Effectiveness of the Resilience Enhancement Program in Relapse Prevention of Methamphetamine Use disorder Among Outpatients, Kokha Hospital, Lampang Province
Keywords:
Methamphetamine, Relapse Prevention, Resilience Enhancing ProgramAbstract
This research employs a quasi-experimental one-group pre-posttest design. The study aimed to compare mean scores of relapse prevention intention and self-efficacy perception at three time points: prior to the intervention, immediately following the intervention, and at a 4-week follow-up. The sample comprised 30 outpatients undergoing treatment for methamphetamine use disorder at Koh Kha Hospital, selected via purposive sampling according to established guidelines. The research instruments consisted of a resilience enhancement program featuring activities centered on the concepts of "I am, I have, and I can," the Intention to Prevent Relapse Scale, and the Self-Efficacy Perception for Relapse Prevention Scale. The reliability coefficients, evaluated using Cronbach’s alpha, were 0.83 and 0.92, respectively. Data were analyzed through descriptive statistics and repeated measures ANOVA.
The findings demonstrated significant differences in mean scores for both intention to prevent relapse and self-efficacy perception for relapse prevention across pre-program, post-program, and 4-week follow-up assessments at the .05 level (F=28.137, df=2, 42, p<.001; F=45.393, df=2, 42, p<.001,respectively). Post-hoc comparisons revealed that the mean scores for the intention to prevent relapse showed a significant increase at the .05 level. The mean differences were 0.51, 0.78, and 0.28, in that order. The self-efficacy perception for relapse prevention also showed a significant increase at the .05 level (mean difference = 0.56, 0.86, and 0.30, respectively). The resilience-enhancing program enhances intentions and self-efficacy perceptions related to relapse prevention. The program is advised for outpatient treatment adaptation for individuals using methamphetamine or other substances.
References
Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
Arraheemee, A., Saengthong, T., Jeawkok, J., & Laipaporne, S. (2022). Self-prevention of drug relapse: A case study of rehabilitated drug users in Pattani Province. Journal of Community Development and Life Quality, 10(3), 345–357.
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215. https://doi.org/10.1037/0033-295X.84.2.191
Barakat, H. A., & Ibrahim, Z. M. (2022). Effectiveness of psychological intervention on self-efficacy, self-control, and coping among patients with substance abuse disorders. Egyptian Journal of Health Care, 13(3), 574–591. https://ejhc.journals.ekb.eg/article_253724.html
Beaulieu M, Tremblay J, Baudry C, Pearson J, & Bertrand K. (2021). A systematic review and meta-analysis of the efficacy of treatments for substance use disorders. Patient Education and Counseling, 104(6), 1231–1240. https://doi.org/10.1016/j.pec.2021.01.021.
Buchner, A. (2010). G*Power: Users Guide-Analysis by design. Düsseldorf: Heinrich-Heine-Universitat.
Campbell, S. (2013). Building resilience: A systematic review of intervention studies. Journal of Mental Health, 22(3), 263–271. https://doi.org/10.3109/09638237.2012.745187
Carrico, A. W., Gómez, W., Siever, M. D., Discepola, M. V., Dilworth, S. E., & Moskowitz, J. T. (2015). Pilot randomized controlled trial of an integrative intervention with methamphetamine-using men who have sex with men. Archives of sexual behavior, 44(7), 1861–1867. https://doi.org/10.1007/s10508-015-0505-5
Chokrung, P., Hengudomsub, P., Vatanasin, D., & Pratoomsri, W. (2016). The effect of a program to enhance perceived drug abstinence self-efficacy on intention to drug abstinence among persons with amphetamine dependence. Journal of Boromarajonani College of Nursing, Bangkok, 32(3), 37–50. (in Thai)
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. (2nd ed.). Lawrence Erlbaum Associates.
Dechdee, S., & Kongsuwan, W. (2019). Development and effects of a mental health empowerment program combined with family participation on sense of coherence and mental health power among patients with drug-induced psychosis. Journal of Mental Health of Thailand, 27(3), 196–210. (in Thai)
Ekhtiari, H., & Paulus, M. (2016). Preface: Neuroscience for Addiction Medicine: From Prevention to Rehabilitation. Progress in Brain Research, 224, https://doi.org/10.1016/S0079-6123(16)00030-3
Goldstein RZ, Volkow ND. (2018).Dysfunction of the prefrontal cortex in addiction. Nature Reviews Neuroscience.19(1):1–17. https://doi.org/10.1038/nrn3119.
Grotberg, E. H. (1995). A guide to promoting resilience in children: Strengthening the human spirit. Bernard Van Leer Foundation.
Grotberg, E. H. (2003). Resilience for today: Gaining strength from adversity. Praeger.
He, H., Zhou, S., & Peng, C. (2022). Effects of resilience on impulsivity, cognition and depression during protracted withdrawal among Chinese male methamphetamine users. BMC Psychiatry, 22, 414. https://doi.org/10.1186/s12888-022-04041-8
Khalili, M., Sadeghirad, B., Bach, P., et al. (2025). Management of amphetamine and methamphetamine use disorders: A systematic review and network meta-analysis of randomized trials. International Journal of Mental Health and Addiction, 23, 4768–4786. https://doi.org/10.1007/s11469-024-01379-w
Kohka Hospital. (2024). Report on psychiatric and drug addiction services. (in Thai)
Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71(3), 543–562. https://doi.org/10.1111/1467-8624.00164
Masten, A. S. (2014). Ordinary magic: Resilience in development. New York, NY: Guilford Publications.
Office of Narcotics Control Board. (2022). Thailand narcotic control annual report. Ministry of Justice. https://aseannarco.oncb.go.th/uploads/Ebook/pdf/1811339084713505.pdf (in Thai).
Princess Mother National Institute on Drug Abuse Treatment, Department of Medical Services. (2021). Statistical data: Number and percentage of drug patients, fiscal years 2017-2020. https://www.pmnidat.go.th/thai/index.php?option=com_content&task=view&id=5917&Itemid=51.
Ramadas, E., Lima, M. P., Caetano, T., Lopes, J., & Dixe, M. D. A. (2021). Effectiveness of Mindfulness-Based Relapse Prevention in Individuals with Substance Use Disorders: A Systematic Review. Behavioral sciences (Basel, Switzerland), 11(10), 133. https://doi.org/10.3390/bs11100133
Saengduenchai S, Nilban S, Jaipatum W, Konghom S, Jhinpracha Y & Singhtho T. (2014).The effect of cognitive behavior therapy on relapse prevention of methamphetamine dependence among in-patients. Nonthaburi:The Graphico Systems. (in Thai)
Saingam, D. (2018). Substance abuse policy in Thailand: Current challenges and future strategies. Journal of Drug and Alcohol Research, 7, 1–10. https://doi.org/10.4303/jdar/236058. (in Thai).
Sirinuan, S., Suphankul, P., Noosorn, N., & Wongsawat, P. (2016). Factors affecting amphetamine relapse among drug addicts after treatment. Journal of Health Sciences Research, 10(1), 39–45. (in Thai).
Southwick, S. M., Bonanno, G. A., Masten, A. S., Panter-Brick, C., & Yehuda, R. (2014). Resilience definitions, theory, and challenges: Interdisciplinary perspectives. European Journal of Psychotraumatology, 5(1), 25338.
Suebjit, S. (2024). Resilience quotient approaches for drug rehabilitation patients in Ngao District, Lampang Province. The Primary Health Care Journal (Northern Edition), 34(2), 27–33. (in Thai).
Sukanya Kanjanabat. (2025). Predictors of methamphetamine relapse among patients receiving drug treatment at Thanyarak hospitals in Thailand. Journal of Community Health Development, Khon Kaen University, 12(3), 235–254. https://he05.tci-thaijo.org/index.php/CHDMD_KKU/article/view/6572
Thajang, S., Kanchanabut, S., Chapik, N., Mongkolsawad, J., Khodchum, T., & Kwawong, K. (2023). A Study of Methamphetamine Relapse among Drug Addict Patients Receiving Therapy in Thanyarak Hospitals, North-eastern Region of Thailand. Journal of Phrapokklao Nursing College, Chanthaburi, 34(2), 127–136. https://he01.tci-thaijo.org/index.php/pnc/article/view/260285
Teerachuea, P. (2024). The Effect of the Integrative Program on Relapse Prevention Among Persons with Amphetamine Dependence. Northern Health Science Journal, 11(1). (in Thai).
United Nations Office on Drugs and Crime. (2023). World drug report 2023 [Internet]. United Nations. https://www.unodc.org/unodc/data-and-analysis/Exsum_wdr2023.html
Uten, K., Ratsamesuwiwat, J., Yasin, W., Kamlue, W., & Srisuwan, P. (2022). Development of an integrated treatment program to prevent relapse among patients with methamphetamine-induced psychosis. Journal of Psychiatric and Mental Health Nursing, 36(3). (in Thai).
Yamashita, A., Yoshioka, Si. & Yajima, Y. (2021). Resilience and related factors as predictors of relapse risk in patients with substance use disorder: a cross-sectional study. Subst Abuse Treat Prev Policy 16, 40. https://doi.org/10.1186/s13011-021-00377-8
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