Pretreatment and during treatment risk factors for dropout among patients with substance use disorders.
Identifieur interne : 001C76 ( Main/Corpus ); précédent : 001C75; suivant : 001C77Pretreatment and during treatment risk factors for dropout among patients with substance use disorders.
Auteurs : John Mckellar ; John Kelly ; Alex Harris ; Rudolf MoosSource :
- Addictive behaviors [ 0306-4603 ] ; 2006.
English descriptors
- KwdEn :
- Adult (MeSH), Humans (MeSH), Logistic Models (MeSH), Male (MeSH), Middle Aged (MeSH), Patient Dropouts (psychology), Patient Dropouts (statistics & numerical data), Patient Satisfaction (MeSH), Predictive Value of Tests (MeSH), Risk Factors (MeSH), Social Environment (MeSH), Substance-Related Disorders (psychology), Substance-Related Disorders (rehabilitation), Surveys and Questionnaires (MeSH).
- MESH :
- psychology : Patient Dropouts, Substance-Related Disorders.
- rehabilitation : Substance-Related Disorders.
- statistics & numerical data : Patient Dropouts.
- Adult, Humans, Logistic Models, Male, Middle Aged, Patient Satisfaction, Predictive Value of Tests, Risk Factors, Social Environment, Surveys and Questionnaires.
Abstract
OBJECTIVE
The aim of this study was to use pretreatment and treatment factors to predict dropout from residential substance use disorder program and to examine how the treatment environment modifies the risk for dropout.
METHOD
This study assessed 3649 male patients at entry to residential substance use disorder treatment and obtained information about their perceptions of the treatment environment.
RESULTS
Baseline factors that predicted dropout included younger age, greater cognitive dysfunction, more drug use, and lower severity of alcohol dependence. Patients in treatment environments appraised as low in support or high in control also were more likely to drop out. Further, patients at high risk of dropout were especially likely to dropout when treated in a highly controlling treatment environment.
CONCLUSION
Better screening of risk factors for dropout and efforts to create a less controlling treatment environment may result in increased retention in substance use disorder treatment.
DOI: 10.1016/j.addbeh.2005.05.024
PubMed: 15979244
Links to Exploration step
pubmed:15979244Le document en format XML
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John.McKellar@med.va.gov</nlm:affiliation></affiliation></author><author><name sortKey="Kelly, John" sort="Kelly, John" uniqKey="Kelly J" first="John" last="Kelly">John Kelly</name></author><author><name sortKey="Harris, Alex" sort="Harris, Alex" uniqKey="Harris A" first="Alex" last="Harris">Alex Harris</name></author><author><name sortKey="Moos, Rudolf" sort="Moos, Rudolf" uniqKey="Moos R" first="Rudolf" last="Moos">Rudolf Moos</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2006">2006</date><idno type="RBID">pubmed:15979244</idno><idno type="pmid">15979244</idno><idno type="doi">10.1016/j.addbeh.2005.05.024</idno><idno type="wicri:Area/Main/Corpus">001C76</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001C76</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Pretreatment and during treatment risk factors for dropout among patients with substance use disorders.</title><author><name sortKey="Mckellar, John" sort="Mckellar, John" uniqKey="Mckellar J" first="John" last="Mckellar">John Mckellar</name><affiliation><nlm:affiliation>Center for Health Care Evaluation, Veterans Affairs Palo Alto Health Care System and Stanford University School of Medicine, (152), 795 Willow Road, Menlo Park, CA 94025, USA. John.McKellar@med.va.gov</nlm:affiliation></affiliation></author><author><name sortKey="Kelly, John" sort="Kelly, John" uniqKey="Kelly J" first="John" last="Kelly">John Kelly</name></author><author><name sortKey="Harris, Alex" sort="Harris, Alex" uniqKey="Harris A" first="Alex" last="Harris">Alex Harris</name></author><author><name sortKey="Moos, Rudolf" sort="Moos, Rudolf" uniqKey="Moos R" first="Rudolf" last="Moos">Rudolf Moos</name></author></analytic><series><title level="j">Addictive behaviors</title><idno type="ISSN">0306-4603</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Humans (MeSH)</term><term>Logistic Models (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Patient Dropouts (psychology)</term><term>Patient Dropouts (statistics & numerical data)</term><term>Patient Satisfaction (MeSH)</term><term>Predictive Value of Tests (MeSH)</term><term>Risk Factors (MeSH)</term><term>Social Environment (MeSH)</term><term>Substance-Related Disorders (psychology)</term><term>Substance-Related Disorders (rehabilitation)</term><term>Surveys and Questionnaires (MeSH)</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Patient Dropouts</term><term>Substance-Related Disorders</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Substance-Related Disorders</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Patient Dropouts</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Patient Satisfaction</term><term>Predictive Value of Tests</term><term>Risk Factors</term><term>Social Environment</term><term>Surveys and Questionnaires</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>The aim of this study was to use pretreatment and treatment factors to predict dropout from residential substance use disorder program and to examine how the treatment environment modifies the risk for dropout.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>This study assessed 3649 male patients at entry to residential substance use disorder treatment and obtained information about their perceptions of the treatment environment.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Baseline factors that predicted dropout included younger age, greater cognitive dysfunction, more drug use, and lower severity of alcohol dependence. Patients in treatment environments appraised as low in support or high in control also were more likely to drop out. Further, patients at high risk of dropout were especially likely to dropout when treated in a highly controlling treatment environment.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Better screening of risk factors for dropout and efforts to create a less controlling treatment environment may result in increased retention in substance use disorder treatment.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15979244</PMID><DateCompleted><Year>2006</Year><Month>11</Month><Day>13</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0306-4603</ISSN><JournalIssue CitedMedium="Print"><Volume>31</Volume><Issue>3</Issue><PubDate><Year>2006</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Addictive behaviors</Title><ISOAbbreviation>Addict Behav</ISOAbbreviation></Journal><ArticleTitle>Pretreatment and during treatment risk factors for dropout among patients with substance use disorders.</ArticleTitle><Pagination><MedlinePgn>450-60</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of this study was to use pretreatment and treatment factors to predict dropout from residential substance use disorder program and to examine how the treatment environment modifies the risk for dropout.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">This study assessed 3649 male patients at entry to residential substance use disorder treatment and obtained information about their perceptions of the treatment environment.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Baseline factors that predicted dropout included younger age, greater cognitive dysfunction, more drug use, and lower severity of alcohol dependence. Patients in treatment environments appraised as low in support or high in control also were more likely to drop out. Further, patients at high risk of dropout were especially likely to dropout when treated in a highly controlling treatment environment.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Better screening of risk factors for dropout and efforts to create a less controlling treatment environment may result in increased retention in substance use disorder treatment.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>McKellar</LastName><ForeName>John</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Center for Health Care Evaluation, Veterans Affairs Palo Alto Health Care System and Stanford University School of Medicine, (152), 795 Willow Road, Menlo Park, CA 94025, USA. John.McKellar@med.va.gov</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kelly</LastName><ForeName>John</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Harris</LastName><ForeName>Alex</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Moos</LastName><ForeName>Rudolf</ForeName><Initials>R</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013486">Research Support, U.S. Gov't, Non-P.H.S.</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2005</Year><Month>06</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Addict Behav</MedlineTA><NlmUniqueID>7603486</NlmUniqueID><ISSNLinking>0306-4603</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010352" MajorTopicYN="N">Patient Dropouts</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017060" MajorTopicYN="N">Patient Satisfaction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012931" MajorTopicYN="N">Social Environment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019966" MajorTopicYN="N">Substance-Related Disorders</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2005</Year><Month>02</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2005</Year><Month>05</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2005</Year><Month>05</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2005</Year><Month>6</Month><Day>28</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2006</Year><Month>11</Month><Day>14</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2005</Year><Month>6</Month><Day>28</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">15979244</ArticleId><ArticleId IdType="pii">S0306-4603(05)00126-7</ArticleId><ArticleId IdType="doi">10.1016/j.addbeh.2005.05.024</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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