“…Low motivation has been noted as a moderator of CR effects among patients with schizophrenia (Medalia & Choi, 2009; Medalia & Richardson, 2005; Velligan, Kern, & Gold, 2006), yet has received relatively little attention in CR studies with substance users. Although some computer-based CR programs include game-like motivational elements to increase engagement and enjoyment (e.g., real-time scoring system, virtual prizes and certificates), the actual effect on participant motivation, engagement, and performance may be relatively limited (Hawkins et al, 2013; Katz, Jaeggi, Buschkuehl, Stegman, & Shah, 2014). Thus, the potential for these cognitive enhancing interventions to serve as a viable adjunct treatment for addictions (Bickel, Moody, & Quisenberry, 2014; Sofuoglu, DeVito, Waters, & Carroll, 2013) may be undermined by the inadequate level of motivation and training engagement within this population.…”