Substance-Related Disorders Clinical Trial
— AjusTOfficial title:
Evaluation of the Efficacy of the Individually Adjusted Therapy Scale (ATI) on the Addiction Severity of Patients in Treatment for a Substance Use Disorder or a Gambling Disorder. A Multicenter Randomized Controlled Trial (AjusT)
The management of the craving is a key element in addiction treatment as the craving is linked to the probability of relapse. Several cues could induce the craving, some generic substance-induced cues or addictive behavior-related cues (e.g. gambling-related cues), and also some more subject-specific cues. The awareness of the craving intensity and its individual cues for each patient will allow the clinician to tailor a better treatment. The aim of this study is to evaluate the efficacy of a program based on an Individually Adjusted Therapy scale added to a treatment as usual for the treatment of addiction.
Status | Recruiting |
Enrollment | 484 |
Est. completion date | April 30, 2023 |
Est. primary completion date | April 30, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion criteria: - 18 years old or older - Meet DSM-5 substance use disorder diagnosis for at least one substance (alcohol, tobacco, cannabis, opiates, cocaine) or gambling disorder currently not stabilized - Seek treatment for this a substance use disorder or gambling disorder - Beginning (or re-initiating) multi-month outpatient care for this disorder in one of the inclusion centres. - Ability to identify a priority substance/behavior, as main object of treatment, in case of simultaneous treatment on several addictions - Beneficiary of the French Social Security system - Give an informed consent to participate o Exclusion criteria: - Severe physical or psychiatric or addictologic condition that prevents an outpatient treatment - Severe physical or psychiatric condition that prevents to complete the assessment - Addictive disorder that requires several treatment for several substance use disorder simultaneously - Difficulty to understand and to write French - Could not be reachable by phone - Participate to another study that prevents to participate to another research - Prisoner - Person under law protection - Person under legal guardianship |
Country | Name | City | State |
---|---|---|---|
France | Centre de Soin d'Accompagnement et de Prévention en Addictologie (CSAPA) BIZIA | Bayonne | |
France | Bordeaux University Hospital | Bordeaux | |
France | Centre Hospitalier Charles Perrens | Bordeaux | |
France | Centre Hospitalier Esquirol | Limoges | |
France | Centre Hospitalier Universitaire La Réunion | Saint-Denis |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Bordeaux |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Craving intensity (BILAN-7 jours) | Craving intensity measured by the difference in craving intensity score at baseline and 3-month follow-up | 3 month | |
Secondary | Adjusted Therapy Scale (ATI) | Week 1 to Week 11 | ||
Secondary | Addiction Severity Index (ASI) | History and the severity of addiction | Week 1 to Week 11 | |
Secondary | Cues of each participant (QSA) | Week 1 to Week 11 | ||
Secondary | Mini International Neuropsychiatric Interview (MINI) | Psychiatric comorbidities | Week 1 to Week 11 |
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