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Demographic and clinical factors predicting retention in methadone maintenance: results from an Irish cohort

Overview of attention for article published in Irish Journal of Medical Science, May 2015
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Title
Demographic and clinical factors predicting retention in methadone maintenance: results from an Irish cohort
Published in
Irish Journal of Medical Science, May 2015
DOI 10.1007/s11845-015-1314-5
Pubmed ID
Authors

C. D. Darker, J. Ho, G. Kelly, L. Whiston, J. Barry

Abstract

Retention in Methadone Maintenance Treatment (MMT) is superior to that of other therapies for opioid addiction, but with international retention rates around 50 % after 1 year of treatment, there remains a need for improved retention rates. This study aimed to explore the demographic and clinical factors predicting retention in MMT. Face-to-face surveys with MMT patients in a Dublin methadone clinic were conducted. Retention was assessed by the presence and duration of breaks in treatment at any stage. 189 patients participated in the study. 46 % (n = 87) reported having at least one break in treatment, and the median duration of a break was 3 months. Age, current methadone dose and prescription of antipsychotic medication were significant predictors of retention. Patients who were older, single, living in their own home, on a higher dose of methadone, or taking antipsychotic medications had fewer breaks in treatment. Males tended to have significantly longer breaks. Patients reported that the main reasons for breaks were relapse into drug use (21.8 %, n = 19), incarceration (11.4 %, n = 10), weary of MMT (13.7 %, n = 12) or problems at the clinic (10.3 %, n = 9). Factors enabling regular attendance included wanting to get or stay clean (37.5 %, n = 51), avoidance of withdrawal symptoms (16.1 %, n = 22), methadone dependence (13.9 %, n = 19) and services provided (10.2 %, n = 14). Patients who were older, single, living in their own home, on a higher dose of methadone, or taking antipsychotic medications had fewer breaks in treatment.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 26 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Iran, Islamic Republic of 1 4%
Unknown 25 96%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 5 19%
Student > Master 5 19%
Researcher 4 15%
Other 3 12%
Professor > Associate Professor 3 12%
Other 6 23%
Readers by discipline Count As %
Medicine and Dentistry 9 35%
Nursing and Health Professions 5 19%
Psychology 3 12%
Unspecified 3 12%
Pharmacology, Toxicology and Pharmaceutical Science 2 8%
Other 4 15%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 May 2016.
All research outputs
#10,391,645
of 13,029,364 outputs
Outputs from Irish Journal of Medical Science
#451
of 698 outputs
Outputs of similar age
#184,205
of 264,877 outputs
Outputs of similar age from Irish Journal of Medical Science
#13
of 26 outputs
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We're also able to compare this research output to 26 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.