Predicting Factors of Six Months Retention in Methadone Maintenance Therapy at Prachuap Khiri Khan Hospital
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Abstract
Objective: To examine the characteristics of patients who are undergoing long-term methadone treatment at Prachuap Khiri Khan Hospital and to determine which factors predict patient retention in the system for more than six months.
Methods: A descriptive study was conducted on 153 patients. The sample population consisted of patients undergoing long-term methadone treatment at Prachuap Khiri Khan Hospital. Data were collected between January 1, 2020, and January 1, 2023. The demographic data, substance use histories, and treatment histories were collected and analyzed.
Results: The study revealed that more than one-third of patients remained in treatment for over six months (37.3 percent), with an average stay of 6.3 months. Patients over the age of 16, receiving methadone via take-home or drop-off at a nearby hospital, and living outside the hospital district were found to be significantly more likely to stay in the system for more than six months.
Conclusion: The results should be used to increase caution when treating young patients with opioid use disorder and patients who live in the suburbs and increase the number of methadone drop-off units.
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References
World Drug Report 2021 [Internet]. United Nations Office on Drugs and Crime (UNODC); 2021. [cited 5 Feb 2024]. Available from: https://www.unodc.org/unodc/en/data-and-analysis/wdr2021.html.
Dydyk AM, Jain NK, Gupta M. Opioid use disorder. In StatPearls: StatPearls Publishing; 2024.
Office of the Secretary of National Addiction Treatment & Rehabilitation Committee, Ministry of Public Health [Internet]. National drug addiction treatment and rehabilitation information system; 2024 [cited 25 Feb 2024]. Available from: https://antidrugnew.moph.go.th.
Bell J, Strang J. Medication treatment of opioid use disorder. Biol Psychiatry 2020; 87(1): 82-8.
Ministry of Public Health. Harm reduction guideline. Health Administration Division 2017; 6-9.
Princess Mother National Institute on Drug Abuse Treatment. Methadone maintenance treatment. Bangkok: Chulalongkorn University Press; 2020.
Bart G. Maintenance medication for opiate addiction: the foundation of recovery. J Addict Dis 2012; 31(3): 207-25.
Duangsoithong T, Chaipichitpan N. Factors related to methadone maintenance treatment outcome at Princess Mother Institute on Drug Abuse Treatment. J DMS 2022; 47(4): 113-21.
Suwanmajo SD. Predictors-one year retention methadone maintenance therapy at Princess Mother Institute on Drug Abuse Treatment. J DMS 2019; 44(4): 119-24.
National Center for Drug Abuse Statistics [Internet]. Drug abuse statistics: NCDAS; 2023. [cited 5 Feb 2024]. Available from: https://drugabusestatistics.org.
Zhang L, Chow EP, Zhuang X, Liang Y, Wang Y, Tang C, et al. Methadone maintenance treatment participant retention and behavioural effectiveness in China: a systematic review and meta-analysis. PLoS One 2013; 8(7): e68906.
Zhou K, Zhuang G. Retention in methadone maintenance treatment in Mainland China, 2004-2012: a literature review. Addict Behav 2014; 39(1): 22-9.
Timko C, Schultz NR, Cucciare MA, Vittorio L, Garrison-Diehn C. Retention in medication-assisted treatment for opiate dependence: A systematic review. J Addict Dis 2016; 35(1): 22-35.
Farmani F, Farhadi H, Mohammadi Y. Associated factors of maintenance in patients under treatment with methadone: A comprehensive systematic review and meta-analysis. Addict Health 2018; 10(1): 41-51.
Wei X, Wang L, Wang X, Li J, Li H, Jia W. A study of 6-year retention in methadone maintenance treatment among opioid-dependent patients in Xi'an. J Addict Med 2013; 7(5): 342-8.
Proctor SL, Copeland AL, Kopak AM, Hoffmann NG, Herschman PL, Polukhina N. Predictors of patient retention in methadone maintenance treatment. Psychol Addict Behav 2015; 29(4): 906-17.
Nong T, Hodgkin D, Trang NT, Shoptaw SJ, Li MJ, Hai Van HT, et al. A review of factors associated with methadone maintenance treatment adherence and retention in Vietnam. Drug Alcohol Depend 2023; 243:109699.
Inpa C, Sriprasert P. Factors affecting complete treatment of addiction patients in Tak province. LPHJ 2021; 17: 91-100.
Mahathep P, Thananarapong J. Factors that affect treatment outcome of opioid use disorder with community participation in Maeteang, Chiangmai province. Thammasat University Hospital Journal Online 2018; 3(3): 28-38.