Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Medical maintenance: a pilot study

E C Senay1, A G Barthwell, R Marks

  • 1Illinois Department of Alcoholism and Substance, University of Chicago.

Journal of Addictive Diseases
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Fantasies about the fetus in wanted and unwanted pregnancies.

Journal of youth and adolescence·2014
Same author

A postmarketing surveillance program to monitor Ultram (tramadol hydrochloride) abuse in the United States.

Drug and alcohol dependence·2000
Same author

Substance use and the puzzle of adherence.

Focus (San Francisco, Calif.)·1997
Same author

Dangers of cocaine and adrenaline paste. Exceeding the recommended dose may have serious sequelae.

BMJ (Clinical research ed.)·1995
Same author

Fluticasone propionate 0.05% cream in the treatment of atopic eczema: a multicentre study comparing once-daily treatment and once-daily vehicle cream application versus twice-daily treatment.

The British journal of dermatology·1995
Same author

Protracted cutaneous disorders in association with low CD4+ lymphocyte counts.

The British journal of dermatology·1995
Same journal

Moderate drinking or abstinence? Exploring the association of drinking status with multimorbidity in China.

Journal of addictive diseases·2026
Same journal

Sequential dual-target tDCS for tobacco use disorder: A longitudinal pilot case series targeting craving and inhibitory control.

Journal of addictive diseases·2026
Same journal

Comparative outcomes of opioid withdrawal management strategy in patients with injection-related bacteremia.

Journal of addictive diseases·2026
Same journal

Wearable physiological signals and relapse status during smoking cessation: a pilot study.

Journal of addictive diseases·2026
Same journal

Admitting powerlessness empowers recovery from substance use disorder: a conceptual model.

Journal of addictive diseases·2026
Same journal

President's message: the perilous illusion of supervised injection sites.

Journal of addictive diseases·2026
See all related articles

This study found that an enhanced methadone maintenance program, including more frequent contact and random urine screens, was as effective as standard care. The improved program was also more cost-effective, potentially freeing resources for HIV prevention.

Area of Science:

  • Addiction Medicine
  • Public Health

Background:

  • Methadone maintenance therapy is a cornerstone of opioid use disorder treatment.
  • Optimizing treatment protocols can improve patient outcomes and resource allocation.

Purpose of the Study:

  • To evaluate the efficacy and cost-effectiveness of an enhanced methadone maintenance program compared to standard care.
  • To assess patient adherence and satisfaction with the enhanced program.

Main Methods:

  • A one-year randomized controlled trial involving 130 patients with a history of good treatment performance.
  • Experimental group received enhanced services: monthly counseling, doctor visits, bi-monthly methadone pickup, random urine screens, and diversion control.
  • Control group received standard care for six months, then transitioned to the enhanced program.

Related Experiment Videos

Main Results:

  • No significant differences in urine screen results or Addiction Severity Index (ASI) scores between groups.
  • High completion rates (75%) for the year-long study.
  • Patients reported high satisfaction, deeming a return to standard care a hardship.

Conclusions:

  • The enhanced methadone maintenance program is effective and comparable to standard care.
  • The enhanced program is more cost-effective, with potential to redirect resources to the HIV epidemic.
  • Patient-centered enhancements in treatment do not compromise outcomes and improve satisfaction.