Treatment satisfaction among patients in opioid agonist treatment in Norway: A multicenter cohort study.

IF 2.2 3区 社会学 Q3 SUBSTANCE ABUSE
Linda Nesse, Thomas Clausen
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Abstract

Background: Treatment satisfaction is an important indicator of patients' perceptions of opioid agonist treatment (OAT) for opioid dependence. In addition, treatment satisfaction may have implications for treatment outcomes. The present study aimed to explore treatment satisfaction among OAT patients one year after enrollment, as well as the role of different psychosocial and treatment characteristics in treatment satisfaction. Methods: The study was based on data from the NorComt project (2012-2016), which used a multicenter cohort design with structured questionnaire-based interviews. The sample consisted of 175 OAT patients in Norway who rated their treatment satisfaction (high, mixed, low) one year after enrollment in a new treatment episode in OAT. Treatment satisfaction (high versus mixed or low) was used as a dependent variable in logistic regression models, with demographic characteristics, well-being, substance use, and treatment characteristics as independent variables. Results: Overall, 54.9% of the participants reported high satisfaction with OAT one year after enrollment, while 25.7% reported mixed satisfaction and 19.4% low satisfaction. Of the 175 participants who reported on treatment satisfaction, 161 remained in treatment at follow-up. Reporting an active occupational status and an individual treatment plan in OAT was associated with increased odds for reporting treatment satisfaction, while reporting ongoing substance use was associated with decreased odds for reporting treatment satisfaction. Conclusions: Psychosocial, situational factors, as well as coordinated, integrated support, may play a role in OAT patients' treatment satisfaction. To identify facilitators and barriers in OAT, it is vital to address relevant needs and goals for treatment from the perspectives of patients.

挪威阿片类激动剂治疗患者的治疗满意度:一项多中心队列研究。
背景:治疗满意度是衡量阿片类药物依赖患者对阿片类药物激动剂治疗(OAT)认知的重要指标。此外,治疗满意度可能对治疗结果有影响。本研究旨在探讨OAT患者入组一年后的治疗满意度,以及不同的心理社会特征和治疗特征在治疗满意度中的作用。方法:本研究基于NorComt项目(2012-2016)的数据,采用多中心队列设计和结构化问卷访谈。样本包括175名挪威的OAT患者,他们在参加OAT新治疗一年后对治疗满意度(高、混合、低)进行评分。治疗满意度(高与混合或低)被用作逻辑回归模型中的因变量,人口统计学特征、幸福感、物质使用和治疗特征作为自变量。结果:总体而言,54.9%的参与者在入学一年后对OAT表示高度满意,25.7%的参与者表示混合满意,19.4%的参与者表示低满意度。在175名报告治疗满意度的参与者中,有161人在随访时仍在接受治疗。在OAT中,报告积极的职业状态和个人治疗计划与报告治疗满意度的几率增加有关,而报告持续的物质使用与报告治疗满意度的几率降低有关。结论:心理社会因素、情境因素以及协同、综合支持可能影响OAT患者的治疗满意度。为了确定OAT的促进因素和障碍,从患者的角度解决相关的治疗需求和目标至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.90
自引率
11.80%
发文量
36
审稿时长
30 weeks
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