title: Motivational profiles of clients seeking methadone maintenance therapy in China.
abstract: OBJECTIVE
  This study applied a stage-of-change model to examine the motivational profiles of clients seeking methadone maintenance therapy (MMT) in China.
  
  
  METHODS
  Face-to-face interviews were conducted with a total of 179 clients from six MMT clinics. The University of Rhode Island Change Assessment (URICA) scale was used to measure the participants' motivation and readiness to change. Cluster analysis was performed to classify the sample into subgroups with respect to their change dimensions.
  
  
  RESULTS
  The study sample was allocated into five distinct clusters: uninvolved, denial, pre-participation, ambivalent, and participation. Participants who were classified in the denial cluster were older than those in the pre-participation and participation clusters. A higher level of motivation to change was positively associated with continued heroin use and more severe drug problems.
  
  
  CONCLUSIONS
  It would be beneficial to evaluate motivational profiles of individual clients in the treatment planning process and provide tailored interventions for sustained treatment retention and outcomes.
authors.affiliation: Semel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California at Los Angeles, Los Angeles, CA 90024, USA. lililili@ucla.edu
authors.forename: Li
authors.initials: L
authors.lastname: Li
authors.forename: Yingying
authors.initials: Y
authors.lastname: Ding
authors.forename: Wenhong
authors.initials: W
authors.lastname: Lai
authors.forename: Chunqing
authors.initials: C
authors.lastname: Lin
authors.forename: Wei
authors.initials: W
authors.lastname: Luo
mesh_terms: D000328:Adult; D002681:China; D005260:Female; D006801:Humans; D008297:Male; D008691:Methadone / Q000627:therapeutic use*; D008875:Middle Aged; D009042:Motivation; D009294:Narcotics / Q000627:therapeutic use*; D058850:Opiate Substitution Treatment / Q000523:psychology*; D009293:Opioid-Related Disorders / Q000523:psychology / Q000534:rehabilitation*
chemical_list: D009294:Narcotics; D008691:Methadone