Client and counselor attitudes toward the use of medications for treatment of opioid dependence.
Traci Rieckmann, Marilyn Daley, Bret E Fuller, Cindy P Thomas, Dennis McCarty
Journal of Substance Abuse Treatment March 1, 2007 DOI: 10.1016/j.jsat.2006.09.002 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Cross-sectional survey Peer reviewed |
|---|---|
| Sample size | 1,459 |
| Population | Counselors and clients from outpatient, methadone, and residential drug treatment programs |
| Topics | Addiction |
| Keywords | Peer influence Social norms Social influence Group influence Peer pressure Perceived beliefs Medication-assisted treatment Mat Opioid dependence medication Methadone Buprenorphine Attitudes Acceptance Perceptions Views Intentions Oud Opioid addiction |
| Citations | 75 |
| Key findings | Perceived social norms, especially beliefs about peers' views, were the dominant influence on intentions to use medications for opiate dependence across all settings and medications. |
Abstract
Attitudes, perceived social norms, and intentions were assessed for 376 counselors and 1,083 clients from outpatient, methadone, and residential drug treatment programs regarding four medications used to treat opiate dependence: methadone, buprenorphine, clonidine, and ibogaine. Attitudes, social norms, and intentions to use varied by treatment modality. Methadone clients and counselors had more positive attitudes toward the use of methadone, whereas their counterparts in residential and outpatient settings had neutral or negative assessments. Across modalities, attitudes, perceived social norms, and intentions toward the use of buprenorphine were relatively neutral. Assessments of clonidine and ibogaine were negative for clients and counselors in all settings. Social normative influences were dominant across settings and medications in determining counselor and client intentions to use medications, suggesting that perceptions about beliefs of peers may play a critical role in use of medications to treat opiate dependence.