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 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus géographique FRANCEThésaurus mots-clés ETUDE PROSPECTIVE ; COHORTE ; TRAITEMENT ; FACTEUR PREDICTIF ; SATISFACTION ; OBSERVANCE DU TRAITEMENT ; QUALITE DE VIE ; TRAITEMENT AMBULATOIRE |
Résumé : |
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.
Highlights: • 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. |
Affiliation : |
Department of Addictology, Centre Psychothérapique de Nancy, France CSAPA (Healthcare Center of Accompaniment and Prevention in Addictology), Centre Psychothérapique de Nancy, France |
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