Patient-treatment matching improves compliance of alcoholics in outpatient treatment.
In chronic medical disorders, patient compliance is very poor and often less than 50%. The purpose of this investigation was to determine whether the proper matching of patient, treatment, and therapist would improve patient compliance in the outpatient treatment of alcoholics. We randomly placed 119 alcoholics who had commenced protracted outpatient treatment for alcoholism in either low or high structured treatments. These 119 patients were offered 12 months of individual treatment. Interruption of this treatment was recorded as noncompliance. The treatment courses were expressed in survival curves. The consequence of compliance for long-term prognosis was described by means of the Addiction Severity Index. The form of treatment in itself had no importance for compliance. However, correct matching of a patient and a treatment structure resulted in a compliance rate of 63% as opposed to 38% compliance among mismatched patients. Twenty-four months after the initiation of treatment, patients in the compliance group had a significantly higher level of function than those in the noncompliance group. Our investigation of alcoholics involved in outpatient treatment shows that the correct matching of patients and treatment structure improves compliance and long-term prognosis. It is hoped that the present investigation will generate interest in future research on correct matching to gain improved compliance in patients with a chronic medical disorder.
Nielsen
B
B
Department of Psychiatry, Odense University Hospital, Denmark.
Nielsen
A S
AS
Wraae
O
O
D000223:Adaptation, Psychological; D000328:Adult; D000437:Alcoholism / Q000175:diagnosis / Q000628:therapy*; D000553:Ambulatory Care; D001521:Behavior Therapy; D002985:Clinical Protocols / Q000592:standards; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D008297:Male; D010349:Patient Compliance; D010352:Patient Dropouts; D018579:Patient Selection; D011369:Professional-Patient Relations; D011379:Prognosis; D011575:Psychoanalytic Therapy; D012720:Severity of Illness Index; D012917:Social Adjustment; D016896:Treatment Outcome