Effectiveness of Music-Based Intervention in Enhancing Treatment Motivation Among Clients in A Selected Substance Use Disorders Treatment Centre in Kenya

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Chege, Antony
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Kenyatta University
There is evidence to suggest that some clients admitted in drug treatment centres manifest low Treatment Motivation (TM). This negatively affects the uptake, retention, participation and completion of treatment. Clients with high TM finish treatment and retain the gains made. It is, therefore, critical that the issue of treatment motivation is addressed. Studies suggest that music-based interventions may be used to enhance motivation of such persons. However, evidence of use of such approaches in Kenya was scanty. This study sought to test the effectiveness of Music-Based Intervention (MBI) in enhancing treatment motivation among clients in selected treatment centres in Kenya. The participants of this study were 40 clients in a residential treatment facility for substance use disorders. The facility had two branches (A and B) with similar admission procedures, programmes and with nearly similar geographical contexts. A quasi-experimental non-equivalent group pre-test and post-test design was used. Clients admitted to branch A served as the treatment group while those admitted to branch B were the control group. The treatment group received a four-week music-based intervention, in addition to the standard of care/usual services, while the control group received only the standard of care. A pre-test and a post-test assessment of treatment motivation for both groups was carried out using the Texas Christian University Self-Rating Form (TCU/SFR). Descriptive statistics such as frequency and percentages were used to describe data while analysis of covariance was used to test the hypotheses. Results showed that the treatment group had significantly higher levels of treatment motivation compared to the control group at post-test after statistically controlling for age and gender of the participants, among other covariates. This suggests that MBI may have been responsible for the higher treatment motivation in the treatment group. In terms of the TM components; problem recognition, desire for help and treatment readiness, the treatment group had significantly higher means when compared to the control group. Therefore, MBI had a significant impact in increasing TM and its components, namely problem recognition (PR), desire for help (DH) and treatment readiness (TR). This suggests that MBI may be a useful complementary intervention in enhancing treatment motivation and its components (PR, DH and TR) in the treatment of substance use disorders in Kenya, which in turn promotes clients‘ health outcomes.
A Thesis Submitted to the School Of Humanities And Social Sciences in Partial Fulfillment of The Requirements for the Award of The Degree of Doctor Of Philosophy (Counselling Psychology) of Kenyatta University
Effectiveness, Music-Based, Intervention, Treatment Motivation, Clients, Selected Substance, Use Disorders, Treatment Centre, Kenya