Why Participants Leave: A Qualitative Study Exploring Dropout from a Medication for Opioid Use Disorder (MOUD) Clinical Trial
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Le résumé fourni par la source
BACKGROUND: High dropout rates in clinical trials can undermine data validity, particularly among individuals with substance use and mental health disorders. This qualitative study examined reasons for participant dropout from a randomized trial evaluating the Minds and Mentors Program, a Mindfulness-Based Relapse Prevention and peer support intervention, among adults receiving Medication for Opioid Use Disorder (MOUD). METHODS: Using a qualitative descriptive design, semi-structured interviews were conducted with eight participants who withdrew before completing the 12-week intervention or follow-up assessments. Interviews were transcribed verbatim and analyzed thematically following Braun and Clarke's framework. RESULTS: Four themes captured participants' reasons for disengagement: (1) Structural and Logistical Barriers (e.g., work conflicts, transportation issues, and program discontinuation); (2) Procedural Fatigue and Assessment Burden related to lengthy or repetitive questionnaires; (3) Emotional and Relational Triggers tied to distressing group content and perceived stigma; and (4) Perceived Value and Program Continuity, where abrupt endings and unclear outcomes reduced motivation. Despite challenges, participants valued the study's intent and supportive staff. CONCLUSIONS: Dropout in MOUD trials reflects the intersection of individual circumstances and modifiable design features. Implementing flexible scheduling, hybrid participation models, reduced assessment burden, trauma-informed facilitation, and transparent communication may improve retention and ensure participant-centered, equitable research outcomes.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Why Participants Leave: A Qualitative Study Exploring Dropout from a Medication for Opioid Use Disorder (MOUD) Clinical Trial
- Date Crossref
- 27/06/2026
- Éditeur
- Informa UK Limited
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Alabama Department of Educational Studies in Psychology pays non établi dans la noticeUniversité ou école supérieure
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University of Alabama at Birmingham pays non établi dans la noticeUniversité ou école supérieure
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Birmingham VA Medical Center pays non établi dans la noticeÉtablissement de santé
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Tuscaloosa VA Medical Center pays non établi dans la noticeÉtablissement de santé
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Capstone College of Nursing Center for Substance Use Research and Related Conditions pays non établi dans la noticeUniversité ou école supérieure
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Birmingham VA Health Care System pays non établi dans la noticeInstitution
Department of Educational Studies in Psychology — University of Alabama, University of Alabama at Birmingham et Birmingham VA Medical Center, avec 3 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.