Associated risk factors to Non-compliance to Methadone Maintenance Therapy. 2012

M Ramli, and A B A Zafri, and M R Junid, and S Hatta
International Islamic University Malaysia, Kulliyyah of Medicine, Department of Psychiatry, Bandar Indera Mahkota, 25200 Kuantan, Pahang Malaysia. ramlidr@yahoo.com.

The escalating problem of opiate dependence in Malaysia and the limitations of regimental approach of forced admission to rehabilitation centres had triggered the government to expand the methadone maintenance therapy to become a national programme. This study aimed to evaluate the short-term outcomes of the Methadone Maintenance Therapy programme in one of the busiest hospital in east coast Malaysia. We also explored the prevalence on non-compliance and factors associated to it. A total of 172 patient case notes at Methadone Clinic Hospital Tengku Ampuan Afzan (HTAA) were retrieved for relevant data. A short survey was also conducted to determine the subjects' current employment and marital status. The programme's retention rate was 62% and factors associated with poor compliance were unemployment, low quality of life scores and low dose of methadone. A special attention on the patients with these three risk factors may improve their compliance to MMT. The short-term evaluation of MMT at HTAA revealed favourable findings.

UI MeSH Term Description Entries
D008691 Methadone A synthetic opioid that is used as the hydrochloride. It is an opioid analgesic that is primarily a mu-opioid agonist. It has actions and uses similar to those of MORPHINE. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1082-3) Amidone,Biodone,Dolophine,Metadol,Metasedin,Methaddict,Methadone Hydrochloride,Methadose,Methex,Phenadone,Phymet,Physeptone,Pinadone,Symoron,Hydrochloride, Methadone
D010349 Patient Compliance Voluntary cooperation of the patient in following a prescribed regimen. Client Adherence,Client Compliance,Non-Adherent Patient,Patient Adherence,Patient Cooperation,Patient Noncompliance,Patient Non-Adherence,Patient Non-Compliance,Patient Nonadherence,Therapeutic Compliance,Treatment Compliance,Adherence, Client,Adherence, Patient,Client Compliances,Compliance, Client,Compliance, Patient,Compliance, Therapeutic,Compliance, Treatment,Cooperation, Patient,Non Adherent Patient,Non-Adherence, Patient,Non-Adherent Patients,Non-Compliance, Patient,Nonadherence, Patient,Noncompliance, Patient,Patient Non Adherence,Patient Non Compliance,Patient, Non-Adherent,Therapeutic Compliances,Treatment Compliances
D011788 Quality of Life A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral, social environment as well as health and disease. HRQOL,Health-Related Quality Of Life,Life Quality,Health Related Quality Of Life
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012307 Risk Factors An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent. Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor
D058850 Opiate Substitution Treatment Medication-assisted treatment of opioid dependence using a substitute opiate such as METHADONE or BUPRENORPHINE. Opiate Replacement Therapy,Opioid Maintenance Treatment,Medication Assisted Treatment of Opioid,Opiate Medication-Assisted Treatment,Opioid Medication Assisted Treatment,Opioid Replacement Therapy,Opioid Substitution Therapy,Opioid Substitution Treatment,Maintenance Treatment, Opioid,Medication-Assisted Treatment, Opiate,Opiate Medication Assisted Treatment,Opiate Medication-Assisted Treatments,Opiate Replacement Therapies,Opiate Substitution Treatments,Opioid Maintenance Treatments,Opioid Replacement Therapies,Opioid Substitution Therapies,Opioid Substitution Treatments,Replacement Therapy, Opiate,Replacement Therapy, Opioid,Substitution Therapy, Opioid,Substitution Treatment, Opiate,Substitution Treatment, Opioid,Therapy, Opioid Substitution,Treatment, Opioid Maintenance

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