Evaluation of the Efficacy of the Individually Adjusted Therapy Scale (ATI) on the Addiction Severity

Phase

N/A

Condition

Stimulant Use Disorder

Opioid Use Disorder

Kleptomania

Treatment

Weekly assessment

Weekly assessment ajusted

Clinical Study ID

NCT03606759

CHUBX 2014/43

Ages > 18
All Genders

Study Summary

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.

Eligibility Criteria

Inclusion

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 any other substance) use disorder orbehavioral addiction (gambling, screens, video games, food addiction, sex addiction,compulsive purchases), currently not stabilized
Seek treatment for this a substance use disorder or behavioral addiction
Beginning (or re-initiating) multi-month outpatient care for this disorder in one ofthe inclusion centres.
Ability to identify a priority substance/behavior, as main object of treatment, incase of simultaneous treatment on several addictions
Beneficiary of the French Social Security system
Give an informed consent to participate

Exclusion

o Exclusion criteria:

Severe physical or psychiatric or addictologic condition that prevents an outpatienttreatment
Severe physical or psychiatric condition that prevents to complete the assessment
Addictive disorder that requires several treatment for several substance usedisorder 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

Study Design

Weekly assessment

July 31, 2019

August 01, 2023

Study Description

Addiction is one of the most prevalent psychiatric disorders in general population. In the DSM-5, substance abuse and substance dependence have been combined into a single substance use disorder and gambling disorder is now reclassified in the new substance-related and addictive disorders category. Moreover, a criterion assessing the craving has been added. The management of craving is an important focus of addiction treatment as craving is often linked to relapse. Several cues could precipitate the craving. Some of them are substance-related or gambling-related, some other are more person-specific. Recent studies have revealed that those "individual cues" are highly predictive of craving and relapse, and suggest that they are involved in addiction chronicity. The awareness of these cues and the intensity of the craving are important to tailor a better treatment adapted to the patient's need in order to prevent relapse. The aim of this study is to evaluate the efficacy of a program that includes an Individually Adjusted Therapy scale (ATI) to help the clinician to modulate the level of care regarding of the patient's risk of relapse (based on cues, intensity and frequency of the craving). The study will consist in a randomized controlled trial comparing 2 groups of participants that are seeking treatment for substance use disorder (alcohol, opiates, tobacco, cannabis, cocaine or any other substance) or behavioral addiction in an outpatient addiction clinics in France (four inclusion sites).

All the participants will be assessed with several questionnaires that evaluate the history and the severity of addiction.

Connect with a study center

Centre de Soin d'Accompagnement et de Prévention en Addictologie (CSAPA) BIZIA
Bayonne, 34 100
France
Site Not Available
Bordeaux University Hospital
Bordeaux, 33076
France
Site Not Available
Centre Hospitalier Charles Perrens
Bordeaux, 33076
France
Site Not Available
Centre Hospitalier Esquirol
Limoges, 87 025
France
Site Not Available
Centre Hospitalier Universitaire La Réunion
Saint-Denis, 97 405
France
Site Not Available

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.