Self-efficacy Mediates Perceived Benefits and Barriers of Adherence of Heroin-dependent Patients to Methadone for Addiction Treatment: A Health Belief Model Study.

Journal of Addiction Medicine
Bin YuShujuan Yang

Abstract

Although methadone for addiction treatment (MAT) has been widely used in China, the low adherence rate in MAT clinics poses a great challenge. We aimed to investigate the factors related to the adherence of heroin-dependent patients to MAT based on the Health Belief Model (HBM) in Sichuan, China. A cross-sectional structured interview was conducted between August and November 2018. Stratified multi-stage sampling was carried out. A total of 581 participants were enrolled from 5 clinics and completed the face-to-face structured interview. Univariate, adjusted logistic regression, multivariate logistic regression analysis and the structural equation modeling (SEM) were employed to explore the association between constructs of HBM and adherence to MAT among heroin-dependent patients. The adherence rate of MAT was 79.3% in the past 6 months. Among all constructs of HBM, self-efficacy (AOR: 1.16, 95% CI: 1.10, 1.22), perceived benefits (AOR: 1.05, 95% CI: 1.00, 1.10) and perceived barriers (AOR: 0.87, 95% CI: 0.77, 0.98) were associated with adherence to MAT. Self-efficacy was directly associated with adherence to MAT (β = 0.347, P < 0.05). Perceive benefits (β = 0.276, P < 0.01) and perceived barriers (β = -0.241, P < 0.05) were di...Continue Reading

References

Jan 1, 1984·Health Education Quarterly·N K Janz, M H Becker
Apr 18, 2008·The European Respiratory Journal·S OlsenJ Douglas
Nov 11, 2011·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Eleanor SingerBrian J Zikmund-Fisher
Jul 4, 2012·The American Journal of Drug and Alcohol Abuse·Louise MullenIde Delargy
Aug 10, 2012·Journal of Addictive Diseases·Gavin Bart
Dec 4, 2013·The Kaohsiung Journal of Medical Sciences·Tsang-Yaw LinCharles T C Lee
Jan 17, 2014·Drug and Alcohol Review·Hamid-Reza EsmaeiliNouzar Nakhaee
Jul 24, 2014·Health Psychology Review·Christina Jane JonesCarrie Llewellyn
Dec 3, 2014·Drug and Alcohol Dependence·Xiaobin CaoUNKNOWN National Working Group on Methadone Maintenance Treatment Program
Jun 9, 2015·Journal of Addictions Nursing·Bonnie A Franckowiak, Doris F Glick
Feb 3, 2016·Iranian Journal of Psychiatry and Behavioral Sciences·Fatemeh Taghizadeh, Jamshid Yazdani Cherati
Mar 24, 2016·International Journal of Environmental Research and Public Health·Xiaofeng LuoLi Ling
Oct 19, 2016·Patient Education and Counseling·Shuaishuai YangYindong Li
Aug 17, 2016·Patient Education and Counseling·Stephanie TessonPhyllis Butow
Sep 11, 2016·Neuroscience Bulletin·Haifeng JiangMin Zhao
Feb 15, 2017·International Journal of Nursing Practice·Youn-Jung Son, Mi Hwa Won
Jun 13, 2018·International Journal for Equity in Health·Maryam Khazaee-PoolTahereh Pashaei
Jan 16, 2019·The Tohoku Journal of Experimental Medicine·Ke DongXiaofang Pei
Aug 15, 2019·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Dehisy Marisol Juárez-GarcíaArnoldo Téllez

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