Effectiveness of a Psycho-Social Intervention Aimed at Reducing Attrition at Methadone Maintenance Treatment Clinics: A Propensity Score Matching Analysis
Methadone maintenance treatment (MMT) is an important approach to address opioid dependence. However, MMT clinics usually report high attrition rates. Our previous randomized controlled trial demonstrated additional psycho-social services delivered by social workers could reduce attrition rates comp...
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| Veröffentlicht in: | International journal of environmental research and public health 2019-11, Vol.16 (22), p.4337 |
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| creator | Fan, Xiaoyan Zhang, Xiao Xu, Huifang Yang, Fan Lau, Joseph T F Hao, Chun Li, Jinghua Zhao, Yuteng Hao, Yuantao Gu, Jing |
| description | Methadone maintenance treatment (MMT) is an important approach to address opioid dependence. However, MMT clinics usually report high attrition rates. Our previous randomized controlled trial demonstrated additional psycho-social services delivered by social workers could reduce attrition rates compared to MMT alone. This study aimed to evaluate the effectiveness of psycho-social service in a real-world context. A quasi-experimental design and propensity score matching was adopted. 359 clients were recruited from five MMT clinics in Guangzhou from July 2013 to April 2015. One 20-minute counseling session was offered to the control group after enrolment. The intervention group received six sessions of psycho-social services. The baseline characteristics were unbalanced between two arms in the original sample. After propensity score matching, 248 participants remained in the analysis. At month six, the intervention group had a lower attrition rate [intervention (39.5%) versus control (52.4%),
= 0.041], higher monthly income [monthly income of 1000 CNY or higher: intervention (55.9%) versus control (39.0%),
= 0.028)], higher detoxification intention score [full intention score: intervention (51.6%) versus control (32.5%),
= 0.012)], higher family support in MMT participation [intervention (77.9%) versus control (61.4%),
= 0.049)]. This study demonstrated that psycho-social services delivered by social workers can reduce MMT clients' attrition and improve their well-being in real-world settings. |
| doi_str_mv | 10.3390/ijerph16224337 |
| format | Article |
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= 0.041], higher monthly income [monthly income of 1000 CNY or higher: intervention (55.9%) versus control (39.0%),
= 0.028)], higher detoxification intention score [full intention score: intervention (51.6%) versus control (32.5%),
= 0.012)], higher family support in MMT participation [intervention (77.9%) versus control (61.4%),
= 0.049)]. This study demonstrated that psycho-social services delivered by social workers can reduce MMT clients' attrition and improve their well-being in real-world settings.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph16224337</identifier><identifier>PMID: 31703302</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>China ; Clinics ; Counseling ; Detoxification ; Disease transmission ; Drug abuse ; Drug use ; Drugs ; Employment ; Female ; Help seeking behavior ; Heroin ; HIV ; Human immunodeficiency virus ; Humans ; Intervention ; Maintenance ; Male ; Marital status ; Medication Adherence - psychology ; Mental health ; Methadone ; Methadone - therapeutic use ; Middle Aged ; Narcotics ; Opiate Substitution Treatment - psychology ; Opioid-Related Disorders - psychology ; Opioid-Related Disorders - therapy ; Propensity Score ; Psychosocial factors ; Quasi-experimental methods ; Questionnaires ; Relapse ; Retention ; Social classes ; Social factors ; Social interactions ; Social services ; Social status ; Social Work ; Social workers ; Studies</subject><ispartof>International journal of environmental research and public health, 2019-11, Vol.16 (22), p.4337</ispartof><rights>2019. This work is licensed under http://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 by the authors. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-8493f5a9f5b091195eeffda8b95c8886a15ad4476f2f0313b0f718e2b13d2e313</citedby><cites>FETCH-LOGICAL-c418t-8493f5a9f5b091195eeffda8b95c8886a15ad4476f2f0313b0f718e2b13d2e313</cites><orcidid>0000-0003-2853-7769 ; 0000-0002-3946-3892 ; 0000-0002-9571-7359 ; 0000-0001-8024-5312 ; 0000-0001-5436-2339</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6888175/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6888175/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27321,27901,27902,33751,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31703302$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fan, Xiaoyan</creatorcontrib><creatorcontrib>Zhang, Xiao</creatorcontrib><creatorcontrib>Xu, Huifang</creatorcontrib><creatorcontrib>Yang, Fan</creatorcontrib><creatorcontrib>Lau, Joseph T F</creatorcontrib><creatorcontrib>Hao, Chun</creatorcontrib><creatorcontrib>Li, Jinghua</creatorcontrib><creatorcontrib>Zhao, Yuteng</creatorcontrib><creatorcontrib>Hao, Yuantao</creatorcontrib><creatorcontrib>Gu, Jing</creatorcontrib><title>Effectiveness of a Psycho-Social Intervention Aimed at Reducing Attrition at Methadone Maintenance Treatment Clinics: A Propensity Score Matching Analysis</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Methadone maintenance treatment (MMT) is an important approach to address opioid dependence. However, MMT clinics usually report high attrition rates. Our previous randomized controlled trial demonstrated additional psycho-social services delivered by social workers could reduce attrition rates compared to MMT alone. This study aimed to evaluate the effectiveness of psycho-social service in a real-world context. A quasi-experimental design and propensity score matching was adopted. 359 clients were recruited from five MMT clinics in Guangzhou from July 2013 to April 2015. One 20-minute counseling session was offered to the control group after enrolment. The intervention group received six sessions of psycho-social services. The baseline characteristics were unbalanced between two arms in the original sample. After propensity score matching, 248 participants remained in the analysis. At month six, the intervention group had a lower attrition rate [intervention (39.5%) versus control (52.4%),
= 0.041], higher monthly income [monthly income of 1000 CNY or higher: intervention (55.9%) versus control (39.0%),
= 0.028)], higher detoxification intention score [full intention score: intervention (51.6%) versus control (32.5%),
= 0.012)], higher family support in MMT participation [intervention (77.9%) versus control (61.4%),
= 0.049)]. This study demonstrated that psycho-social services delivered by social workers can reduce MMT clients' attrition and improve their well-being in real-world settings.</description><subject>China</subject><subject>Clinics</subject><subject>Counseling</subject><subject>Detoxification</subject><subject>Disease transmission</subject><subject>Drug abuse</subject><subject>Drug use</subject><subject>Drugs</subject><subject>Employment</subject><subject>Female</subject><subject>Help seeking behavior</subject><subject>Heroin</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Intervention</subject><subject>Maintenance</subject><subject>Male</subject><subject>Marital status</subject><subject>Medication Adherence - psychology</subject><subject>Mental health</subject><subject>Methadone</subject><subject>Methadone - therapeutic use</subject><subject>Middle Aged</subject><subject>Narcotics</subject><subject>Opiate Substitution Treatment - psychology</subject><subject>Opioid-Related Disorders - psychology</subject><subject>Opioid-Related Disorders - therapy</subject><subject>Propensity Score</subject><subject>Psychosocial factors</subject><subject>Quasi-experimental methods</subject><subject>Questionnaires</subject><subject>Relapse</subject><subject>Retention</subject><subject>Social classes</subject><subject>Social factors</subject><subject>Social interactions</subject><subject>Social services</subject><subject>Social status</subject><subject>Social Work</subject><subject>Social workers</subject><subject>Studies</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><recordid>eNpdUc9LHDEUDqVSre21xxLoxcvYZDKTSXooLIttBUVRew6ZzIuTZTbZJhlh_5X-tc2qFfWU8L4f73t8CH2i5JgxSb66FcTNSHldN4x1b9AB5ZxUDSf07bP_Pnqf0ooQJhou36F9RjvCGKkP0N8Ta8FkdwceUsLBYo0v09aMoboOxukJn_oMscDZBY8Xbg0D1hlfwTAb52_xIufo7rEyPYc86iF4wOfaFZ3X3gC-iaDzujjg5eS8M-kbXuDLGDbgk8tbfG1C3CmyGe8dvZ62yaUPaM_qKcHHx_cQ_f5xcrP8VZ1d_DxdLs4q01CRK9FIZlstbdsTSalsAawdtOhla4QQXNNWD03TcVtbwijrie2ogLqnbKihDA7R9wffzdyX60wJGvWkNtGtddyqoJ16iXg3qttwp3ixp11bDI4eDWL4M0PKau2SgWnSHsKcVF2WME656Ar1yyvqKsyxHLxj1ZK3nZC7RMcPLBNDShHsUxhK1K529bL2Ivj8_IQn-v-e2T_8Xqyk</recordid><startdate>20191107</startdate><enddate>20191107</enddate><creator>Fan, Xiaoyan</creator><creator>Zhang, Xiao</creator><creator>Xu, Huifang</creator><creator>Yang, Fan</creator><creator>Lau, Joseph T F</creator><creator>Hao, Chun</creator><creator>Li, Jinghua</creator><creator>Zhao, Yuteng</creator><creator>Hao, Yuantao</creator><creator>Gu, Jing</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7U3</scope><scope>7U4</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>DWI</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>WZK</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2853-7769</orcidid><orcidid>https://orcid.org/0000-0002-3946-3892</orcidid><orcidid>https://orcid.org/0000-0002-9571-7359</orcidid><orcidid>https://orcid.org/0000-0001-8024-5312</orcidid><orcidid>https://orcid.org/0000-0001-5436-2339</orcidid></search><sort><creationdate>20191107</creationdate><title>Effectiveness of a Psycho-Social Intervention Aimed at Reducing Attrition at Methadone Maintenance Treatment Clinics: A Propensity Score Matching Analysis</title><author>Fan, Xiaoyan ; Zhang, Xiao ; Xu, Huifang ; Yang, Fan ; Lau, Joseph T F ; Hao, Chun ; Li, Jinghua ; Zhao, Yuteng ; Hao, Yuantao ; Gu, Jing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-8493f5a9f5b091195eeffda8b95c8886a15ad4476f2f0313b0f718e2b13d2e313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>China</topic><topic>Clinics</topic><topic>Counseling</topic><topic>Detoxification</topic><topic>Disease transmission</topic><topic>Drug abuse</topic><topic>Drug use</topic><topic>Drugs</topic><topic>Employment</topic><topic>Female</topic><topic>Help seeking behavior</topic><topic>Heroin</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Intervention</topic><topic>Maintenance</topic><topic>Male</topic><topic>Marital status</topic><topic>Medication Adherence - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fan, Xiaoyan</au><au>Zhang, Xiao</au><au>Xu, Huifang</au><au>Yang, Fan</au><au>Lau, Joseph T F</au><au>Hao, Chun</au><au>Li, Jinghua</au><au>Zhao, Yuteng</au><au>Hao, Yuantao</au><au>Gu, Jing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of a Psycho-Social Intervention Aimed at Reducing Attrition at Methadone Maintenance Treatment Clinics: A Propensity Score Matching Analysis</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2019-11-07</date><risdate>2019</risdate><volume>16</volume><issue>22</issue><spage>4337</spage><pages>4337-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Methadone maintenance treatment (MMT) is an important approach to address opioid dependence. However, MMT clinics usually report high attrition rates. Our previous randomized controlled trial demonstrated additional psycho-social services delivered by social workers could reduce attrition rates compared to MMT alone. This study aimed to evaluate the effectiveness of psycho-social service in a real-world context. A quasi-experimental design and propensity score matching was adopted. 359 clients were recruited from five MMT clinics in Guangzhou from July 2013 to April 2015. One 20-minute counseling session was offered to the control group after enrolment. The intervention group received six sessions of psycho-social services. The baseline characteristics were unbalanced between two arms in the original sample. After propensity score matching, 248 participants remained in the analysis. At month six, the intervention group had a lower attrition rate [intervention (39.5%) versus control (52.4%),
= 0.041], higher monthly income [monthly income of 1000 CNY or higher: intervention (55.9%) versus control (39.0%),
= 0.028)], higher detoxification intention score [full intention score: intervention (51.6%) versus control (32.5%),
= 0.012)], higher family support in MMT participation [intervention (77.9%) versus control (61.4%),
= 0.049)]. This study demonstrated that psycho-social services delivered by social workers can reduce MMT clients' attrition and improve their well-being in real-world settings.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>31703302</pmid><doi>10.3390/ijerph16224337</doi><orcidid>https://orcid.org/0000-0003-2853-7769</orcidid><orcidid>https://orcid.org/0000-0002-3946-3892</orcidid><orcidid>https://orcid.org/0000-0002-9571-7359</orcidid><orcidid>https://orcid.org/0000-0001-8024-5312</orcidid><orcidid>https://orcid.org/0000-0001-5436-2339</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry; Sociological Abstracts; PubMed Central Open Access |
| subjects | China Clinics Counseling Detoxification Disease transmission Drug abuse Drug use Drugs Employment Female Help seeking behavior Heroin HIV Human immunodeficiency virus Humans Intervention Maintenance Male Marital status Medication Adherence - psychology Mental health Methadone Methadone - therapeutic use Middle Aged Narcotics Opiate Substitution Treatment - psychology Opioid-Related Disorders - psychology Opioid-Related Disorders - therapy Propensity Score Psychosocial factors Quasi-experimental methods Questionnaires Relapse Retention Social classes Social factors Social interactions Social services Social status Social Work Social workers Studies |
| title | Effectiveness of a Psycho-Social Intervention Aimed at Reducing Attrition at Methadone Maintenance Treatment Clinics: A Propensity Score Matching Analysis |
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