The Relationship Between Self-Efficacy and Relapse among Methadone Maintenance Treatment (MMT) Clients at a Primary Health Clinic in Kuala Muda
Methadone maintenance treatment (MMT) has been associated with many positive outcomes, including lowering the prevalence of HIV infections among drug users in Malaysia since its implementation. However, relapse among methadone clients remains a challenging issue for health care providers. Studies...
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| Format: | Thesis |
| Language: | en_US |
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| Summary: | Methadone maintenance treatment (MMT) has been associated with many positive
outcomes, including lowering the prevalence of HIV infections among drug users in
Malaysia since its implementation. However, relapse among methadone clients remains
a challenging issue for health care providers. Studies investigating relapse at MMT
facilities are limited in Malaysia. This present study primarily aimed to determine the
prevalence of relapse as well as explore the relationship between self-efficacy and
relapse among MMT clients. This cross-sectional study involved 129 MMT clients
recruited using the convenient sampling method at a primary health clinic in Kuala
Muda, Kedah. The study instruments used were the validated Malay version of the
Smoking and Substance Involvement Screening Test (ASSIST) and the General Self-
Efficacy Scale. The data collected was analyzed with SPSS version 23. The results
showed that the prevalence of relapse was 64.3% (n = 83), and the most abused illicit
substances by relapse participants were opioids (75.9%), followed by amphetaminetype
stimulants (38.6%), cannabis (10.8%), and ketum (7.2%). The independent sample
T-test results showed that the self-efficacy level of the non-relapse group was
significantly higher than that of the relapse group. The Pearson correlation analysis also
demonstrated that there was a strong negative correlation between self-efficacy and
relapse among the participants (r =-.736, p =.001). In conclusion, the prevalence of
relapse among participants was high, and a higher level of self-efficacy is associated
with lower relapse. Psychosocial interventions to enhance self-efficacy levels among
MMT clients are recommended in clinical practice and future research. |
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