Effectiveness of Cognitive Behavioral Therapy (CBT) as an intervention used to develop commitment to sobriety among Clients in Selected Rehabilitation Centres in Uasin Gishu County, Kenya

Abstract

Drug rehabilitation facilities aim to provide a supportive environment for drug addicts’ commitment to sobriety. In Uasin Gishu County, there is a serious relapse among individuals who have gone through rehabilitation programs. The study sought to assess the effectiveness of Cognitive Behavioral Therapy (CBT) in developing commitment to sobriety among clients in selected rehabilitation centres in Uasin Gishu County, Kenya. The study was guided by Cognitive behavioral theory. It employed a convergent parallel mixed methods design. The target population was 95 rehabilitees receiving rehabilitation from different rehabilitation centers in Uasin Gishu County.
Census Survey was used to select the respondents. Questionnaire, Interview Guide and Observation gathering tools were used to collect data. The reliability and validity of research instruments were tested through pilot study. Quantitative data from the questionnaires was analyzed using descriptive and inferential statistics. Qualitative data used a thematic analysis strategy to identify themes. The study results indicate that Cognitive Behavioral Therapy interventions significantly enhanced clients’ commitment to sobriety by improving emotional regulation, trigger management, cognitive restructuring, and coping skills development. Effectiveness was measured based on clients’ perceptions of improved coping skills, emotional regulation, trigger management, cognitive restructuring, and commitment to maintaining sobriety.
The study concludes that Cognitive Behavioral Therapy (CBT) is an effective evidence-based intervention for enhancing clients’ commitment to sobriety and supporting sustained recovery from substance use. The study recommends strengthening CBT-based interventions in rehabilitation centres through enhanced coping-skills training and continuous psychosocial support.