ArticleJournal of substance abuse treatment2021
Barriers to retention in substance use treatment: Validation of a new, theory-based scale.
Article in Journal of substance abuse treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed.
- Barriers and facilitators to medication-assisted treatment for cocaine use disorder among men who have sex with men: a qualitative study.Addiction science & clinical practice · 2024Trial
- Early Disengagement from Gambling Treatment: Insights from Clients and Practitioners.Journal of gambling studies · 2026Article
- The Access, Initiation, Engagement, Retention, and Recovery (AIERR) Model: A Stage-Based Framework for Understanding Mental Health Service Utilization.Healthcare (Basel, Switzerland) · 2026Review
- Blended Payment Models and Care Transitions: Analysis of a Statewide Payment Reform's Impact on Transitions in Care and Care Termination From Outpatient Substance Use Treatment.Substance use & misuse · 2026Article
- Patient Satisfaction Among Opioid Use Disorder Treatment Sample in an Opioid Treatment Program: A Mixed Method Research Study.Epidemiologia (Basel, Switzerland) · 2025Article
- Early implementation of an electronic measurement-based care tool in substance use disorder treatment clinics.Journal of substance use and addiction treatment · 2025Article
- Article
- Substance use stigma: A systematic review of measures and their psychometric properties.Drug and alcohol dependence reports · 2024Review
- A MARGINAL STRUCTURAL MODEL FOR PARTIAL COMPLIANCE IN SMARTS.The annals of applied statistics · 2024Article
- Higher perceived stress during admission is associated with shorter retention in short-term residential substance use disorder treatment.Addictive behaviors reports · 2023Article
- Association of Loneliness and Mindfulness in Substance Use Treatment Retention.International journal of environmental research and public health · 2023Article
- Improving assessment of alcohol treatment barriers among Latino and White adults with an alcohol use disorder: Development of the barriers to specialty alcohol treatment scale.Drug and alcohol dependence · 2023Article
- Barriers to methamphetamine treatment seeking in residential centers in Aguascalientes, Mexico.Frontiers in psychology · 2023Article
- Development and validation of the help-seeking intention scale in university students with hazardous and harmful consumption of alcohol.Frontiers in psychology · 2023Article
- Expanding the continuum of substance use disorder treatment: Nonabstinence approaches.Clinical psychology review · 2022Review
- Nonstigmatizing and Precise Terminology to Describe Processes and Outcomes in Addiction Medicine.Journal of addiction medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
purposeFew studies and no theory-based scales have addressed specific barriers to substance use disorder (SUD) treatment retention. The current study, building on the Theory of Planned Behavior (TPB), sought to (a) identify those barriers that are most strongly associated with treatment retention, and most common, and (b) develop and validate a new scale of retention barriers, focusing on TPB attitude and perceived control components.
methodsThe study administered surveys to 200 participants initiating SUD treatment at a public, outpatient program in Northern California; the analytic sample (N = 156) included only those not strongly coerced into treatment. Surveys included TPB-based measures of treatment barriers; other motivational readiness measures; treatment coercion and social desirability measures; and clinical severity variables and demographics. Discharge status was collected from program records.
resultsItem and scale analyses identified three dimensions of attitudinal barriers (i.e., Low Perceived Treatment Need/Value, Social Concerns, and Concerns about Missing Substances) and two dimensions of perceived control barriers (i.e., Personal Limitations and Basic Logistic Barriers). Results informed creation of a 19-item Barriers to Retention Scale (BRS) with 5 subscales and very good internal reliability (alpha = 0.88). While all subscale scores were correlated with treatment completion, only Concerns about Missing Substances and total BRS scores predicted treatment completion in multivariate analyses.
conclusionsThe present study identified core dimensions of treatment retention barriers and developed a new scale predictive of treatment completion and potentially useful as a screener and in future research. Results suggest that interventions to improve retention should focus strongly on concerns about the negative impacts of abstaining from alcohol and drugs on craving and quality of life.
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Registered trials
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