Including the concept of Identifying and giving brief advice for alcohol, tobacco and other drug users into the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke.

Not yet recruiting

Conditions: Substance Use
Alcohol dependence, (2) ICD-10 Condition: F172||Nicotine dependence,

Registration Number: CTRI/2021/09/036870

Lead Sponsor: Kasturba Medical College Manipal

Brief Summary: This study aims to identify the factors associated with substance use; barriers and facilitators for incorporating Screening and Brief Intervention (SBI) for Substance Use Disorders (SUDs) at primary level; and effectiveness of this intervention on substance use and thereby provide valuable insights for integrating this strategy into the ongoing National Programme for prevention & Control of Cancer, Diabetes, Cardiovascular diseases & Stroke (NPCDCS).

**Objectives of this study:**

**Objective 1****:** To explore the barriers and facilitators for implementing screening and brief intervention (SBI) for Substance use disorders at primary health care settings.

**Objective 2**: To estimate the proportion of substance users among people seeking health care services at primary health care settings and to study the factors associated with substance use.

**Objective 3****:**To study the impact of SBI in quitting substance use.

Sample size for 3 objectives are mentioned below:-Objective 1: In-Depth Interview (IDI) will be conducted among 12-15 participants that comprise of Primary care physicians; health care providers like nurses, medical social workers; NCD coordinators and the NPCDCS program officer after obtaining their consent.Objective 2: 1108 (calculated using prevalence of substance use = 15% (Panda et al)

Total sample size is **1120** (12 participants from objective 1 + 1108 participants from objective 2)

Objective 3: The Sample size is found to be 82. Thus, the control arm will have 41 and the intervention arm will have 41 participants

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 1120

Inclusion Criteria

Patients coming to primary care centres will be included in the study if they are aged 18 and above.
Patients who will be alert and oriented to time, place and person.
Participant whose ASSIST score shows moderate risk during screening.

Exclusion Criteria

: Planned to leave the area in the next six months; Not providing reliable contact information to complete the follow-up procedures; Were currently in a residential substance abuse treatment facility.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Effectiveness of brief intervention (BI) on QUITTING substance use.	There will be 4-time points in this trial -baseline, 1st month, 3rd month and end line (6th month) wherein substance usage status, ASSIST score will be evaluated in control and intervention arms. Additionally, at baseline and end-line (6th month) - the lab investigations (GGT among alcohol users and urine cotinine among nicotine users) will be carried out to see the impact of Screening and brief intervention in quitting substance use in both arms.

Secondary Outcome Measures

Name	Time	Method
The study outcomes are thus likely to provide us the means to incorporate the Screening and Brief interventions for SUDs into the existing NPCDCS program which will in future ensure provision of tackling the menace of substance use in the country at primary health care level.	2 years

Trial Locations

Locations (1): Kasturba Medical College Manipal
🇮🇳
Udupi, KARNATAKA, India
Kasturba Medical College Manipal
🇮🇳Udupi, KARNATAKA, India
Dr Anusha Viswanathan
Principal investigator
9940013215
anusha.viswanathan@learner.manipal.edu