Peer Support in Alcohol Dependence

N/ANot Yet RecruitingNCT06381609

Hospices Civils de Lyon626 enrolled

Overview

Alcohol use disorder (AUD) affects between 4% and 6% of French adults, and requires appropriate medical treatment. However, 20-40% of patients with AUD are lost to follow-up at an early stage. Consequently, it is important for addiction departments to implement and evaluate innovative tools and interventions, including the involvement of peer support, to help patients remain in care, and to assess whether peer support has a positive impact on their clinical outcome. Addiction peer support specialists (APSSs) are individuals who have personally experienced addiction, and who have decided to use their experience to assist other people going through a similar situation, after completing a specific official graduation. Compared to other caregivers, APSSs may induce in patients a sense of identification which could improve the patient motivation to engage and remain in care. This is the main hypothesis and the main scientific objective of the PEERSIAD study, which will aim to confirm that accompanying patients with AUD using APSSs after alcohol detoxification, reduces the rate of lost-to-follow-up and improves the overall clinical outcome.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

626

Conditions

Alcohol Use Disorder

Interventions

Quality life questionnaire AQoLSBEHAVIORAL

Quality life questionnaire AQoLS will be completed by patients of both arms at inclusion, three and six months after inclusion

Quality life questionnaire Euroqol EQ-5D-5LBEHAVIORAL

Quality life questionnaire Euroqol EQ-5D-5L will be completed by patients of both arms at inclusion, three and six months after inclusion

Peer support consultationsOTHER

For patients included in the Peer support group, eight mandatory consultations with a peer support specialist will be performed between the inclusion visit and during the three following months. Patients can request additional consultations with the peer support specialist during the 6 first months of follow-up

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Aged ≥ 18 * Socially insured * Meeting DSM-5 criteria for alcohol use disorder (AUD) * Abstinent from alcohol and involved in supervised alcohol withdrawal for at least 5 days and no more than 21 days (outpatient or inpatient) * Starting a post-detoxification outpatient program Exclusion Criteria: * Other severe substance use disorder, i.e. DSM-5 criteria ≥ 6 (excluding tobacco) * Patient under protective measure (safeguard measure, guardianship) or deprived of liberty or in ordered care and hospitalization measures without consent. * Inability to communicate and express oneself orally in French, compromising the possibility of exchanges between the Peer support and the patient. * Psychiatric or cognitive comorbidities making inclusion impossible, at the investigator's discretion. * Individual accompaniment by a Peer support in the 15 days prior to inclusion.

Locations (5)

CH Le Vinatier

Bron, France

Hôpital Beaujon

Clichy, France

GH Nord, Hospices Civils de Lyon

Lyon, France

CHS St Anne

Paris, France

Bichat Hospital

Paris, France

Outcomes

Primary Outcomes

Unplanned cessation of care at 6 months

The unplanned cessation of care at 6 months, excluding consultations with an APSS, with no further contact in the following month, is defined as having had a last planned consultation that was not fulfilled between M0 and M6

Time frame: At 6 months after inclusion

Secondary Outcomes

Number of unfulfilled consultations

The number of unfulfilled consultations (scheduled consultations, excluding Peer Support consultations, without patient's visit with or without justification) over the 6-month study follow-up period, collected from the medical records of the addictology department.

Time frame: 6 months after inclusion

Euroqol-5D-5L questionnaire score

The differential cost-utility ratio, in relation to the innovative strategy including a Peer Support, will be assessed using the Euroqol-5D-5L questionnaire (EQ-5D-5L).