Effects of telephone motivational counseling program on resilience among family members of alcoholics
DOI:
https://doi.org/10.64838/jmht.2025.276727Keywords:
alcoholics, family member, motivational counseling, resilience, telepsychiatryAbstract
Objective: To examine the effects of a telephone motivational counseling program on resilience among family members of alcoholics.
Methods: This study employed a two-group, pretest-posttest, quasi-experimental design. The sample consisted of 20 family members of alcoholics with low resilience levels who received services from the Alcohol and Drug Helpline Centre (Quitline 1413). Participants were divided into two groups of 10 each. The control group received three initial sessions of mental health information within one month, in accordance with the service guidelines of the center. The experimental group received a telephone motivational counseling program consisting of eight weekly sessions, each lasting 45 minutes. Resilience scores before and after the intervention were measured using the 3-item version of the Resilience Inventory. Data were analyzed using descriptive statistics, the chi-square test, the Wilcoxon signed-rank test, and the Mann-Whitney U test.
Results: Participants were mostly female (80%) and aged between 40 and 60 years (65%). Before the intervention, resilience scores were not significantly different between the control and experimental groups. After the intervention, the experimental group showed significantly higher resilience scores compared to their pre-intervention scores. Additionally, the experimental group demonstrated significantly higher resilience scores than the control group.
Conclusion: The telephone motivational counseling program was effective in increasing resilience among family members of alcoholics with low resilience levels, compared to the standard telephone service.
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References
Sukoco R. Alcohol consumption in Southeast Asia, 2023 [Internet]. Ho Chi Minh City: Seasia.co; 2024 [cited 2025 Jan 30]. Available from: https://seasia.co/infographic/alcohol-consumption-in-southeast-asia-2023
Department of Mental Health. Report on screening and treatment of alcohol consumers: FY 2024 performance. Nonthaburi: Department of Mental Health, Ministry of Public Health; 2024. (in Thai)
Chusri W, Bunrojphong S, Phrommontri J, Usen-apang S. Impact on families from alcohol consumption of alcohol-dependent patients undergoing treatment in hospitals in Songkhla Province. Songkhla: Alcohol Problems Research Center; 2018. (in Thai)
Khunrakman M, Madada A, Manradan A. Living space of women: experiences of women facing problems with family members who drink alcohol. Songkhla: Centre for Alcohol Studies; 2021. (in Thai)
Şenormancı G, Eşmen E, Turan Ç, Şenormancı Ö. Evaluation of resilience, quality of life, and depression in family members of alcohol or substance dependent patients. Düşünen Adam: The Journal of Psychiatry and Neurological Sciences. 2019;32(4):320-7. DOI: https://doi.org/10.14744/DAJPNS.2019.00046
Department of Mental Health. Mental health package: guidelines for mental health care. Nonthaburi: Strategic and Planning Division; 2020. (in Thai)
Grotberg EH. The International resilience project: Findings from the research and the effectiveness of interventions [Internet]. Houston: Education Resources Information Center; 1997 [cited 2025 Mar 4]. Available from: https://eric.ed.gov/?id=ED419584
Miller WR, Rollnick S. Motivational interviewing: preparing people for change. 2nd ed. New York: Guilford Press; 2002. DOI: https://doi.org/10.1097/01445442-200305000-00013
Miller WR, Rollnick S. Motivational interviewing: helping people change. 3rd ed. New York: Guilford Press; 2013.
Saengcharnchai P. Motivational interviewing for counseling and therapy. In: Training of personnel competency development project in counseling for gambling problems. Bangkok: Child and Adolescent Mental Health Rajanagarindra Institute; 2010. (in Thai)
Rokhyani E, Sugiyo, Samsudi, Purwanto E. Effectiveness of motivational interviewing (MI) technique towards resilience of sexual violence students of junior high school in Nganjuk. Int J Innov Sci Res Technol. 2020;5(7):1080-4. DOI: https://doi.org/10.38124/IJISRT20JUL571
Roy R. Efficacy of motivational interviewing on improving resilience among students with below-average academic performance: A case study. International Journal of Indian Psychology. 2017;4(2):126-35. DOI: https://doi.org/10.25215/0402.114
Ghaseminiaei R, Derakhshan N. The effectiveness of motivational interviewing on resilience, sense of purpose, and social interest among adolescent girls in middle school. Psychol Sci.. 2025;30(2):61-72. DOI: https://doi.org/10.17759/pse.2025300205
Department of Mental Health. Guidelines for telepsychiatry services for outpatients. Nonthaburi: Department of Mental Health; 2022. (in Thai)
Alcohol and Drug Addiction Counseling Center. We are an organization that has helped over 7,000 individuals, both drinkers and their relatives, improve their lives each year [Internet]. Bangkok: Alcohol and Drug Addiction Counseling Center; 2024 [cited 2025 Feb 28]. Available from: https://www.facebook.com/1419counseling/photos/a.596823872116607/1208544540944534 (in Thai)
Sirirungwatthanakul K, Saengcharnchai P, Leelahanaj T. The Effectiveness of Telephone Motivational Enhancement Therapy Counseling for Significant Others of Alcohol Abusers. Journal of the Psychiatric Association of Thailand. 2017;62(4):309-22. (in Thai)
Saengchanchai P, Phukhao D, Sombatmai S, Saraubon N, Noknoi S, Uthit P. Motivational Interviewing and Motivational Enhancement Therapy: MI & MET. Bangkok: Internal Auditing Certificate Program (IACP); 2010. (in Thai)
Detkong T, Gunadhivadhana P, Tipchot T, Wuttiharn P. Reliability and validity of resilience inventory 3-item version. Journal of Mental Health of Thailand. 2022;30(4):297-306. (in Thai)
Assanangkornchai S, Arunpongpaisal S, Kittiratpaiboon P, editors. The alcohol, smoking and substance involvement screening test (ASSIST): manual for use in primary care. Bangkok: Community Substance Use Academic Program, Department of Mental Health; 2011. (in Thai)
VanVoorhis CRW, Morgan BL. Understanding power and rules of thumb for determining sample sizes. Tutorials in Quantitative Methods for Psychology. 2007;3(2):43-50. DOI: https://doi.org/10.20982/tqmp.03.2.p043
Belmontes KC. When family gets in the way of recovery: motivational interviewing with families. The Family Journal. 2018;26(1):99-104. DOI: https://doi.org/10.1177/1066480717753013
Cole SA, Sannidhi D, Jadotte YT, Rozanski A. Using motivational interviewing and brief action planning for adopting and maintaining positive health behaviors. Prog Cardiovasc Dis. 2023;77:86-94. DOI: https://doi.org/10.1016/j.pcad.2023.02.003
Sangsai W, Thipsungnoen T, Weingperm S. The Effect of the resilience enhancement program and rhythm breathing techniques on stress management behaviors and coping among 1st -year nursing students at Boromarajonani college of nursing Nakhon Ratchasima. Research and Development Health System Journal. 2020;13(2):512-20. (in Thai)
Kallianta MK, Katsira XE, Tsitsika AK, Vlachakis D, Chrousos G, Darviri C, et al. Stress management intervention to enhance adolescent resilience: a randomized controlled trial. EMBnet J. 2021;26:e967. DOI: https://doi.org/10.14806/ej.26.1.967
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