School of Behavioral Sciences
Doctor of Philosophy in Counselor Education and Supervision (PhD)
Buprenorphine, Hope, Grit, Readiness to Change, Opioid, Treatment
Counseling | Social and Behavioral Sciences
Pulliam, John S., "Predictors of the Treatment Retention and Quality of Recovery from Opioid Use Disorder Using Buprenorphine in Medication-Assisted Treatment: A Pilot Study of the Effects of Hope, Grit, and Readiness to Change" (2021). Doctoral Dissertations and Projects. 2788.
Opioid misuse remains at epidemic proportions in the United States and other countries. Buprenorphine has been found effective in treating opioid use disorder (OUD). Understanding the roles of personal characteristics and readiness to change in addiction treatment retention and quality of recovery could be beneficial in office-based medication-assisted treatment for OUD. Researchers have explored OUD treatment methods and outcomes and have examined various predictive factors in treatment results, including demographic, socioeconomic, and psychological variables. However, few characteristics have been found to be consistent indicators of treatment retention and recovery quality. The constructs of hope agency, hope pathways, grit, and readiness to change as predictors of treatment retention and recovery quality in office-based OUD programs and how these constructs relate to clinical application and future research were examined in this study. Data analysis indicated that hope agency, hope pathways, and grit were predictive of recovery quality but not of treatment retention. Readiness to change was not predictive of recovery quality or retention. The clinical implication is that identifying predictive personal characteristics can lead to enhanced treatment planning and better treatment outcomes. As a pilot study, the sample size was too small to establish statistical significance. However, these findings contribute to OUD treatment literature and highlight the need for additional research in this area, possibly validating these findings in larger populations.