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Published on: January 22, 2016
Integrating evidence-based methamphetamine interventions into methadone clinics: Structural barriers and
Nguyen Thu Trang1, Dinh Thi Thanh Thuy1, Hoa Hong Nguyen2
1Center for Training and Research on Substance Use & HIV, Hanoi Medical University, Vietnam.
The International Journal on Drug Policy
|July 17, 2026
Summary
Integrating evidence-based methamphetamine interventions into methadone programs faces significant policy and structural barriers in Vietnam, despite clinical support. Addressing these requires policy reform and enhanced workforce capacity for successful scale-up.
Area of Science:
- Public Health
- Substance Use Disorders
- Implementation Science
Background:
- Increasing methamphetamine use among patients in methadone programs necessitates integrated interventions.
- Vietnam's methadone clinics face challenges in incorporating evidence-based methamphetamine treatments.
Purpose of the Study:
- To examine barriers and facilitators to integrating evidence-based methamphetamine interventions into methadone programs in Vietnam.
- To understand provider and patient experiences with these integrated interventions.
Main Methods:
- Qualitative study nested within the STAR-OM adaptive trial.
- Seventy-six in-depth interviews with participants and methadone providers.
- Thematic analysis guided by the Consolidated Framework for Implementation Research.
Main Results:
- Strong clinical support for interventions contrasted with significant structural constraints.
- Facilitators included perceived impact, social accountability, and engagement with stakeholders.
- Barriers involved restrictive policies, workforce precarity, limited funding, and logistical issues like urine testing.
Conclusions:
- Evidence-based methamphetamine interventions are perceived as beneficial but face policy and program-level barriers.
- Sustainable adoption requires macro-level policy changes (harm reduction, workforce strengthening) and clinic-level strategies.
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