The Development of stress management system in adolescent students, Kalasin province
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Abstract
Background: Currently, adolescent students have higher levels of stress than in the past and the inappropriate management might result in additional problems. Therefore, the study on the relevant factors and the development of efficient stress management via the participation of all sectors is necessary.
Objective: To study the development of stress management in the adolescent students in Kalasin province.
Materials and method: This was a three-phase research and development study. Phase 1 was to survey the stress of the secondary school students, and analyze the problems and demands using an in-depth interview with the teachers and parents. Phase 2 was to develop the system by issuing the manual and program for the pilot. Phase 3 was to test the effectiveness of the system with the Matthayomsuksa 3 students by using the stress management manual. A randomized controlled trial was applied to evaluate the program assessment before and after the trial while the Suanprung Stress Test (SPST-20) was used to follow up the results after one month. Data were analyzed with repeated measure ANOVA.
Results: The sample group, the adolescent students in Kalasin province, had high stress levels. The problem with stress management system development included the monitoring, screening, caring, and transfer between school and clinic. Consequently, the stress management manual for schools, parents, and public health officers, and the stress management system for the adolescent students were developed. The program effectiveness test results illustrated that the average stress score from the beginning to the end of the program of the experimental group and the control group had no difference (p = 0.39). However, the average stress scores of both groups and the evaluation period were related. After one month, the average stress score of the experimental group decreased with statistical significance (p < 0.001), which was lower than that of the control group.
Conclusion: The stress management manual and program for adolescent students were practical to reduce stress, prevent mental health problems resulting from stress, and enhance mental strength in order to manage stress. A study on the development of the model and the long-term outcomes of the program should be conducted in order to acquire an effective program.
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References
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