Effects of the Integrated Adaptation Program on Stress among Alcohol Uses
Keywords:
Stress, Integrated adaptation program, Alcohol usersAbstract
This quasi-experimental study aimed to examine the effects of an Integrated Adaptation Program (IAP) on stress levels of alcohol users. A total of 60 participants were selected through simple random sampling and divided into two groups of 30 each. The experimental group received the IAP, which consisted of eight weekly sessions, each lasting 120 minutes, along with 20 minutes of daily homework. The control group received standard care. Stress levels were assessed using the Thai Stress Test (TST) before and after the intervention. Data were analyzed using descriptive statistics for frequency distribution and percentage, and mean stress scores were compared using a dependent t-test.
Mean negative stress score of the experimental group post-IAP (M= 8.73, SD= 6.27) was significantly lower than pre-IAP (M= 27.70, SD= 6.21) (t =11.91, p < .001). Mean positive stress score of the experimental group (M= 28.37, SD= 5.68) was significantly higher than pre-IAP (M= 12.37, SD= 7.17) (t = 11.08, p< .001).
Mean difference of mean negative stress scores pre- and post-IAP for the experimental (1 = 18.97, SD= 8.72) and control group (
3 = 1.97, SD= 14.30) significantly differed (t =7.00, p< .001). Mean difference of mean positive stress scores pre- and post-IAP for the experimental group (
2 = 16.00, SD= 7.91) and the control group (
4 = 1.77, SD= 17.33) also significantly differed (t= 5.11, p< .001) These findings suggest that the IAP reduced stress level among alcohol users and might be an alternative option for this purpose for healthcare professionals.
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References
Yada B. Nurses’ s role in alcohol dependence based on motivation interview model. Journal of The Royal Thai Army Nurses. 2017; 18(3): 1-7.(in Thai)
National Statistical Office of Thailand. Health behavior survey of the population, 2021. Bangkok: National Statistical Office; 2021. (in Thai)
Charlet K, & Heinz A. Harm reduction- a systematic review on effects of alcohol reduction on physical and mental symptoms. Addiction Biology, 2017; 22(5): 1119–59.
Natthida J, Penpak C, & Auswin J. The study of context and patterns on alcohol drinking of Myanmar migrant workers in Chiang Rai province . Journal of Social Academic. 2017; 10(2): 133–49. (in Thai)
Chatchai P, Pornnapa H, & Rungrat S. Factors related to hazardous drinking among male vacational students in Sisaket province. Thai Red Cross Nursing Journal. 2020; 14(1): 170-84. (in Thai)
Pender N J. Stress management. In: Health promotion in nursing practice. 6thed. New jersey: Pearson Education; 2011.
Polit DF, & Beck CT. Nursing research: Principles and methods. 7thed. Philadelphia: Lippincott Williams & Wilkins; 2004.
Pattarayutwat S. Development of a stress measurement scale for Thai people. Journal Psychiatric Association of Thailand. 2000; 45(3): 237-50. (in Thai)
Boonjai S. Development and validation of research instruments : psychometric properties. Bangkok: Chulalongkorn University ; 2012. (in Thai)
Hutthaporn K.Time Management: How to manage time to be efficiency and effectiveness. Mahachulagajasara journal. 2021; 12(1): 15-24. (in Thai)
Shalini N. Time management in nurse-hour of need. International Journal Caring Sciences. 2018; 11(3): 1997–2000.
Meng J, & Dai Y. Emotional support from AI chatbots: should a supportive partner self-disclose or not. Journal of ComputerMediated Communication. 2021; 26(4): 207–22.
Phra S, Sompoch I, & Maytawee U. Effect of mindfulness and solving problem process to stress and learning achievement of students in secondary school: Mueang District, Kanchanaburi Province. Journal of MCU Peace Studies. 2020; 8(2): 585–95. (in Thai)
Labrague L, McEnroe-Petitte D, Gloe D, Thomas L, Papathanasiou IV, & Tsaras K. A literature review on stress and coping strategies in nursing students. Journal of Ment Health. 2016; 26(5): 471–80.
Benjawan L, Uthoomporn D, & Sasikarn K. Progressive muscle relaxation: concept and application to decrease stress in pregnant women with preterm labor pain. Udonthani Hospital Medical Journal. 2019; 27(3): 303–11. (in Thai)
Toussaint L, Nguyen QA, Roettger C, Dixon K, Offenbächer M, Kohls N, et.al Effectiveness of progressive muscle relaxation, deep breathing, and guided imagery in promoting psychological and physiological states of relaxation. Evidence Based Complementary and Alternative Medicine. 2021; 8(1): 1–8.
Masih T, Dimmock JA, Kym JG, & Epel E. An 8-week relaxation program consisting of progressive muscle relaxation and mindfulness meditation to reduce stress and attenuate stress-driven eating. Health Well Being. 2020; 12(1): 188–211.
Hancomthaun D, Somprasert C, & Jirarode A. Effects of anapanasati with biofeedback on the stress of amphetamine patiens’ primary caregivers. Journal of The Royal Thai Army Nurses. 2023; 163-71.(in Thai)
Shuai R, Bakou A, Hardy L, & Hogarth L. Ultra-brief breath counting (mindfulness) training promotes recovery from stress-induced alcohol-seeking in student drinkers. Addictive Behavior. 2020;102(September 2019): 106–41.
Umpai L. Effects of mindfulness meditation and aromatherapy on stress and anxiety of company employees in bangkok metropolitan. 2023; 9(2): 1-20. (in Thai)
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