ADHERENCE TO METHADONE MAINTENANCE TREATMENT (MMT) AND ITS RELATED FACTORS IN WEST JAVA, INDONESIA
DOI:
https://doi.org/10.17501/23246735.2019.5101Keywords:
adherence, methadone, treatment, West JavaAbstract
Adherence to Methadone Maintenance Treatment (MMT) is one of evaluation criterias in MMT because it requires a long period of therapy. Adherence pattern and related factors are important to achieve treatment goals. This study aimed to identify several factors related to MMT adherence in West Java, Indonesia. This cross-sectional study was carried out on 94 participants from three selected primary health cares which conduct MMT program in West Java in 2018. Data was collected from patients interview, methadone retrieval records from last 30 days, and medical records. Analysis was performed using multivariate logistic regression. Participants in the age group 35-56 years were 83.7%, most of them were male (89.1%), and 65.2% were married. Total of 58.7% participants were adherent. Having history of HIV positive [adjusted odd ratio (ORa) = 4.03; P = 0.005] and presence of person who can share with (ORa = 6.26; P = 0.005) were significant related factors for higher adherence. Adherence to MMT was associated with several factors. To improve patient’s adherence, support from family and friends are required. Meanwhile, patients with history of negative HIV must be monitored to sustain patients’ adherence to MMT program.
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Budiyani, P. I. R. (2013). Faktor-Faktor yang Berhubungan dengan Ketidakpatuhan pada Pengguna Narkotika, Psikotropika, dan Zat Adiktif (NAPZA) Suntik yang Mengikuti Program Terapi Rumatan Metadon di Rumah Sakit Ketergantungan Obat Cibubur Jakarta Timur Tahun 2013. Universitas Indonesia.
De Maeyer, J., Vanderplasschen, W., Lammertyn, J., Nieuwenhuizen, C. Van, Sabbe, B., & Broekaert, E. (2011). Current quality of life and its determinants among opiate-dependent individuals five years after starting methadone treatment. Quality of Life Research, 20, 139–150. https://doi.org/10.1007/s11136-010-9732-3
Greenwald, M. K. (2002). Heroin craving and drug use in opioid-maintained volunteers: effects of methadone dose variations. Experimental and Clinical Psychopharmacology, 10(1), 39–46. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11866251
Kementerian Kesehatan. Peraturan Menteri Kesehatan Republik Indonesia Nomor 57 Tahun 2013 Tentang Pedoman Penyelenggaraan Program terapi Rumatan Metadona, Pub. L. No. 57 (2013). Indonesia.
Lin, C., Wu, Z., & Detels, R. (2011). Family support, quality of life and concurrent substance use among methadone maintenance therapy clients in China. Public Health, 125(5), 269–274. https://doi.org/10.1016/j.puhe.2011.01.009
Nabavi, S. H., & Ahmadipour, H. (2018). Adherence to Methadone Maintenance Treatment and its Predictors in Southeast of Iran, 6(1), 1–4. https://doi.org/10.19080/GJARM.2018.06.555680
Navidian, A., Kermansaravi, F., Tabas, E. E., & Saeedinezhad, F. (2016). Efficacy of Group Motivational Interviewing in the Degree of Drug Craving in the Addicts Under the Methadone Maintenance Treatment (MMT) in South East of Iran. Archives of Psychiatric Nursing, 30(2), 144–149. https://doi.org/10.1016/j.apnu.2015.08.002
Nguyen, L. H., Nguyen, H. T. T., Nguyen, H. L. T., Tran, B. X., & Latkin, C. A. (2017). Adherence to methadone maintenance treatment and associated factors among patients in Vietnamese mountainside areas. Substance Abuse: Treatment, Prevention, and Policy, 12(1), 1–9. https://doi.org/10.1186/s13011-017-0115-4
Pratiwi, E. Y. (2012). Dukungan Keluarga Terhadap Kepatuhan Menjalankan Program Terapi pada Pasien Terapi Rumatan Metadon. Developmental and Clinical Psychology, 1(1), 57–62.
Ramli, M., A Zafri, A. B., Junid, M. R., & Hatta, S. (2012). Associated risk factors to Non-compliance to Methadone Maintenance Therapy. Med J Malaysia, 67(6). Retrieved from http://www.e-mjm.org/2012/v67n6/methadone-maintenance-therapy.pdf
Rodiyah, K. (2011). Analisis Faktor-Faktor yang Berhubungan dengan Kepatuhan Terapi Rumatan Metadon Pada Pengguna NAPZA Suntik (Studi di Puskesmas Manahan Kota Surakarta Tahun 2011). Universitas Negeri Semarang.
Sharifa Ezat, W. P., Noor Azimah, H., Rushidi, R., Raminder, K., & Ruhani, I. (2009). Compliance Towards Methadone Maintenance Therapy and its Associated Factors in Selangor Primary Care Centers and Kuala Lumpur Hospital.
Spire, B., Lucas, G. M., & Carrieri, M. P. (2007). Adherence to HIV treatment among IDUs and the role of opioid substitution treatment (OST). International Journal of Drug Policy, 18(4), 262–270. https://doi.org/10.1016/j.drugpo.2006.12.014
Universitas Katolik Atma Jaya, & Kementerian Kesehatan RI. (2015). Laporan Penelitian Operasional: Evaluasi dan intervensi Pengobatan Terapi Rumatan Metadon (PTRM). Jakarta. Retrieved from https://media.neliti.com/media/publications/45305-ID-penelitian-operasional-evaluasi-dan-intervensi-pengobatan-terapi-rumatan-metadon.pdf
UNODC. (2016). World Drug Report 2016. Vienna: United Nations Office on Drugs and Crime.
WHO. (2009). Clinical Guidelines For Withdrawal Management and Treatment of Drug Dependence in Closed Setting. Geneva: WHO Press.
WHO. (2017). Alcohol and drug use disorders: Global Health Estimates. Geneva. Retrieved from http://www.who.int/substance_abuse/activities/fadab/msb_adab_2017_GHE_23June2017.pdf
Wolff, K. (2002). Characterization of methadone overdose: Clinical considerations and the scientific evidence. Therapeutic Drug Monitoring, 24(4), 457–470. https://doi.org/10.1097/00007691-200208000-00001
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