Problematic Use and Addiction in Primary Care
NCT Number: NCT06580756
Acronym: PAPRICA
Status: NOT_YET_RECRUITING
Study Type: OBSERVATIONAL
Conditions: Addiction Disorders|Primary Care
Interventions: OTHER: Short training program
Sponsor: University Hospital, Tours
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 200
Study Design: Observational Model: |Time Perspective: p
Start Date: 2024-10
Completion Date: 2028-08
Locations: CPTS Lanmeur, Lanmeur, 29620, France|CPTS Sud Lochois, Ligueil, 37240, France|CPTS du Vendomois, Vendôme, 41100, France

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.

Primary Outcome Measures: Number of patients who received information about the addictive disorders from the primary care professional, 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., 24 months|number of patients identified with an addictive disorder from the primary care professional, 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., 24 months
Secondary Outcome Measures: prevalence of addictive disorders in primary care, Measure the prevalence, 24 months|types of addictive disorders, List of addictive disorders identified in patients, 24 months