IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i22p4337-d284457.html
   My bibliography  Save this article

Effectiveness of a Psycho-Social Intervention Aimed at Reducing Attrition at Methadone Maintenance Treatment Clinics: A Propensity Score Matching Analysis

Author

Listed:
  • Xiaoyan Fan

    (Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou 510080, Guangdong, China
    These two authors contributed equally to this paper.)

  • Xiao Zhang

    (Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou 510080, Guangdong, China
    Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China
    These two authors contributed equally to this paper.)

  • Huifang Xu

    (Guangzhou Centre for Disease Prevention and Control, Guangzhou 510080, Guangdong, China)

  • Fan Yang

    (Institute for Global Health and Infectious Diseases, University of North Carolina, Project-China, Guangzhou 510080, Guangdong, China)

  • Joseph T.F. Lau

    (Centre for Medical Anthropology and Behavioural Health, Sun Yat-sen University, Guangzhou 510080, Guangdong, China
    Centre for Health Behaviours Research, School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China)

  • Chun Hao

    (Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou 510080, Guangdong, China
    Sun Yat-sen Global Health Institute, Sun Yat-sen University, Guangzhou 510080, Guangdong, China)

  • Jinghua Li

    (Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou 510080, Guangdong, China
    Sun Yat-sen Global Health Institute, Sun Yat-sen University, Guangzhou 510080, Guangdong, China)

  • Yuteng Zhao

    (Guangzhou Centre for Disease Prevention and Control, Guangzhou 510080, Guangdong, China)

  • Yuantao Hao

    (Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou 510080, Guangdong, China
    Sun Yat-sen Global Health Institute, Sun Yat-sen University, Guangzhou 510080, Guangdong, China)

  • Jing Gu

    (Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou 510080, Guangdong, China
    Sun Yat-sen Global Health Institute, Sun Yat-sen University, Guangzhou 510080, Guangdong, China)

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%), P = 0.041], higher monthly income [monthly income of 1000 CNY or higher: intervention (55.9%) versus control (39.0%), P = 0.028)], higher detoxification intention score [full intention score: intervention (51.6%) versus control (32.5%), P = 0.012)], higher family support in MMT participation [intervention (77.9%) versus control (61.4%), P = 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.

Suggested Citation

  • Xiaoyan Fan & Xiao Zhang & Huifang Xu & Fan Yang & Joseph T.F. Lau & Chun Hao & Jinghua Li & Yuteng Zhao & Yuantao Hao & Jing Gu, 2019. "Effectiveness of a Psycho-Social Intervention Aimed at Reducing Attrition at Methadone Maintenance Treatment Clinics: A Propensity Score Matching Analysis," IJERPH, MDPI, vol. 16(22), pages 1-15, November.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:22:p:4337-:d:284457
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/22/4337/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/16/22/4337/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Lei Zhang & Eric P F Chow & Xun Zhuang & Yanxian Liang & Yafei Wang & Caiyun Tang & Li Ling & Joseph D Tucker & David P Wilson, 2013. "Methadone Maintenance Treatment Participant Retention and Behavioural Effectiveness in China: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-1, July.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lei Zhang & Lorraine Yap & Joanne Reekie & Wei Liu & Yi Chen & Zunyou Wu & Handan Wand & Tony Butler, 2015. "Drug Use and HIV Infection Status of Detainees in Re-Education through Labour Camps in Guangxi Province, China," IJERPH, MDPI, vol. 12(5), pages 1-18, April.
    2. Kaina Zhou & Duolao Wang & Hengxin Li & Xiaoli Wei & Juan Yin & Peifeng Liang & Lingling Kou & Mengmeng Hao & Lijuan You & Xiaomei Li & Guihua Zhuang, 2017. "Bidirectional relationships between retention and health-related quality of life in Chinese mainland patients receiving methadone maintenance treatment," PLOS ONE, Public Library of Science, vol. 12(6), pages 1-12, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:22:p:4337-:d:284457. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.