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Type: Journal article
Title: Predictive factors for treatment retention in methadone programs in Indonesia
Author: Sarasvita, R.
Tonkin, A.
Utomo, B.
Ali, R.
Citation: Journal of Substance Abuse Treatment, 2012; 42(3):239-246
Publisher: Pergamon-Elsevier Science Ltd
Issue Date: 2012
ISSN: 0740-5472
Statement of
Riza Sarasvita, Anne Tonkin, Budi Utomo, Robert Ali
Abstract: This article presents the results of a 6-month prospective cohort study of methadone maintenance treatment (MMT) in Indonesia. The study aimed to investigate the predictor variables of retention in MMT in Indonesia. The duration of treatment (in days) was the main outcome of the study. For the study, program, client, social network, and accessibility factors were investigated as potential predictors of retention. The study analyzed the relative weight of each factor in predicting treatment retention. The sample consisted of 178 clients drawn from three participating clinics: Rumah Sakit Ketergantungan Obat and Tanjung Priok in Jakarta and Sanglah in Bali. The 3- and 6-month retention rates were 74.2% and 61.3%, respectively. These rates are comparable with previous studies conducted in developed countries. A survival analysis using a robust estimation for the Cox PH regression found that the strongest predictors of retention were methadone dose followed by an interaction between take-home dose and the experience of the clinic providing this treatment. Other significant predictor variables included age, perceived clinic accessibility, and client's belief in the program. The study concludes that MMT cannot solely rely on the pharmacology for retention but should also promote informed access to take-home doses.
Keywords: Methadone maintenance; Treatment retention; Predictors; Indonesia
Rights: Copyright © 2012 Elsevier Inc.
RMID: 0020117399
DOI: 10.1016/j.jsat.2011.07.009
Appears in Collections:Pharmacology publications

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