Table 2.
Principal components analysis of items in Barriers to Methadone Prescribing Scale
| Factor names and items | Factor Loadings | ||
|---|---|---|---|
|
Risks associated with MMT delivery |
Factor 1 |
Factor 2 |
Factor 3 |
| 1. Don’t want it known that I have a methadone license |
0.74* |
0.27 |
0.19 |
| 2. It would shift my practice too much to patients with opioid dependence |
0.81* |
0.13 |
0.02 |
| 3. Afraid of patient diversion of methadone |
0.75* |
0 |
−0.05 |
| 4. Fear of becoming involved with surveillance |
0.58* |
0.13 |
0.47 |
| 5. Am generally uncomfortable managing patients with opioid dependence |
0.55* |
0.01 |
0.33 |
| 6. Difficult patient population |
0.57* |
0.17 |
0.15 |
|
Training and support issues |
|
||
| 7. Not enough reimbursement |
0.13 |
0.46* |
0.32 |
| 8. Not enough interaction with other methadone maintenance practitioners |
−0.02 |
0.54* |
0.23 |
| 9. Not enough political commitment |
0.15 |
0.54* |
0.31 |
| 10. Not enough support services (e.g. drug screening, addiction counseling services) |
0.03 |
0.62* |
0.19 |
| 11. Too much paperwork |
0.27 |
0.80* |
0.04 |
| Too much time involved |
0.37 |
0.76* |
−0.13 |
| Little or no experience, training or education in the use of methadone for opioid dependence |
0.01 |
0.51* |
−0.10 |
|
Resistance from external sources |
|
||
| Community resistance |
0.13 |
0.03 |
0.90* |
| Staff resistance |
0.17 |
0.05 |
0.86* |
| Extensive regulations | 0.14 | 0.34 | 0.71* |
*Loading used for interpretation of factors.