Long-term Follow-up Study of Substance Abuse Screening and Intervention in Multi Primary Care Centers

Study Overview
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Brief Summary
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The purpose of this research is to improve the ability of primary medical staffs in screening and intervention for alcohol, benzodiazepines, and other illicit drug use.

Detailed Description
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In order to reduce the social and personal harm caused by drugs, it is urgent to strengthen the ability of the primary health institutions in screening and intervention the addictive substances use. Firstly, the investigators will invite 10 primary medical staffs and 10 experts in addition to revise the manual of Alcohol, Smoking, and Substance Use Involvement Screening Test (ASSIST) and Brief Intervention (BI). Then, the investigators will recruit related medical staffs in five provinces to participate the training of ASSIST and BI. Secondly, the researcher will investigate the effects of BI technology in reducing the use of addictive substances, improve the addiction related knowledge of patients through randomized controlled study. Finally, the investigators will collect the research information, revise the manual, and promote the training.

Official Title
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Long-term Follow-up Study of Substance Abuse Screening and Intervention in Multi Primary Care Centers

Conditions
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Substance Use

Intervention / Treatment
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* Other: Intervention Group
* Other: Control Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: aged 18-75 years; the patient to the community medical institutions; ASSIST score is in 12-27, in a moderate risk; voluntary to participate; to agree to complete baseline interviews and follow-up studies Exclusion Criteria: unable to complete the questionnaire; serious physical illness, action inconvenience.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Group<br>The medical staffs who received the training will use the manual of brief intervention to deliver it and other materials about the harm of substance use. | Other: Intervention Group<br>* The medical staffs who received the training will use the manual of brief intervention to deliver BI and other materials about the harm of substance use.BI refers to a standard 15-30 minute intervention that includes a series of standard models that stimulate knowledge, motivation and behavior that reduce substance abuse.the harm of substance use is a dedicated paper publicity handbook, written by the SHMC, detailing the hazards of substance abuse.<br>|
| Other: Control Group<br>The participants only receive the materials about the harm of substance use | Other: Control Group<br>* The participants only receive the materials about the harm of substance use.the harm of substance use is a dedicated paper publicity handbook, written by the SHMC, detailing the hazards of substance abuse.<br>|
| Experimental: Intervention Group 1<br>The medical staffs who received the training will use the manual of brief intervention twice to deliver it and other materials about the harm of substance use. | Other: Intervention Group<br>* The medical staffs who received the training will use the manual of brief intervention to deliver BI and other materials about the harm of substance use.BI refers to a standard 15-30 minute intervention that includes a series of standard models that stimulate knowledge, motivation and behavior that reduce substance abuse.the harm of substance use is a dedicated paper publicity handbook, written by the SHMC, detailing the hazards of substance abuse.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline in risk behaviors at 1 and 3 month | Risk Behaviors will be measured by ASSIST questionnaire. | baseline, 1 and 3 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Knowledge related to Substance Use measured by Knowledge related to Addiction questionnaire | Knowledge related to substance use will be measured by Knowledge related to Addiction questionnaire | baseline, 1 and 3 month | 
| Motivation measured by Pre-treatment Readiness Scale | PRSS is a 5-point scale and the highest score at any stage represents the patient at this stage. | baseline, 1 and 3 month | 
| Depression measured by Self-Rating Depression Scale (SDS) | SDS contains 20 items and the standard total score is 53, 53-62: mild to mild depression; 63-72: moderate to severe;> 72: severe depression | baseline, 1 and 3 month | 
| Anxiety measured by Self-Rating Anxiety Scale (SAS). | SDS contains 20 items. According to the Chinese norm results, the standard points of the cut-off value is 50 points, of which 50-59 is divided into mild anxiety, 60-69 is divided into moderate anxiety, 70 points for severe anxiety | baseline, 1 and 3 month | 
| Self-esteem measured by Self-esteem questionnaire | the change of self-esteem will be measured by Self-esteem questionnaire. | baseline, 1 and 3 month | 
| Positive and Negative Affect measured by Positive and Negative Affect Scale (PANAS) | It contains 20 entries. A high positive emotional score indicates an individual's energy, concentration, and emotional well-being while a low score indicates indifference. Negative emotional high points that the individual subjective feeling puzzled, painful emotional state, while the score is low that calm. | baseline, 1 and 3 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Screening, Brief Intervention, and Referral to Treatment, Substance Use