- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02930577
Treatment Adherence in Substance Users (TASU)
Factors Associated With Treatment Adherence in Substance Users
Study Overview
Status
Conditions
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 Type
Enrollment (Actual)
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Clinical diagnosis of Substance-Related Disorders
- Treatment for drug dependency
Exclusion Criteria:
- Admission for detoxification treatment.
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
treatment adherence
Time Frame: 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. |
two month
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
gender
Time Frame: two months
|
options: male or female.
|
two months
|
age
Time Frame: two months
|
two months
|
|
work situation
Time Frame: two months
|
options: unemployed, worker, pensioner or student.
|
two months
|
cohabitation
Time Frame: two months
|
options: alone, with parents or with the couple and sons
|
two months
|
family support
Time Frame: two months
|
options: no support, support, support and groups
|
two months
|
all mental disorders of DSM-IV (Diagnostic and Statistical Manual of mental Disorders)
Time Frame: two months
|
two months
|
|
all drugs
Time Frame: two months
|
two months
|
|
Self-esteem level according to the Rosenberg Self-Esteem questionnaire.
Time Frame: two months
|
options: high, medium or low self-esteem level.
|
two months
|
Collaborators and Investigators
Publications and helpful links
General Publications
- Lopez-Goni JJ, Fernandez-Montalvo J, Arteaga A. Addiction treatment dropout: exploring patients' characteristics. Am J Addict. 2012 Jan-Feb;21(1):78-85. doi: 10.1111/j.1521-0391.2011.00188.x. Epub 2011 Dec 1.
- Zamora YR. Predicción del abandono del tratamiento en adictos mediante el cuestionario VPA-30. Revista del Hospital Psiquiátrico de La Habana. 2014;11(2).
- Sanchez-Hervas E, Secades-Villa R, Gomez FJ, Romaguera FZ, Garcia-Rodriguez O, Yanez EM, Frances MC, Fernandez GG. [Treatment dropout in cocaine addicts]. Adicciones. 2010;22(1):59-64. Spanish.
- 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.
- 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.
- Llinares Pellicer MC, Palau Munoz C, Albiach Catala C, Santos Diez P. [Predictive variables of adherence to treatment in alcoholics]. Actas Esp Psiquiatr. 2002 Nov-Dec;30(6):370-5. Spanish.
- Garcia-Rodriguez O, Secades-Villa R, Alvarez Rodriguez H, Rio Rodriguez A, Fernandez-Hermida JR, Carballo JL, Errasti Perez JM, Al-Halabi Diaz S. [Effect of incentives on retention in an outpatient treatment for cocaine addicts]. Psicothema. 2007 Feb;19(1):134-9. Spanish.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- Roncero C, Rodriguez-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.
- 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.
- Martinez-Gonzalez JM, Albein-Urios N, Verdejo-Garcia 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.
- Roncero C, Gomez-Baeza S, Vazquez JM, Teran 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.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IIBSP-TOX-2015-71
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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