Adherence to methadone maintenance treatment and associated factors among patients in Vietnamese mountainside areas
Abstract Background Medication adherence is essential to achieve successful methadone maintenance treatment (MMT). However, treatment adherence among MMT patients in the mountainous setting in Vietnam has not been yet investigated. This study aimed to explore the medication adherence and associated...
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doaj-497ca04e9ff042e3be573a9bf9fd39022020-11-25T00:26:06ZengBMCSubstance Abuse Treatment, Prevention, and Policy1747-597X2017-06-011211910.1186/s13011-017-0115-4Adherence to methadone maintenance treatment and associated factors among patients in Vietnamese mountainside areasLong Hoang Nguyen0Huong Thu Thi Nguyen1Huong Lan Thi Nguyen2Bach Xuan Tran3Carl A. Latkin4School of Medicine and Pharmacy, Vietnam National UniversityInstitute for Preventive Medicine and Public Health, Hanoi Medical UniversityInstitute for Global Health Innovations, Duy Tan UniversityInstitute for Preventive Medicine and Public Health, Hanoi Medical UniversityJohns Hopkins Bloomberg School of Public HealthAbstract Background Medication adherence is essential to achieve successful methadone maintenance treatment (MMT). However, treatment adherence among MMT patients in the mountainous setting in Vietnam has not been yet investigated. This study aimed to explore the medication adherence and associated factors in MMT patients in Tuyen Quang, a mountainous province. Methods A cross-sectional survey was conducted in two MMT clinics namely Tuyen Quang and Son Duong. Convenience sampling method was used to recruit patients. Adherence to MMT was assessed by using three questions: 1) number of days that they missed doses in the last 4 days; 2) whether they missed doses during the last weekend and 3) when they missed a dose within the last 3 months. Adherence was considered optimal if patients reported ‘no’ to three questions. Socioeconomic status, health status (measured by EuroQol-5 Dimensions – 5 Levels – EQ5D5L and Visual analogue scale – VAS), substance use and abuse and methods to support adherence were also collected. Results Among 241 patients, 34.4% reported optimal adherence. Self-help was the most popular (89.2%) method used to support adherence. Risk factors of missing doses and suboptimal adherence included higher education and economic status; being a worker/farmer; longer duration of treatment; and suffering pain/discomfort and anxiety/depression. Protective factors were older age, having problems in usual activities/self-care, higher EQ-VAS and EQ-5D index; and reminded by mobile phone and family members. Conclusions This study found a high sub-optimal adherence rate among MMT patients in a mountainous setting in Vietnam. Measuring adherence by using several simple items could be used periodically to monitor the treatment adherence in the clinical setting. Family and mobile phone support would have a potential role in supporting patients to adhere treatment.http://link.springer.com/article/10.1186/s13011-017-0115-4AdherenceMethadoneMMTMountainousVietnam |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Long Hoang Nguyen Huong Thu Thi Nguyen Huong Lan Thi Nguyen Bach Xuan Tran Carl A. Latkin |
spellingShingle |
Long Hoang Nguyen Huong Thu Thi Nguyen Huong Lan Thi Nguyen Bach Xuan Tran Carl A. Latkin Adherence to methadone maintenance treatment and associated factors among patients in Vietnamese mountainside areas Substance Abuse Treatment, Prevention, and Policy Adherence Methadone MMT Mountainous Vietnam |
author_facet |
Long Hoang Nguyen Huong Thu Thi Nguyen Huong Lan Thi Nguyen Bach Xuan Tran Carl A. Latkin |
author_sort |
Long Hoang Nguyen |
title |
Adherence to methadone maintenance treatment and associated factors among patients in Vietnamese mountainside areas |
title_short |
Adherence to methadone maintenance treatment and associated factors among patients in Vietnamese mountainside areas |
title_full |
Adherence to methadone maintenance treatment and associated factors among patients in Vietnamese mountainside areas |
title_fullStr |
Adherence to methadone maintenance treatment and associated factors among patients in Vietnamese mountainside areas |
title_full_unstemmed |
Adherence to methadone maintenance treatment and associated factors among patients in Vietnamese mountainside areas |
title_sort |
adherence to methadone maintenance treatment and associated factors among patients in vietnamese mountainside areas |
publisher |
BMC |
series |
Substance Abuse Treatment, Prevention, and Policy |
issn |
1747-597X |
publishDate |
2017-06-01 |
description |
Abstract Background Medication adherence is essential to achieve successful methadone maintenance treatment (MMT). However, treatment adherence among MMT patients in the mountainous setting in Vietnam has not been yet investigated. This study aimed to explore the medication adherence and associated factors in MMT patients in Tuyen Quang, a mountainous province. Methods A cross-sectional survey was conducted in two MMT clinics namely Tuyen Quang and Son Duong. Convenience sampling method was used to recruit patients. Adherence to MMT was assessed by using three questions: 1) number of days that they missed doses in the last 4 days; 2) whether they missed doses during the last weekend and 3) when they missed a dose within the last 3 months. Adherence was considered optimal if patients reported ‘no’ to three questions. Socioeconomic status, health status (measured by EuroQol-5 Dimensions – 5 Levels – EQ5D5L and Visual analogue scale – VAS), substance use and abuse and methods to support adherence were also collected. Results Among 241 patients, 34.4% reported optimal adherence. Self-help was the most popular (89.2%) method used to support adherence. Risk factors of missing doses and suboptimal adherence included higher education and economic status; being a worker/farmer; longer duration of treatment; and suffering pain/discomfort and anxiety/depression. Protective factors were older age, having problems in usual activities/self-care, higher EQ-VAS and EQ-5D index; and reminded by mobile phone and family members. Conclusions This study found a high sub-optimal adherence rate among MMT patients in a mountainous setting in Vietnam. Measuring adherence by using several simple items could be used periodically to monitor the treatment adherence in the clinical setting. Family and mobile phone support would have a potential role in supporting patients to adhere treatment. |
topic |
Adherence Methadone MMT Mountainous Vietnam |
url |
http://link.springer.com/article/10.1186/s13011-017-0115-4 |
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