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IRCT2016042816564N6 IRCT 2016-06-08 Urmia University of Medical Sciences, Vice Chancellor of Research The effectiveness of applying continuous care model on lapse and craving of patients that treated are with methadone maintenance therapy The effectiveness of applying continuous care model on lapse and craving of patients that are treated with methadone maintenance therapy in Razi Educational and Treatment Center of Urmia 2016 2016-05-30 anticipated 95 Complete https://irct.ir/trial/15478 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. 2 Condition 1: Opioid Dependency. Condition 2: Cannabis drug dependence. Condition 3: Sedative or hypnotic drug dependence. Condition 4: Cocaine dependence. Condition 5: Hallucinogenic drug dependence. Intervention 1: Continuous Care Model will be implemented on intervention group over a period of 3 months. This model consists of 4 stages which will be done individually. Orientation stage: This stage involves introduction, indicating obviously the objectives and expectations of nurse in the study, determining the expectations of patient, complete the consent, agreement and determining the appointment time and telephone meeting. This stage will be implemented for one session about 20 to 40 minutes. Sensitization stage: At this stage the aim is to involve the patient in the implementation of continuous care and understand the nature of addiction. And also, care consultation will be given about addiction features, substances withdrawal and intoxication signs, how to prevent them, tempting and risk factors and the need to avoid them, the need to continue the treatment and timely and regular visits to addiction treatment center, the importance of physical activity and sport and distraction, healthy relationships and participate in social activities, encourage to use the experiences of treated people, the necessity of leaving bad habits and the importance of continued health behaviors. Counseling and continuous care lead to increase patients’ confidence. Control stage: In this stage, the goal is to change fundamentally and persistently the health behaviors in order to protect and promote leaving state. Then, we will continue to have face to face and telephone counseling and control care needs, the process of care, new problems, persistence of health behaviors, and adherence to treatment. Evaluation stage: That is the fourth and final step which will be considered in all stages. At this stage, care process, successes and failures and respective indices y filling out the questionnaires and recorded clinical findings will be evaluated. Intervention 2: Orientation stages will be implemented as well as for the control group but will differ in terms of time and expectations and future programs slightly. Because the purpose of the orientation stage to the control group is only encouraging the cooperation in implementing periodical controls to complete the intended data. This group will be controlled and treated with usual and ordinary care approaches that are available in the center.
public Javad Namazpoor
No.9- 11Alley- Azari Alley-Taavon 2 eve- Ahandost Blvd -Urmia
Urmia Iran (Islamic Republic of) 5715876663 +98 44 3346 4788 razi_ psychitry@umsu.ac.ir Urmia University of Medical Science scientific Moloud Radfar
No. 24- Fourth alley- 14 m third- rodaky Blvd- Urmia
Urmia Iran (Islamic Republic of) 5756115111 +98 44327549614 Radfar.m@umsu.ac.ir; mradfar1343@gmail.com Faculty of Nursing & Midwifery Iran (Islamic Republic of) Inclusion criteria: Being between 18-48 years old, the diagnostic criteria for opioid dependence, according to psychiatrist, passing at least 3 months of being treated with methadone maintenance therapy and residence in the city of Urmia Exclusion criteria: Psychological disorders that require hospitalization, use of antipsychotics and anticonvulsants at the time of entering the study and lack of willingness or ability to participate in the continuous care meetings 18 years 48 years Both ّF11 F12 F13 F14 ّّّF16 Mental and behavioural disorders due to use of opioids Mental and behavioural disorders due to use of cannabinoids Mental and behavioural disorders due to use of sedatives or hypnotics Mental and behavioural disorders due to use of cocaine Mental and behavioural disorders due to use of hallucinogens Prevention Prevention Continuous Care Model will be implemented on intervention group over a period of 3 months. This model consists of 4 stages which will be done individually. Orientation stage: This stage involves introduction, indicating obviously the objectives and expectations of nurse in the study, determining the expectations of patient, complete the consent, agreement and determining the appointment time and telephone meeting. This stage will be implemented for one session about 20 to 40 minutes. Sensitization stage: At this stage the aim is to involve the patient in the implementation of continuous care and understand the nature of addiction. And also, care consultation will be given about addiction features, substances withdrawal and intoxication signs, how to prevent them, tempting and risk factors and the need to avoid them, the need to continue the treatment and timely and regular visits to addiction treatment center, the importance of physical activity and sport and distraction, healthy relationships and participate in social activities, encourage to use the experiences of treated people, the necessity of leaving bad habits and the importance of continued health behaviors. Counseling and continuous care lead to increase patients’ confidence. Control stage: In this stage, the goal is to change fundamentally and persistently the health behaviors in order to protect and promote leaving state. Then, we will continue to have face to face and telephone counseling and control care needs, the process of care, new problems, persistence of health behaviors, and adherence to treatment. Evaluation stage: That is the fourth and final step which will be considered in all stages. At this stage, care process, successes and failures and respective indices y filling out the questionnaires and recorded clinical findings will be evaluated. Orientation stages will be implemented as well as for the control group but will differ in terms of time and expectations and future programs slightly. Because the purpose of the orientation stage to the control group is only encouraging the cooperation in implementing periodical controls to complete the intended data. This group will be controlled and treated with usual and ordinary care approaches that are available in the center. Lapse. Timepoint: During the 3 months and 3 months before the study intervention. Method of measurement: Nominal-Lapse and absence check list. Craving. Timepoint: before and during the 3 months of intervention. Method of measurement: Craving Questionnaire after leaving. -. Timepoint: -. Method of measurement: -. Urmia University of Medical Sciences, Vice Chancellor of Research Approved 2016-05-18 Ethics committee of Urmia University of Medical Sciences Urmia University of Medical Sciences and Health Serviceو, Next Emergency Center, Resalat Blvd Urmia Iran (Islamic Republic of)