Abstract
Background. Methadone maintenance treatment (MMT) is the most widely used therapy for opioid dependence, and in MMT, patient retention is an important goal. Cognitive involvement in treatment is a factor determining retention. We introduced a measure of cognitive involvement in MMT which can be completed at entry to the program and is correlated with retention. Methods. This study is a cohort of 298 male adult opiate dependents receiving MMT in methadone clinics during the period 1 January - 31 December 2007 in Iran. At entry to MMT, all participants completed data regarding the 2 important aspects of cognitive involvement in treatment, namely readiness and psychological state. Participants were followed for retention in MMT for up to 6 months. Results. Cognitive Involvement in MMT (CI-MMT), composed of 18 items, a total score and 2 sub-scores all correlated with retention. The two factors accounting for 60% of the variance, namely readiness to change (4 items) and psychological distress (14 items). Cronbach's alpha was 0.895, 0.734, and 0.921, for total score and sub-scores, respectively. Conclusion. Overall, CI-MMT can be employed as a tool in MMT retention research and practice, for Iranian opiate users.
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