Federally certified opioid treatment programs (OTPs) provide psychosocial counselling in addition to medications for opioid use disorder (MOUDs) using a patient-centered approach in providing substance use disorder treatment. This study explored factors associated with patients' adherence to counselling while receiving MOUD at an OTP. A retrospective cohort design using data on adult patients (n = 1151, 61% females, 39% males) admitted to an OTP from July 1, 2014, to June 30, 2016, was employed. The data were for single episodes of care up to 52 weeks. Survival analysis (cox proportional hazards regression) assessed the relationship of personal characteristics, socio-economic status, payment for services, type of substance use, comprehensive care and social support with counselling for up to a year. Results indicated that age, having services paid for by public means, was associated with counselling adherence. Primary heroin use patients had a higher risk of counselling adherence failure than patients who primarily used non-medicinal prescription substances. Treatment agencies may benefit from funding and using evidence-based practices for primary heroin use patients and young adults to better engage and retain these populations in treatment.

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与阿片类药物治疗计划中的咨询依从性相关的因素

联邦认证的阿片类药物治疗计划 (OTP) 使用以患者为中心的方法提供物质使用障碍治疗，除了药物治疗阿片类药物使用障碍 (MOUD) 外，还提供社会心理咨询。本研究探讨了与患者在 OTP 接受 MOUD 时坚持咨询的相关因素。使用成年患者数据的回顾性队列设计 ( n = 1151，61% 女性，39% 男性）在 2014 年 7 月 1 日至 2016 年 6 月 30 日期间进入 OTP，并在职。这些数据适用于长达 52 周的单次护理。生存分析（cox 比例风险回归）评估了长达一年的个人特征、社会经济地位、服务费用、物质使用类型、综合护理和社会支持与咨询的关系。结果表明，通过公共方式支付服务费用的年龄与咨询依从性相关。与主要使用非药物处方药的患者相比，主要使用海洛因的患者咨询依从性失败的风险更高。