Adherence to opioid agonist therapy with methadone is associated with improved clinical and community outcomes such as reductions in drug use, criminal behavior, high-risk sexual behavior, and mortality. However, the need for daily attendance for witnessed ingestion may comprise adherence.
Data for this study were obtained from the Spokane Regional Health District's Treatment Services database. Generalized linear models with negative binomial log link function were used to assess the association between distance to the only state-funded opioid treatment program (OTP) in Spokane County, Washington and the number of missed methadone doses in the first month of treatment.
In total, 892 individuals received methadone treatment at this OTP between February 2015 and December 2017. In the adjusted multivariable model, clients who lived more than 10 miles from the OTP were more likely to miss doses compared to individuals who lived within 5 miles of the clinic (IRR = 1.29, 95%CI = 1.03-1.61, p = 0.03). Clients who lived less than 5 miles and between 5 and 10 miles from the OTP were equally likely to miss treatment doses (IRR = 1.02, 95%CI = 0.84-1.23, p = 0.86).
This study found significant positive associations between distance to an OTP and the number of missed doses in the first month of treatment. Findings suggest the need to improve the spatial availability of OTPs to optimize opioid use disorder treatment outcomes.
Pharmacology, Toxicology and Pharmaceutical Science
3
4%
Other
8
12%
Unknown
29
42%
Attention Score in Context
Attention Score in Context
This research output has an Altmetric Attention Score of 14. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 January 2022.
All research outputs
#3,318,986
of 33,779,198 outputs
Outputs from Journal of Substance Abuse Treatment
#387
of 2,566 outputs
Outputs of similar age
#49,862
of 369,730 outputs
Outputs of similar age from Journal of Substance Abuse Treatment
#5
of 49 outputs
Altmetric has tracked 33,779,198 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 90th percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,566 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.7. This one has done well, scoring higher than 85% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 369,730 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 86% of its contemporaries.
We're also able to compare this research output to 49 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 89% of its contemporaries.
