{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T00:54:15Z","timestamp":1793408055495,"version":"4.5.0"},"reference-count":38,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,10,5]],"date-time":"2012-10-05T00:00:00Z","timestamp":1349395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study examines the preliminary outcomes of an intervention targeting service providers in methadone maintenance therapy (<jats:styled-content style=\"fixed-case\">MMT<\/jats:styled-content>) clinics in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hina. The intervention effects on both service providers and clients are reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">MMT CARE<\/jats:styled-content> intervention pilot was developed and implemented collaboratively with local health educators. After three group intervention sessions, trained providers in intervention clinics delivered two individual motivational interviewing sessions with their clients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Settings<\/jats:title><jats:p>Six clinics in <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>ichuan, <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hina, were randomized to either the <jats:styled-content style=\"fixed-case\">MMT CARE<\/jats:styled-content> intervention condition or a standard care condition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>A total of 41 providers and 179 clients were sampled from the six clinics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>At baseline and three\u2010, six\u2010, and nine\u2010month assessments, providers completed self\u2010administrated paper\/pencil questionnaires regarding provider\u2010client interaction, <jats:styled-content style=\"fixed-case\">MMT<\/jats:styled-content> knowledge, perceived job\u2010related stigma and clinic support. Clients completed a face\u2010to\u2010face survey about their concurrent drug use and drug avoidance self\u2010efficacy. Mixed\u2010effects regression models with clinic\u2010level random effect were used to assess the intervention effects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Significant intervention effects for providers were found in improved <jats:styled-content style=\"fixed-case\">MMT<\/jats:styled-content> knowledge, provider\u2010client interaction and perceived clinic support. For clients, better improvements in drug avoidance self\u2010efficacy and reduced concurrent drug use were observed for the intervention compared with the standard care group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">MMT CARE<\/jats:styled-content> intervention targeting providers in methadone maintenance clinics can improve providers' treatment knowledge and their interaction with clients. The intervention can also reduce clients' drug\u2010using behavior through motivational interviewing sessions conducted by trained providers.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1360-0443.2012.04020.x","type":"journal-article","created":{"date-parts":[[2012,7,13]],"date-time":"2012-07-13T21:12:44Z","timestamp":1342213964000},"page":"356-366","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["An intervention targeting service providers and clients for methadone maintenance treatment in <scp>C<\/scp>hina: a cluster\u2010randomized trial"],"prefix":"10.1111","volume":"108","author":[{"given":"Li","family":"Li","sequence":"first","affiliation":[{"name":"Semel Institute for Neuroscience and Human Behavior University of California at Los Angeles  Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zunyou","family":"Wu","sequence":"additional","affiliation":[{"name":"Chinese Center for Disease Control and Prevention  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li\u2010Jung","family":"Liang","sequence":"additional","affiliation":[{"name":"Semel Institute for Neuroscience and Human Behavior University of California at Los Angeles  Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunqing","family":"Lin","sequence":"additional","affiliation":[{"name":"Semel Institute for Neuroscience and Human Behavior University of California at Los Angeles  Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linglin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Sichuan Provincial Center for Disease Control and Prevention  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Guo","sequence":"additional","affiliation":[{"name":"Semel Institute for Neuroscience and Human Behavior University of California at Los Angeles  Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keming","family":"Rou","sequence":"additional","affiliation":[{"name":"Chinese Center for Disease Control and Prevention  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianhua","family":"Li","sequence":"additional","affiliation":[{"name":"Yunnan Institute on Drug Abuse, Kunming  Yunnan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,10,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60315-8"},{"key":"e_1_2_6_3_1","unstructured":"China Ministry of Health Joint United Nations Programme on HIV\/AIDS World Health Organization.2011 Estimates for the HIV\/AIDS Epidemic in China.2007. 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