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Observational Study
. 2018 Oct;50(8):477-485.
doi: 10.1016/j.aprim.2017.06.006. Epub 2017 Aug 24.

[Early drop-outs and retentions in substance abuse outpatient clinics: a cross-sectional comparative study of factors that increase or decrease adherence]

[Article in Spanish]
Fran Calvo  1 , Xavier Carbonell  2 , Ramón Valero  3 , Jordi Costa  3 , Oriol Turró  4 , Cristina Giralt  3 , Marissa Ramírez  3
Affiliations
Observational Study

[Early drop-outs and retentions in substance abuse outpatient clinics: a cross-sectional comparative study of factors that increase or decrease adherence]

[Article in Spanish]
Fran Calvo et al. Aten Primaria. 2018 Oct.

Abstract
in English, Spanish

Aim: The aim of this study is to define the risk factors associated with early discharge in out-patients clinics.

Design: Cross-sectional and observational study.

Setting: Substance abuse clinics in Girona (Catalonia, Spain).

Participants: A total of 264 individuals were included in the sample, and 34.8% of them abandoned the process within two months of starting the therapy (n=92).

Procedure: Clinical and socio-demographic variables of the clinical history were compared between participants with/without adherence.

Main measurements: The Student t test was used to measure the comparison, and the chi-squared test was used for the analysis of qualitative variables. A binary logistic regression model was adjusted, with adherence as the dependent variable.

Results: The results indicated that attending the appointments unaccompanied (OR=3.13), being female (OR=2.44), having cocaine related issues (OR=1.14), and being younger (OR=0.89) are the factors which increase the risk early abandonment. Contrarily, being referred to specialists from a Primary Health Centre reduces the risk (OR=0.28).

Conclusions: It is concluded that special attention must be devoted to the patients' families, women, and young patients. Moreover, the appropriate coordination between specialist services and basic services increases adherence to treatment among drug users.

Objetivo: El objetivo de este estudio es definir los factores de riesgo asociados al cese temprano en un centro ambulatorio.

Diseño: Transversal y observacional.

Emplazamiento: Centros públicos de drogodependencias de la provincia de Girona.

Participantes: La muestra estuvo conformada por 264 participantes, y el 34,8% de los participantes abandonaron el proceso antes de 2 meses después de iniciar la terapia (n = 92).

Procedimiento: Se compararon las variables clínicas y sociodemográficas de la historia clínica entre los participantes con/sin adherencia.

Mediciones principales: Se utilizó la t de Student para la comparación de medias y la ji cuadrado para el análisis de variables cualitativas. Se ajustó un modelo de regresión logística binaria con la variable dependiente adherencia.

Resultados: Los resultados indican que acudir a las citas sin compañía (OR = 3,13), ser mujer (OR = 2,44), presentar problemas con la cocaína (OR = 1,14) y ser más joven (OR = 0,89) son los factores que incrementan el riesgo de abandono temprano, mientras que acudir al servicio derivado de un centro básico de salud lo reduce (OR = 0,28).

Conclusiones: Se concluye que se debe atender especialmente a la familia del paciente y a mujeres y jóvenes, y que la adecuada coordinación entre los servicios especializados y los de base aumenta la adherencia al tratamiento de los consumidores de drogas.

Keywords: Abandono de tratamiento; Abuso de drogas; Adherencia al tratamiento; Ambulatory care; Drogodependencias; Drug dependence; Mental health; Salud mental; Substance abuse; Tratamiento ambulatorio; Treatment adherence; Treatment drop-out.

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Figures

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Esquema general del estudio
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References

    1. Domínguez-Martín A.L., Miranda-Estribí M.D., Pedrero-Pérez E.J., Pérez-López M., Puerta-García C. Estudio de causas de abandono del tratamiento de un centro de atención a drogodependientes. Trastor Adict. 2008;10:112–120.
    1. Sanchez-Carbonell J., Brigos B., Camí J. Evolución de una muestra de heroinómanos dos años después del inicio del tratamiento (proyecto EMETYST) Med Clin (Barc). 1989;92:135–139. - PubMed
    1. Greenwood G., Wood W., Guydish J., Bein E. Relapse outcomes in a randomized trial of residential and day-drug abuse treatment. J Subst Abuse Treat. 2001;20:15–23. - PubMed
    1. McHugh R.K., Murray H.W., Hearon B.A., Pratt E.M., Pollack M.H., Safren S.A. Predictors of dropout from psychosocial treatment in opioid-dependent outpatients. Am J Addict. 2013;22:18–22. - PMC - PubMed
    1. Santonja-Gómez F.J., Sánchez-Hervás E., Secades-Villa R., Zacarés-Romaguera F., García-Rodríguez O., García-Fernández G. Pretreatment characteristics as predictors of retention in cocaine-dependent outpatients. Addict Disord Their Treat. 2010;9:93–98.

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