ABSTRACT

This study evaluated the effectiveness of an Internet-based Cognitive Behavioral Therapy (iCBT) program in reducing stress levels among nursing students at Poltekkes Pontianak. Using a one-group pre-test and post-test design, the study involved 85 participants who completed an 8-week iCBT intervention. The intervention featured culturally adapted modules focusing on stress management skills. Stress levels were measured using the Student Stress Inventory (SSI) across four dimensions: physical, interpersonal relationships, academic, and environmental. Results showed a significant reduction in stress levels from moderate to mild across all dimensions. The paired t-test confirmed statistically significant differences (p < 0.001) between pre- and post-intervention scores. These findings highlight the effectiveness of iCBT in addressing stress-related challenges in higher education settings. The program’s flexibility, anonymity, and cultural relevance were key factors contributing to its success. This study contributes to the growing evidence supporting iCBT as a scalable and accessible solution for improving mental health among university students, particularly in contexts requiring localized intervention strategies. Further research is recommended to explore its applicability in other student populations and settings.

Keywords: Higher education, iCBT, mental health, nursing students, stress management
https://doi.org/10.57180/tthi9591