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conferenceseries
.com
Volume 09
Journal of Addiction Research & Therapy
Addiction Summit 2018
May 17-18, 2018
May 17-18, 2018 Singapore
8
th
International Conference on
Addictive Disorders and Alcoholism
Predictors of retention in methadone maintenance treatment (MMT): An Indonesian perspective
Kristiana Siste Kurniasanti
University of Indonesia, Indonesia
Dr. Cipto Mangunkusumo National Central General Hospital, Indonesia
Statement of the Problem:
In Indonesia, about 4 million people aged between 10 to 59 years old used illegal drugs in 2014
and around 15% of those were injecting drug users (IDUs) associated with the HIV/AIDS cases. Methadone Maintenance
Treatment (MMT) was conducted in Indonesia as a harm reduction program focusing on IDUs. Despite its effectiveness and
advantages, several drop outs were recorded. Predictor factors, such as program, patient and social characteristics, were needed
to assess the treatment retention. This study aimed to evaluate the rate and to identify the predictors of MMT retention among
patients with opioid dependence in Indonesia.
Methodology & Theoretical Orientation:
This study was a quantitative research conducted on 264 subjects with opioid
dependence who met the inclusion and exclusion criteria through consecutive sampling established in four community health
centers in Jakarta. They were measured for independent variables using geographic data, SCL-90, ASI and URICA, before
started the MMT. On the third and sixth month, they were evaluated and measured for retention. The data were analyzed using
univariate Chi-square/Mann-Whitney test and multivariate logistic regression test.
Findings:
Among 264 subjects who enrolled in this study, 227 were male (86.0%) and 37 were female (14.0%), aged 29-37 years
old and received 50.0-133.8 mg of methadone dose. There was no subject who lost to follow-up. The retention rate was 91.3%
(n=241) after 6 months. Predictors of retention found in the study including: (1) Financial support (p=0.029), (2) History of
psychiatric problem (p=0.031), (3) Action motivation (p=0.004) and (4) Contemplation motivation (p=0.016).
Conclusion & Significance:
From the study, we can conclude that financial support and history of psychiatric problem
were positive predictors for MMT retention. Furthermore, motivation did contribute to the retention, while contemplation
motivation was a positive predictor for retention, action motivation proven otherwise. Therefore, intervention program is
needed for the patients who are prone to drop out.
ksiste@yahoo.comJ Addict Res Ther 2018, Volume 9
DOI: 10.4172/2155-6105-C1-037