The Effects of A Behavioral Modification Program on The Mental Health Self-Care of Persons With Alcohol Dependence


  • Chamlongluk Sasung Phusing Hospital, Phusing, Srisaket
  • Chomchuen Somprasert Faculty of Nursing, Thammasat University
  • Sararud Vuthiarpa Faculty of Nursing, Thammasat University


alcohol dependence, psychosocial rehabilitation, behavioral, harm reduction modification, mental health


The purpose of this quasi-experimental design was to examine the effects of a behavioral modification program on the mental health self-care of persons with alcohol dependence, and was divided into two pre-posttest groups. A research sample of 62 alcohol-dependent patients in the out-patient unit at four District Health Promotion Hospitals of Srisaket province in Thailand were randomly assigned to experimental and control groups, with 31 subjects in each group. The experimental group participated in the behavioral modification program for eight sessions weekly, 2 hours per each session, and the control group received regular caring activities. The research instruments were the following: 1) A personal data questionnaire; 2) a behavioral modification program; and 3) a mental health self-care scale. The behavioral modification program was validated for content validity by 3 professional experts and the mental health self-care scale had a Cronbach’s alpha coefficient reliability of .97. The demographics were analyzed using descriptive statistics. A comparison of the mean score for the mental health self-care between the pretest and posttest for the experimental and control group was analyzed using dependent t-test. Further, an independent t-test was used to examine the mean difference between the pretest and posttest mean score for the experimental group and control group. The research findings were as follows: 1) The mean score for mental health self-care on the posttest (M = 199.64, SD = 17.60) for the experimental group after participating in the program was significantly greater than their mean score on the pretest (M = 173.39, SD = 21.40) before participating in the program (t = 7.30, p<.001). 2) The mean difference in the mental health self-care mean score between the pretest and posttest of the experimental group ( gif.latex?\bar{D}_{1} = 26.55, SD = 20.25) was significantly greater than that of the control group that received regular caring activities ( gif.latex?\bar{D}_{2} = .29, SD = 4.53) (t = 7.05, p<.001).

As a result of this study, it can be concluded that this behavioral modification program can enhance the mental health self-care of alcohol-dependent persons. The findings suggest that future study should continue investigating this program with groups experiencing hazardous or harmful alcohol consumption and amphetamine addiction and should be assessed for its continuous effectiveness and sustainability.


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How to Cite

Sasung C, Somprasert C, Vuthiarpa S. The Effects of A Behavioral Modification Program on The Mental Health Self-Care of Persons With Alcohol Dependence. J Royal Thai Army Nurses [Internet]. 2020 Dec. 29 [cited 2022 Dec. 10];21(3):191-202. Available from:



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