Variations in methadone treatment practices. Results from a national study.
Variations in methadone treatment practices. Results from a national study.
复制标题
美沙酮治疗方法的变化。
DOI：
10.1001/jama.1992.03480020063032
复制
发表时间：
1992
期刊：
影响因子：
--
通讯作者：
Thomas E. Vaughn
中科院分区：
文献类型：
--
作者：
Thomas D'Aunno;Thomas E. Vaughn
目的
检查门诊美沙酮维持治疗单位在多大程度上从事以前的研究表明是无效的治疗实践（例如，剂量水平不足）;检查因素，可能与美沙酮治疗实践的变化。
设计
科室主任和临床督导员调查。
设置
该研究包括在所有权（公共，私人营利性或私人非营利）和设置（例如，基于医院，基于精神健康中心或独立设施）方面有所不同的单位。
参与者
全国随机抽样的172个单位参加，为82%的答复率;数据进行加权，以确保他们是全国代表性。
主要观察指标
客户对剂量的认识和影响;单位对带回家剂量的使用;剂量上限;平均剂量水平;单位对减少剂量的重视;鼓励客户解毒的时间;平均治疗时间。
结果
数据表明，许多单位的治疗实践，如低平均剂量水平，根据大多数以前的研究是无效的。平均剂量水平较高的单位平均治疗时间较长。
结论
应采取措施监测并在必要时改变美沙酮单位的治疗做法，这些做法提供的剂量水平不足，客户投入很少。
OBJECTIVE
To examine the extent to which outpatient methadone maintenance treatment units are engaging in treatment practices that previous research indicates are ineffective (eg, inadequate dose levels); to examine factors that may be related to variation in methadone treatment practices.
DESIGN
Survey of unit directors and clinical supervisors.
SETTING
The study includes units that vary in terms of ownership (public, private for-profit, or private not-for-profit) and setting (eg, hospital-based, mental health center-based, or free-standing facility).
PARTICIPANTS
A national random sample of 172 units participated, for an 82% response rate; the data were weighted to ensure that they were nationally representative.
MAIN OUTCOME MEASURES
Clients' awareness of and influence on doses; units' use of take-home dosages; upper limits on doses; average dose levels; unit emphasis on decreasing dosages; time when clients are encouraged to detoxify; average length of treatment.
RESULTS
The data indicate that many units have treatment practices such as low average dose levels that are not effective according to the majority of previous studies. Units with higher average dose levels have longer average lengths of time in treatment.
CONCLUSIONS
Steps should be taken to monitor and, if necessary, change the treatment practices of methadone units that are providing inadequate dose levels with little client input.
静脉吸毒者中预防艾滋病的目标群体：2.“硬”数据研究。
影响因子：
5.9
作者：
DesJarlais,DonC;Friedman,SamuelR;Casriel,Cathy
通讯作者：
Casriel,Cathy