ผลของโปรแกรมการบำบัดเพื่อเสริมสร้างแรงจูงใจต่อแรงจูงใจ ความตั้งใจหยุดดื่ม และพฤติกรรมการดื่มสุราในผู้ที่มีปัญหาจากการดื่มสุรา ศูนย์บริการสาธารณสุขกล้วยม่วง ตำบลกล้วยแพะ อำเภอเมือง จังหวัดลำปาง

Pradit Chaichana; Badindet  Keawsuwan; Wasana  Mangkhung

Authors

Pradit Chaichana Faculty of Nursing, Nation University
Badindet Keawsuwan Faculty of Nursing, Nation University
Wasana Mangkhung Faculty of Nursing, Nation University

Keywords:

Alcohol Consumption Behavior, Intention to Stop Drinking, Motivational Enhancement Therapy, Persons with Alcohol Problems

Abstract

This quasi-experimental, one-group pretest-posttest research aimed to compare the mean scores of motivation, intention to quit drinking, and alcohol consumption behaviors before and after receiving a motivation enhancement therapy program. The sample consisted of 25 individuals with hazardous and harmful alcohol consumption behaviors who received services at the Kluay Muang Health Center, Kluay Phae Sub-district, Mueang District, Lampang Province. Participants were selected using purposive sampling. The research instruments included a personal information questionnaire, a motivation assessment scale, an intention to quit drinking assessment scale, and an alcohol consumption behavior assessment scale. All instruments were validated by experts, yielding reliability coefficients of .89, .92, and .84, respectively. Data were analyzed using descriptive statistics, the Wilcoxon signed-rank test, and the paired t-test.
The results revealed that after receiving the program, the participants demonstrated significantly higher levels of motivation, greater intention to quit drinking, and decreased alcohol consumption behaviors, with statistical significance at the level of less than .01 (p < .01). These findings indicate that the program effectively increases motivation and intention to quit, while reducing drinking behavior in the short term. Long-term follow-ups should be conducted to evaluate the sustained effectiveness of the program in supporting behavioral modification and promoting alcohol cessation within the community.

References

Alcohol Research Center. (2022). Alcohol consumption situation in Thailand 2021 [Report]. Alcohol Research Center, Epidemiology Unit, Faculty of Medicine, Prince of Songkla University.

Bualuang, T., Hengudomsap, P., & Chaisanadallas, J. (2018). Effects of a motivational enhancement program on intention to quit and drinking behaviors of at-risk male drinkers. Royal Thai Army Nursing Journal, 19(Special Issue), 104–115.

Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Lawrence Erlbaum Associates.

Department of Disease Control, Ministry of Public Health. (2023). Annual report 2023 of the Division of Non-Communicable Diseases [Report]. Graphic & Design Publisher.

Frost, H., Campbell, P., Maxwell, M., O'Carroll, R. E., Dombrowski, S. U., Williams, B., & Pollock, A. (2018). Effectiveness of Motivational Interviewing on adult behavior change in health and social care settings: A systematic review of reviews. PLOS ONE, 13(10), Article e0204890. https://doi.org/10.1371/journal.pone.0204890

Gmel, G., Holmes, J., & Studer, J. (2023). Alcohol and violence: A review of the evidence. Annual Review of Clinical Psychology, 19(1), 321–347.

Grekin, E. R., Beatty, J. R., McGoron, L., Kugler, K. C., McClure, J. B., Pop, D. E., & Ondersma, S. J. (2022). Testing the efficacy of motivational strategies, empathic reflections, and lifelike features in a computerized intervention for alcohol use: A factorial trial. Psychology of Addictive Behaviors, 36(5), 543–553.

Iamsaard, N., Somprasert, C., & Keowkingkeaw, S. (2017). Results of a motivational enhancement program on drinking behavior of alcohol-dependent persons. Journal of Psychiatric and Mental Health Nursing, 31(2), 45–52.

Jaimun, K., Wisutthipan, P., & Koetdee, S. (2023). Effects of a motivational enhancement therapy program on alcohol reduction in the community.Journal of Public Health Academic, 32(2), 45–58.

Jitpitaklert, W., Assanangkornchai, S., & Muekthong, A. (2021). Effectiveness of a culturally adapted motivational interviewing on drug use and sexual risk behaviors among female methamphetamine users in Thailand: A randomized controlled trial. Psychology of Addictive Behaviors, 35(6), 657–669.

Lampang Provincial Public Health Office. (2022). Report on health behavior survey of the population in Lampang Province, 2022.

Magill, M., Apodaca, T. R., Borsari, B., Gaume, J., Hoadley, A., Gordon, R. E., & Moyers, T. (2018). A meta-analysis of motivational interviewing process: Technical, relational,and conditional process models of change. Journal of Consulting and Clinical Psychology, 86(2), 140–157.

Manthey, J., Hassan, S. A., Carr, S., Kilian, C., Kuitunen-Paul, S., & Rehm, J. (2021). The global burden of disease attributable to alcohol: A comparative risk assessment.The Lancet Global Health, 9(12), e1648–e1657.

Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change (3rd ed.). Guilford Press.

Nontarak, J., Rehm, J., Rovira, P., & Assanangkornchai, S. (2025). Alcohol-attributable deaths in Thai people from 2015 to 2021 using the comparative risk assessment approach. Alcohol, Clinical & Experimental Research, 49(1), 142–152. https://doi.org/10.1111/acer.15489

Prochaska, J. O., & DiClemente, C. C. (1982). Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory, Research & Practice, 19(3), 276–288.

Saingam, D., Assanangkornchai, S., & Geater, A. F. (2013). The effect of brief motivational intervention on alcohol drinking frequency and amount among primary care attendees in southern Thailand. Journal of Substance Abuse Treatment, 45(1), 122–127.

Smedslund, G., Berg, R. C., Hammerstrom, K. T., Steiro, A., Leiknes, K. A., Dahl, H. M., & Karlsen, K. (2021). Motivational interviewing for substance abuse. Cochrane Database of Systematic Reviews, 2011(5). CD008063. https://doi.org/10.1002/14651858.CD008063.pub2

Suanprung Hospital. (2022). Therapist manual: Motivational Enhancement Therapy (MET) program [Unpublished manuscript]. The Center for Kluay Muang Public Health Service. (2022). Preliminary report on individuals with alcohol consumption problems, Muang District, Lampang Province.