The Effectiveness of Implementing the Klaibann Samannjai Program Among Persons with Alcohol Dependence, Thanyarak Chiang Mai Hospital

Abstract

                Alcohol dependence is a psychiatric disorder that arises from alcohol misuse. It is a major problem, nationally and globally. Most persons with alcohol dependence (PADs) relapse on alcohol after discharge from hospital and are re-admitted to the hospital. The purpose of this study was to examine the effectiveness of implementing the Klaibann Samannjai Program among PADs who were admitted to Thanyarak Chiang Mai Hospital. The participants were purposively selected and consisted of three groups: 1) ten PADs who were admitted for alcohol detoxification at Thanyarak Chiang Mai Hospital, as well as for an ongoing process of rehabilitation in the community; 2) ten relatives or caregivers of PADs; and 3) four healthcare team members who implemented the program. The instruments used in this study were 1) the Klaibann Samannjai Program; 2) the Alcohol Use Disorders Identification Test (AUDIT); 3) the healthcare team Satisfaction Evaluation Form for the program implementation; 4) the PADs Satisfaction Evaluation Form; and 5) the Caregivers’ Satisfaction Evaluation Form. Data were analyzed using descriptive statistics.
              The results of this study revealed that:
             1.  After one month attending the Klaibann Samannjai Program, all PADs who attended the program had decreased their drinking behavior, and 40% stopped drinking.
             2. All healthcare team members who implemented the Klaibann Samannjai Program were satisfied with seven dimensions: 1) benefit to PADs, 2) benefit to relatives or caregivers of PADs, 3) benefit to healthcare team members in practice, 4) benefit to integration with routine tasks, 5) convenience and ease of implementation, 6) cost effectiveness of implementation, and 7) satisfaction with program implementation as a whole.
             3. All PADs participating in the Klaibann Samannjai Program were satisfied with four dimensions: 1) benefit to myself, 2) benefit to patients and their relatives or caregivers, 3) convenience for patients, and 4) satisfaction with the whole program implementation.
              4. All caregivers or their relatives who attended the Klaibann Samannjai Program were satisfied with four dimensions: 1) benefit to themselves, 2) benefit to PADs whom they take care of, 3) convenience for patients and their relatives or caregivers, and 4) satisfaction with program implementation.
               The results of this study indicated that all persons with alcohol dependence who received this program with their continuing care after discharge from the hospital had decreased their drinking behavior, and 40% of persons with alcohol dependence stopped drinking with none re-admitted to the hospital. Therefore, the study should evaluate the program and extend the duration of the research study in order to help persons suffering from alcohol dependence and to investigate the factors related to patients who could not stop drinking.