The effects of contingency management intervention on treatment engagement, intrinsic motivation and religious self regulation amongst CCRC clients
Contingency management (CM) is an intervention that has been widely tested and evaluated in the context of substance use treatment. Despite prove of efficacy, CM hasn’t been studied or implemented in most developing country including Malaysia due to the lack of understanding of the intervention. The...
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| Format: | Thesis |
| Language: | en_US |
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| Summary: | Contingency management (CM) is an intervention that has been widely tested and evaluated in the context of substance use treatment. Despite prove of efficacy, CM hasn’t been studied or implemented in most developing country including Malaysia due to the lack of understanding of the intervention. The main purpose of the study was to determine the effects of CM intervention implementation in Malaysia’s compulsory treatment centre in enhancing clients” treatment engagement, intrinsic motivation and religious self-regulation. The study was also performed to determine the long-term efficacy of CM intervention and to identify the perceived motivation experienced by clients participating in the intervention. A predominantly quantitative, explanatory sequential design was used for this study. The primary design used was a Randomized Controlled Trial (RCT) with a secondary qualitative approach added at the end of the RCT to gather personal and contextual experiences drawn to further support and enrich the quantitative findings. A total of 44 clients of the Cure and Care Rehabilitation Centre (CCRC) were randomly assigned into two groups,namely the experimental group of Treatment as Usual (psychosocial intervention) plus CM intervention (TAU + CM) (n=22) and the control group of Treatment as Usual (TAU) (n=22). The TAU + CM group followed a 12-week psychosocial with CM intervention programme and a 4-week maintenance period without CM intervention. Meanwhile, the TAU group inclusively went through 16 weeks of psychosocial intervention only.CM intervention was used to reinforce clients treatment engagement behaviour specifically homework completion, participation, understanding and hafazan using reward sticker with monetary value used to redeem retail items such as fast food, toiletries, books and clothing.Data collection was performed weekly for the treatment engagement assessment meanwhile, for clients intrinsic motivation and religious self-regulation assessment were done at pre-test, post-test, maintenance and follow-up test after three moths the initial study completed. A semi-structured interview was conducted after week-16 on seven clients from the TAU+ CM group to further enrich the findings of the RCT nad to provide an in-depth understanding of clients intrinsic motivation. The quantitative data was analysed using Generalized Estimating Equation (GEE),Repeated Measure Analysis of Variance (RMANOVA) and Analysis of Convariance (ANCOVA),while content analysis was used to analyse the qualitative data. The findings demonstrated that CM intervention was effective in improving clients treatment engagement and has a significant effect on clients intrinsic motivation. However, CM intervention was found to have no effect on clients religious self-regulation. Additionally, results from the qualitative analysis supported the primary quantitative findings and suggested that CM increase clients motivation intrinsically. |
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