Clinical trial NCT06580756: Problematic Use and Addiction in Primary Care
Official title: Development and Validation of a Short Training Course to Help Primary Care Healthcare Professionals Identify Addictive Disorders
Study type: OBSERVATIONAL
Overall status: NOT_YET_RECRUITING
Conditions: Addiction Disorders
Primary Care
Keywords: short training program
Lead sponsor: University Hospital, Tours
Sponsor class: OTHER
First posted: 2024-08-30
Enrollment: 200
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Primary care ambulatory professional

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.

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.

Primary outcomes:
measure: Number of patients who received information about the addictive disorders from the primary care professional
timeFrame: 24 months
measure: number of patients identified with an addictive disorder from the primary care professional
timeFrame: 24 months
Secondary outcomes:
measure: prevalence of addictive disorders in primary care
timeFrame: 24 months
measure: types of addictive disorders
timeFrame: 24 months
Other outcomes:
Locations:
city: Lanmeur
country: France
facility: CPTS Lanmeur
city: Ligueil
country: France
facility: CPTS Sud Lochois
city: Vendôme
country: France
facility: CPTS du Vendomois
Study officials:
affiliation: Tours university
name: Maxime PAUTRAT
role: PRINCIPAL_INVESTIGATOR
References: