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| ID | Type | Description | Link |
|---|---|---|---|
| CN_09_217 | Other Grant/Funding Number | OGAC |
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| Name | Class |
|---|---|
| National Center for AIDS/STD Control and Prevention, China CDC | OTHER_GOV |
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The primary goal of this PHE is to determine the effectiveness of a tailored education program for MMT service providers. It was to be evaluated through methadone dose levels prescribed to new patients after training completion. The effects of methadone dose, with and without the inclusion of additional counseling services, would be measured through MMT retention and illicit opioid use.
Methadone treatment has became one of main actions taken in China to control the spread of HIV among drug users. However，the average methadone dose used is relatively low. An intensive methadone maintenance treatment (MMT) provider training on methadone dosage may be effective in increasing the methadone dose levels prescribed to new patients. The study will evaluate the effectiveness of a tailored education program for MMT service providers using subsequent methadone dose prescribed to new patients. The effects of methadone dose, with and without the inclusion of additional psychosocial services, will then be measured through MMT retention and illicit opioid use.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control arm | Other | Using currently practiced methadone dosage prescription methods |
|
| MMT provider dosage training | Experimental | Intensive health care provider training on prescribing methadone dosage based on national guidelines |
|
| MMT provider dosage training/counseling | Experimental | Intensive health care provider training on prescribing methadone dosage, plus providing on-site psychosocial counseling services and peer support to clients . |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MMT provider dosage training | Behavioral | Training on methadone dosing provided to health care providers working in methadone maintenance clinics |
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| Measure | Description | Time Frame |
|---|---|---|
| MMT retention rate | % of patients retained at the end of the year after Methadone maintenance treatment | 12 months |
| Illicit opioid use rate | by urinalysis and self-report | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| HIV, HCV, syphilis and HSV-2 infection seroconversion rate | Patients who were negative converted to being seropositive | 12 months |
| High risk needle practice | Shared needles used for drug injections without cleaning procedures involved |
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Inclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marc Bulterys, MD, PhD | US CDC GAP China | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Center for HIV/STD Prevention and Control, China CDC | Beijing | 100050 | China |
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| ID | Term |
|---|---|
| D006526 | Hepatitis C |
| D013587 | Syphilis |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D006525 | Hepatitis, Viral, Human |
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| ID | Term |
|---|---|
| D003376 | Counseling |
| ID | Term |
|---|---|
| D008605 | Mental Health Services |
| D004191 | Behavioral Disciplines and Activities |
| D003153 | Community Health Services |
| D006296 | Health Services |
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|
| targeted counseling | Behavioral | targeted counseling provided to methadone maintenance clinic attendees |
|
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| national guidelines | Other | Provided a hard copy of the existing national guidelines for methadone dosing |
|
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| 12 months |
| High risk sexual practice | Sex without condoms and also with multiple partners | 12 months |
| Quality of life（WHO Quality of Life -BREF） | Scale of quality of life by WHO | 12 months |
| All-cause mortality | Patients die by all causes during the program | 12 months |
| D014777 |
| Virus Diseases |
| D018178 | Flaviviridae Infections |
| D012327 | RNA Virus Infections |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D014211 | Treponemal Infections |
| D013145 | Spirochaetales Infections |
| D016905 | Gram-Negative Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D015231 | Sexually Transmitted Diseases, Bacterial |
| D012749 | Sexually Transmitted Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D005159 | Health Care Facilities Workforce and Services |