Li Li1, Li-Jung Liang2, Chunqing Lin2, Nan Feng2, Wei Cao2, Zunyou Wu3. 1. Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, CA, USA. Electronic address: lililili@ucla.edu. 2. Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, CA, USA. 3. National Center for AIDS/STD Control and Prevention, Chinese Centers for Disease Control and Prevention, Beijing, China.
Abstract
BACKGROUND: This study evaluated an intervention aiming to improve methadone maintenance therapy (MMT) service providers' interaction with their patients in China. METHODS:Sixty-eight MMT clinics were randomized to either an intervention or a control condition. Providers in the intervention group attended three group training sessions to enhance their communication skills. Trained providers were encouraged to practice the taught communication skills through provider-initiated individual sessions with their patients. A total of 418 service providers completed assessments from baseline to 24-month. Linear mixed-effects regression models were used to compare self-reported short-term and sustained improvement in provider-patient interaction between the intervention and the control conditions. RESULTS: The intervention group service providers perceived significantly greater short-term and sustained improvement in provider-patient interaction compared to the control group service providers (estimated difference (±SE): 1.20 (0.24) and 1.35 (0.33), respectively; p-values < 0.0001). Providers' baseline job satisfaction was significantly associated with a greater perceived improvement in provider-patient interaction for both periods (reg. coef. (±SE): 0.02 (0.01) and 0.04 (0.01) for short-term and sustained periods, respectively; p-values < 0.01). CONCLUSION: Study findings suggest that the intervention could be beneficial for improving perceived provider-patient interaction in MMT programs. Service providers' job satisfaction should be addressed in training programs for the improvement of provider-patient interaction.
RCT Entities:
BACKGROUND: This study evaluated an intervention aiming to improve methadone maintenance therapy (MMT) service providers' interaction with their patients in China. METHODS: Sixty-eight MMT clinics were randomized to either an intervention or a control condition. Providers in the intervention group attended three group training sessions to enhance their communication skills. Trained providers were encouraged to practice the taught communication skills through provider-initiated individual sessions with their patients. A total of 418 service providers completed assessments from baseline to 24-month. Linear mixed-effects regression models were used to compare self-reported short-term and sustained improvement in provider-patient interaction between the intervention and the control conditions. RESULTS: The intervention group service providers perceived significantly greater short-term and sustained improvement in provider-patient interaction compared to the control group service providers (estimated difference (±SE): 1.20 (0.24) and 1.35 (0.33), respectively; p-values < 0.0001). Providers' baseline job satisfaction was significantly associated with a greater perceived improvement in provider-patient interaction for both periods (reg. coef. (±SE): 0.02 (0.01) and 0.04 (0.01) for short-term and sustained periods, respectively; p-values < 0.01). CONCLUSION: Study findings suggest that the intervention could be beneficial for improving perceived provider-patient interaction in MMT programs. Service providers' job satisfaction should be addressed in training programs for the improvement of provider-patient interaction.
Authors: Hossein Jabbari; Mohamad Zakarria Pezeshki; Mohammad Naghavi-Behzad; Mohammad Asghari; Fariba Bakhshian Journal: Indian J Public Health Date: 2014 Oct-Dec
Authors: Chris Dunn; Doyanne Darnell; David C Atkins; Kevin A Hallgren; Zac E Imel; Kristin Bumgardner; Mandy Owens; Peter Roy-Byrne Journal: J Subst Abuse Treat Date: 2016-03-04
Authors: Leonard J Paulozzi; Joseph E Logan; Aron J Hall; Edna McKinstry; James A Kaplan; Alexander E Crosby Journal: Addiction Date: 2009-09 Impact factor: 6.526