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A randomized trial of a hepatitis care coordination model in methadone maintenance treatment

Author

Listed:
  • Masson, C.L.
  • Delucchi, K.L.
  • McKnight, C.
  • Hettema, J.
  • Khalili, M.
  • Min, A.
  • Jordan, A.E.
  • Pepper, N.
  • Hall, J.
  • Hengl, N.S.
  • Young, C.
  • Shopshire, M.S.
  • Manuel, J.K.
  • Coffin, L.
  • Hammer, H.
  • Shapiro, B.
  • Seewald, R.M.
  • Bodenheimer Jr., H.C.
  • Sorensen, J.L.
  • Des Jarlais, D.C.
  • Perlman, D.C.

Abstract

Objectives. We evaluated the efficacy of a hepatitis care coordination intervention to improve linkage to hepatitis A virus (HAV) and hepatitis B virus (HBV) vaccination and clinical evaluation of hepatitis C virus (HCV) infection among methadone maintenance patients. Methods. We conducted a randomized controlled trial of 489 participants from methadone maintenance treatment programs in San Francisco, California, and New York City from February 2008 through June 2011. We randomized participants to a control arm (n = 245) and an intervention arm (n = 244), which included on-site screening, motivational-enhanced education and counseling, on-site vaccination, and case management services. Results. Compared with the control group, intervention group participants were significantly more likely (odds ratio [OR] = 41.8; 95% confidence interval [CI] = 19.4, 90.0) to receive their first vaccine dose within 30 days and to receive an HCV evaluation within 6 months (OR = 4.10; 95% CI = 2.35, 7.17). A combined intervention adherence outcome that measured adherence to HAV-HBV vaccination, HCV evaluation, or both strongly favored the intervention group (OR = 8.70; 95% CI = 5.56, 13.61). Conclusions. Hepatitis care coordination was efficacious in increasing adherence to HAV-HBV vaccination and HCV clinical evaluation among methadone patients.

Suggested Citation

  • Masson, C.L. & Delucchi, K.L. & McKnight, C. & Hettema, J. & Khalili, M. & Min, A. & Jordan, A.E. & Pepper, N. & Hall, J. & Hengl, N.S. & Young, C. & Shopshire, M.S. & Manuel, J.K. & Coffin, L. & Hamm, 2013. "A randomized trial of a hepatitis care coordination model in methadone maintenance treatment," American Journal of Public Health, American Public Health Association, vol. 103(10), pages 81-88.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301458_1
    DOI: 10.2105/AJPH.2013.301458
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    Cited by:

    1. Malik, Amyn A. & Ahmed, Noureen & Shafiq, Mehr & Elharake, Jad A. & James, Erin & Nyhan, Kate & Paintsil, Elliott & Melchinger, Hannah Camille & Team, Yale Behavioral Interventions & Malik, Fauzia A. , 2023. "Behavioral interventions for vaccination uptake: A systematic review and meta-analysis," Health Policy, Elsevier, vol. 137(C).

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