Treatment Adherence in Substance Users

Completed

• Conditions: Substance-Related Disorders

• Registration Number: NCT02930577
• Lead Sponsor: Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

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.

Study Timeline

• Study Start: 2015-10
• Primary Completion: 2016-05
• Study Completion: 2016-08
• Study First Submitted: 2016-08-26
• Status Verified: 2016-10
• Study First Submitted QC: 2016-10-10
• Last Update Submitted: 2016-10-10
• Study First Posted: 2016-10-12
• Last Update Posted: 2016-10-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 216

Inclusion Criteria

• Clinical diagnosis of Substance-Related Disorders
• Treatment for drug dependency

Exclusion Criteria

• Admission for detoxification treatment.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
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 Outcome Measures

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