PATIENT S EXPECTATIONS OF METHADONE MAINTENANCE THERAPY (MMT) IN AN URBAN INTEGRATED COMMUNITY- BASED MMT CLINIC NUR SYAFIQAH BINTI MOHD JEFFRI 1

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1 PATIENT S EXPECTATIONS OF METHADONE MAINTENANCE THERAPY (MMT) IN AN URBAN INTEGRATED COMMUNITY- BASED MMT CLINIC NUR SYAFIQAH BINTI MOHD JEFFRI 1

2 1. BACKGROUND As of the year 2014, National Anti-Drug Agency (AADK) reported a total of number of drug addict which include new drug addict 1 Methadone maintenance therapy (MMT) programme is found to be effective in suppressing addiction problem in Malaysia since the programme started in , 5 High outcome expectation contribute to treatment completion and positive treatment outcome This study aims to explore patients expectation of MMT in an example of a Malaysian setting (CCSC Kerinchi) 2

3 2. AIM Aim To explore patient s expectations of MMT and the impact of MMT on other areas such as risks behaviours, employment and housing status 3

4 3. OBJECTIVES Objectives To identify patient s expectations of MMT To explore the impact of MMT on risks behaviour, employment and housing status 4

5 4. SIGNIFICANCE OF STUDY Significance of study Fill in the gap between health care provider s and patient s expectation of MMT in order to improve the outcome of MMT 5

6 6 5. STUDY DESIGN Study design Cross-sectional survey utilising a semistructured questionnaire

7 6. STUDY POPULATION Patient receiving methadone at CCSC Kerinchi Inclusion criteria Patient 18 years old and above Study population: Active patient in CCSC Kerinchi Exclusion criteria Patient able to provide consent Patient who do not provide consent 7

8 7. QUESTIONNAIRE DEVELOPMENT Questionnaire development Training session Sub-section of questionnaire Translation Validation 8

9 8. DATA COLLECTION PROCEDURE MMT patients in CCSC were identified Questions were administered orally to the patients Data were collected as per the objectives of the study The patients were assessed against the inclusion and exclusion criteria Agreed patients gave their informed consent Data analysis were carried out using SPSS version 20.0 Brief explanations were given with the aid of patient information sheet Any confusion by the patients was cleared out Completion of dissertation based on collected data 9

10 9. RESULTS: DEMOGRAPHIC DATA Gender No. of Patients(%) Male 185(97.9) Female 4(2.1) Age (2.6) (14.8) (41.3) (27.0) >55 27(14.3) Race Malay 171(90.5) Chinese 10(5.3) Indian 8(4.2) Religion Muslim 173(91.5) Hindu 6(3.2) Buddhist 3(1.6) Christian 5(2.6) Others 2(1.1) Marital Status Single 90(47.6) Married 65(34.4) Widowed 34(18.0) Highest Education Never attended 2(1.1) Kindergarten 1(0.5) Primary school 20(10.6) Secondary school 151(79.9) Matriculation/diploma 13(6.9) Degree 2(1.1) Employment Status Full time 138(73.0) Part time 13(6.9) Student 1(0.5) Retired 4(2.1) Unemployed 33(17.5) Housing Status Parents 24(12.7) Family 97(51.3) Friends 11(5.8) Alone 46(24.3) Homeless 1(0.5) Controlled environment 10(5.3) 10

11 Number of MMT patient (%) RESULTS: HISTORY OF SUBSTANCE ABUSE The Age when MMT Patient Started Substance Abuse 133 (70.4%) 3 ([VALUE] %) 12 ([VALUE] %) Factors Patient Started Substance Abuse 7 ([VALUE] %) (23.3%) 84 ([VALUE] %) 83 ([VALUE] %) (2.1%) 6 (3.2%) 2 (1.1%) < >40 Age of MMT patient Peer influence Curiosity Stress Family problems Others 11

12 Number of MMT patient (%) RESULTS: PATIENTS EXPECTATION OF MMT Patient s Expectations of the Objectives of MMT in CCSC Kerinchi 186 ([VALUE]%) 186 ([VALUE]%) 181 ([VALUE]%) 176 ([VALUE]%) 157 ([VALUE]%) 142 ([VALUE]%) 136 ([VALUE]%) To completely stop using drug To reduce drug use To help get a job To attain better housing Objectives of MMT Yes To get better life for you and family To prevent getting involved in crime To prevent getting involved in risks behavior 12

13 13 RESULTS: IMPACT ON RISK BEHAVIOUR Injection Drug Use The collected data revealed 100% patients did not involved in needlesharing activities

14 Number of MMT Patients (%) RESULTS: IMPACT ON HOUSING STATUS Comparison of Current Patient's Housing Status with Housing Status Before Receiving MMT 97 ([VALUE]%) 86 ([VALUE]%) ([VALUE]%) ([VALUE]%) ([VALUE]%) 11 ([VALUE]%) 46 ([VALUE]%) 41 ([VALUE]%) 20 ([VALUE]%) 1 (0.6%) 10 ([VALUE]%) 4 ([VALUE]%) Parents Family Friends Alone Homeless In controlled environment Category of Housing Before MMT Current 14

15 Number of MMT Patients (%) RESULTS: IMPACT ON EMPLOYMENT STATUS ([VALUE]%) Comparison of Current Patient's Employment Status with Employment Status Before Receiving MMT 138 (73%) ([VALUE]%) 13 ([VALUE]%) 33 ([VALUE]%) 17 ([VALUE]%) 1 ([VALUE]%) 4 ([VALUE]%) Full time Part time Student Retired Unemployed Category of Employment Before MMT Current 15

16 STUDY LIMITATIONS Study limitation The study was conducted in one site only The data obtained may not represent an overall Malaysian data

17 RECOMMENDATIONS Recommendations To conduct this study in other MMT clinics in Malaysia

18 CONCLUSION Conclusion Regardless of the differences in socio-demographic backgrounds of the patients, most of them have generally clear and high expectations of MMT Positive impact on other areas as well such as risk behaviour, housing and employment status

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