Strengthening Community Addiction Services in Vietnam

Not Applicable

Active, not recruiting

• Conditions: Addiction, Opioid
• Interventions: Behavioral: Community Care Consortium (CCC)

• Registration Number: NCT05315492
• Lead Sponsor: University of California, Los Angeles

Brief Summary

This study aims to develop and test an intervention to enhance the addiction service continuum with the joint effort of commune health workers and family members of people who use drugs in Vietnam.

Detailed Description

The study will develop and test an intervention to strengthen a continuum of addiction services. The intervention, entitled "Community Care Consortium (CCC)," features community health workers' joint effort with family members to provide patient-centered, individualized addiction care and support. The intervention will be developed and tested through three phases in three regions of Vietnam (Ninh Binh, Da Nang, and Can Tho).

In Phase 1, we will conduct formative studies with commune (community) health workers (CHW), community representatives, PWUD, and their family members to identify barriers to addiction service utilization and discuss potential strategies to establish a continuum of addiction services. Based on the formative study findings, the CCC Intervention and its implementation plans will be developed through workgroup meetings with researchers, community members, and target users.

In Phase 2, the CCC Intervention will be piloted in three communes and revised based on acceptability/feasibility data, process evaluation, and feedback from field staff and participants.

In Phase 3, a randomized controlled trial of the CCC Intervention will be conducted in 60 communes, which will be randomized to either an intervention condition or a control condition (30 communes in each condition). A total of 720 PWUD, 720 of their family members, and 180 commune health workers (CHW) will participate in the study. The intervention outcomes on PWUD, CHW, and family members will be assessed with the data collected at baseline, 3-, 6-, 9- and 12-month follow-ups.

Study Timeline

• Study First Submitted: 2022-03-21
• Study First Submitted QC: 2022-03-29
• Study First Posted: 2022-04-07
• Study Start: 2024-04-17
• Status Verified: 2025-02
• Last Update Submitted: 2025-02-06
• Last Update Posted: 2025-02-10
• Primary Completion: 2025-09
• Study Completion: 2026-07

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 1620

Inclusion Criteria

• Age 18 or older
• Having a history of drug use
• Having disclosed drug using status to at least one of his/her family members and is willing to invite this family member to our study
• Currently residing in the selected communes
• Voluntary written informed consent

Exclusion Criteria

• Inability to give informed consent

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention communes	Community Care Consortium (CCC)	CCC intervention

Primary Outcome Measures

Name	Time	Method
PWUD's STTR fulfillment score	Changes from baseline to 3-, 6-, 9- and 12- month follow-ups	This overall score consists of individual indicators in 4 domains: Seek,Test, Treat, Retain

Secondary Outcome Measures

Name	Time	Method
CHW's addiction-related service provision and support	Changes from baseline to 3-, 6-, 9- and 12- month follow-ups	CHW's service provision and support such as patient referrals and support for treatment retention measured by frequencies of appointment reminder, follow-up activities

Trial Locations

Locations (2)

Community Health Centers; 🇻🇳 Ninh Bình, Vietnam

National Institute of Hygiene and Epidemiology; 🇻🇳 Hanoi, Vietnam