruktif. Hal ini dikarenakan sebagian besar partisipan menganggap bahwa tujuan konseling ini menjadi realistis dan relevan bagi mereka. Selanjutnya, tujuan para partisipan dapat dicapai sesuai dalam pembelajaran dengan pendekatan atau metode konstruktif.

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 RR2-10.2196/11493

BACKGROUND The number of university students experiencing stress is increasing, which often leads to adverse effects such as poor grades, academic probation, and emotional problems. Unfortunately, most of these problems remain untreated because of limited professional resources and fear of stigma. Several Web-based stress management interventions are now available for student populations, but these treatments are not yet available in Indonesia. To make treatment for stress more acceptable in Indonesia, a cultural adaptation process is needed, and part of the process is assessing the feasibility of the adapted intervention. OBJECTIVE This paper describes the first two stages of a cultural adaptation process and the protocol of a feasibility study that will assess the acceptability of a culturally adapted stress management intervention for university students in Indonesia. METHODS Focus group discussions with Indonesian university students were held, and input from Indonesian psychologists was gathered for developing the adapted intervention. A single-group feasibility study with a pre-post design will be conducted. We will recruit at minimum 50 university students who have an elevated level of stress (Depression, Anxiety, and Stress Scales–42 stress subscale score ≥15), identify themselves as being of Indonesian culture (eg, able to speak Bahasa Indonesia fluently), and are studying at a university in Indonesia. The primary endpoints of this study will be rates of participant satisfaction, system usability, dropout rates, and level of adherence. We will also use qualitative data to assess the adapted intervention more thoroughly. Secondary study endpoints will be quality of life, stress, anxiety, and depression levels. Feasibility parameters (eg, participant satisfaction, system usability, and level of adherence) will be summarized with descriptive statistics. Two-tailed paired within-group t tests will be used to analyze stress, anxiety, depression, and quality of life. RESULTS The enrollment of pilot study is currently ongoing. First results are expected to be ready for analysis in the second half of 2019. The project was funded as part of a PhD trajectory in 2015 by the Indonesian Endowment Fund for Education. CONCLUSIONS This is one of the first studies to assess the feasibility of a culturally adapted Web-based stress management intervention for university students in Indonesia. Strengths and limitations of the study are discussed. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/11493

Peningkatan angka gangguan kejiwaan di Indonesia menimbulkan kebutuhan akan penanganan yang lebih optimal. Adanya instrumen kepribadian dengan kerangka teoritik yang kuat diharapkan dapat membantu proses penanganan agar lebih efektif. Instrumen kepribadian yang dikembangkan dalam penelitian ini didasarkan pada model teoritik dari Theodore Millon yaitu evolutionary model. Terdapat 14 tipe kepribadian yaitu Schizoid, Avoidant, Dependent, Histrionik, Kompulsif, Negativistik, Narsistik, Antisosial, Masokistik, Sadis, Schizotypal, Paranoid, Borderline, dan Melankolik. Tahap pengembangan item dilakukan melalui sebelas uji coba yang melibatkan 1372 partisipan. Form terakhir berisi 254 item yang terdiri dari 249 item kepribadian dan 5 item kontrol. Pilihan respon jawaban adalah YA dan TIDAK. Hasilnya masing-masing kepribadian memiliki reliabilitas alpha yang handal (> 0.7). Reliabilitas tes-retes menunjukan korelasi yang tinggi dengan tes pertama yaitu berkisar antara .744 - .891. Pembuktian validitas dengan validitas isi dari dua orang ahli memperlihatkan kesesuaian dengan definisi masing-masing domain diatas 80%. Validitas struktur internal menunjukan bahwa model yang digunakan dalam pengukuran sesuai dengan model teoritik.