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Prediction of relapse among individuals undergoing methadone maintenance therapy in Johor Bahru health district among Malaysian adults

Introduction: Increase in the number of opioids seized in the recent year may indicate increased opioid use in Malaysia. In counteracting opioid abuse, Methadone Maintenance Therapy (MMT) was introduced in Malaysia but relapse following MMT has become an important issue. This study aimed to determ...

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Main Authors: Mohmad, Faradia, Ismail, Suriani, Abdul Manaf, Rosliza
Format: Article
Language:English
Published: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2022
Online Access:http://psasir.upm.edu.my/id/eprint/98688/1/2022071815341223_MJMHS_1068.pdf
http://psasir.upm.edu.my/id/eprint/98688/
https://medic.upm.edu.my/upload/dokumen/2022071815341223_MJMHS_1068.pdf
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spelling my.upm.eprints.986882022-11-22T07:01:37Z http://psasir.upm.edu.my/id/eprint/98688/ Prediction of relapse among individuals undergoing methadone maintenance therapy in Johor Bahru health district among Malaysian adults Mohmad, Faradia Ismail, Suriani Abdul Manaf, Rosliza Introduction: Increase in the number of opioids seized in the recent year may indicate increased opioid use in Malaysia. In counteracting opioid abuse, Methadone Maintenance Therapy (MMT) was introduced in Malaysia but relapse following MMT has become an important issue. This study aimed to determine the prevalence and patient factors that served as predictors of opioid relapse among MMT patients. Method: A cross-sectional study involving 159 MMT patients who have reached dose stabilization (eight weeks at a constant dose of methadone) was conducted in Johor Bahru Health District. The dependent variable was opioid relapse, while the independent variables include socio-demographic characteristics, MMT history, crime history, cognitive and interpersonal factors, and social-environment influence. Face-to-face interviews using structured questionnaires and secondary data collection using data collection sheets were done. Multiple logistic regression was used to determine the predictors. Significant level set at alpha less than 5%. Result: The response rate was 86.9% with majority of them were Malay, male, and Muslim. The prevalence of opioid relapse was 11.9%. Those who were non-polydrug users (AOR=3.701, 95%CI=1.182, 11.587, p=0.025), classified as having moderate (AOR=5.869, 95%CI=1.524, 22.595, p=0.010) and high (AOR=5.952, 95%CI=1.000, 35.445, p=0.050) relapse risk response after given hypothetical situation whether respondent been offered drug or not, were more likely to have relapsed. Respondents with higher cognitive and behavioral problem-solving response scores were less likely to have relapsed (AOR=0.949, 95%CI=0.909, 0.991, p=0.008). Conclusion: About 1 in 5 MMT clients had relapsed after they reach dose stabilization. The predictors of opioid relapse were non-polydrug users, having moderate to high relapse risk, and cognitive and behavioral problem-solving responses. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2022-07 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/98688/1/2022071815341223_MJMHS_1068.pdf Mohmad, Faradia and Ismail, Suriani and Abdul Manaf, Rosliza (2022) Prediction of relapse among individuals undergoing methadone maintenance therapy in Johor Bahru health district among Malaysian adults. Malaysian Journal of Medicine and Health Sciences, 18 (4). pp. 163-172. ISSN 2636-9346 https://medic.upm.edu.my/upload/dokumen/2022071815341223_MJMHS_1068.pdf 10.47836/mjmhs18.4.23
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Introduction: Increase in the number of opioids seized in the recent year may indicate increased opioid use in Malaysia. In counteracting opioid abuse, Methadone Maintenance Therapy (MMT) was introduced in Malaysia but relapse following MMT has become an important issue. This study aimed to determine the prevalence and patient factors that served as predictors of opioid relapse among MMT patients. Method: A cross-sectional study involving 159 MMT patients who have reached dose stabilization (eight weeks at a constant dose of methadone) was conducted in Johor Bahru Health District. The dependent variable was opioid relapse, while the independent variables include socio-demographic characteristics, MMT history, crime history, cognitive and interpersonal factors, and social-environment influence. Face-to-face interviews using structured questionnaires and secondary data collection using data collection sheets were done. Multiple logistic regression was used to determine the predictors. Significant level set at alpha less than 5%. Result: The response rate was 86.9% with majority of them were Malay, male, and Muslim. The prevalence of opioid relapse was 11.9%. Those who were non-polydrug users (AOR=3.701, 95%CI=1.182, 11.587, p=0.025), classified as having moderate (AOR=5.869, 95%CI=1.524, 22.595, p=0.010) and high (AOR=5.952, 95%CI=1.000, 35.445, p=0.050) relapse risk response after given hypothetical situation whether respondent been offered drug or not, were more likely to have relapsed. Respondents with higher cognitive and behavioral problem-solving response scores were less likely to have relapsed (AOR=0.949, 95%CI=0.909, 0.991, p=0.008). Conclusion: About 1 in 5 MMT clients had relapsed after they reach dose stabilization. The predictors of opioid relapse were non-polydrug users, having moderate to high relapse risk, and cognitive and behavioral problem-solving responses.
format Article
author Mohmad, Faradia
Ismail, Suriani
Abdul Manaf, Rosliza
spellingShingle Mohmad, Faradia
Ismail, Suriani
Abdul Manaf, Rosliza
Prediction of relapse among individuals undergoing methadone maintenance therapy in Johor Bahru health district among Malaysian adults
author_facet Mohmad, Faradia
Ismail, Suriani
Abdul Manaf, Rosliza
author_sort Mohmad, Faradia
title Prediction of relapse among individuals undergoing methadone maintenance therapy in Johor Bahru health district among Malaysian adults
title_short Prediction of relapse among individuals undergoing methadone maintenance therapy in Johor Bahru health district among Malaysian adults
title_full Prediction of relapse among individuals undergoing methadone maintenance therapy in Johor Bahru health district among Malaysian adults
title_fullStr Prediction of relapse among individuals undergoing methadone maintenance therapy in Johor Bahru health district among Malaysian adults
title_full_unstemmed Prediction of relapse among individuals undergoing methadone maintenance therapy in Johor Bahru health district among Malaysian adults
title_sort prediction of relapse among individuals undergoing methadone maintenance therapy in johor bahru health district among malaysian adults
publisher Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
publishDate 2022
url http://psasir.upm.edu.my/id/eprint/98688/1/2022071815341223_MJMHS_1068.pdf
http://psasir.upm.edu.my/id/eprint/98688/
https://medic.upm.edu.my/upload/dokumen/2022071815341223_MJMHS_1068.pdf
_version_ 1751538278943686656
score 13.211869

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