Designing Self-Management Features for Digital Islamic Spiritual Health Interventions for Adolescents with Sexual Behavior Problems
DOI:
https://doi.org/10.26811/peuradeun.v13i3.1430Keywords:
Islamic Psychospiritual, Persuasive Technology, Sexual Behavior, Self-ManagementAbstract
Digital health interventions (DHIs) have the potential to provide culturally relevant, private support for adolescent sexual behavior problems (SBPs), yet few are designed for Muslim-majority contexts. In Malaysia, the absence of an Islamic-values-based self-management intervention (SmI) model limits the integration of faith-based principles in adolescent health interventions. This study applies the TUDER framework (Targeting and Understanding) to map existing DHIs and identify key features for an Islamic-values-based SmI design. A web search conducted from January to April 2024 identified 53 platforms across Malaysia and neighboring countries, categorized by service type and features. Semi-structured interviews with nine experts in adolescent health and Islamic spiritual interventions were analyzed thematically using Braun and Clarke’s six-step process. Seven key design features—privacy, relaxation, lighthearted tone, catchiness, humor, confidence-boosting, and infographics—emerged as critical for engaging adolescents in conservative contexts. These features align with Islamic psychospiritual principles like tazkiyah al-nafs (spiritual purification). This study proposes a conceptual SmI framework that integrates these features with persuasive system design, offering a novel approach for developing culturally grounded DHIs. The framework strengthens the theoretical foundation for Islamic-values-based interventions and can be adapted to similar settings in Muslim-majority countries.
References
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211. https://doi.org/10.1016/0749-5978(91)90020-T
Aljuboori, D., Clary, L. K., Alomairah, S. A., Colder Carras, M., Saquib, N., Saquib, J., ... & Thrul, J. (2025). Contextual Adaptation of Digital Wellbeing Interventions for Young People: Insights from a Project in Saudi Arabia. Frontiers in Psychiatry, 15, 1455962. https://doi.org/10.3389/fpsyt.2024.1455962
Alshammari, M. H. (2021). Electronic-Health in Saudi Arabia: A review. International Journal of Advanced and Applied Sciences, 8(6), 1–10. https://doi.org/10.21833/ijaas.2021.06.001
Asbjørnsen, R. A., Wentzel, J., Smedsrød, M. L., Hjelmesæth, J., Clark, M. M., Nes, L. S., & van Gemert-Pijnen, J. E. W. C. (2020). Identifying Persuasive Design Principles and Behavior Change Techniques Supporting End-User Values and Needs in eHealth Interventions for Long-Term Weight Loss Maintenance: Qualitative Study. Journal of Medical Internet Research, 22(11), e22598. https://doi.org/10.2196/22598
Bahori, A., & Ismail, S. Z. (2018). Kehamilan Luar Nikah dari Perspektif Undang-undang Jenayah Syariah di Malaysia dan Pengawalannya melalui Program Pencegahan. Jurnal Undang-Undang dan Masyarakat, 21(2), 1–15. https://ejournal.ukm.my/juum/article/view/26326
Braun, V., & Clarke, V. (2006). Using Thematic Analysis in Psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Dardas, L. A., Al-leimon, O., Gladstone, T., Dabbas, A. A., Alammouri, I., & Van Voorhees, B. (2025). Validating a Digital Depression Prevention Program for Adolescents in Jordan: Cultural Adaptation and User Testing in a Randomized Controlled Trial. Frontiers in Psychiatry, 16, 1529006. https://doi.org/10.3389/fpsyt.2025.1529006
Farooqui, A. T., Karim, S., & Karim, N. (2023). Role of Digital Health tools in Improving Maternal and Adolescent Mental Health Services in Pakistan: A Way Forward. Journal of the College of Physicians and Surgeons Pakistan, 33(9), 957–958. https://doi.org/10.29271/jcpsp.2023.09.957
Fogg, B. J. (2009). A behavior Model for Persuasive Design. ACM International Conference Proceeding Series, 350, 1-7. https://doi.org/10.1145/1541948.1541999
Guest, G., Bunce, A., & Johnson, L. (2006). How Many Interviews Are Enough? An Experiment with Data Saturation and Variability. Field Methods, 18(1), 59–82. https://doi.org/10.1177/1525822X05279903
Hall, K. S. K. (2019). Cultural Differences in the Treatment of Sex Problems. Current Sexual Health Reports, 11(1), 29–34. https://doi.org/10.1007/s11930-019-00189-9
Hamjah, S. H. (2018). Pendekatan Kaunseling Spiritual menurut Al-Ghazali. Dewan Bahasa dan Pustaka.
Hindin, M. J., & Fatusi, A. O. (2009). Adolescent Sexual and Reproductive Health in Developing Countries: An Overview of Trends and Interventions. International Perspectives on Sexual and Reproductive Health, 35(2), 58–62. https://doi.org/10.1363/ipsrh.35.058.09
Ismail, A., Zaizul, A. R., Siti Norul Huda, S. A., Muhammad Nuruddin, S., Azianura Hani, S., & Norulhuda, S. @ K. (2018). Relationship between Personal Empowerment and self-Identity Development among Adolescents in Malaysia. Asia-Pacific Journal of Information Technology and Multimedia, 7(2), 43–51. https://doi.org/10.17576/apjitm-2018-0702(02)-04
Jamaludin, N. F., Wook, T. S. M. T., Noor, S. F. M., & Qamar, F. (2021). Gamification Design Elements to Enhance Adolescent Motivation in Diagnosing Depression. International Journal of Interactive Mobile Technologies, 15(10), 154–172. https://doi.org/10.3991/ijim.v15i10.21137
Kartono, K., Fadilah, M., Yuliantiningsih, A., & Thakur, A. (2024). Cultural Heritage Protection and Revitalization of its Local Wisdom: A Case Study. Volksgeist: Jurnal Ilmu Hukum Dan Konstitusi, 7(2), 245–261. https://doi.org/10.24090/volksgeist.v7i2.11281
Kreuter, M. W., & McClure, S. M. (2004). The Role of Culture in Health Communication. Annual Review of Public Health, 25, 439–455. https://doi.org/10.1146/annurev.publhealth.25.101802.123000
Lindheim, T. (2022). Participant Validation: A Strategy to Strengthen the Trustworthiness of Your Study and Address Ethical Concerns. In G. Espedal, B. Jelstad Løvaas, S. Sirris, & A. Wæraas (Eds.), Researching Values: Methodological Approaches for Understanding Values Work in Organisations and Leadership (pp. 225–239). Springer International Publishing. https://doi.org/10.1007/978-3-030-90769-3_13
Listiyandini, R. A., Andriani, A., Kusristanti, C., Moulds, M., Mahoney, A., & Newby, J. M. (2023). Culturally Adapting an Internet-Delivered Mindfulness Intervention for Indonesian University Students Experiencing Psychological Distress: Mixed Methods Study. JMIR Formative Research, 7(1), e47126. https://doi.org/10.2196/47126
Marzuki, A., Noor, S. F. M., Wook, T. S. M. T., & Ismail, W. S. W. (2023). Exploring the User Requirement of Computerized Cognitive Behavioral Therapy for Depressed Adolescents. TEM Journal, 12(4), 2448–2459. https://doi.org/10.18421/TEM124-57
Mohd Haridi, N. H., Mohd Saleh, N., & Mohammad Jodi, K. H. (2019). Penerapan Elemen Kerohanian terhadap Remaja Berisiko di Pertubuhan Kebajikan Darul Islah Malaysia (PERKID). Online Journal of Research in Islamic Studies, 6, 87–98. https://ejournal.um.edu.my/index.php/RIS/article/view/20804
Mohd Sani, I. (2019). Pendekatan Islamik Implikasinya terhadap Amalan Kaunseling. International Social Science and Humanities Journal, 2(4), 28–38. http://eprints.unisza.edu.my/id/eprint/2512
Mohd Zukhi, M. Z., Husni, H., & Hussain, A. (2023). Culturicon Design Model: A Case of Designer’s Validation Process. Asia-Pacific Journal of Information Technology and Multimedia, 12(1), 125–138. https://doi.org/10.17576/apjitm-2023-1201-07
Muellmann, S., Brand, T., Jürgens, D., Gansefort, D., & Zeeb, H. (2021). How Many Key Informants are Enough? Analysing the Validity of the Community Readiness Assessment. BMC Research Notes, 14(1), 1–6. https://doi.org/10.1186/s13104-021-05497-9
Mustapha, Z., Mahpol, S., & Nur Hafizah, A. T. (2021). Penerapan Nilai Makrifah dalam Ilmu Nahu Arab menurut Al-Qushayri. Asia Pacific Online Journal of Arabic Studies, 4(1). http://mjs.um.edu.my/index.php/APOJAS/article/view/31280
Nen, S., & Ibrahim, K. A. (2018). Persepsi Pelajar terhadap Perkhidmatan Kaunseling di Universiti Kebangsaan Malaysia. Journal of Social Sciences and Humanities, 15(4), 93–103. https://ejournal.ukm.my/ebangi/article/view/28038
Noh, M. A. M., Zin, N. A. M., & Ashaari, N. S. (2019, July 9–10). Requirements for Interactive Digital Intervention System to Address Adolescents’ Sexual and Reproductive Health Problems. In 2019 International Conference on Electrical Engineering and Informatics (ICEEI) (pp. 375–379). IEEE. https://doi.org/10.1109/ICEEI47359.2019.8988814
Oinas-Kukkonen, H., & Harjumaa, M. (2009). Persuasive Systems Design: Key Issues, Process Model, and System Features. Communications of the Association for Information Systems, 24(1), 485–500. https://doi.org/10.17705/1CAIS.02428
Patton, G. C., Sawyer, S. M., Santelli, J. S., Ross, D. A., Afifi, R., Allen, N. B., Arora, M., Azzopardi, P., Baldwin, W., Bonell, C., Kakuma, R., Kennedy, E., Mahon, J., McGovern, T., Mokdad, A. H., Patel, V., Petroni, S., Reavley, N., Taiwo, K., … Viner, R. M. (2016). Our future: A Lancet Commission on Adolescent Health and Wellbeing. The Lancet, 387(10036), 2423–2478. https://doi.org/10.1016/S0140-6736(16)00579-1
Plano Clark, V. L. (2017). Mixed Methods Research. The Journal of Positive Psychology, 12(3), 305–306. https://doi.org/10.1080/17439760.2016.1262619
Poulsen, A., Song, Y. J. C., Fosch-Villaronga, E., LaMonica, H. M., Iannelli, O., Alam, M., & Hickie, I. B. (2024). Digital Rights and Mobile Health in Southeast Asia: A Scoping Review. Digital Health, 10. https://doi.org/10.1177/20552076241257058
Rahmat, D., Sudarto, S., Sarip, S., Sujono, S., & Aziz, M. F. (2024). The Urgency of Administrative Law in Light of Ius Constituendum Regarding the Role of Village Heads. Volksgeist: Jurnal Ilmu Hukum Dan Konstitusi, 7(1), 53–67. https://doi.org/10.24090/volksgeist.v7i1.10204
Resnicow, K., Baranowski, T., Ahluwalia, J. S., & Braithwaite, R. L. (1999). Cultural Sensitivity in Public Health: Defined and Demystified. Ethnicity & Disease, 9(1), 10–21. https://www.jstor.org/stable/45410142
Siong, R., & Tharshini, N. K. (2020). Isu Kehamilan Luar Nikah dalam Kalangan Remaja di Malaysia: Satu Tinjauan Sorotan Literatur. Jurnal Psikologi Malaysia, 34(4), 91–96. https://spaj.ukm.my/ppppm/jpm/article/view/597
Siti Fadzilah, M. N., Nor Hidayah, H., Tengku Siti Meriam, T. W., Hazura, M., Nur Fazidah, E., Wan Salwina, W. I., Norhayati, I., Anuradha, T., & Norasikin, F. (2024). Computerized Self-Help Design for Youth Depression Management. Asia-Pacific Journal of Information Technology and Multimedia, 13(1), 119–135. https://doi.org/10.17576/apjitm-2024-1301-09
Tan, M. M., Su, T. T., Ting, R. S.-K., Allotey, P., & Reidpath, D. (2021). Religion and Mental Health among Older Adults: Ethnic Differences in Malaysia. Aging & Mental Health, 25(11), 2116–2123. https://doi.org/10.1080/13607863.2020.1799939
Van der Vaart, R., Atema, V., & Evers, A. W. M. (2016). Guided Online Self-Management Interventions in Primary Care: A Survey on Use, Facilitators, and Barriers. BMC Family Practice, 17(1), 1–9. https://doi.org/10.1186/s12875-016-0424-0
Wan Nooraishya, W. A., & Nazlena, M. A. (2018). A Study on Persuasive Technologies: The Relationship between User Emotions, Trust and Persuasion. International Journal of Interactive Multimedia and Artificial Intelligence, 5, 57–61. https://doi.org/10.9781/ijimai.2018.02.010
Wan Yusoff, W. F. Z., & Mohd Amin, M. Z. (2020, October 29–30). Kesan Terapi Spiritual Islam terhadap Kesihatan Rohani: Satu Tinjauan Kajian. In Proceedings of the 7th International Prophetic Conference (SWAN 2020), Universiti Sains Islam Malaysia. https://oarep.usim.edu.my/handle/123456789/17233
Wang, Y., Fadhil, A., Lange, J.-P., & Reiterer, H. (2019). Integrating Taxonomies into Theory-Based Digital Health Interventions for Behavior Change: A Holistic Framework. JMIR Research Protocols, 8(1), 1–11. https://doi.org/10.2196/resprot.8055
Wies, B., Landers, C., & Ienca, M. (2021). Digital mental health for young people: A scoping review of ethical promises and challenges. Frontiers in Digital Health, 3. https://doi.org/10.3389/fdgth.2021.697072
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