The Impact of the Use of the MAURISSE Application in People Suffering From an Addiction.

Personality Disorders Clinical Trial

— ALMA  

Official title:

Study of Impact on Therapeutic Alliance in People With Addiction Using the MAURISSE Application.

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05964296
• Other study ID #: RC31/21/0540
• Status: Recruiting
• Phase: N/A
• Start date: September 7, 2023
• Est. completion date: March 2025

Study information

• Verified date: September 2023
• Source: University Hospital, Toulouse
• Contact: Juliette SALLES
• Phone: 05 61 77 73 07
• Email: salles.j[@]chu-toulouse.fr
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Substance Use Disorders (SUD) are associated with cognitive schemas that lead to care attrition and mistrust towards care. Considering this, establishing a strong, trustful relationship between the patient and the healthcare team is important to promote patient engagement within SUD management. However, it requires an important availability of the healthcare team, allowing for frequent interactions at all times, including at night and during days off. We postulated that a mobile application called MAURISSE, which aims to help the caregivers maintaining a link with the patient in order to facilitate trust in the relationship, could foster patient engagement as well as the therapeutic alliance.

This research aims to compare the effect of the application MAURISSE on the therapeutic alliance in a population of patients treated for a disorder related to substance use at the Toulouse University Hospital.

Description:

Substance Use Disorders (SUD) are frequently associated with other mental disorders, especially Borderline Personality Disorder, thus defining co-occurring substance use and mental disorders with borderline and anti-social personality disorders that is often associated with cognitive schemas leading to care attrition and mistrust towards care. The goal of the care intervention within Substance Use Disorders management is therefore to help the patient reduce the use of dysfunctional coping strategies involving substance use. Indeed, the establishment of a trustful relation between the patient and the care team leads the patient into building a secure attachment towards care that could secondly be generalized in other situations. We designed an application called MAURISSE, which aims to help the caregivers maintaining a link with the patient in order to facilitate a more secure attachment, thus enabling trust in the relationship as well as fostering patient engagement in the care.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 60
• Est. completion date: March 2025
• Est. primary completion date: November 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Patient over 18 years old,

• Starting specialized treatment for addiction (addiction to substance and behavioral addiction too as money games addiction).

• Suffering from any type of addiction, with an active addiction requiring weekly monitoring of substance use.

• possessing a smartphone or having access to a smartphone and having access to an internet connection.

• Able to read and understand French.

• Affiliated or beneficiary of a social security scheme.

• Free, informed and written consent signed by the participant and the investigator (at the latest on the day of inclusion and before any examination required by the research).

Exclusion Criteria:

• Patient with cognitive or psychiatric disorders that may affect their ability to consent.

• Participation in another protocol involving a modification of the treatment for addiction.

• Known or suspected pregnancy.

• Person under legal protection.

Related Conditions & MeSH terms

• Personality Disorders
• Substance Related Disorder
• Substance-Related Disorders

Intervention

Other:
• The MAURISSE application use
Exchanges with the care team via the messaging system, Postponement of consumption, Monitoring of consumption, Access to information on the To Do List, Access to personal content to help with management (Socio-professional situation, type of life, personal history..). Postponement of a feeling of boredom, Access to proposals to fight against this feeling.
• Usual care
The usual care within the center will consist of appointments with doctors; regular follow-up meetings with nurses, psychologists, social workers, therapeutic groups depending on the evaluation.

Locations

Country	Name	City	State
France	University Hospital of Toulouse	Toulouse

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Toulouse

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The therapeutic alliance score assessed by the Working Alliance Inventory Short Revised scale (WAI-SR).	The Working Alliance Inventory-Short Revised is a scale that consists of two questionnaires. A 12-question questionnaire for patients and a 10-question questionnaire for caregivers. The questions are scored using a Likert scale ranging from 1 to 5	2 months