Myanmar Medical Association, Yangon, Myanmar.
Centre for Drug Research, Universiti Sains Malaysia, Penang, Malaysia.
Subst Abuse Treat Prev Policy. 2022 Jan 3;17(1):2. doi: 10.1186/s13011-021-00429-z.
To tackle the long-standing opioid misuse problem, Myanmar introduced the methadone maintenance treatment (MMT) program in 2006, starting with 260 clients. Since then, the program has been expanded across different geographical sites in the country. This study was done in 2017 to explore the treatment satisfaction of the clients towards the MMT program.
A total of 210 clients with a minimum of six-month treatment history enrolled in five MMT program sites across Myanmar were recruited through stratified random sampling. Administering the Verona Service Satisfaction Scale for Methadone-Treatment (VSSS-MT), this study assessed the satisfactory responses under three categories viz., 1) clinic staff professional skills; 2) basic drug intervention; 3) specific intervention (individual rehabilitation and psychotherapy).
The majority (89%, n = 186) of the respondents were satisfied with the current MMT program. Specifically, 89.5% (n = 187) were satisfied with the clinic staff professional skills category, 91.9% (n = 192) with the basic program intervention and 74.6% (n = 156) with specific interventions. Among the respondents, treatment satisfaction with the MMT program was higher (p < 0.05) in those (i) with a higher quality of life score in physical, psychological, social and environmental categories, ii) who were satisfied with their current marital and leisure status, and those iii) who consumed alcohol. Results from stepwise binary logistic regression showed alcohol consumption and physical health status had a significant association with MMT treatment satisfaction.
Treatment satisfaction of the clients, in general is high. However, the lower percentage of satisfied clients (74.6%) for the specific interventions category compared with 89.5 and 91.9% respectively for staff and basic drug management categories highlights the need for improvement in this category for overall enhancement of the MMT program.
为解决长期存在的阿片类药物滥用问题，缅甸于 2006 年启动美沙酮维持治疗（MMT）项目，最初有 260 名患者参与。此后，该项目在全国不同地区不断扩大。本研究于 2017 年开展，旨在探索患者对 MMT 项目的治疗满意度。
通过分层随机抽样，在缅甸五个 MMT 项目点共招募了 210 名至少接受了六个月治疗的患者。本研究采用 Verona 服务满意度量表（VSSS-MT）评估了以下三个方面的满意度：1）临床工作人员的专业技能；2）基本药物干预；3）具体干预（个体康复和心理治疗）。
大多数（89%，n=186）患者对当前的 MMT 项目感到满意。具体而言，89.5%（n=187）对临床工作人员专业技能方面表示满意，91.9%（n=192）对基本项目干预满意，74.6%（n=156）对具体干预满意。在受访者中，对 MMT 项目治疗满意度更高的是（i）生活质量评分在身体、心理、社会和环境方面较高的患者，（ii）对当前婚姻和休闲状态满意的患者，以及（iii）饮酒的患者。逐步二元逻辑回归结果显示，饮酒和身体健康状况与 MMT 治疗满意度显著相关。
患者的治疗满意度总体较高。然而，与工作人员和基本药物管理方面分别为 89.5%和 91.9%相比，具体干预方面满意度较低（74.6%），这突出了该方面需要改进，以全面提升 MMT 项目。
