Problematic Use and Addiction in Primary Care

Not yet recruiting

• Conditions: Addiction Disorders; Primary Care
• Interventions: Other: Short training program

• Registration Number: NCT06580756
• Lead Sponsor: University Hospital, Tours

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.

Study Timeline

• Study First Submitted: 2024-08-22
• Study First Submitted QC: 2024-08-29
• Study First Posted: 2024-08-30
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-04
• Last Update Posted: 2024-12-09
• Study Start: 2025-09
• Primary Completion: 2028-08
• Study Completion: 2028-08

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 200

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.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
group intervention	Short training program	Group with a brief training

Primary Outcome Measures

Name	Time	Method
Number of patients who received information about the addictive disorders from the primary care professional	24 months	The main aim of the study was to measure the effect of brief training in the identification of addictive disorders on the rate of patients who actually received the information from the primary care professional.
number of patients identified with an addictive disorder from the primary care professional	24 months	The main aim of the study was to measure the effect of brief training in the identification of addictive disorders on the rate of patients who actually received the information from the primary care professional.

Secondary Outcome Measures

Name	Time	Method
prevalence of addictive disorders in primary care	24 months	Measure the prevalence
types of addictive disorders	24 months	List of addictive disorders identified in patients

Trial Locations

Locations (3)

CPTS Lanmeur; 🇫🇷 Lanmeur, France

CPTS Sud Lochois; 🇫🇷 Ligueil, France

CPTS du Vendomois; 🇫🇷 Vendôme, France