Treatment Adherence in Substance Users

Substance-Related Disorders Clinical Trial

— TASU  

Official title:

Factors Associated With Treatment Adherence in Substance Users

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02930577
• Other study ID #: IIBSP-TOX-2015-71
• Status: Completed
• Phase: N/A
• First received: August 26, 2016
• Last updated: October 10, 2016
• Start date: October 2015
• Est. completion date: August 2016

Study information

• Verified date: October 2016
• Source: Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
• Contact: n/a
• Is FDA regulated: No
• Health authority: Spain: Ethics Committee
• Study type: Observational

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 216
• Est. completion date: August 2016
• Est. primary completion date: May 2016
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Clinical diagnosis of Substance-Related Disorders

• Treatment for drug dependency

Exclusion Criteria:

• Admission for detoxification treatment.

Study Design

Time Perspective: Retrospective

Related Conditions & MeSH terms

• Substance-Related Disorders

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

References & Publications (18)

Albiach C, Llinares MC, Palau C, Santos P. Adherencia en heroinómanos: la potencia predictiva de los estadios de cambio evaluados durante la admisión al tratamiento. Adicciones. 2000;12(2):225-234.

Albiach C, Palau C, Llinares C, Santos P. Estudio sobre la adherencia al tratamiento en sujetos con adicción a diferentes sustancias que acuden a servicios ambulatorios. En: V Encuentro Nacional sobre drogodependencias y su enfoque comunitario; 1998; Chiclana de la Frontera, Cádiz, p. 57-70.

Domínguez-Martín AL, Miranda-Estribí MD, Pedrero-Pérez EJ, Pérez-López M, Puerta-García C. Estudio de las causas de abandono del tratamiento en un centro de atención a drogodependientes. Trastor Adict. 2008;10(2):112-120.

Fernández-Montalvo J, López Goñi JJ, Landa N, Illescas C, Lorea, I, Zarzuela, A. Trastornos de personalidad y abandonos terapéuticos en pacientes adictos: resultados en una comunidad terapéutica. Int J Clin Health Psychol. 2004; 4(2): 271-283.

García-Rodríguez O, Secades-Villa R, Alvarez Rodríguez H, Río Rodríguez A, Fernández-Hermida JR, Carballo JL, Errasti Pérez JM, Al-Halabí Díaz S. [Effect of incentives on retention in an outpatient treatment for cocaine addicts]. Psicothema. 2007 Feb;19(1):134-9. Spanish. — View Citation

Herrera JM, Barberán M, Yumar T. La adherencia al tratamiento en una Unidad de Atención a las Drogodependencias (UAD). Trabajo Social y Salud. 2008; (61):155-182.

Llinares Pellicer MC, Palau Muñoz C, Albiach Catalá C, Santos Diez P. [Predictive variables of adherence to treatment in alcoholics]. Actas Esp Psiquiatr. 2002 Nov-Dec;30(6):370-5. Spanish. — View Citation

López Goñi JJ, Fernández-Montalvo J, Arteaga A. El abandono (dropout) en el Tratamiento de la Adicción: Explorando las Características de los Pacientes. Am J Addict. 2011;(21):78-85.

López-Goñi JJ, Fernández-Montalvo J, Illescas C, Landa N, Lorea I. Razones para el abandono del tratamiento en una comunidad terapéutica. Trastor Adict. 2008;10(2):104-111.

Martínez-González JM, Albein-Urios N, Verdejo-García A, Lozano-Rojas O. [Differential aspects of treatment dropout risk in cocaine dependent patients with and without personality disorders]. Adicciones. 2014;26(2):116-25. Spanish. — View Citation

Olmos-Espinosa R, Madoz-Gúrpide A, Ochoa E. Situación al año de los adictos a opiáceos que siguieron tratamiento ambulatorio tras desintoxicación hospitalaria. Adicciones. 2001;13(2):173-8.

Roncero C, Gómez-Baeza S, Vázquez JM, Terán A, Szerman N, Casas M, Bobes J. Perception of Spanish professionals on therapeutic adherence of dual diagnosis patients. Actas Esp Psiquiatr. 2013 Nov-Dec;41(6):319-29. Epub 2013 Nov 1. — View Citation

Roncero C, Rodríguez-Cintas L, Barral C, Fuste G, Daigre C, Ramos-Quiroga JA, Casas M. Treatment adherence to treatment in substance users referred from Psychiatric Emergency service to outpatient treatment. Actas Esp Psiquiatr. 2012 Mar-Apr;40(2):63-9. Epub 2012 Mar 1. — View Citation

Sánchez-Hervás E, Secades-Villa R, Gómez FJ, Romaguera FZ, García-Rodríguez O, Yanez EM, Francés MC, Fernández GG. [Treatment dropout in cocaine addicts]. Adicciones. 2010;22(1):59-64. Spanish. — View Citation

Silva Lento AF, Cerqueira AM, Rocha Costa OC. Programa de deshabituación. ¿Cuáles son los factores que llevan al dropout? Revista española de drogodependencias. 2004; (1):62-70.

Sirvent C, Villa M, Blanco P, Rivas C, Linares MP, Quintana L. Predicción del abandono (vs. éxito) terapéutico en adicciones. (Presentación del cuestionario VPA-30 (c Sirvent, 2009), de variables predictores de abandono y adherencia al tratamiento en adicciones). Interpsiquis 2010.

Valero-Aguayo L, Ortiz-Tallo M, Parra-García MM, Jiménez-Guerra M. Valoración de resultados y perfil psicosocial de un programa de rehabilitación de personas con drogodependencias. Anales de Psicología. 2013;29(1):38-47.

Zamora YR. Predicción del abandono del tratamiento en adictos mediante el cuestionario VPA-30. Revista del Hospital Psiquiátrico de La Habana. 2014;11(2).

* Note: There are 18 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	treatment adherence	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.	two month	No
Secondary	gender	options: male or female.	two months	No
Secondary	age		two months	No
Secondary	work situation	options: unemployed, worker, pensioner or student.	two months	No
Secondary	cohabitation	options: alone, with parents or with the couple and sons	two months	No
Secondary	family support	options: no support, support, support and groups	two months	No
Secondary	all mental disorders of DSM-IV (Diagnostic and Statistical Manual of mental Disorders)		two months	No
Secondary	all drugs		two months	No
Secondary	Self-esteem level according to the Rosenberg Self-Esteem questionnaire.	options: high, medium or low self-esteem level.	two months	No

External Links

•   Adherencia a los tratamientos a largo plazo: Pruebas para la acción. OMS. Washington (DC): Organización Panamericana de la Salud; 2004.
•   Glosario de términos de alcohol y drogas. OMS. Madrid: Ministerio de Sanidad y Consumo;1994.
•   Presentación del cuestionario VPA-30 (c Sirvent, 2009), de variables predictores de abandono y adherencia al tratamiento en adicciones
•   Resumen ejecutivo: Informe mundial sobre las drogas. Oficina de las Naciones Unidas contra la Droga y el Delito (UNODC); 2014.