Social Media-Based Cognitive Restructuring for Stress Reduction among Nursing Assistants at a Hospital in Chonburi Province: A Quasi-Experimental Study

OBJECTIVES: This secondary analysis examines the effects of social media-based cognitive restructuring for stress reduction (SM-CS) among nursing assistants. MATERIALS AND METHODS: Research was conducted at a tertiary care hospital in Chonburi Province between September 2023 and March 2024. The SM-CS program composed of three modules: 1) mental health education on stress and cognitive behavioral therapy; 2) self-formulation; and 3) cognitive restructuring, with a 4-week program participation period. Quality assessment revealed that the SM-CS program had content validity with Index of Item-Objective Congruence (IOC) values above 0.5. Subsequently, the program was tested using a single-group pre-post experimental design with 12 nursing assistants. Data was collected by personal information questionnaire, the stress component of the Depression Anxiety Stress Scales-21 (DASS-21), and satisfaction assessment. Data was statistically analyzed by Wilcoxon matched-pairs signed-rank testing. RESULTS: From 12 participants who completed the program showed that after program participation, mean stress level scores decreased by a statistically significant degree (p < 0.05). CONCLUSION: The SM-CS program can reduce stress level among nursing assistants.