Amir Faisal Mohd Khairi*, Hayati Kadir Shahar, Hejar Abdul Rahman and Norsiah Ali
Background: Relapse among Methadone Maintenance Treatment (MMT) clients is common especially in FELDA settlements. Since majority of MMT clients are Malay Muslims, Islamic Rehabilitation Intervention Module (ISRIM) develop in accordance with Health Belief Model (HBM) framework can be implemented as intervention for relapse prevention in FELDA communities.
Material and methods: A parallel, two arms, single blinded cluster randomized control trial utilizing simple randomization will be conducted, involving 10 MMT clinics clusters. The intervention group receives ISRIM for one session per week for four consecutive weeks, while control group will be on wait-list. Primary outcome is relapse status, measured monthly for six months follow-up by the first positive urine using drugs rapid test. Descriptive and inferential statistics will be done by using Statistical Package for the Social Sciences (SPSS) version 25.0. Multivariate analysis will be done using Generalized Estimating Equations (GEE), adjusted for clustering effect. Intention-To-Treat (ITT), Per Protocol (PP) analysis, interaction terms, constructs terms and key assumption terms with the level of significance set at 0.05 and confidence interval at 95% will be utilized as part of the component of sensitivity analysis.
Results: It is expected that ISRIM will reduce the proportion of relapse among opioid dependents in intervention group as compared to the control group, indicating the effectiveness of ISRIM.
After 2, 12, 24, 48 hours pain was felt accordingly in 54%, 38.5%, 16.8%, 10.6% cases and it was moderate (p<0.05). 1 week and 1 month after the PCI procedure 7.5% of patients felt strong site pain. Chronic pain developed in 3.7% of patient and it was moderate. Compilations were arterial bleeding (9.3%), hematoma (26.7%), hand swelling (66.5%) and neuropathy (6.32%).
Conclusion: It is hoped that from the effectiveness of the intervention, ISRIM could be incorporated into MMT programme as an adjunct intervention to reduce relapse among opioid dependents.
Published Date: 2024-07-19; Received Date: 2020-02-05
