Factors associated with counselling adherence in opioid treatment programs

Bibliographic Data

ID12287580
AuthorsVierne Placide (Health Department State University of New York College at Cortland Cortland New York USA, corresponding author), Lynn Unruh (0000-0002-3629-4923, School of Global Health Management & Informatics University of Central Florida Orlando Florida USA), Danielle N Atkins (0000-0001-6410-8721, University of Central Florida), Danielle Atkins (School of Global Health Management & Informatics University of Central Florida Orlando Florida USA), Latarsha Chisholm (0000-0003-3705-9412, School of Global Health Management & Informatics University of Central Florida Orlando Florida USA), J Blake Scott (0009-0001-5079-5353, Department of Writing and Rhetoric University of Central Florida Orlando Florida USA)
Year2022
Volume30
Issue6
Pagese6303-e6311
Publication date2022-10-17
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth & Social Care in the Community (JOURNAL)
Journal identifiersISSN: 0966-0410 • E-ISSN: 1365-2524
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hsc.14069
PMID36250340
OpenAlexW4306403497
LanguageEN
References cited46

Federally certified opioid treatment programs (OTPs) provide psychosocial counselling in addition to medications for opioid use disorder (MOUDs) using a patient-centered approach in providing substance use disorder treatment. This study explored factors associated with patients' adherence to counselling while receiving MOUD at an OTP. A retrospective cohort design using data on adult patients (n = 1151, 61% females, 39% males) admitted to an OTP from July 1, 2014, to June 30, 2016, was employed. The data were for single episodes of care up to 52 weeks. Survival analysis (cox proportional hazards regression) assessed the relationship of personal characteristics, socio-economic status, payment for services, type of substance use, comprehensive care and social support with counselling for up to a year. Results indicated that age, having services paid for by public means, was associated with counselling adherence. Primary heroin use patients had a higher risk of counselling adherence failure than patients who primarily used non-medicinal prescription substances. Treatment agencies may benefit from funding and using evidence-based practices for primary heroin use patients and young adults to better engage and retain these populations in treatment

Cohort · Drug · Family medicine · Heroin · Medical prescription · Opioid · Opioid use disorder · Proportional hazards model · Psychiatry · Psychosocial · Retrospective cohort study · Medicine · Nursing · Opioid Use Disorder Treatment · Prenatal Substance Exposure Effects · Substance Abuse Treatment and Outcomes · Internal Medicine

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