Substance-Related Disorders
Conditions
Keywords
treatment adherence, outpatient treatment, drug dependence
Brief summary
This study evaluates the factors associated with treatment adherence in substance users. Differences in the level of adherence to treatment according to patient-related factors, addiction and treatment are analyzed. The individual effect of each factor on treatment adherence is assessed.
Detailed description
INTRODUCTION: Treatment dropout is an unsolved problem in the addiction process which makes frequent the failure of the addiction therapy. Research shows that the majority of dropouts occur during the first weeks of the treatment. These are the most serious ones because they have the worst prognosis. Some factors, related to the patients and the therapy, have been associated with treatment dropout but the diversity of studied variables, the heterogeneity of patients and the sparse population of many studies, hampers external validity and comparison of results. OBJECTIVES: Analyze the treatment adherence of an outpatient treatment program for addicts. Identify factors associated with treatment adherence in substance users. MATERIAL AND METHODS: Observational, analytical, longitudinal and retrospective study in substance users who completed addiction treatment between November 2013 and January 2016. Treatment adherence is measured in terms of medical discharge, regular attendance at activities and success in the NOC indicators. Differences in the level of adherence to treatment according to patient-related factors, addiction and treatment are analyzed. The individual effect of each factor on treatment adherence is assessed.
Interventions
None listed
Sponsors
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Study design
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Clinical diagnosis of Substance-Related Disorders * Treatment for drug dependency
Exclusion criteria
* Admission for detoxification treatment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| treatment adherence | two month | Good adherence: if the patient complete the treatment, attends health professionals sessions and/or gets a sufficient score in objectives nursing. Bad-adherence: if the patient not complete the treatment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| age | two months | — |
| work situation | two months | options: unemployed, worker, pensioner or student. |
| cohabitation | two months | options: alone, with parents or with the couple and sons |
| gender | two months | options: male or female. |
| all mental disorders of DSM-IV (Diagnostic and Statistical Manual of mental Disorders) | two months | — |
| all drugs | two months | — |
| Self-esteem level according to the Rosenberg Self-Esteem questionnaire. | two months | options: high, medium or low self-esteem level. |
| family support | two months | options: no support, support, support and groups |
Outcome results
None listed