Problematic Use and Addiction in Primary Care

NCT ID: NCT06580756

Last Updated: 2024-12-09

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Total Enrollment: 200 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2025-09-30
• Study Completion Date: 2028-08-31

Brief Summary

The morbi-mortality and social cost of addictive disorders led the French authorities to set up a government plan in 2018 to combat drugs and addictive behavior (Interministerial mission to combat drugs and addictive behaviour - (MILDECA)). In particular, it encourages early detection, which is the first stage in a validated global approach to the management of addictive disorders. Improving early identification of addictive disorders in primary care would reduce morbidity and mortality and improve quality of life for patients with addictive disorders. The identification of use disorders should be systematic in primary care and was the subject of a recommendation in 2015. Numerous tests are cited in these recommendations, but few have actually been validated in primary care, and none has been shown to be feasible. For example, only 23% of GPs claim to systematically identify alcohol consumption.

Other primary care professionals (physiotherapists, nurses, midwives, dentists, pharmacists) also have a role to play in identifying addictive disorders. The evolution of their respective professions (delegation of tasks, creation of the profession of advanced practice nurse, medical assistants) and the recent reorganization of the practice framework, both in terms of practice structures and professional community organizations, involve them in a global multidisciplinary collaboration on patient care, particularly in the early identification of addictive disorders.

The hypothesis is that the difficulties in implementing tests to identify addictive disorders in primary care are linked to the lack of specific consideration of the needs of primary care patients and caregivers.

The overall aim of the study is to improve the early detection of addictive disorders through brief training for primary care healthcare professionals.

Detailed Description

The project comprises three successive stages:

1. Design a training program with content tailored to primary care professionals;

2. Evaluate the feasibility and acceptability of the training;

3. Evaluate the implementation of this training program by comparing the incidence of addiction disorder detection by primary care professionals between a trained and an untrained group.

Conditions

Addiction Disorders; Primary Care

Keywords

short training program

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: PROSPECTIVE

Study Groups

group intervention

Group with a brief training

Short training program

Intervention Type: OTHER

Training in the early identification of addictive disorders in primary care

group control

Group without a brief training

No interventions assigned to this group

Interventions

Short training program

Training in the early identification of addictive disorders in primary care

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• be a primary care professional (physiotherapists, nurses, midwives, dentists, pharmacists, General practitioner)
• in ambulatory practice. Recruitment will be carried out with the help of territorial professional health communities, to include practitioners practicing in conditions representative of the diversity of primary care practice.

GPs agreeing to take part will be divided into a control group and an intervention group, by drawing lots.

Exclusion Criteria

• Refusal to participate.
• The same participant may not be included in more than one stage.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University Hospital, Tours

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Maxime PAUTRAT

Role: PRINCIPAL_INVESTIGATOR

Tours university

Locations

CPTS Lanmeur

Lanmeur, , France

CPTS Sud Lochois

Ligueil, , France

CPTS du Vendomois

Vendôme, , France

Countries

France

Central Contacts

Maxime PAUTRAT

Role: CONTACT

Phone: 02 47 59 61 52

Email: maxime.pautrat@univ-tours.fr

Agathe EDELINE

Role: CONTACT

Phone: 02 47 82 89 77

Email: agathe.edeline@univ-tours.fr

Facility Contacts

Jean Yves LE RESTE

Role: primary

Maxime PAUTRAT

Role: primary

Alain AUMARECHAL

Role: primary

Other Identifiers

DR230127-PAPRICA

Identifier Type: -

Identifier Source: org_study_id