000000608 001__ 608
000000608 005__ 20260225130944.0
000000608 0247_ $$2DOI$$a10.6083/M49C6VCZ
000000608 037__ $$aETD
000000608 245__ $$aStimulant use and treatment retention among individuals in an opioid maintenance treatment program
000000608 260__ $$bOregon Health and Science University
000000608 269__ $$a2010
000000608 336__ $$aThesis
000000608 502__ $$bM.P.H.
000000608 520__ $$aThis study examined factors associated with retention in an opioid treatment program and explored whether continued stimulant use affected retention. Clinical data from 153 patients enrolled in a trial comparing six months of buprenorphine/naltrexone versus methadone were analyzed. A secondary analysis evaluated patient characteristics and program factors, and a Markov chain analysis assessed differences in stimulant use by treatment type. Patients on methadone, those who began treatment later in the study, attended weekly group sessions, had longer periods of abstinence in the prior year, or were not intravenous drug users showed better retention. Buprenorphine did not reduce stimulant use more effectively than methadone. Findings suggest that methadone combined with counseling supports greater treatment retention, which may lead to improved outcomes, while neither medication showed clear advantages in reducing stimulant use.
000000608 540__ $$fCC BY
000000608 542__ $$fIn copyright - single owner
000000608 650__ $$aMethamphetamine$$022135
000000608 650__ $$aMethadone$$022132
000000608 650__ $$aSubstance-Related Disorders$$032029
000000608 650__ $$aCocaine$$016839
000000608 650__ $$aBuprenorphine$$015903
000000608 650__ $$aLiver$$021580
000000608 650__ $$aRetention in Care$$012581
000000608 650__ $$aNaltrexone$$022668
000000608 650__ $$aAnalgesics, Opioid$$014660
000000608 650__ $$aSubstance Abuse Treatment Centers$$029062
000000608 650__ $$aCounseling$$017157
000000608 691__ $$aSchool of Medicine$$041369
000000608 692__ $$aDepartment of Public Health and Preventive Medicine$$041444
000000608 7001_ $$aCarr, Kathryn$$uOregon Health and Science University$$041354
000000608 7201_ $$aChoi, Dongseok$$uOregon Health and Science University$$041354$$7Personal$$eAdvisor$$eMentor
000000608 8564_ $$9349551a6-6606-42a1-8018-3a18a6f51bf4$$s568581$$uhttps://digitalcollections.ohsu.edu/record/608/files/609_etd.pdf$$ePublic$$22f4aa3137a53b4d334ab8470faf3838d$$31
000000608 905__ $$a/rest/prod/2f/75/r8/08/2f75r8081
000000608 909CO $$ooai:digitalcollections.ohsu.edu:608$$pstudent-work
000000608 956__ $$aGet Accessible Copy$$uhttps://ohsu.libwizard.com/f/requestaccessibledocument
000000608 980__ $$aTheses and Dissertations