| Objectives:The purpose of this study is to investigate the treatment motivation and compliance status of methadone maintenance treatment personnel in Hongta District,Yuxi City.In addition,this study designed a WeChat official account with targeted online interventions to improve the cognition,motivation and treatment compliance of methadone maintenance treatment personnel,and to evaluate the feasibility of online mobile health interventions for methadone maintenance treatment Sexuality,satisfaction and the effects of initial interventions.After the assessment,the WeChat official account will be adjusted to provide a basis for subsequent intervention.Methods:In this project,a randomized controlled study was conducted in the methadone maintenance treatment clinic of Yuxi City.The subjects who met the inclusion criteria signed informed consent,and then were randomly divided into two groups.Baseline survey was carried out for all subjects,including general demographic situation,methadone maintenance treatment,motivation survey,cognitive attitude,treatment compliance,and cognition of AIDS,HCV and syphilis.After the end of the baseline assessment,the two groups were given different interventions.The intervention group received health education data through WeChat public account(YXMMT),inquired personal medication,urine test records,risk assessment scores,and gave feedback on problems and needs.The control group received routine attention(regular distribution of health education paper data).Three months after the intervention,the subjects were evaluated,including:motivation survey of methadone maintenance treatment,cognition,compliance,cognition of AIDS,HCV and syphilis,and evaluation of WeChat public account.Finally,10-15 people were selected to complete qualitative interviews to collect feedback and opinions on the use of WeChat public account.Results:A total of 166 methadone maintenance treatment personnel were included in the study,including 136 men and 30 women,with an average age of 42.48±6.861 years.After 3 months of intervention,61 people in the intervention group and 54 people in the control group;51 people were missing,including 25 people in the intervention group and 26 people in the control group.The main reason was that they received compulsory detoxification again.There was no significant difference in the scores of the total methadone maintenance treatment scale and each dimension between the two groups before and after the intervention(P>0.05).After the intervention,the average score of methadone treatment motivation,willingness to ask for help,and external pressure in the control group were lower than before the intervention.The external pressure in the intervention group changed significantly,and the difference was statistically significant(P<0.05).Before and after the intervention,there was no significant difference between the two groups of subjects in Morisky medication compliance,MMT medication status,and whether there was any sneak inhalation(P>0.05).After the intervention,there were significant changes in Morishy medication compliance and MMT medication in the intervention group and the control group,and the difference was statistically significant(P<0.05).Secretly drug abuse control group was statistically significant difference(P<0.05).After the intervention,the awareness rates of methadone,HIV,HCV and syphilis-related knowledge in the intervention group were 62.3%,91.8%,78.7%,and 62.3%,respectively.The awareness rates of methadone,HIV,HCV and syphilis-related knowledge in the control group were 57.4%,90.7%,79.6%,and 61.1%,respectively.Before and after the intervention,there was no significant difference in the awareness rate of methadone,HIV,HCV and syphilis between the two groups of study subjects(P>0.05).The proportion of negative urine test was significantly different over time(P<0.05).After 2 months and 3 months of intervention,the proportion of negative urine test in the intervention group and the control group was significantly higher than the baseline level(P<0.05).The results of the survey on the WeChat official account showed that 29 users use the WeChat official account at least once a day,and 7 people never use it;96.3%of users believe that access to information in a small auditorium in health MMT is helpful;most users want healthy small auditorium of the update frequency in the 2 to 3 times per week 59.3%;Understanding relevant knowledge can best motivate 72.2%of users to use the "YXMMT" official account;in the future,96.3%of users are willing to use the official account as an intervention method as part of your daily diagnosis and treatment process and are willing to recommend other methadone maintenance treatment personnel to use this official account.Conclusion:This study uses WeChat public account to help MMT patients carry out online intervention,which is helpful to improve the treatment motivation of MMT patients,especially in the aspects of problem cognition and help seeking willingness.In addition,it is very helpful to improve the medication compliance,methadone,AIDS,HCV and syphilis related knowledge.The evaluation of the intervention effect of WeChat public account showed that the proportion of negative urine test was higher than that of baseline survey.Although there is no difference in the maintenance treatment time between the intervention group and the control group,the follow-up continuous intervention will have a certain positive significance to avoid loss.In terms of the use ofWeChat public account,it shows that the overall satisfaction is good,users can understand the information pushed,and adapt to the overall function well without modifying it for the time being.This intervention can help MMT patients improve their knowledge of detoxification,disease prevention and self-management from different aspects,and it is also helpful for MMT patients to understand the treatment process.It can not only achieve good treatment effect,but also be beneficial for subsequent maintenance treatment.Therefore,the promotion of this WeChat public account has positive significance for the management of MMT patients. |
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