The Motivation of Opioid Dependence Patients to retention Treatment at Thanyarak Chiangmai Hospital

Abstract

The objective of this descriptive research were 1) study level of motivation 2) intrinsic motivation and extrinsic motivation and 3) relationship between motivation and retention in treatment system of opioid patients at Thanyarak Chiangmai Hospital. The sample consisted of 167 opioid patients who received Methadone Maintenance Therapy at Famai clinic, Thanyarak Chiangmai Hospital. Research instruments were 2 sets, The 1^st was Motivation questionnaire which comprised of: 1) Demographic questionnaire 2) Substance and treatment questionnaire 3) Motivation questionnaire and the 2^nd was the structural interview about intrinsic and extrinsic motivation to retention in system treatment. They were verified for content validity by 3 professional experts. The reliability of motivation questionnaire was report by Cronbach’s alpha coefficient as of .701. Data were analyzed using descriptive statistic, Pearson’s product moment correlation coefficient and content analysis.

The findings of this research as follow:

1. Motivation of opioid patients was high level (mean = 3.51).
2. Intrinsic motivation of opioid patients to retention in system treatment were : 1) to have a better life 2) build acceptance from others 3) be a role model to others and 4) to live in a society with other people. Extrinsic motivation were: family and Therapist, methadone, community and career.
3. Relationship between motivation and retention in system treatment found that maintenance stage was statistically significant at p-value = .05. Nevertheless, total motivation, pre-contemplation stage, contemplation stage and action stage did not related to retention in system treatment.