Home > Research > Publications & Outputs > Impact of blended treatment literacy and psycho...

Electronic data

  • Zhang et al 2016. Impact of blended treatment literacy and psychoeducation on methadone maintenance treatment outcomes in Yunnan, China

    Rights statement: © 2016 Zhang et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

    Final published version, 406 KB, PDF document

    Available under license: CC BY: Creative Commons Attribution 4.0 International License

Links

Text available via DOI:

View graph of relations

Impact of blended treatment literacy and psychoeducation on methadone maintenance treatment outcomes in Yunnan, China

Research output: Contribution to journalJournal articlepeer-review

Published

Standard

Impact of blended treatment literacy and psychoeducation on methadone maintenance treatment outcomes in Yunnan, China. / Zhang, Bo; Cai, Thomas; Yan, Zhihua; Mburu, Gitau; Wang, Bangyuan; Yang, Liping.

In: Harm Reduction Journal, Vol. 13, No. 8, 26.02.2016, p. 1-7.

Research output: Contribution to journalJournal articlepeer-review

Harvard

APA

Vancouver

Author

Zhang, Bo ; Cai, Thomas ; Yan, Zhihua ; Mburu, Gitau ; Wang, Bangyuan ; Yang, Liping. / Impact of blended treatment literacy and psychoeducation on methadone maintenance treatment outcomes in Yunnan, China. In: Harm Reduction Journal. 2016 ; Vol. 13, No. 8. pp. 1-7.

Bibtex

@article{0eb6a5c14ff14ce0950bcea205d28556,
title = "Impact of blended treatment literacy and psychoeducation on methadone maintenance treatment outcomes in Yunnan, China",
abstract = "Background: Outcomes of methadone maintenance treatment (MMT) in the management of opioid dependency can be impaired by poor adherence and retention, concomitant drug use, poor adjustment of methadone dosage, and low levels of awareness regarding methadone among drug users, among other factors. This study investigated the effects of intensive blended treatment literacy and psychoeducation on treatment compliance, methadone dose, and heroin use among MMT clients in China. Methods: A total of 492 MMT clients who tested positive for urine morphine at least once during a 12-week intervention period preceding the study were recruited from 16 MMT clinics. Employing a client-centred approach, a blended treatment literacy and psychoeducation intervention was then implemented between March and June 2014, comprising (1) intensified methadone treatment literacy sessions; (2) participatory goal setting; (3) continuous adherence monitoring and support; and (4) engagement of both peers and doctors in delivering psychoeducation. Wilcoxon signed-rank test was used to compare urine morphine positive rates, daily methadone dosage, and the number of days that clients successfully accessed methadone before and during the intervention. Results: During the intervention, urine morphine positive rates reduced to 27 % from 49.3 % previously; p < 0.001. In response to client needs, methadone dosages increased among 74 % of participants, remained unchanged among 12.0 %, and reduced among 13.4 % during the intervention. In addition, the average daily methadone dose increased from 63.0 to 72.6 mg; p < 0.001, while the average number of days that clients successfully accessed methadone increased from 69.4 to 73.9 over a period of 12 weeks; p < 0.001. Conclusions: Blended treatment literacy and psychoeducation delivered by a combination of peers and doctors was associated with reduced heroin use, improved treatment adherence, and higher methadone doses among our sample of MMT clients.",
keywords = "methadone, PSYCHOEDUCATION, Harm Reduction, injecting drug users, China",
author = "Bo Zhang and Thomas Cai and Zhihua Yan and Gitau Mburu and Bangyuan Wang and Liping Yang",
note = "{\textcopyright} 2016 Zhang et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.",
year = "2016",
month = feb,
day = "26",
doi = "10.1186/s12954-016-0097-y",
language = "English",
volume = "13",
pages = "1--7",
journal = "Harm Reduction Journal",
issn = "1477-7517",
publisher = "Springer",
number = "8",

}

RIS

TY - JOUR

T1 - Impact of blended treatment literacy and psychoeducation on methadone maintenance treatment outcomes in Yunnan, China

AU - Zhang, Bo

AU - Cai, Thomas

AU - Yan, Zhihua

AU - Mburu, Gitau

AU - Wang, Bangyuan

AU - Yang, Liping

N1 - © 2016 Zhang et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

PY - 2016/2/26

Y1 - 2016/2/26

N2 - Background: Outcomes of methadone maintenance treatment (MMT) in the management of opioid dependency can be impaired by poor adherence and retention, concomitant drug use, poor adjustment of methadone dosage, and low levels of awareness regarding methadone among drug users, among other factors. This study investigated the effects of intensive blended treatment literacy and psychoeducation on treatment compliance, methadone dose, and heroin use among MMT clients in China. Methods: A total of 492 MMT clients who tested positive for urine morphine at least once during a 12-week intervention period preceding the study were recruited from 16 MMT clinics. Employing a client-centred approach, a blended treatment literacy and psychoeducation intervention was then implemented between March and June 2014, comprising (1) intensified methadone treatment literacy sessions; (2) participatory goal setting; (3) continuous adherence monitoring and support; and (4) engagement of both peers and doctors in delivering psychoeducation. Wilcoxon signed-rank test was used to compare urine morphine positive rates, daily methadone dosage, and the number of days that clients successfully accessed methadone before and during the intervention. Results: During the intervention, urine morphine positive rates reduced to 27 % from 49.3 % previously; p < 0.001. In response to client needs, methadone dosages increased among 74 % of participants, remained unchanged among 12.0 %, and reduced among 13.4 % during the intervention. In addition, the average daily methadone dose increased from 63.0 to 72.6 mg; p < 0.001, while the average number of days that clients successfully accessed methadone increased from 69.4 to 73.9 over a period of 12 weeks; p < 0.001. Conclusions: Blended treatment literacy and psychoeducation delivered by a combination of peers and doctors was associated with reduced heroin use, improved treatment adherence, and higher methadone doses among our sample of MMT clients.

AB - Background: Outcomes of methadone maintenance treatment (MMT) in the management of opioid dependency can be impaired by poor adherence and retention, concomitant drug use, poor adjustment of methadone dosage, and low levels of awareness regarding methadone among drug users, among other factors. This study investigated the effects of intensive blended treatment literacy and psychoeducation on treatment compliance, methadone dose, and heroin use among MMT clients in China. Methods: A total of 492 MMT clients who tested positive for urine morphine at least once during a 12-week intervention period preceding the study were recruited from 16 MMT clinics. Employing a client-centred approach, a blended treatment literacy and psychoeducation intervention was then implemented between March and June 2014, comprising (1) intensified methadone treatment literacy sessions; (2) participatory goal setting; (3) continuous adherence monitoring and support; and (4) engagement of both peers and doctors in delivering psychoeducation. Wilcoxon signed-rank test was used to compare urine morphine positive rates, daily methadone dosage, and the number of days that clients successfully accessed methadone before and during the intervention. Results: During the intervention, urine morphine positive rates reduced to 27 % from 49.3 % previously; p < 0.001. In response to client needs, methadone dosages increased among 74 % of participants, remained unchanged among 12.0 %, and reduced among 13.4 % during the intervention. In addition, the average daily methadone dose increased from 63.0 to 72.6 mg; p < 0.001, while the average number of days that clients successfully accessed methadone increased from 69.4 to 73.9 over a period of 12 weeks; p < 0.001. Conclusions: Blended treatment literacy and psychoeducation delivered by a combination of peers and doctors was associated with reduced heroin use, improved treatment adherence, and higher methadone doses among our sample of MMT clients.

KW - methadone

KW - PSYCHOEDUCATION

KW - Harm Reduction

KW - injecting drug users

KW - China

U2 - 10.1186/s12954-016-0097-y

DO - 10.1186/s12954-016-0097-y

M3 - Journal article

VL - 13

SP - 1

EP - 7

JO - Harm Reduction Journal

JF - Harm Reduction Journal

SN - 1477-7517

IS - 8

ER -