FACTORS RELATING TO METHAMPHETAMINE RELAPSE RISK AMONG CLIENTS IN THE SUBSTANCE REHABILITATION CENTER OF NATIONAL NARCOTICS BOARDS IN WEST JAVA, INDONESIA

Abstract

The purposes of this descriptive correlational research were to describe methamphetamine relapse risk and examine the relationship between self-efficacy, outcome expectancy, motivation, coping, emotional state, craving, social support, and methamphetamine relapse risk among methamphetamine users. The purposive sample of 165 who met the inclusion criteria were recruited from clients admitted to a primary phase treatment in the Substance Rehabilitation Center of National Narcotics Board in West Java, Indonesia. The research instruments were: 1) the demographic characteristic questionnaire, 2) Drug Taking Confidence Questionnaire, 3) Stimulant Effect Expectancy Questionnaire, 4) Stage of Change Readiness and Treatment Eagerness Scale version 8.0 for Drug, 5) Coping Strategies Inventory Short Form, 6) Positive Affect and Negative Affect Schedule, 7) Desire for Speed Questionnaire, 8) Social Support Questionnaire, and 9) Stimulant Relapse Risk Scale. The 2nd to 9th instruments were translated to Indonesian language using back translation technique. The Cronbach’s alpha coefficient reliability of the 2nd to 9th instrument was .98, .92, .90, .90, .90, .94, .92 and .87 respectively. Descriptive statistic was used to analyze the data; meanwhile Pearson’s product moment correlation was used to test the relationship among variables. Major findings of this study were the methamphetamine relapse risk among clients in the Substance Rehabilitation Center of National Narcotics Board in West Java, Indonesia was in the moderate level (mean = 56.33, SD = 10.54); outcome expectancy, negative emotional state, positive emotional state and craving are significantly and positively related to relapse risk, whereas self-efficacy is significantly and negatively related to relapse risk (r = .261, .370, .380, .509, and -.316, respectively; p < .01); lastly motivation, coping and social support are not related to relapse risk. The nursing intervention for early detection of methamphetamine relapse risk by using standardized instrument should be conducted in rehabilitation setting treatment.