Hepatitis C, Herpes Simplex Type II, HIV, Syphilis
Conditions
Keywords
IDUs, high risk behaviors, HIV, MMT dosage and retention, psychosocial services
Brief summary
The primary goal of this PHE is to determine the effectiveness of a tailored education program for MMT service providers. It was to be evaluated through methadone dose levels prescribed to new patients after training completion. The effects of methadone dose, with and without the inclusion of additional counseling services, would be measured through MMT retention and illicit opioid use.
Detailed description
Methadone treatment has became one of main actions taken in China to control the spread of HIV among drug users. However，the average methadone dose used is relatively low. An intensive methadone maintenance treatment (MMT) provider training on methadone dosage may be effective in increasing the methadone dose levels prescribed to new patients. The study will evaluate the effectiveness of a tailored education program for MMT service providers using subsequent methadone dose prescribed to new patients. The effects of methadone dose, with and without the inclusion of additional psychosocial services, will then be measured through MMT retention and illicit opioid use.
Interventions
BEHAVIORALMMT provider dosage training
Training on methadone dosing provided to health care providers working in methadone maintenance clinics
BEHAVIORALtargeted counseling
targeted counseling provided to methadone maintenance clinic attendees
OTHERnational guidelines
Provided a hard copy of the existing national guidelines for methadone dosing
Sponsors
National Center for AIDS/STD Control and Prevention, China CDC
Centers for Disease Control and Prevention
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* client participants will include both men and women who are opiate-dependent drug users who started MMT not more than one month prior to enrollment in the study * 18 years of age or older * residing in the study areas
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Illicit opioid use rate | 12 months | by urinalysis and self-report |
| MMT retention rate | 12 months | % of patients retained at the end of the year after Methadone maintenance treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| All-cause mortality | 12 months | Patients die by all causes during the program |
| High risk needle practice | 12 months | Shared needles used for drug injections without cleaning procedures involved |
| High risk sexual practice | 12 months | Sex without condoms and also with multiple partners |
| HIV, HCV, syphilis and HSV-2 infection seroconversion rate | 12 months | Patients who were negative converted to being seropositive |
| Quality of life（WHO Quality of Life -BREF） | 12 months | Scale of quality of life by WHO |
Countries
China
Outcome results
None listed