Strengthening Addiction Care Continuum Through Community Consortium in Vietnam: Protocol for a Cluster-Randomized Controlled Trial
BackgroundA chronic condition, drug addiction, requires long-term multipronged health care and treatment services. Community-based approaches can offer the advantages of managing integrated care along the care continuum and improving clinical outcomes. However, scant rigorous...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2023-03-01
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| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2023/1/e44219 |
| _version_ | 1797734246376275968 |
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| author | Li Li Tuan Anh Nguyen Li-Jung Liang Chunqing Lin Thang Hong Pham Ha Thi Thanh Nguyen Steven Kha |
| author_facet | Li Li Tuan Anh Nguyen Li-Jung Liang Chunqing Lin Thang Hong Pham Ha Thi Thanh Nguyen Steven Kha |
| author_sort | Li Li |
| collection | DOAJ |
| description |
BackgroundA chronic condition, drug addiction, requires long-term multipronged health care and treatment services. Community-based approaches can offer the advantages of managing integrated care along the care continuum and improving clinical outcomes. However, scant rigorous research focuses on sustainable, community-based care and service delivery.
ObjectiveThis protocol describes a study aiming to develop and test an intervention that features the alliance of community health workers and family members to provide integrated support and individualized services and treatment for people who use drugs (PWUD) in community settings.
MethodsBased on the National Institute on Drug Abuse’s Seek-Test-Treat-Retain (STTR) framework, an intervention that provides training to community health workers will be developed and piloted before an intervention trial. Trained community health workers will conduct home visits and provide support for PWUD and their families. The intervention trial will be conducted in 3 regions in Vietnam, with 60 communities (named communes). These communes will be randomized to either an intervention or control condition. Intervention outcomes will be evaluated at baseline and at 3, 6, 9, and 12 months. The primary outcome measure is PWUD’s STTR fulfillment, consisting of multiple individual fulfillment indicators across 5 domains: Seek, Test, Treat, Retain, and Health. The secondary outcomes of interest are the community health workers’ service provision and family members’ support. The primary analysis will follow an intention-to-treat approach. Generalized mixed-effects regression models will be used to compare changes in the outcome measures from baseline between intervention and control conditions.
ResultsDuring the first year of the project, we conducted formative studies, including in-depth interviews and focus groups, to identify service barriers and intervention strategies. The intervention and assessment pilots are scheduled in 2023 before commencing the trial. Reports based on the baseline data will be distributed in early 2024. The intervention outcome results will be available within 6 months of the final data collection date, that is, the main study findings are expected to be available in early 2026.
ConclusionsThis study will inform the establishment of community health workers and family members alliance, a locally available infrastructure, to support addiction services and care for PWUD. The methodology, findings, and lessons learned are expected to shed light on the addiction service continuum’s implementation and demonstrate a community-based addiction service delivery model that can be transferable to other countries.
Trial RegistrationClinicalTrials.gov NCT05315492; https://clinicaltrials.gov/ct2/show/NCT05315492
International Registered Report Identifier (IRRID)DERR1-10.2196/44219 |
| first_indexed | 2024-03-12T12:41:32Z |
| format | Article |
| id | doaj.art-87ba7338ce994a9da91292efab5326a3 |
| institution | Directory Open Access Journal |
| issn | 1929-0748 |
| language | English |
| last_indexed | 2024-03-12T12:41:32Z |
| publishDate | 2023-03-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Research Protocols |
| spelling | doaj.art-87ba7338ce994a9da91292efab5326a32023-08-28T23:48:05ZengJMIR PublicationsJMIR Research Protocols1929-07482023-03-0112e4421910.2196/44219Strengthening Addiction Care Continuum Through Community Consortium in Vietnam: Protocol for a Cluster-Randomized Controlled TrialLi Lihttps://orcid.org/0000-0002-3402-142XTuan Anh Nguyenhttps://orcid.org/0000-0002-5281-1409Li-Jung Lianghttps://orcid.org/0000-0003-2080-4359Chunqing Linhttps://orcid.org/0000-0003-3158-0020Thang Hong Phamhttps://orcid.org/0000-0002-9618-681XHa Thi Thanh Nguyenhttps://orcid.org/0000-0002-6224-0857Steven Khahttps://orcid.org/0000-0001-8223-8861 BackgroundA chronic condition, drug addiction, requires long-term multipronged health care and treatment services. Community-based approaches can offer the advantages of managing integrated care along the care continuum and improving clinical outcomes. However, scant rigorous research focuses on sustainable, community-based care and service delivery. ObjectiveThis protocol describes a study aiming to develop and test an intervention that features the alliance of community health workers and family members to provide integrated support and individualized services and treatment for people who use drugs (PWUD) in community settings. MethodsBased on the National Institute on Drug Abuse’s Seek-Test-Treat-Retain (STTR) framework, an intervention that provides training to community health workers will be developed and piloted before an intervention trial. Trained community health workers will conduct home visits and provide support for PWUD and their families. The intervention trial will be conducted in 3 regions in Vietnam, with 60 communities (named communes). These communes will be randomized to either an intervention or control condition. Intervention outcomes will be evaluated at baseline and at 3, 6, 9, and 12 months. The primary outcome measure is PWUD’s STTR fulfillment, consisting of multiple individual fulfillment indicators across 5 domains: Seek, Test, Treat, Retain, and Health. The secondary outcomes of interest are the community health workers’ service provision and family members’ support. The primary analysis will follow an intention-to-treat approach. Generalized mixed-effects regression models will be used to compare changes in the outcome measures from baseline between intervention and control conditions. ResultsDuring the first year of the project, we conducted formative studies, including in-depth interviews and focus groups, to identify service barriers and intervention strategies. The intervention and assessment pilots are scheduled in 2023 before commencing the trial. Reports based on the baseline data will be distributed in early 2024. The intervention outcome results will be available within 6 months of the final data collection date, that is, the main study findings are expected to be available in early 2026. ConclusionsThis study will inform the establishment of community health workers and family members alliance, a locally available infrastructure, to support addiction services and care for PWUD. The methodology, findings, and lessons learned are expected to shed light on the addiction service continuum’s implementation and demonstrate a community-based addiction service delivery model that can be transferable to other countries. Trial RegistrationClinicalTrials.gov NCT05315492; https://clinicaltrials.gov/ct2/show/NCT05315492 International Registered Report Identifier (IRRID)DERR1-10.2196/44219https://www.researchprotocols.org/2023/1/e44219 |
| spellingShingle | Li Li Tuan Anh Nguyen Li-Jung Liang Chunqing Lin Thang Hong Pham Ha Thi Thanh Nguyen Steven Kha Strengthening Addiction Care Continuum Through Community Consortium in Vietnam: Protocol for a Cluster-Randomized Controlled Trial JMIR Research Protocols |
| title | Strengthening Addiction Care Continuum Through Community Consortium in Vietnam: Protocol for a Cluster-Randomized Controlled Trial |
| title_full | Strengthening Addiction Care Continuum Through Community Consortium in Vietnam: Protocol for a Cluster-Randomized Controlled Trial |
| title_fullStr | Strengthening Addiction Care Continuum Through Community Consortium in Vietnam: Protocol for a Cluster-Randomized Controlled Trial |
| title_full_unstemmed | Strengthening Addiction Care Continuum Through Community Consortium in Vietnam: Protocol for a Cluster-Randomized Controlled Trial |
| title_short | Strengthening Addiction Care Continuum Through Community Consortium in Vietnam: Protocol for a Cluster-Randomized Controlled Trial |
| title_sort | strengthening addiction care continuum through community consortium in vietnam protocol for a cluster randomized controlled trial |
| url | https://www.researchprotocols.org/2023/1/e44219 |
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