Predictive factors of relapse among patients treated with methadone maintenance treatment referred to addiction centers in Hamadan based on health belief model

One of the major challenges in current methadone maintenance treatment retention rates in the treatment and prevention of relapse addiction. The aim of this study was determine the factors influencing relapse based on health belief model. A cross-sectional study was conducted among 384 patients on methadone maintenance treatment referred to addiction clinic in Hamadan, which was randomly selected with the proportional to size among addiction clinic for participation in this study. A questionnaire designed by health belief model and demographic variable and data were completed by interviews and self-report. Data were analyzed by SPSS version 19 using chi-square, and logistic regression statistical tests. Almost 48.2% of the participants had history of relapse at last one. Temptation, peer pressures, depression and low dose of methadone were most reason for relapse. The best predictors for relapse were perceived benefit, perceived susceptibility and self-efficacy. According to the results, it seems HBM can be used in training programs to prevent of relapse.