THE EFFECTIVENESS OF SENSORY AUDIO THERAPY IN REDUCING ANXIETY AMONG TWELFTH-GRADE STUDENTS: A ROY ADAPTATION MODEL APPROACH
Abstract
Background: Anxiety is one of the most prevalent psychological problems among adolescents, particularly high school students who experience academic pressure, graduation examinations, and preparation for higher education. Persistent anxiety may impair learning concentration, social interaction, emotional well-being, and overall quality of life. According to Roy's Adaptation Theory, individuals respond to environmental stressors through adaptive or ineffective coping mechanisms. Therefore, nursing interventions that enhance adaptive responses are essential to reduce anxiety among adolescents. Purpose: This study aimed to evaluate the effectiveness of Sensory Audio Therapy in reducing anxiety levels among twelfth-grade students at Senior High School 4 Bojonegoro, with Callista Roy's Adaptation Theory serving as the theoretical framework. Methods: This quantitative study employed a pre-experimental one-group pretest-posttest design. Twenty-two students who met the inclusion criteria were selected using purposive sampling. Anxiety levels were assessed using the Hamilton Anxiety Rating Scale (HARS). Participants received a 20-minute Sensory Audio Therapy session in a quiet environment following a standardized intervention protocol. Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of 0.05. Results: Before the intervention, all participants (100%) experienced moderate anxiety. Following Sensory Audio Therapy, 54.5% of participants reported no anxiety, while 45.5% experienced mild anxiety. The Wilcoxon Signed Rank Test demonstrated a statistically significant reduction in anxiety levels (p < 0.001), indicating that the intervention effectively decreased anxiety among adolescents. Conclusion: Sensory Audio Therapy effectively reduces anxiety levels among twelfth-grade students by promoting adaptive physiological and psychological responses consistent with Callista Roy's Adaptation Theory. This intervention is practical, non-invasive, cost-effective, and may be implemented as a promotive and preventive mental health strategy in school settings.