Interaction Patients Experts During the Addiction Care Pathways

NCT05284370 | Unknown DMC

• 1 other identifier: APHP200963
• Study Type: observational
• Target: 170
• Locations: 1 country
• Sites: 1

Brief Summary

"In France and abroad, patient involvement is increasingly encouraged through the development of experiences involving patients in their care or that of their peers. The Association of PEs in Addictology (APEA) and the Addictology Department of the Bichat Hospital (APHP- Nord, University of Paris) have established a partnership in which PEs volunteer to work with patients throughout the course of their care. To date, no study has evaluated the impact of the PE program in addictology. A preliminary study within the department and the APEA is needed to evaluate the benefits to patients and caregivers, the feasibility and the cost in terms of staff time of implementing the PE program. The main objective of the project is to describe the care pathways of patients through their interactions with the PEs and the overall addiction care system, over a period of one year, within the Psychiatry-Addictology Department of the Bichat Hospital and then in the outpatient setting. The secondary objectives are to characterize and describe the patients' profiles according to these pathways; as well as to describe the contribution of EPs in the process of coordinating the care of these patients (interaction between patients - EPs - health professionals). This is a non-interventional monocentric cohort study in the Psychiatry-Addictology Department of the Bichat Hospital. In practice, data concerning interactions between patients and EPs and caregivers and EPs will be collected by EPs directly on an eCRF after each contact, for 12 months from inclusion. Patients will be followed during their care pathway for a total of one year, by two telephone assessments at 3 months and 6 months of hospital discharge. A final visit will be made 12 months after hospital discharge by face-to-face interview. Participation will end at the time of the debriefing interview, one year after inclusion. Modeling the interactions between patients and EPs, and between caregivers and EPs during a course of care in addictology, will lead to a better knowledge of the EP system and the place of EPs in the trajectories of addictology care. The effectiveness of the PE system can thus be recognized in the management of addictions, in complementarity with the caregivers. The driving factors for implementation will be identified in order to improve the dissemination of the PE system to other centers."

Conditions

Addiction

Keywords

Expert patient; Addictions; Patient engagement; Treatment; Care pathway

Outcome Measures

Primary Outcomes (1)

• Description of patients' care pathways through their interactions with EPs and the overall addiction care system, over a one-year period

  Description of patients' care pathways through their interactions with EPs and the overall addiction care system, over a one-year period

  Continuously for 1 year

Secondary Outcomes (26)

• Characterize and describe patient profiles according to these pathways

  Inclusion, 3 months, 6 months and 12 months

• Describe the contribution of EPs in terms of care coordination (interaction between patients - EPs - health professionals)

  During 1 year

• Characterize and describe patient profiles according to these pathways

  Inclusion, 3 months, 6 months and 12 months

• Characterize and describe patient profiles according to these pathways

  Inclusion, 3 months, 6 months and 12 months

• Characterize and describe patient profiles according to these pathways

  Inclusion, 3 months, 6 months and 12 months

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients hospitalized full-time for a substance-related disorder or addiction in the Psychiatry-Addictology Department of the Bichat Hospital, exposed for the first time to the patient-expert intervention, followed during one year of addictological care

You may qualify if:

• Substance use disorder, diagnosed according to DSM-5 criteria, i.e. at least 2 diagnostic criteria
• Patients without prior exposure to the PE device
• Patients who received information about the research and did not object

You may not qualify if:

• Non comprehension of French
• Patient under guardianship or curatorship
• Patient under AME
• Patient's refusal".

Sponsors & Collaborators

• Assistance Publique - Hôpitaux de Paris: lead

Study Sites (1)

Bichat Claude Bernard Hospital

Paris, 75018, France

RECRUITING

MeSH Terms

Conditions

Behavior, Addictive; Patient Participation

Condition Hierarchy (Ancestors)

Compulsive Behavior; Impulsive Behavior; Behavior; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior

Central Study Contacts

Delphine MOISAN, Médecin

CONTACT

+33 01 40 87 58 82; delphine.moisan@aphp.fr

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 9, 2022
• First Posted: March 17, 2022
• Study Start: March 1, 2022
• Primary Completion: March 1, 2024
• Study Completion: March 1, 2024
• Last Updated: April 27, 2022

Record last verified: 2022-02

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)