The Effects of the Resilience-Enhancing Nursing Program on Life Goals Among Pregnant Teenagers: A Randomized Controlled Trial

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Umaporn Kuasit
Sopen Chunuan
Sopen Chunuan
Urai Hatthakit
Linda F. C. Bullock


     Currently, teenage pregnancy is a significant problem and social concern. Teenage pregnant women who lack resilience are more likely to face adversity including the risks and complications associated with physical and mental health from a potentially crisis situation of pregnancy. This study aimed to evaluate the effects of the Resilience-Enhancing Nursing Program (RENP) on life goals in pregnant teenagers. A randomized controlled trial was conducted with 130 participants who were pregnant teenagers (experimental group=64, control group=66). The RENP was developed by the researcher and included three steps: step 1: establishing a trusting relationship, step 2: improving the resilience, and step 3: monitoring and encouraging the resilience practice. The instruments for data collection consisted of a demographic data form, the resilience scale and life goals scale. All instruments were content validated by five experts, and reliability was examined using Cronbach’s alpha coefficient. Data were analyzed using percentage, mean, standard deviation, Chi-square, independent t-test, and repeated measures ANOVA.
     The findings revealed that the mean score of life goals of participants at the 4th week, and 8th week were significantly higher than that before receiving the program (p< .001). In addition, the participants in the experimental group had a significantly greater improvement in mean score of life goals than did the control group at the 4th and 8th week (p= .001). This program can guide nurses to encourage pregnant teenagers in setting life goals that can improve their quality of life.


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Kuasit, U., Chunuan, S., Chunuan, S., Hatthakit, U., & Bullock, L. F. C. (2018). The Effects of the Resilience-Enhancing Nursing Program on Life Goals Among Pregnant Teenagers: A Randomized Controlled Trial. Journal of Research in Nursing-Midwifery and Health Sciences, 38(1), 35–45. Retrieved from
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