ArticleThe International journal on drug policy2026
Integrating evidence-based methamphetamine interventions into methadone clinics: Structural barriers and implementation opportunities.
Article in The International journal on drug policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
Abstract
backgroundIntegrating evidence-based methamphetamine interventions into methadone programs is critical to address increasing methamphetamine use among methadone patients. This study examined the barriers and facilitators of implementing such integration in Vietnam.
methodWe conducted a qualitative study nested within an adaptive trial, Screen, Treat and Retain Meth-Using People with Opioid Use Disorder in Methadone Clinics (STAR-OM), integrating evidence-based methamphetamine interventions into 15 methadone clinics. Seventy-six in-depth interviews were conducted with participants and methadone providers to seek their experience implementing or receiving the study interventions. Interview guides were based on the Consolidated Framework for Implementation Research. Data was analyzed using thematic analysis to identify and explore key themes.
resultsResults reflected a tension between strong clinical support for integrating methamphetamine interventions and substantial structural constraints. The main facilitator was the perceived impact of interventions driven by social accountability and engagement with peers, providers and family members. Key barriers operated primarily at structural levels and included: (1) restrictive policy environments despite local demand for intervention; (2) workforce precarity and limited financial resources, particularly for contingency management; and (3) logistical implementation challenges such as organizing group sessions, burdensome urine testing, falsified urine samples and limited use of SMS-based reminders.
conclusionWhile evidence-based methamphetamine interventions were widely perceived as beneficial, major barriers existed at the policy and program levels. Macro-level actions - such as advocating for more harm reduction - oriented drug policies and strengthening workforce capacity - alongside pragmatic, clinic-level implementation strategies are essential for the sustainable adoption and scale-up of evidence-based methamphetamine interventions within Vietnam's methadone program.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.