Predicting in-treatment performance and post-treatment outcomes in methamphetamine users

Addiction. 2007 Apr:102 Suppl 1:84-95. doi: 10.1111/j.1360-0443.2007.01768.x.

Abstract

Aims: This study examines the utility of individual drug use and treatment characteristics for predicting in-treatment performance and post-treatment outcomes over a 1-year period.

Design, setting and participants: Data were collected from 420 adults who participated in the Methamphetamine Treatment Project (MTP), a multi-site study of randomly assigned treatment for methamphetamine dependence. Interviews were conducted at baseline, during treatment and during three follow-up time-points: treatment discharge and at 6 and 12 months following admission.

Measurements: The Addiction Severity Index (ASI); the Craving, Frequency, Intensity and Duration Estimate (CFIDE); and laboratory urinalysis results were used in the current study.

Findings: Analyses addressed both in-treatment performance and post-treatment outcomes. The most consistent finding is that pre-treatment methamphetamine use predicts in-treatment performance and post-treatment outcomes. No one variable predicted all in-treatment performance measures; however, gender, route of administration and pre-treatment methamphetamine use were significant predictors. Similarly, post-treatment outcomes were predicted by a range of variables, although pre-treatment methamphetamine use was significantly associated with each post-treatment outcome.

Conclusions: These findings provide useful empirical information about treatment outcomes for methamphetamine abusers, and highlight the utility of assessing individual and in-treatment characteristics in the development of appropriate treatment plans.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Ambulatory Care / methods
  • Amphetamine-Related Disorders / rehabilitation*
  • Central Nervous System Stimulants*
  • Cognitive Behavioral Therapy / methods*
  • Counseling
  • Family Therapy / methods*
  • Female
  • Humans
  • Male
  • Methamphetamine*
  • Middle Aged
  • Patient Compliance
  • Recurrence
  • Social Support
  • Treatment Outcome

Substances

  • Central Nervous System Stimulants
  • Methamphetamine