Effects of a Motivational Enhancement Program with Family Participation on Health Indicators among Patients with Alcohol Dependence at That Phanom Crown Prince Hospital, Nakhon Phanom Province

Abstract

Objective: To examine the effects of a motivational enhancement program with family participation on health indicators among patients with alcohol dependence at That Phanom Crown Prince Hospital, Nakhon Phanom Province.

Methods: This quasi-experimental study employed a one-group pretest–posttest design. The sample consisted of 35 patients with alcohol dependence, selected using simple random sampling from those with an Alcohol Use Disorder Identification Test (AUDIT) score ≥ 20 attending the alcohol cessation clinic at That Phanom Crown Prince Hospital. Research instruments included a drinking behavior assessment form, a knowledge test on alcohol dependence, and a satisfaction questionnaire. The intervention was a motivational enhancement program integrated with family participation, implemented in 8 sessions over a 12-week period. Data were analyzed using descriptive statistics and paired t-test.

Results: After the intervention, the participants demonstrated a significant increase in knowledge regarding alcohol dependence (𝑥̅= 15.16, SD = 2.26) compared to the pre-intervention level (𝑥̅ = 8.94, SD = 1.53; p < .001). Additionally, drinking behavior scores significantly decreased after the intervention (𝑥̅ = 8.43, SD = 1.45) compared to before the intervention (𝑥̅ = 26.85, SD = 4.60; p < .001). Furthermore, participants reported the highest level of satisfaction with the program (𝑥̅ = 4.43, SD = 0.57)

Conclusion: The motivational enhancement program with family participation was effective in improving knowledge and reducing alcohol consumption behavior among patients with alcohol dependence. This program should be implemented in healthcare settings, emphasizing family involvement as a key mechanism to support behavioral change. Long-term follow-up is recommended to evaluate the sustainability of outcomes.