Matrix Model as an Intensive Rehabilitation in Three Methadone Services in Iran

Objectives: The Matrix Model is used for MA dependence in methadone services in Iran, the most populated Persian Gulf country. However, there are no studies of the efficacy of the Matrix Model for MA dependence while in treatment. The present study reports on the efficacy of sixteen weeks of the Mat...

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Main Authors: Sara Sami, Mohammad Effatpanah, Afsaneh Moradi, Omid Massah
Format: Article
Language:English
Published: Negah Institute for Scientific Communication 2017-09-01
Series:Iranian Rehabilitation Journal
Subjects:
Online Access:http://irj.uswr.ac.ir/browse.php?a_code=A-10-348-18&slc_lang=en&sid=1
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author Sara Sami
Mohammad Effatpanah
Afsaneh Moradi
Omid Massah
author_facet Sara Sami
Mohammad Effatpanah
Afsaneh Moradi
Omid Massah
author_sort Sara Sami
collection DOAJ
description Objectives: The Matrix Model is used for MA dependence in methadone services in Iran, the most populated Persian Gulf country. However, there are no studies of the efficacy of the Matrix Model for MA dependence while in treatment. The present study reports on the efficacy of sixteen weeks of the Matrix Model for MA abstinence and general health.&nbsp; Methods: There were MA-dependent male (n=30) and female (n=30) patients in the study sites whom received the Matrix Model. The sites included three large methadone clinics in Tehran, Iran during 2015. The Persian versions of the Time Line Follow Back (TLFB) and the General Health Questionnaire-28 (GHQ-28) were completed by each participant at baseline and treatment weeks of four, ten and sixteen. Abstinence from MA was confirmed on the TLFB and with doing urinalyses at the same time. Results: All subjects were daily MA users on the TLFB at baseline. General health was poor among all subjects at baseline. There was no reported subject attrition at baseline. But, ten subjects left the Matrix treatment before the end of week nine and 21 subjects left the Matrix treatment before the end of week 13. At week 4, only 20% of the subjects were abstinent from MA. At week ten, 35% of the subjects were abstinent from MA while at week 16, 65% of the subjects were abstinent from MA. The Matrix Model led to an increased rate of abstinence from MA (P<0.001) at week 16. Those who completed the treatment were more likely to report improved general health (P<0.05) than those who did not at week 16. Discussion: The study indicated that the Matrix Model significantly increased the rate of abstinence from MA. But, at week sixteen, subject attrition was high. This issue demands further research.
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spelling doaj.art-8f512c15f0be4d20817aefba641723212022-12-22T01:44:47ZengNegah Institute for Scientific CommunicationIranian Rehabilitation Journal1735-36021735-36102017-09-01153293298Matrix Model as an Intensive Rehabilitation in Three Methadone Services in IranSara Sami0Mohammad Effatpanah1Afsaneh Moradi2Omid Massah3 Department of Psychology and Educational Sciences, Al-Zahra University, Tehran, IranDepartment of Educational Psychology, Faculty of Educational Sciences and Psychology, Alzahra University, Tehran, Iran. School of Medicine, Ziaeian Hospital, International Campus, Tehran University of Medical Sciences, Tehran, Iran. Department of Psychology and Educational Sciences, Al-Zahra University, Tehran, IranDepartment of Educational Psychology, Faculty of Educational Sciences and Psychology, Alzahra University, Tehran, Iran. Substance Abuse and Dependence Research Center, University of Social Welfare & Rehabilitation Sciences, Tehran, Iran. Objectives: The Matrix Model is used for MA dependence in methadone services in Iran, the most populated Persian Gulf country. However, there are no studies of the efficacy of the Matrix Model for MA dependence while in treatment. The present study reports on the efficacy of sixteen weeks of the Matrix Model for MA abstinence and general health.&nbsp; Methods: There were MA-dependent male (n=30) and female (n=30) patients in the study sites whom received the Matrix Model. The sites included three large methadone clinics in Tehran, Iran during 2015. The Persian versions of the Time Line Follow Back (TLFB) and the General Health Questionnaire-28 (GHQ-28) were completed by each participant at baseline and treatment weeks of four, ten and sixteen. Abstinence from MA was confirmed on the TLFB and with doing urinalyses at the same time. Results: All subjects were daily MA users on the TLFB at baseline. General health was poor among all subjects at baseline. There was no reported subject attrition at baseline. But, ten subjects left the Matrix treatment before the end of week nine and 21 subjects left the Matrix treatment before the end of week 13. At week 4, only 20% of the subjects were abstinent from MA. At week ten, 35% of the subjects were abstinent from MA while at week 16, 65% of the subjects were abstinent from MA. The Matrix Model led to an increased rate of abstinence from MA (P<0.001) at week 16. Those who completed the treatment were more likely to report improved general health (P<0.05) than those who did not at week 16. Discussion: The study indicated that the Matrix Model significantly increased the rate of abstinence from MA. But, at week sixteen, subject attrition was high. This issue demands further research.http://irj.uswr.ac.ir/browse.php?a_code=A-10-348-18&slc_lang=en&sid=1Dependence Methamphetamine Methadone Matrix model Treatment
spellingShingle Sara Sami
Mohammad Effatpanah
Afsaneh Moradi
Omid Massah
Matrix Model as an Intensive Rehabilitation in Three Methadone Services in Iran
Iranian Rehabilitation Journal
Dependence
Methamphetamine
Methadone
Matrix model
Treatment
title Matrix Model as an Intensive Rehabilitation in Three Methadone Services in Iran
title_full Matrix Model as an Intensive Rehabilitation in Three Methadone Services in Iran
title_fullStr Matrix Model as an Intensive Rehabilitation in Three Methadone Services in Iran
title_full_unstemmed Matrix Model as an Intensive Rehabilitation in Three Methadone Services in Iran
title_short Matrix Model as an Intensive Rehabilitation in Three Methadone Services in Iran
title_sort matrix model as an intensive rehabilitation in three methadone services in iran
topic Dependence
Methamphetamine
Methadone
Matrix model
Treatment
url http://irj.uswr.ac.ir/browse.php?a_code=A-10-348-18&slc_lang=en&sid=1
work_keys_str_mv AT sarasami matrixmodelasanintensiverehabilitationinthreemethadoneservicesiniran
AT mohammadeffatpanah matrixmodelasanintensiverehabilitationinthreemethadoneservicesiniran
AT afsanehmoradi matrixmodelasanintensiverehabilitationinthreemethadoneservicesiniran
AT omidmassah matrixmodelasanintensiverehabilitationinthreemethadoneservicesiniran