THE THE EFFECT OF INDIVIDUAL PSYCHOEDUCATION INTERVENTION ON SELF EFFICACY AMONG OPIOID DEPENDENT PATIENTS IN METHADONE CLINICS
DOI:
https://doi.org/10.24200/jonus.vol5iss2pp103-128Abstract
Background and Purpose: The present study is designed to evaluate the effect of individual psycho-education intervention based on integrated self-awareness and self-determination theories (i-SEAZ) toward self-efficacy among opioid-dependent patients in methadone treatment (MT).
Methodology: 75 opioid-dependent participants who were on MT under Ministry of Health Malaysia from five Methadone Clinics in Klang Valley were evaluated on the effectiveness of the i-SEAZ intervention. The experiment group comprised 38 participants, who received ten sessions of individual i-SEAZ alongside MT, while 37 participants of the control group only received MT. The effectiveness of the intervention was assessed by the General Self Efficacy Questionnaire (GSE), with ten items. The assessment was performed two times; the first was two weeks before the initiation of i-SEAZ (as pretest), and the second was two weeks after i-SEAZ was completed (as posttest).
Findings: The extracted data were analysed by ANCOVA using SPSS-20. The findings showed there was a significant improvement in the i-SEAZ scores between experiment and control groups at posttest (p = 0.000). It is concluded that the intervention of i-SEAZ is associated with a significant increase in self-efficacy among substance-dependent patients in Methadone Clinics.
Contributions: This study is hoped to contribute to the psychologists and counselors at addiction clinics, treatment institutions and communities in adopting the i-SEAZ module to improve self-efficacy among patients in substance abuse treatment.
Keywords: Methadone treatment, psychoeducation, self-efficacy, self-awareness theory, self-determination theory.
Cite as: Engku Kamarudin, E. M., Wan Sulaiman, W. S., Sarnon, N., & Amin, A. S. (2020). The effect of individual psychoeducation intervention on self-efficacy among opioid dependent patients in Methadone clinics. Journal of Nusantara Studies, 5(2), 103-128. http://dx.doi.org/10.24200/jonus.vol5iss2pp103-128
References
Abdullah, H. S. (2003). Malaysian school counselor resilience. Jurnal Pendidikan, 23(1), 89-99.
Ali, N., Abd Aziz, S., Nordin, S., Che Mi, N., Abdullah, N., Paranthaman, V., … Danaee, M. (2018). Evaluation of Methadone treatment in Malaysia: Findings from the Malaysian Methadone treatment outcome study (Mytos). Journal Substance Use & Misuse 53(2), 239-248.
Allsop, S., Saunders, B., & Phillips, M. (2000). The process of relapse in severely dependent male problem drinkers. Addiction, 95(1), 95-106.
Almeman, A. A., Ismail, R., & Mohamad, N. (2017). Methadone Maintenance Therapy (MMT) in Malaysia: An observational clinical study. Australasian Medical Journal, 10(4), 314-321.
Alsagoff, S. A. (1981). Pengenalan pengajaran individu dengan tumpuan khas kepada modul pengajaran dan modul pembelajaran. Jurnal Pendidikan dan Pendidikan, 3(1), 54-62.
Ashford, S., Edmunds, J., & French, D. P. (2010). What is the best way to change self‐efficacy to promote lifestyle and recreational physical activity? A systematic review with meta‐analysis. British Journal of Health Psychology, 15(2), 265-288.
Ashley, G. C., & Reiter-Palmon, R. (2012). Self-awareness and the evolution of leaders: The need for a better measure of self-awareness. Journal of Behavioral and Applied Management, 14(1), 2-17.
Baba, H., Wan Sulaiman, W. S., Ibrahim, F., & Sarnon, N. (2018). Faktor-faktor penyumbang kecenderungan situasi berisiko tinggi dalam kalangan penagih dadah berulang di Malaysia. Jurnal Psikologi Malaysia, 32(2), 26-41.
Baharom, N., Hassan, M. R., Ali, N., & Shah, S. A. (2012). Improvement of quality of life following 6 months of Methadone maintenance therapy in Malaysia. Substance Abuse Treatment, Prevention, and Policy, 7(1), 1-6.
Banazadeh, N., Abedi, H. A., & Kheradmand, A. (2009). Opiate dependants’ experiences of the established therapeutic relationship in Methadone centers: Qualitative study. Journal of Kerman University of Medical Sciences, 16(2), 144-154.
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215.
Bandura, A. (1986). Social foundations of thought and action. Prentice Hall.
Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37(2), 122-147.
Bourbeau, J., & Bartlett, S. J. (2008). Patient adherence in COPD. Thorax, 63(9), 831-838.
Caldwell, C., & Hayes, L. A. (2016). Self-efficacy and self-awareness: Moral insights to increased leader effectiveness. Journal of Management Development, 35(9), 1163-1173.
Campbell, D. T., & Stanley, J. C. (2015). Experimental and quasi-experimental designs for research. Ravenio Books.
Cheong, K. H., Vaughan, E. L., Lau, P. L., & Gonzalez, N. (2019). Help seeking attitudes and illegal drug use among Methadone maintenance therapy patients in Malaysia. Addiction Research & Theory, 28(1), 46-52.
Chien, W. T., Leung, S. F., & Chu, C. S. (2012). A nurse-led, needs-based psycho-education intervention for Chinese patients with first-onset mental illness. Contemporary Nurse, 40(2), 194-209.
Chua, Y. P. (2006). Kaedah dan statistik penyelidikan: Asas statistik penyelidikan. McGraw-Hill Education.
Ciraulo, D. A., Piechniczek-Buczek, J., & Iscan, E. N. (2003). Outcome predictors in substance use disorders. Psychiatric Clinics of North America, 26(2), 381-409.
Connors, G. J., DiClemente, C. C., Velasquez, M. M., & Donovan, D. M. (2013). Substance abuse treatment and the stages of change: Selecting and planning interventions. Guilford Press.
Cox, R. H. (2002). Sport psychology: Concepts and application (5th ed.). McGraw-Hill.
Creager, S. E., & Murray, R. W. (1985). The international encyclopedia of education. Pergamon Press Ltd.
Curran, V., & Drummond, C. (2007). Psychological treatments of substance misuse and dependence. In D. Nutt, T. W. Robbins, G. V. Stimson, M. Ince, & A. Jackson (Eds.), Drugs and the future (pp. 209-239). Academic Press.
D’Silva, J., & Aminabhavi, V. A. (2013). Adjustment, self-efficacy and psychosocial competencies of drug addicted adolescents. Journal of Psychology, 4(1), 13-18.
Deci, E. L., & Ryan, R. M. (2000). The "what" and "why" of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11(4), 227-268.
DiClemente, C. C., Carbonari, J. P., Daniels, J. W., Donovan, D. M., Bellino, L. E., & Neavins, T. M. (2001). Project MATCH hypotheses: Results and causal chain analyses (NIH Publication No. 01-4238). National government publication.
DiClemente, C. C., Carbonari, J. P., Montgomery, R. P., & Hughes, S. O. (1994). The alcohol abstinence self-efficacy scale. Journal of Studies on Alcohol, 55(2), 141-148.
Dolan, S. L., Martin, R. A., & Rohsenow, D. J. (2008). Self-efficacy for cocaine abstinence: Pretreatment correlates and relationship to outcomes. Addictive Behaviors, 33(5), 675-688.
Duman, Z. C., Yildirim, N. K., Ucok, A., Er, F., & Kanik, T. (2010). The effectiveness of a psychoeducational group program with inpatients being treated for chronic mental illness. Social Behavior and Personality: An International Journal, 38(5), 657-666.
Ehret, P. J., LaBrie, J. W., Santerre, C., & Sherman, D. K. (2015). Self-affirmation and motivational interviewing: Integrating perspectives to reduce resistance and increase efficacy of alcohol interventions. Health Psychology Review, 9(1), 83-102.
Engin, E., & Cam, O. (2009). Effect of self-awareness education on the self-efficacy and sociotropy–autonomy characteristics of nurses in a psychiatry clinic. Archives of Psychiatric Nursing, 23(2), 148-156.
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191.
Fei, J. T. B., Yee, A., Habil, M. H. B., & Danaee, M. (2016). Effectiveness of Methadone maintenance therapy and improvement in quality of life following a decade of implementation. Journal of Substance Abuse Treatment, 69(1), 50-56.
Finney, J. W., Noyes, C. A., Coutts, A. I., & Moos, R. H. (1998). Evaluating substance abuse treatment process models: I Changes on proximal outcome variables during 12-step and cognitive-behavioral treatment. Journal of Studies on Alcohol, 59(4), 371–380.
Fishbein, M., & Yzer, M. C. (2003). Using theory to design effective health behavior interventions. Communication Theory, 13(2), 164-183.
Fraenkel, J. R., & Wallen, N. E. (2009). How to design and evaluate research in education (7th ed). McGraw-hill.
Franckowiak, B. A., & Glick, D. F. (2015). The effect of self-efficacy on treatment. Journal of Addictions Nursing, 26(2), 62-70.
Gall, M. D., Gall, J. P., & Borg, W. R. (2010). Educational research: An introduction. Allyn and Bacon.
Garrin, J. M. (2014). Self-efficacy, self-determination, and self-regulation: The role of the fitness professional in social change agency. Journal of Social Change, 6(1), 41-54.
Ghorbani, T., Sh, M. K., & Sarrami, G. (2011). Compare the effectiveness of group cognitivebehavioral therapy based on coping skills and emotion regulation strategies for improving methadone maintenance treatment and prevention of recurrence. Journal of Addiction Research & Therapy, 5(17), 59-74.
Gravill, J., Compeau, D., & Marcolin, B. (2002). Metacognition and IT: The influence of self-efficacy and self-awareness. In Eighth Americas Conference on Information Systems (pp. 1055-1064). Eighth Americas Conference on Information Systems.
Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis. Pearson Prentice Hall.
Halim, M. A., & Sabri, F. (2013). Relationship between defense mechanisms and coping styles among relapsing addicts. Procedia-Social and Behavioral Sciences, 84(1), 1829-1837.
Hancox, J. E., Quested, E., Ntoumanis, N., & Thøgersen-Ntoumani, C. (2018). Putting self-determination theory into practice: Application of adaptive motivational principles in the exercise domain. Qualitative Research in Sport, Exercise and Health, 10(1), 75-91.
Heydari, A., Dashtgard, A., & Moghadam, Z. E. (2014). The effect of Bandura's social cognitive theory implementation on addiction quitting of clients referred to addiction quitting clinics. Iranian Journal of Nursing and Midwifery Research, 19(1), 19-23.
Hoeppner, B. B., Kelly, J. F., Urbanoski, K. A., & Slaymaker, V. (2011). Comparative utility of a single-item versus multiple-item measure of self-efficacy in predicting relapse among young adults. Journal of Substance Abuse Treatment, 41(3), 305-312.
Hyde, J., Hankins, M., Deale, A., & Marteau, T. M. (2008). Interventions to increase self-efficacy in the context of addiction behaviours: A systematic literature review. Journal of Health Psychology, 13(5), 607-623.
Ibrahim, F., Kumar, N., & Abu Samah, B. (2011). Self-efficacy and relapsed addiction tendency: An empirical study. The Social Sciences, 6(4), 277-282.
Idris, N. (2010). Penyelidikan dalam pendidikan. McGraw Hill Education.
Ilgen, M., McKellar, J., & Moos, R. (2007). Personal and treatment-related predictors of abstinence self-efficacy. Journal of Studies on Alcohol and Drugs, 68(1), 126–132.
Ismail, R. (2015). Metodologi penyelidikan: Teori dan praktis. Penerbit Universiti Kebangsaan Malaysia.
Jusoh, M. R., Mohd Hussin, A. H., & Abdul Ghani, S. (2015). Keberkesanan terapi kelompok psikopendidikan dalam meningkatkan motivasi penagih dadah. Jurnal Antidadah Malaysia, 9(1), 1-18.
Kadden, R. M., & Litt, M. D. (2011). The role of self-efficacy in the treatment of substance use disorders. Addictive Behaviors, 36(12), 1120-1126.
Kenney, S. R., Bailey, G. L., Anderson, B. J., & Stein, M. D. (2017). Heroin refusal self-efficacy and preference for medication-assisted treatment after inpatient detoxification. Addictive Behaviors, 73(1), 124-128.
Lavallee, D., Kremer, J., Moran, A., & Williams, M. (2004). Sport psychology: Contemporary themes. Palgrave.
Lua, P. L., & Talib, N. S. (2012). Terapi gantian Metadon: Untuk penagihan dadah. Penerbit Universiti Sultan Zainal Abidin.
Luszczynska, A. (2004). Change in breast self-examination behavior: Effects of intervention on enhancing self-efficacy. International Journal of Behavioral Medicine, 11(2), 95-103.
Ministry of Health Malaysia. (2012). Terapi gantian Methadone. Retrieved from http://www.Myhealth.Gov.My/Index.Php/TerapiGantian-Methadon
Ministry of Health Malaysia. (2016). Program rawatan Methadone. Kementerian Kesihatan Malaysia.
Moss, R. A. (2007). Negative emotional memories in clinical practice: Theoretical considerations. Journal of Psychotherapy Integration, 17(2), 209-224.
Mohamed, M. N., & Marican, S. (2014). Positive outcomes of Cure and Care Community Centres (CCSC): A community based treatment programme in Malaysia. International Journal of Prevention and Treatment of Substance Use Disorders, 3(5), 132-136.
Malini, C., Shamsudin, A. F., & Wahab, N. A. A. (2018). Effectiveness of Methadone Maintenance Therapy (MMT) and life style improvement among Opiate dependent patients registered. Malaysian Journal of Health Sciences, 17(1), 51-56.
May, E. M., Hunter, B. A., Ferrari, J., Noel, N., & Jason, L. A. (2015). Hope and abstinence self-efficacy: Positive predictors of negative affect in substance abuse recovery. Community Mental Health Journal, 51(6), 695-700.
Melemis, S. M. (2010). I want to change my life: How to overcome anxiety, depression, & addiction. Modern Therapies.
Mesrahi, T., Sedighi, M., & Shirali, M. (2016). The effect of cognitive-behavioral group therapy on decrease in addiction relapse in randomly assigned addicts under drug therapy: A statistical analysis. International Journal of Neurorehabilitation, 3(3), 1–6.
Minervini, I., Palandri, S., Bianchi, S., Bastiani, L., & Paffi, D. (2011). Desire and coping self-efficacy as craving measures in addiction: The self-efficacy and desire scale (SAD). Open Behavioral Science Journal, 5(1), 1-7.
Molaei, A., Shahidi, S., Vazifeh, S., & Bagherian, S. (2010). Comparing the effectiveness of cognitive behavioral therapy and movie therapy on improving abstinence self-efficacy in Iranian substance dependent adolescents. Procedia-Social and Behavioral Sciences, 5(1), 1180-1184.
Mukherjee, T. I., Pillai, V., Ali, S. H., Altice, F. L., Kamarulzaman, A., & Wickersham, J. A. (2017). Evaluation of a Hepatitis C education intervention with clients enrolled in Methadone maintenance and needle/syringe programs in Malaysia. International Journal of Drug Policy, 47(1), 144-152.
Murray, A., Hall, A. M., Williams, G. C., McDonough, S. M., Ntoumanis, N., Taylor, I. M., & Lonsdale, C. (2015). Effect of a self-determination theory–based communication skills training program on physiotherapists' psychological support for their patients with chronic low back pain: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 96(5), 809-816.
Narayanan, S. S., & Weng Onn, A. C. (2016). The influence of perceived social support and self-efficacy on resilience among first year Malaysian students. Kajian Malaysia: Journal of Malaysian Studies, 34(2), 1-23.
Navarro, E., Alvarez, J., Contreras, R., & Jason, L. A. (2016). Ethnic differences in abstinence self-efficacy among recovering individuals. Journal of Addiction Medicine and Therapeutic Science, 2(1), 13-18.
Navidian, A., Kermansaravi, F., Tabas, E. E., & Saeedinezhad, F. (2016). Efficacy of group motivational interviewing in the degree of drug craving in the addicts under the Methadone Maintenance Treatment (MMT) in south east of Iran. Archives of Psychiatric Nursing, 30(2), 144–149.
Neuman, W. L., & Kreuger, L. (2003). Social work research methods: Qualitative and quantitative approaches. Allyn and Bacon.
Nikmanesh, Z., Baluchi, M. H., & Motlagh, A. A. P. (2017). The role of self-efficacy beliefs and social support on prediction of addiction relapse. International Journal of High Risk Behaviors and Addiction, 6(1), e21209.
Muhammad Nizam, N. S., Mohd Khir, A., & Ahmad, N. (2018). Efikasi kendiri dan kecenderungan tingkah laku prososial dalam kalangan mahasiswa di Selangor. Malaysian Journal of Youth Studies, 1(18), 111-122.
Ono, M., Kochiyama, T., Fujino, J., Sozu, T., Kawada, R., Yokoyama, N., … Takahashi, H. (2018). Self‐efficacy modulates the neural correlates of craving in male smokers and ex‐smokers: An fMRI study. Addiction Biology, 23(5), 1179-1188.
Othman, Z., & Gani, F. A. (2017). Attendance at counselling sessions predicts good treatment response in methadone maintenance therapy. International Medical Journal, 24(1), 21–23.
Pallant, J. (2007). SPSS survival manual: A step by step guide to data analysis using SPSS for windows (3rd ed.). Maidenhead Open University Press.
Pelissier, B., & Jones, N. (2006). Differences in motivation, coping style, and self-efficacy among incarcerated male and female drug users. Journal of Substance Abuse Treatment, 30(2), 113-120.
Premila Devi, J., Azriani, A. R., Zahiruddin, W. M., Mohd Ariff, M. N., & Noor Hashimah, A. (2012). The effectiveness of Methadone maintenance therapy among Opiate-dependants registered with Hospital Raja Perempuan Zainab II Kota Bharu, Kelantan. The Malaysian Journal of Medical Sciences, 19(4), 17-22.
Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to the addictive behaviors. American Psychologist, 47(1), 1102-1114.
Prochaska, J. O., Redding, C. A., & Evers, K. E. (2015). The transtheoretical model and stages of change. Health Behavior: Theory, Research, And Practice.
Ramli, M., Zafri, A. B., Junid, M. R., & Hatta, S. (2012). Associated risk factors to non-compliance to Methadone maintenance therapy. The Medical Journal of Malaysia, 67(6), 560-564.
Reed, M. B., Woodruff, S. I., Holt, M., DeMers, G., Mattuecci, M., & Hurtado, S. L. (2019). The relationship between self-efficacy, readiness to change, and AUDIT risk levels in a sample of active duty emergency department patients. Military Psychology, 31(3), 187-199.
Reid, G., Kamarulzaman, A., & Sran, S. K. (2007). Malaysia and harm reduction: The challenges and responses. International Journal of Drug Policy, 18(2), 136-140.
Rounds-Bryant, J. L., Flynn, P. M., & Craighead, L. W. (1997). Relationship between self-efficacy perceptions and in-treatment drug use among regular cocaine users. The American Journal of Drug and Alcohol Abuse, 23(3), 383-395.
Ryan, R. M., Patrick, H., Deci, E. L., & Williams, G. C. (2008). Facilitating health behaviour change and its maintenance: Interventions based on self-determination theory. The European Health Psychologist, 10(1), 2-5.
Sanders, J. J., Roose, R. J., Lubrano, M. C., & Lucan, S. C. (2013). Meaning and Methadone: Patient perceptions of Methadone dose and a model to promote adherence to maintenance treatment. Journal of Addiction Medicine, 7(5), 307-313.
Schreiber, J. B., Nora, A., Stage, F. K., Barlow, E. A., & King, J. (2006). Reporting structural equation modeling and confirmatory factor analysis results: A review. The Journal of Educational Research, 99(6), 323-338.
Schwarzer, R., & Hallum, S. (2008). Perceived teacher self‐efficacy as a predictor of job stress and burnout: Mediation analyses. Applied Psychology, 57(1), 152-171.
Schwarzer, R., & Jerusalem, M. (1995). Generalized self-efficacy scale. Measures in health psychology: A user’s portfolio. Causal and Control Beliefs, 1(1), 35-37.
Sebire, S. J., Kesten, J. M., Edwards, M. J., May, T., Banfield, K., Tomkinson, K. & Jago, R. (2016). Using self-determination theory to promote adolescent girls' physical activity: Exploring the theoretical fidelity of the Bristol Girls Dance Project. Psychology of Sport and Exercise, 24(1), 100-110.
Sellman, D. (2010). The 10 most important things known about addiction. Addiction, 105(1), 6-13.
Senbanjo, R., Wolff, K. I. M., Marshall, E. J., & Strang, J. (2009). Persistence of Heroin use despite Methadone treatment: Poor coping self‐efficacy predicts continued Heroin use. Drug and Alcohol Review, 28(6), 608-615.
Shakira, R. H. W., Sarimah, A., & Norsa’adah, B. (2017). Factor predictive of 1-year retention on Methadone maintenance therapy program: A survival analysis study. Addictive Disorders & Their Treatment, 16(2), 64–69.
Shaughnessy, J. J., Zechmeister, E. B., & Zechmeister, J. S. (2015). Research methods in psychology (10th ed.). McGraw-Hill.
Sheykhnezhad, F., & Seyedfatemi, N. (2019). Effect of group education on self-efficacy and craving tendencies in drug abusers in 5th Azar Drug Abuse Treatment Center of Gorgan. Cogent Psychology, 6(1), 1-16.
Taghizadeh, F., & Cherati, J. Y. (2015). Procrastination and self-efficacy among intravenous drug users on a Methadone maintenance program in Sari City, Iran, 2013. Iranian Journal of Psychiatry and Behavioral Sciences, 9(4), e3738.
Teo, T., & Kam, C. (2014). A measurement invariance analysis of the general self-efficacy scale on two different cultures. Journal of Psychoeducational Assessment, 32(8), 762-767.
Torrecillas, F. L., Cobo, M. A. T., Delgado, P., & Ucles, I. R. (2015). Predictive capacity of self-efficacy in drug dependence and substance abuse treatment. Journal of Psychology and Clinical Psychiatry, 2(3), 1-7.
Volkow, N. D. (2014). America’s addiction to Opioids: Heroin and prescription drug abuse. Senate Caucus on International Narcotics Control.
Wan Sulaiman, W. S., Ibrahim, F., Mohd, M. S., Nen, S., Sarnon, N., & Alavi, K. (2016). Rehabilitation through parole system in Malaysia: The role of optimism as mediating variable in the relationship between self-efficacy and resilience. Jurnal Psikologi Malaysia, 30(2), 141-152.
Wells, B. E., Golub, S. A., & Parsons, J. T. (2011). An integrated theoretical approach to substance use and risky sexual behavior among men who have sex with men. AIDS and Behavior, 15(3), 509-520.
Zaborowski, Z., & Slaski, S. (2003). Contents and forms theory of self-awareness. Imagination, Cognition and Personality, 23(2), 99-119.



