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Factors associated with counselling adherence in opioid treatment programs
Vierne Placide1,2, Lynn Unruh2, Danielle Atkins2,3
1Health Department, State University of New York College at Cortland, Cortland, New York, USA.
Health & Social Care in the Community
|October 17, 2022
Summary
Older age and public insurance correlate with better adherence to counseling for patients in medication for opioid use disorder (MOUD) treatment. Heroin users face higher risks of dropping out of counseling.
Area of Science:
- Addiction Medicine
- Public Health
- Psychosocial Interventions
Background:
- Opioid Use Disorder (OUD) treatment often combines medication for opioid use disorder (MOUD) with psychosocial counseling.
- Federally certified Opioid Treatment Programs (OTPs) offer patient-centered care for substance use disorders.
- Understanding factors influencing patient adherence to counseling is crucial for treatment effectiveness.
Purpose of the Study:
- To identify factors associated with patient adherence to psychosocial counseling during MOUD treatment.
- To explore the relationship between patient characteristics, socio-economic factors, and counseling adherence in OTPs.
Main Methods:
- Retrospective cohort study of 1151 adult patients admitted to an OTP from July 2014 to June 2016.
- Data analyzed for single episodes of care up to 52 weeks.
- Cox proportional hazards regression used to assess associations with counseling adherence over one year.
Main Results:
- Older age and public payment for services were significantly associated with higher counseling adherence.
- Patients primarily using heroin had a greater risk of counseling adherence failure compared to those using non-medicinal prescription substances.
- No significant associations were found for gender, comprehensive care, or social support.
Conclusions:
- Age and public insurance are positive predictors of counseling adherence in MOUD treatment.
- Targeted evidence-based interventions and funding are needed for primary heroin users and young adults to improve engagement and retention.
- OTP's should consider these factors to enhance treatment outcomes for diverse patient populations.
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