Developing Stress Model During COVID-19 Pandemic Situation by Applying Mental Health Literacy and Self - Efficacy Theory for Village Health Volunteers, Phetchabun Province

Abstract

     This action research was carried out an investigation of situation of stress, mental health literacy and self-efficacy on village health volunteers’ performance during COVID-19 pandemic, developing model for reducing stress and evaluated stress condition after taking part the model. Mental health literacy promotion and self-efficacy theory were main tools for applying of model activities. Three phases had been completed; situation analysis, developing model and evaluation. Focused on the 1st phases, ten village health volunteers were selected via purposive sampling method for qualitative data collection and 410 participants were recruited by multi-stage sampling method for quantitative data collection. Tools were constructive interview questionnaires and note record. Continued to the second phase, ten stake holders were selected by purposive sampling method to design the model and then forty-nine volunteers were tested the model and note record were uses as a tool. Final phase was model evaluation Turn to data analysis, content analysis was used in case of qualitative data while descriptive statistics and paired sample t-test were used for quantitative data.

     Result showed that village health volunteers Phetchabun Province during COVID 19 pandemic were facing with stress at a high level (mean=44.45, S.D. +15.84) mental health literacy was at a moderate level (mean=52.05, S.D. +9.20) and self-efficacy at a high level (mean=35.20, S.D. +7.40). Two main causes of stress were found; additional responsibility of health volunteer and had no experiences to manage the stress. Information of this situation was inputted in the model that there were five steps;
1) recreation activities 2) group learning process in stress management 3) stress management searching and decision making 4) role play and 5) self-skill training. At the end of last phase, a significant improvement of stress, mental health literacy and self-efficacy were found (p-value<0.001). In addition, stake holders and participants satisfaction were found at a high and highest level.