|Titre :||Is early outpatient satisfaction with substance use disorder care a predictor of early dropout? Results of the SUBUSQOL cohort (2020)|
|Auteurs :||S. BOURION-BEDES ; A. SIMIREA ; P. DI PATRIZIO ; O. MULLER ; I. CLERC-URMES ; A. SY ; R. SCHWAN ; S. VIENNET ; C. BAUMANN|
|Type de document :||Article : Périodique|
|Dans :||Journal of Substance Abuse Treatment (Vol.119, December 2020)|
|Article en page(s) :||art. 108151|
|Discipline :||TRA (Traitement et prise en charge / Treatment and care)|
Thésaurus TOXIBASEETUDE PROSPECTIVE ; COHORTE ; TRAITEMENT ; FACTEUR PREDICTIF ; SATISFACTION ; OBSERVANCE DU TRAITEMENT ; QUALITE DE VIE ; TRAITEMENT AMBULATOIRE
Premature discontinuation of substance use disorder (SUD) treatment is a leading factor associated with poor outcomes. The aim of the study was to investigate factors associated with early dropout among individuals with SUD receiving outpatient care. In a prospective cohort of substance-dependent outpatients, we collected sociodemographic and clinical data, and participants completed questionnaires assessing health-related quality of life, states of anxiety and depression, and coping at baseline. We assessed satisfaction with the EQS-C soon after inclusion. We evaluated factors associated with dropout from care at 3 months using logistic regression models. We included a total of 175 patients at baseline. The retention rate over the 3-month period was 69.7%. The results indicate that higher satisfaction with care (OR = 0.96, 95% CI = 0.93-0.98, p = 0.01) and use of positive reframing (OR = 0.77, 95% CI = 0.59-0.96, p = 0.04) led to significantly lower levels of dropout from care at 3 months. We also found that female gender (OR = 2.97, 95% CI = 1.1-8, p = 0.03) and the use of the denial coping strategy (OR = 1.37, 95% CI = 1.1-1.8, p = 0.02) were significantly associated with higher early dropout at 3 months. These results suggest the need to improve satisfaction with treatment and identify patients' needs to reduce the risk of early dropout from SUD care.
• Outpatients with substance dependence had seriously impaired care retention at 3 months.
• The level of outpatients' early satisfaction was related to the rate of dropout at 3 months.
• Female gender was the strongest predictor of dropout.
• Functional coping strategies might be supported to improve care retention.
• Integration of patient satisfaction into ambulatory setting care is of interest.
Department of Addictology, Centre Psychothérapique de Nancy, France
CSAPA (Healthcare Center of Accompaniment and Prevention in Addictology), Centre Psychothérapique de Nancy, France