比较urica和tmq的结果,以确定应急管理干预对内在动机的影响

Mohamad Salleh Abdul Ghani, Mohamad Isa Amat, Haslee Sharil Lim Abdullah
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引用次数: 0

摘要

本研究的目的是确定应急管理(CM)干预,也被称为动机激励是否影响制度化药物治疗中心客户的内在动机。本研究采用随机对照试验设计,将受试者随机分为实验组和对照组。将44名患者分为两组,实验组接受常规方案并进行CM干预(CM),对照组只接受常规方案(TAU)。CM干预从第一周开始至第12周进行,第13周至第16周结束,观察CM有效性对来访者动机的随访效果。本研究中使用的CM干预措施是通过贴纸奖励系统进行的,在治疗过程中,每实现积极的行为改变,都会得到一张奖励贴纸,并将其放在客户的成就表上。这种贴纸具有一定的货币价值,可以与特权或特定物品交换。实验组给予CM奖励,对照组不给予奖励。为了测量来访者的动机水平,我们使用了两种标准化的工具,即罗德岛大学改变评估(URICA)和治疗动机问卷(TMQ)。还通过半结构化访谈收集了定性数据,以获得对客户内在动机的CM有效性的深入输入,并确定定量结果的一致性。结果显示,自我管理有效地提高了来访者对治疗方案的内在动机。访谈结果显示,大多数来访者认为CM有助于增加他们参与治疗的自我动机,并增强他们实施治疗所学知识的精神。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparing the results of the urica and the tmq to determine the effect of contingency management intervention on intrinsic motivation
The objective of the study was to determine whether contingency management (CM) intervention also known as motivational incentive influences intrinsic motivation of clients in an institutionalized drug treatment centre. A Randomized controlled trial design was used in this study involving random assignment of subjects into experimental and controlled groups. A total of 44 clients were divided into two groups namely the experimental group who received the usual program with CM intervention (CM) and the control group receiving only the usual program (TAU). CM interventions are administered from the beginning of the first week to week 12th and terminated on the 13th to 16th week to observe the follow-up effect of CM's effectiveness on client motivation. CM interventions used in this study via sticker chart rewards system where every achieved positive behaviour changes in the treatment session will be rewarded with a reward sticker which will be put on the clients’ achievement chart. The sticker has a certain monetary value that can be exchanged with privileges or certain items. Experimental groups received CM rewards while no rewards are given to the control group. To measure the client's motivation level, two standardize instrument was used which was the University of Rhode Island Change Assessment (URICA) and the Treatment Motivation Questionnaire (TMQ). Qualitative data was also collected through a semi-structured interview to gain an in-depth input on the effectiveness of CM toward the client's intrinsic motivation as well as to determine the consistency of the quantitative findings. The results showed that CM effective in improving the intrinsic motivation of the clients towards the treatment programs. Results of the interview showed that most clients felt that CM helped increase their selfmotivation to participate in the treatment session and enhance their spirit to implement the knowledge learned from the treatment session.
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