Empowering students as peer educators for mental health promotion in the campus environment

Andi Arfah; Muhammad Syafri; Sarifudin Andi Latif; Muhammad Ilyas; Andi Hariati; Sri Wahyuni

doi:10.61099/jpmei.v3i3.588

Authors

Andi Arfah Department of Nursing, STIKES Amanah Makassar, South Sulawesi, Indonesia, Indonesia https://orcid.org/0009-0009-3432-6643
Muhammad Syafri Department of Nursing, STIKES Amanah Makassar, South Sulawesi, Indonesia, Indonesia https://orcid.org/0000-0003-2534-4881
Sarifudin Andi Latif Department of Nursing, STIKES Amanah Makassar, South Sulawesi, Indonesia, Indonesia https://orcid.org/0009-0000-8830-5965
Muhammad Ilyas Department of Nursing, STIKES Amanah Makassar, South Sulawesi, Indonesia, Indonesia https://orcid.org/0009-0003-1607-432X
Andi Hariati Department of Nursing, STIKES Amanah Makassar, South Sulawesi, Indonesia, Indonesia
Sri Wahyuni Department of Midwifery, Politeknik Sandi Karsa, South Sulawesi, Indonesia, Indonesia https://orcid.org/0009-0009-3591-2484

DOI:

https://doi.org/10.61099/jpmei.v3i3.588

Keywords:

mental health, peer education, student empowerment

Abstract

Background: Mental health problems among university students may affect academic achievement, social relationships, and overall well-being. Limited mental health literacy, stigma, and reluctance to seek professional help highlight the need for accessible campus-based mental health promotion. Peer education provides a participatory strategy by empowering students to disseminate information and encourage supportive behaviors among their peers. This program aimed to empower students as peer educators in promoting mental health and strengthening peer support within the campus environment.

Methods: A community-based educational intervention was conducted among 60 students at STIKES Amanah Makassar, Indonesia. The program consisted of mental health education, peer educator training, interactive discussions, case-based learning, role-play, and supportive communication practice. Training materials covered basic mental health concepts, recognition of psychological distress, stigma reduction, supportive communication, help-seeking behaviors, and referral to appropriate professional services. Participants’ knowledge and readiness to act as peer educators were evaluated before and after the intervention.

Results: The intervention improved participants’ understanding of mental health, recognition of psychological distress, and awareness of appropriate help-seeking pathways. Participants also demonstrated greater confidence in communicating mental health information, providing basic peer support, and encouraging peers to seek professional assistance when necessary. Interactive learning and role-play strengthened participants’ engagement and readiness to perform their roles as peer educators.

Conclusion: Empowering students as peer educators is a feasible approach to strengthening mental health literacy, supportive communication, and help-seeking awareness on campus. Continuous training, supervision, and integration with institutional student support services are recommended to ensure program sustainability.

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References

AbouWarda, Horeya, Mateusz Dolata, and Gerhard Schwabe. 2024. “How Does an Online Mental Health Community on Twitter Empower Diverse Population Levels and Groups? A Qualitative Analysis of #BipolarClub.” Journal of Medical Internet Research 26 (August): e55965. https://doi.org/10.2196/55965.

Collado, Anahí, Antonella Onofrietti Magrassi, Jennifer Hudson, and Marian Ruiz. 2026. “Harnessing Compañerismo: A Systematic Review of Peer-Delivered Mental Health Support for Depression and Anxiety in Latino/a Communities.” Clinical Psychology Review 123 (February): 102674. https://doi.org/10.1016/j.cpr.2025.102674.

Do, Le-Hang Thi, Cat-Tuong Phuoc Nguyen, Quynh-Anh Ngoc Nguyen, Tu-Anh Thi Tran, Mai-Huong Thi Phan, and Phuong-Hoa Thi Nguyen. 2026. “The Underlying Roles of Coping Strategies in the Relationship between Negative Peer Experiences and Mental Health Problems in Vietnamese Adolescents: A SEM Approach.” Social Sciences & Humanities Open 14 (December): 103527. https://doi.org/10.1016/j.ssaho.2026.103527.

Gomez-Morales, Francesc, and Francisco José Eiroa-Orosa. 2026. “A Qualitative Analysis of Role-Play Exercises in the Training of Mental Health Peer Support Workers.” The Journal of Mental Health Training, Education and Practice 21 (3): 192–208. https://doi.org/10.1108/JMHTEP-06-2025-0063.

Gruau, Antoine, Julien Grard, and Aurélie Tinland. 2026. “First Lessons from the Evaluation of CoFoR, an Adaptation of the Recovery College Model in France for Mental Health Promotion, Peer Support, and Recovery.” L’Encéphale 52 (5): 511–18. https://doi.org/10.1016/j.encep.2026.02.016.

Han, R, F Maccallum, Z.C. Walter, R Tanksale, K Huang, S.S.J. Alhadad, E Beckman, et al. 2026. “Sharper Minds Online: Effects of Self-Paced Mental Health Modules on University Students’ Mental Health Literacy, Peer Support, and Self-Care Behaviours.” Mental Health & Prevention 43 (September): 200552. https://doi.org/10.1016/j.mhp.2026.200552.

Harris, Brett, Katie Gallant, Elizabeth Flanagan, Zahira Correa, Sofia Amezcua, and Leah Wentworth. 2026. “National Alliance on Mental Illness (NAMI) on Campus Evaluation: Facilitators, Barriers, and Impact of a Peer-Led Mental Health Program.” Mental Health & Prevention 41 (March): 200468. https://doi.org/10.1016/j.mhp.2025.200468.

Hsu, Chun-Lun, Chih-Chung Huang, Cheng-Yi Chao, Hsiang-Yi Pan, and Li-Ting Kao. 2026. “From Anxiety to Action: Mental Health Education Transforming Pharmacy Students’ Self-Care and Resilience.” American Journal of Pharmaceutical Education 90 (10): 102062. https://doi.org/10.1016/j.ajpe.2026.102062.

Khoza, Lebogang Peter. 2026. “Students as Partners in Mental Well-Being: Co-Creation and Participatory Practices in Higher Education.” Mental Health and Social Inclusion, March, 1–13. https://doi.org/10.1108/MHSI-12-2025-0321.

Li, Jiaying, Xiaobing Wu, Yibo Wu, Daniel Yee Tak Fong, Yang Song, Siyi Xu, Changhwan Kim, Xiaohong Lin, and Vinciya Pandian. 2025. “Physical, Mental, and Health Empowerment Disparities Across Chronic Obstructive Pulmonary Disease, Asthma, and Combined Groups and the Moderating Role of EHealth Literacy: Cross-Sectional Study.” Journal of Medical Internet Research 27 (May): e70822. https://doi.org/10.2196/70822.

Lyons, Rose, Nina Van Dyke, and Maximilian de Courten. 2026. “A Critical Review of Curriculum and Pedagogy in Mental Health Education.” Health Education 126 (2): 156–83. https://doi.org/10.1108/HE-04-2025-0044.

Park, Junsang, Sarah A Brown, Sharon Lynn Chu, Anne Q Zhou, and Roberto L Abreu. 2026. “College Students and Large Language Models for Mental Health: A Qualitative Exploration of Motivations and Experiences.” International Journal of Human-Computer Studies 212 (May): 103806. https://doi.org/10.1016/j.ijhcs.2026.103806.

Reeves, Jonathan P, Will Freeman, Raksha Patel-Calverley, Julia L Newth, and Ben Plimpton. 2026. “The Motivations, Interests and Concerns of Prospective Peer Leaders of Nature-Based Mental Health Interventions.” Wellbeing, Space and Society 10 (June): 100401. https://doi.org/10.1016/j.wss.2026.100401.

Rüsch, Nicolas, Claudia Schulz, Chiara Weisshap, Carolin Knoke, Julia Wöhrle, Kathrin Reichmann, Ronja Büchner, et al. 2026. “Real-World Effectiveness of the Peer-Led Honest, Open, Proud Programme for Self-Stigma Among Adults With Mental Illness: A Pragmatic, Multicentre, Randomised Controlled Trial.” The Lancet Regional Health - Europe 67 (August): 101751. https://doi.org/10.1016/j.lanepe.2026.101751.

Saleh, Seham El-Sayed, Ayman Mohamed El-Ashry, Rasha Mohamed Abohadida, Nourhan Essam Hendawi, Shaymaa Saeed Mohamed Badawe, and Esraa Mohammed Abd El-samie Ismail. 2025. “Effect of Nurse-Led Creating Opportunities for Parent Empowerment Program on Mother-Infant Interaction, Sense of Competence and Mental Health Outcome: A Randomized Control Trial.” Journal of Neonatal Nursing 31 (5): 101713. https://doi.org/10.1016/j.jnn.2025.101713.

Shih, Yen-Hua, Yu-Kuei Chen, Shu-Chuan Chen, Wen-Hua Lin, and Mei-Yu Yeh. 2026. “Impact of Contact Interventions on Nursing Students’ Cognition, Attitudes, Stigma, and Social Distance toward Mental Illness in Psychiatric Nursing Education.” Nurse Education Today 164 (September): 107155. https://doi.org/10.1016/j.nedt.2026.107155.

Suprapto, Suprapto, Darmi Arda, and Sarifudin Andi Latif. 2026. “MENTALCARE: Community-Based Adolescent Empowerment through Mental Health Education, Early Screening, and Support in Makassar City.” Abdimas Polsaka, September, 73–80. https://doi.org/10.35816/abdimaspolsaka.v5i2.540.

Tamang, Reshma, Binil Velayudhan, Samrat Singh Bhandari, Tessy Treesa Jose, Vani Lakshmi R, and Blessy Prabha Valsaraj. 2024. “Effectiveness of School-Based Scaling up Teen Mental Health Program through Peer Synergy (SUTMP) on Mental Health Promotion, Mental Health Literacy, and Resilience among Senior Secondary Students of Sikkim, India- A Cluster Randomized Controlled Trial Pro.” Mental Health & Prevention 36 (December): 200370. https://doi.org/10.1016/j.mhp.2024.200370.

Uden, Daniëlla van, Annemarie Wagemakers, Margot Peeters, Marloes Kleinjan, and Kirsten Verkooijen. 2026. “Promoting Mental Health, Physical Activity, and Healthy and Sustainable Dietary Behavior Among Practical Education Students in the Netherlands: Protocol for a Multiphase Participatory Research Study.” JMIR Research Protocols 15 (January): e84723. https://doi.org/10.2196/84723.

Valdebenito-Niesel, Jorge, and Jairo Stefano Dote Pardo. 2026. “Mental Health and Financial Behavior: There Are a Link between These Two Spheres?” Mental Health and Social Inclusion 30 (3): 427–37. https://doi.org/10.1108/MHSI-09-2025-0248.

Viking, Tuija, and Julie Repper. 2025. “Interprofessional Education for Mental Health Professions and Peer Support Workers – to Facilitate Learning in Teamwork.” Mental Health and Social Inclusion 29 (3): 217–23. https://doi.org/10.1108/MHSI-03-2023-0028.

Villani, Jacopo, Tuuli Kuosmanen, Margaret McDonagh, and Margaret M Barry. 2026. “A Mental Health Promotion Approach to Irish Traveller’s Mental Health: A Peer-Led Research Study.” Mental Health & Prevention 43 (September): 200542. https://doi.org/10.1016/j.mhp.2026.200542.

Wang, Fenghua, Jianguo Gao, Zhi-Ying Yao, Kenneth Po-Lun Fung, Cun-Xian Jia, Sheng-Li Cheng, and Josephine Pui-Hing Wong. 2025. “Reducing Stigma and Promoting Empowerment: A Pre-Post Evaluation of ACE-LYNX Intervention on the Mental Health Literacy of University Providers.” International Journal of Mental Health Promotion 27 (10): 1497–1514. https://doi.org/10.32604/ijmhp.2025.069458.

Wezel, Marloes van, Christien Muusse, Jenny Boumans, Dike van de Mheen, and Hans Kroon. 2026. “Dynamic Apart Together Positioning of a Peer-Run Recovery College within the Landscape of (Mental) Care and Support: A Dutch Case Study.” SSM - Mental Health 10 (December): 100656. https://doi.org/10.1016/j.ssmmh.2026.100656.