• Drug Alcohol Depend · Jun 2012

    Patient satisfaction with methadone maintenance treatment: the relevance of participation in treatment and social functioning.

    • Joan Trujols, Inmaculada Garijo, Núria Siñol, Juan del Pozo, Maria J Portella, and Pérez de los CobosJoséJ.
    • Unitat de Conductes Addictives, Servei de Psiquiatria, Hospital de la Santa Creu i Sant Pau, Institut d'Investigació Biomèdica Sant Pau, Sant Antoni Maria Claret 167, 08025 Barcelona, Spain. jtrujols@santpau.cat
    • Drug Alcohol Depend. 2012 Jun 1; 123 (1-3): 41-7.

    BackgroundPatients' satisfaction with methadone maintenance treatment (MMT) is a key measure of treatment quality. The main objective of the present study is to identify independent factors that contribute significantly to satisfaction with MMT.MethodParticipants were a representative sample of methadone-maintained patients (n=123) from the region of La Rioja. Satisfaction with MMT was assessed with the Verona Service Satisfaction Scale for Methadone Treatment (VSSS-MT), and mental health status with the General Health Questionnaire-28 (GHQ-28). Multivariate linear- and logistic-regression analyses were performed to identify variables independently associated with satisfaction with MMT.ResultsMultiple linear regression analysis revealed that the variables independently associated with VSSS-MT total score were number of hours per week that the centre dispensed methadone (β=0.193), number of patients per centre (β=0.233), perceived frequency of receiving information about methadone dose changes (β=0.246), perceived influence on these changes (β=0.194), and Social Dysfunction subscale of GHQ-28 (β=-0.179). Multivariate binary logistic regression showed that the variables independently associated with the likelihood of being satisfied with MMT were number of years of education completed (OR=0.835), number of patients per centre (OR=1.009), perceived frequency of receiving information about methadone dose changes (OR=1.571), and Social Dysfunction subscale of GHQ-28 (OR=0.748).ConclusionsPatients from larger centres, who perceive themselves as participating to some extent in treatment decisions, and showing lower deterioration in social functioning are more likely to be satisfied with MMT.Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

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