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A Randomized Trial of a Hepatitis Care Coordination Model in Methadone Maintenance Treatment.
- Source :
-
American Journal of Public Health . Oct2013, Vol. 103 Issue 10, pe81-e88. 8p. 1 Diagram, 3 Charts. - Publication Year :
- 2013
-
Abstract
- Objectives. We evaluated the efficacy of a hepatitis care coordination intervention to improve linkage to hepatitis A virus (HAV) and hepatitis B virus (HBV) vaccination and clinical evaluation of hepatitis C virus (HCV) infection among methadone maintenance patients. Methods. We conducted a randomized controlled trial of 489 participants from methadone maintenance treatment programs in San Francisco, California, and New York City from February 2008 through June 2011. We randomized participants to a control arm (n = 245) and an intervention arm (n = 244), which included on-site screening, motivational-enhanced education and counseling, on-site vaccination, and case management services. Results. Compared with the control group, intervention group participants were significantly more likely (odds ratio [OR] = 41.8; 95% confidence interval [CI] = 19.4, 90.0) to receive their first vaccine dose within 30 days and to receive an HCV evaluation within 6 months (OR = 4.10; 95% CI = 2.35, 7.17). A combined intervention adherence outcome that measured adherence to HAV-HBV vaccination, HCV evaluation, or both strongly favored the intervention group (OR = 8.70; 95% CI = 5.56, 13.61). Conclusions. Hepatitis care coordination was efficacious in increasing adherence to HAV-HBV vaccination and HCV clinical evaluation among methadone patients. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HEPATITIS prevention
*METHADONE treatment programs
*BLOOD testing
*CHI-squared test
*COMBINED modality therapy
*COMPARATIVE studies
*CONFIDENCE intervals
*EPIDEMIOLOGY
*IMMUNIZATION
*LONGITUDINAL method
*MEDICAL needs assessment
*MEDICAL protocols
*MEDICAL screening
*HEALTH outcome assessment
*PATIENT compliance
*PATIENT education
*PSYCHOLOGICAL tests
*QUESTIONNAIRES
*RESEARCH funding
*STATISTICAL sampling
*SUBSTANCE abuse
*T-test (Statistics)
*URINALYSIS
*LOGISTIC regression analysis
*DATA analysis
*RANDOMIZED controlled trials
*SOCIAL services case management
*MOTIVATIONAL interviewing
*TREATMENT effectiveness
*CONTROL groups
*REPEATED measures design
*DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 00900036
- Volume :
- 103
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- American Journal of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 90147978
- Full Text :
- https://doi.org/10.2105/AJPH.2013.301458