Addictology Expert Patients' Fields of Intervention

NCT04458987 | Completed

• 1 other identifier: APHP190489
• Study Type: interventional
• Target: 69
• Locations: 1 country
• Sites: 1

Brief Summary

Although there are many publications concerning the benefit of the interventions of the self-help movements and peer health mediators in psychiatry, no studies have described the intervention specific to patients with expertise in addictology (EP), nor evaluated their effectiveness. The objective of this study is twofold: identify and define the fields of intervention of EPs adapted to the specific needs of addictology patients. And validate, through a pilot study, the intermediate effectiveness of EP intervention. This EP intervention will be built on the areas of expertise defined in the first step. Intermediate effectiveness will be measured by patients' ability to manage their addiction. The first part of the study will consist of a preliminary qualitative patient-centered study to clarify patients' needs and expectations regarding the content of the EPs' intervention into a one addictology service of the university hospital of Bichat, Paris, France. This will make it possible to translate these needs into fields of expertise to address during the EPs' intervention and will result in the creation of a hetero-questionnaire. The second part of the study will consist of a before-and-after comparative study on inpatients who are their own controls based on the hetero-questionnaire constructed through the qualitative study. This study will identify the main EP's intervention fields in addictology in which EP are more relevant to patients. Thus, their inpatient interventions can be validated and improved, and better carried by addiction professionals.

Conditions

Substance-Related Disorders

Keywords

expert patients; addictology; withdrawal; addiction

Outcome Measures

Primary Outcomes (1)

• median of the difference of the score of the competency questionnaires between D0 and H48 will be compared between the group before and the group after

  This EP intervention will be built on the areas of expertise defined in the first step. Intermediate effectiveness will be measured by patients' ability to manage their addiction. This will be measured by a hetero-questionnaire, created by the first part of the study, evaluating the skills acquired by patients before and after this intervention. As this is a new scale created thanks to the forst part of the study, the investigators don't know what will be the minimum, the maximum or/and the relation between the score and the outcome

  48 hours

Study Arms (1)

Expert patient in addictology

EXPERIMENTAL

before/ after comparison, each patients being its own control

Behavioral: Expert patient in addictology

Interventions

Expert patient in addictology BEHAVIORAL

EP's Intervention, with patients hospitalized for addiction withdrawal. These are weekly individual interviews, in room, proposed by the EPs to inpatients. The content of the intervention will be defined trough the results of step one of the study.

Expert patient in addictology

Eligibility Criteria

• Age: 18 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients hospitalized in the addictology department at the Bichat-Claude Bernard Hospital in Paris, for withdrawal.
• Substance use disorder, diagnosed according to the criteria of the DSM-5, i.e. at least 2 diagnostic criteria.
• Patients who have received information about the research and signed the consent form.

You may not qualify if:

• Severe cognitive impairment i.e. MoCA scale \< or = 10
• Severe psychiatric conditions assessed using the MINI scale : Acute psychotic episode, Manic or hypomaniacal episode, Severe depression
• non comprehension of french
• patient Under guardianship or curatorship
• patient refusal

Sponsors & Collaborators

• Assistance Publique - Hôpitaux de Paris: lead

Study Sites (1)

Département psychiatrie et addictologie Bichat Claude Bernard

Paris, 75018, France

Location

MeSH Terms

Conditions

Substance-Related Disorders; Behavior, Addictive

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders; Compulsive Behavior; Impulsive Behavior; Behavior

Study Officials

• Chanaëlle OBADIA, MD

  APHP

  PRINCIPAL INVESTIGATOR

• Aurélie BOURMAUD, PhD

  APHP

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: patients hospitalized for addiction withdrawal in the addiction service of the university hospital Bichat, Paris, France

Study Record Dates

• First Submitted: January 27, 2020
• First Posted: July 7, 2020
• Study Start: June 19, 2020
• Primary Completion: May 19, 2021
• Study Completion: May 19, 2021
• Last Updated: October 18, 2021

Record last verified: 2020-10

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)