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Using ADAPT-ITT framework to tailor evidence-based interventions for addressing methamphetamine use among methadone patients in Vietnam.
Giang, Le Minh; Trang, Nguyen Thu; Thuy, Dinh Thanh; Nguyen, Hoa H; Diep, Nguyen Bich; Van, Hoang Thi Hai; Truc, Thai Thanh; Reback, Cathy J; Li, Michael; Van Dung, Do; Shoptaw, Steve.
Afiliación
  • Giang LM; Centre for Training and Research on Substance use and HIV, Hanoi Medical University, Hanoi, Vietnam.
  • Trang NT; Centre for Training and Research on Substance use and HIV, Hanoi Medical University, Hanoi, Vietnam.
  • Thuy DT; Centre for Training and Research on Substance use and HIV, Hanoi Medical University, Hanoi, Vietnam.
  • Nguyen HH; Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
  • Diep NB; Centre for Training and Research on Substance use and HIV, Hanoi Medical University, Hanoi, Vietnam.
  • Van HTH; Global Health Department, Hanoi Medical University, Hanoi, Vietnam.
  • Truc TT; Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
  • Reback CJ; Friends Research Institute, Friends Community Center, Center for HIV Identification, Prevention and Treatment Services, University of California, Los Angeles, California, USA.
  • Li M; Center for Behavioral and Addiction Medicine, Department of Family Medicine, University of California, Los Angeles, California, USA.
  • Van Dung D; Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
  • Shoptaw S; Center for Behavioral and Addiction Medicine, Department of Family Medicine, University of California, Los Angeles, California, USA.
Drug Alcohol Rev ; 42(7): 1667-1679, 2023 11.
Article en En | MEDLINE | ID: mdl-37614129
INTRODUCTION: Methamphetamine use threatens positive treatment outcomes in substance use and HIV, for people with opioid use disorders (POUD) in many countries. This paper describes the adaptation of four evidence-based interventions (EBI) (motivational interviewing, contingency management, Matrix group model and SMS text messaging) for treating methamphetamine use among POUD receiving methadone maintenance therapy in Vietnam. METHODS: Following the ADAPT-ITT (Assessment-Decision-Administration-Production-Topical experts-Training-Testing) framework, we conducted 16 focus group discussions with POUD (n = 25) and providers (n = 22) at four methadone clinics in two largest cities (Hanoi in the North, Ho Chi Minh City in the South) to assess patterns of methamphetamine use and to get feedback on proposed EBIs. The proposed EBIs were properly adapted and used to train providers in two of the four methadone clinics. The revised EBIs were tested over 12 weeks among 42 POUD on methadone who use methamphetamine. Post-intervention feedback served to fine-tune the revised EBIs. RESULTS: Insights about patterns of methamphetamine use suggested that EBIs should focus on different triggers to methamphetamine use among POUD receiving methadone treatment in the two cities. All EBIs should emphasise family-related topics to build a strong motivation for treatment. Participants suggested when, where and how each EBI should be delivered. Most participants were satisfied with the adapted EBIs. Limited human resources at methadone clinics might hinder implementation of the adapted EBIs. DISCUSSION AND CONCLUSIONS: We successfully completed the adaptation of EBIs for POUD who use methamphetamine on methadone in Vietnam. The pilot testing of the adapted EBIs demonstrated feasibility and acceptability. TRIAL REGISTRATION: NCT04706624. Registered 13 January 2021. https://clinicaltrials.gov/ct2/show/NCT04706624.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Metanfetamina / Trastornos Relacionados con Opioides Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Drug Alcohol Rev Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2023 Tipo del documento: Article País de afiliación: Vietnam Pais de publicación: Australia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Metanfetamina / Trastornos Relacionados con Opioides Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Drug Alcohol Rev Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2023 Tipo del documento: Article País de afiliación: Vietnam Pais de publicación: Australia