Predictors of dropout from treatment among patients using specialized addiction treatment centers

Fleury, Marie‐Josée; Cao, Zhirong; Grenier, Guy; Huỳnh, Christophe

doi:10.1016/j.josat.2023.209062

Cited by 2 publications

(1 citation statement)

References 66 publications

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“…Two other variables that have been shown to predict readmission are having a previous history of treatment and being referred to addiction treatment by medical services. Regarding the former variable, our study has shown that this is associated with the time in treatment (patients with previous admissions spend less time in treatment), and other studies have shown its relationship with treatment outcomes [53,54].…”

Section: Discussionsupporting

confidence: 55%

Modeling the Therapeutic Process of Patients with Cocaine Use Disorders: The Texas Christian University Process Model as a Guidance to Predict Readmission

Dacosta‐Sánchez

Fernández‐Calderón

Batanero

et al. 2023

Preprint

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Background: Patients readmitted for Cocaine Use Disorders are, along with Opiates Use Disorder, one of the group of patients with highest demand of treatment in specialized centers of addiction and with greater therapeutic failure. Objective: Our aim is to apply the Texas Christian University Process Model to modeling the relationships between patient's attributes at intake of treatment, treatment progress indicators and outcomes, including treatment success and readmissions. Method: A retrospective observational design was used with 10,298 Cocaine Use Disorder patients. Electronic health records were used for statistical analysis of the data. Randomized subsample 1 (n= 5,150) was used for exploratory analysis and subsample 2 (n = 5,148) to modeling variables relations. Results: Patients attributes at intake have limited relevance in explaining the treatment progress indicators and outcomes. Time on treatment and patient's adherence are relevant to explain treatment success. Readmissions are mainly explained by time in treatment and therapeutic success. Been referred to addiction centers by health of services also appear to be relevant. Discussion and conclusion: Our study reflects that the therapeutic process is important in order to have and adequate therapeutic adherence and to stay longer in treatment. Patients with a successful treatment and longer stay in treatment are less likely to have future readmissions. Through this study we highlight, therefore, the value of an adequate therapeutic adherence to obtain successful short- and medium-term results. This would make the treatment of these patients more efficient, and alleviate suffering for the patients and their families.

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Section: Discussionsupporting

confidence: 55%

Modeling the Therapeutic Process of Patients with Cocaine Use Disorders: The Texas Christian University Process Model as a Guidance to Predict Readmission

Dacosta‐Sánchez

Fernández‐Calderón

Batanero

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Modeling the Therapeutic Process of Patients with Cocaine Use Disorders: A Guide for Predicting Readmission

Dacosta-Sánchez,

Fernández-Calderón,

Díaz-Batanero

et al. 2024

Eur Addict Res

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Introduction: Patients with cocaine use disorders have very high readmission rates. Our aim was to model the relationships between attributes of patients with cocaine use disorder at the beginning of treatment, therapeutic process indicators of time in treatment or proportion of appointments attended, and treatment outcomes, including outcomes at discharge and non-readmissions posttreatment as indicators of therapeutic success. Method: A retrospective observational design was used with 10,298 cocaine use disorder patients. Electronic health records were used for statistical analysis of the data. Randomized subsample 1 (n = 5,150) was used for exploratory analysis and subsample 2 (n = 5,148) for modeling relationships between the variables. Results: Patients attributes at intake (e.g., legal services as the source of referral) were of limited significance in explaining time in treatment, proportion of appointments attended, and treatment outcomes. Time in treatment and proportion of appointments attended emerged as significant factors in explaining outcomes at discharge. However, readmissions were primarily explained by time in treatment and outcomes at discharge, although referrals to addiction centers by health services also appeared to be relevant for explaining readmission. Discussion/Conclusion: Our study has shown that maintaining a sufficient appointment attendance rate and remaining in treatment for a longer duration are critical therapeutic process indicators for explaining outcomes at the point of discharge and therapeutic success, as indicated by a reduced likelihood of readmissions. Patients who remained in treatment for an extended period were found to have a reduced risk of future readmissions. In addition, our study highlights the importance of maintaining a satisfactory appointment attendance rate to attain successful short- and medium-term therapeutic discharge outcomes. These guidelines could help to increase the efficiency of patient treatment and alleviate the suffering of both patients and their families.

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Predictors of dropout from treatment among patients using specialized addiction treatment centers

Cited by 2 publications

References 66 publications

Modeling the Therapeutic Process of Patients with Cocaine Use Disorders: The Texas Christian University Process Model as a Guidance to Predict Readmission

Modeling the Therapeutic Process of Patients with Cocaine Use Disorders: The Texas Christian University Process Model as a Guidance to Predict Readmission

Modeling the Therapeutic Process of Patients with Cocaine Use Disorders: A Guide for Predicting Readmission

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