The Impact of Early Substance Use Disorder Treatment Response on Treatment Outcomes Among Pregnant Women With Primary Opioid Use
| Autor: | Margaret S. Chisolm, Michelle Tuten, Martin Hochheimer, Hendrée E. Jones, Heather Fitzsimons |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Treatment response Adolescent Substance-Related Disorders Treatment outcome Psychological intervention 030508 substance abuse Gestational Age 03 medical and health sciences Cocaine-Related Disorders Young Adult 0302 clinical medicine Negatively associated Pregnancy Internal medicine Outcome Assessment Health Care medicine Humans Pharmacology (medical) 030212 general & internal medicine business.industry Opioid use Attendance Middle Aged Patient Acceptance of Health Care medicine.disease Opioid-Related Disorders Substance abuse Pregnancy Complications Psychiatry and Mental health ESTIMATED GESTATIONAL AGE Educational Status Female 0305 other medical science business |
| Zdroj: | Journal of addiction medicine. 12(4) |
| ISSN: | 1935-3227 |
| Popis: | OBJECTIVES This study examined the impact of early patient response on treatment utilization and substance use among pregnant participants enrolled in substance use disorder (SUD) treatment. METHODS Treatment responders (TRs) and treatment nonresponders (TNRs) were compared on pretreatment and treatment measures. Regression models predicted treatment utilization and substance use. RESULTS TR participants attended more treatment and had lower rates of substance use relative to TNR participants. Regression models for treatment utilization and substance use were significant. Maternal estimated gestational age (EGA) and baseline cocaine use were negatively associated with treatment attendance. Medication-assisted treatment, early treatment response, and baseline SUD treatment were positively associated with treatment attendance. Maternal EGA was negatively associated with counseling attendance; early treatment response was positively associated with counseling attendance. Predictors of any substance use at 1 month were maternal education, EGA, early treatment nonresponse, and baseline cocaine use. The single predictor of any substance use at 2 months was early treatment nonresponse. Predictors of opioid use at 1 month were maternal education, EGA, early treatment nonresponse, and baseline SUD treatment. Predictors of opioid use at 2 months were early treatment nonresponse, and baseline cocaine and marijuana use. Predictors of cocaine use at 1 month were early treatment nonresponse, baseline cocaine use, and baseline SUD treatment. Predictors of cocaine use at 2 months were early treatment nonresponse and baseline cocaine use. CONCLUSIONS Early treatment response predicts more favorable maternal treatment utilization and substance use outcomes. Treatment providers should implement interventions to maximize patient early response to treatment. |
| Databáze: | OpenAIRE |
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