Educational and Behavioral Counseling in a Methadone Maintenance Treatment Program in China: A Randomized Controlled Trial
IntroductionMethadone maintenance treatment (MMT) programs have been rapidly scaled up nationwide in China in recent years, and psychosocial intervention measures, including counseling, were recommended for improving the outcomes of MMT. However, the effectiveness of counseling in MMT programs remai...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2018-04-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | http://journal.frontiersin.org/article/10.3389/fpsyt.2018.00113/full |
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| author | Pulin Liu Pulin Liu Ranran Song Yao Zhang Cheng Liu Bingxi Cai Xuebing Liu Jiaoyuan Li Xueqin Chen Juntao Ke Jiao Lou Wei Chen Beibei Zhu Li Zou Yang Yang Ying Zhu Yajie Gong Rong Zhong Xiaoping Miao |
| author_facet | Pulin Liu Pulin Liu Ranran Song Yao Zhang Cheng Liu Bingxi Cai Xuebing Liu Jiaoyuan Li Xueqin Chen Juntao Ke Jiao Lou Wei Chen Beibei Zhu Li Zou Yang Yang Ying Zhu Yajie Gong Rong Zhong Xiaoping Miao |
| author_sort | Pulin Liu |
| collection | DOAJ |
| description | IntroductionMethadone maintenance treatment (MMT) programs have been rapidly scaled up nationwide in China in recent years, and psychosocial intervention measures, including counseling, were recommended for improving the outcomes of MMT. However, the effectiveness of counseling in MMT programs remains controversial. This study investigated the efficacy of educational and behavioral counseling (EBC) mode in an MMT program in China.MethodsA total of 125 eligible participants were randomized to EBC or a control group. Patients in the EBC group received weekly, manual-guided, group educational counseling for 8 weeks and individual behavioral counseling for the next 8 weeks. Patients in the control group received standard methadone maintenance treatment as usual (TAU).ResultsDuring the 16-week trial, the EBC group showed better treatment attendance (P = 0.022) and a greater increase in knowledge regarding heroin addiction (P = 0.001) and MMT (P = 0.005) than did the TAU group. Between the two groups, there were no significant differences regarding drug abstinence and reduction of risky behaviors.ConclusionEBC affiliated with MMT improved patients’ cognition and adherence to treatment, facilitating their successful recovery.Clinical Trial RegistrationChiCTR-IOR-15006673: http://www.chictr.org.cn. |
| first_indexed | 2024-12-14T18:03:47Z |
| format | Article |
| id | doaj.art-c96d020980554bb38f79f34aa1e8e643 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-14T18:03:47Z |
| publishDate | 2018-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-c96d020980554bb38f79f34aa1e8e6432022-12-21T22:52:25ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402018-04-01910.3389/fpsyt.2018.00113356094Educational and Behavioral Counseling in a Methadone Maintenance Treatment Program in China: A Randomized Controlled TrialPulin Liu0Pulin Liu1Ranran Song2Yao Zhang3Cheng Liu4Bingxi Cai5Xuebing Liu6Jiaoyuan Li7Xueqin Chen8Juntao Ke9Jiao Lou10Wei Chen11Beibei Zhu12Li Zou13Yang Yang14Ying Zhu15Yajie Gong16Rong Zhong17Xiaoping Miao18Department of Epidemiology and Biostatistics, Ministry of Education and Ministry of Environmental Protection, State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaWuhan Centers for Disease Prevention and Control, Wuhan, ChinaDepartment of Epidemiology and Biostatistics, Ministry of Education and Ministry of Environmental Protection, State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaWuhan Mental Health Center, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Epidemiology and Biostatistics, Ministry of Education and Ministry of Environmental Protection, State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Epidemiology and Biostatistics, Ministry of Education and Ministry of Environmental Protection, State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaWuhan Mental Health Center, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Epidemiology and Biostatistics, Ministry of Education and Ministry of Environmental Protection, State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Epidemiology and Biostatistics, Ministry of Education and Ministry of Environmental Protection, State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Epidemiology and Biostatistics, Ministry of Education and Ministry of Environmental Protection, State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Epidemiology and Biostatistics, Ministry of Education and Ministry of Environmental Protection, State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Epidemiology and Biostatistics, Ministry of Education and Ministry of Environmental Protection, State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Epidemiology and Biostatistics, Ministry of Education and Ministry of Environmental Protection, State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Epidemiology and Biostatistics, Ministry of Education and Ministry of Environmental Protection, State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Epidemiology and Biostatistics, Ministry of Education and Ministry of Environmental Protection, State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Epidemiology and Biostatistics, Ministry of Education and Ministry of Environmental Protection, State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Epidemiology and Biostatistics, Ministry of Education and Ministry of Environmental Protection, State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Epidemiology and Biostatistics, Ministry of Education and Ministry of Environmental Protection, State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Epidemiology and Biostatistics, Ministry of Education and Ministry of Environmental Protection, State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaIntroductionMethadone maintenance treatment (MMT) programs have been rapidly scaled up nationwide in China in recent years, and psychosocial intervention measures, including counseling, were recommended for improving the outcomes of MMT. However, the effectiveness of counseling in MMT programs remains controversial. This study investigated the efficacy of educational and behavioral counseling (EBC) mode in an MMT program in China.MethodsA total of 125 eligible participants were randomized to EBC or a control group. Patients in the EBC group received weekly, manual-guided, group educational counseling for 8 weeks and individual behavioral counseling for the next 8 weeks. Patients in the control group received standard methadone maintenance treatment as usual (TAU).ResultsDuring the 16-week trial, the EBC group showed better treatment attendance (P = 0.022) and a greater increase in knowledge regarding heroin addiction (P = 0.001) and MMT (P = 0.005) than did the TAU group. Between the two groups, there were no significant differences regarding drug abstinence and reduction of risky behaviors.ConclusionEBC affiliated with MMT improved patients’ cognition and adherence to treatment, facilitating their successful recovery.Clinical Trial RegistrationChiCTR-IOR-15006673: http://www.chictr.org.cn.http://journal.frontiersin.org/article/10.3389/fpsyt.2018.00113/fullmethadone maintenance treatmentcounselingpsychosocial interventionrandomized controlled trialChina |
| spellingShingle | Pulin Liu Pulin Liu Ranran Song Yao Zhang Cheng Liu Bingxi Cai Xuebing Liu Jiaoyuan Li Xueqin Chen Juntao Ke Jiao Lou Wei Chen Beibei Zhu Li Zou Yang Yang Ying Zhu Yajie Gong Rong Zhong Xiaoping Miao Educational and Behavioral Counseling in a Methadone Maintenance Treatment Program in China: A Randomized Controlled Trial Frontiers in Psychiatry methadone maintenance treatment counseling psychosocial intervention randomized controlled trial China |
| title | Educational and Behavioral Counseling in a Methadone Maintenance Treatment Program in China: A Randomized Controlled Trial |
| title_full | Educational and Behavioral Counseling in a Methadone Maintenance Treatment Program in China: A Randomized Controlled Trial |
| title_fullStr | Educational and Behavioral Counseling in a Methadone Maintenance Treatment Program in China: A Randomized Controlled Trial |
| title_full_unstemmed | Educational and Behavioral Counseling in a Methadone Maintenance Treatment Program in China: A Randomized Controlled Trial |
| title_short | Educational and Behavioral Counseling in a Methadone Maintenance Treatment Program in China: A Randomized Controlled Trial |
| title_sort | educational and behavioral counseling in a methadone maintenance treatment program in china a randomized controlled trial |
| topic | methadone maintenance treatment counseling psychosocial intervention randomized controlled trial China |
| url | http://journal.frontiersin.org/article/10.3389/fpsyt.2018.00113/full |
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