Problematic Use and Addiction in Primary Care
PAPRICA
Development and Validation of a Short Training Course to Help Primary Care Healthcare Professionals Identify Addictive Disorders
1 other identifier
observational
200
1 country
3
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Sep 2025
Typical duration for all trials
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 22, 2024
CompletedFirst Posted
Study publicly available on registry
August 30, 2024
CompletedStudy Start
First participant enrolled
September 1, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 1, 2028
December 9, 2024
December 1, 2024
2.9 years
August 22, 2024
December 4, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
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 Outcomes (2)
prevalence of addictive disorders in primary care
24 months
types of addictive disorders
24 months
Study Arms (2)
group intervention
Group with a brief training
group control
Group without a brief training
Interventions
Training in the early identification of addictive disorders in primary care
Eligibility Criteria
Primary care ambulatory professional
You may qualify if:
- 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.
You may not qualify if:
- Refusal to participate.
- The same participant may not be included in more than one stage.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
CPTS Lanmeur
Lanmeur, 29620, France
CPTS Sud Lochois
Ligueil, 37240, France
CPTS du Vendomois
Vendôme, 41100, France
Study Officials
- PRINCIPAL INVESTIGATOR
Maxime PAUTRAT
Tours university
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 22, 2024
First Posted
August 30, 2024
Study Start
September 1, 2025
Primary Completion (Estimated)
August 1, 2028
Study Completion (Estimated)
August 1, 2028
Last Updated
December 9, 2024
Record last verified: 2024-12