Treatment Adherence in Substance Users

Study Overview
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Brief Summary
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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
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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.

Official Title
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Factors Associated With Treatment Adherence in Substance Users

Conditions
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Substance-Related Disorders

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clinical diagnosis of Substance-Related Disorders Treatment for drug dependency Exclusion Criteria: Admission for detoxification treatment.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | 

Secondary Outcome Measures

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

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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treatment adherence, outpatient treatment, drug dependence