A systematic review of interventions to increase the uptake of opiate substitution therapy in injecting drug users

Jonathan Roberts, Hugh Annett, Matthew Hickman

Research output: Contribution to journalArticle (Academic Journal)

6 Citations (Scopus)

Abstract

BACKGROUND: Opiate substitution therapy (OST) has multiple benefits and is a key component of overdose and blood-borne virus prevention in injecting drug users (IDUs). Interventions that can increase the uptake of OST and/or re-engage people in treatment could become an important component of harm reduction. A systematic literature review was conducted for studies of interventions designed to increase the uptake of OST.

METHODS: Searches were conducted using Medline, Embase, PsycInfo and CINHAL. We concentrated on an adult population in a community setting and English language studies.

RESULTS: Eighty nine studies were identified after filtering search results, of which, 14 met the inclusion criteria. Studies were broadly categorized into motivational interventions (MI), case management (CM) or mixed approaches. Meta-analysis was performed on six studies investigating MI and two studies investigating CM interventions. Individuals exposed to MI were 1.46 times more likely to enter treatment at follow-up (95% CI: 1.14-1.86, P = 0.003) and individuals exposed to CM were 2.95 times more likely to be entering treatment at follow-up (95% CI: 2.08-4.17, P < 0.001).

CONCLUSIONS: There appears to be a promising effect for the use of both CM and MI approaches to increase the uptake of IDUs into treatment. Further investigation of these interventions is warranted.

Translated title of the contributionA systematic review of interventions to increase the uptake of opiate substitution therapy in injecting drug users
Original languageEnglish
Pages (from-to)378-84
Number of pages7
JournalJournal of Public Health (United Kingdom)
Volume33
Issue number3
DOIs
Publication statusPublished - Sep 2011

Bibliographical note

Publisher: Oxford University Press

Keywords

  • Cognitive Therapy
  • Health Services Research
  • Humans
  • Motivation
  • Opiate Substitution Treatment
  • Substance Abuse, Intravenous

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