Realist evaluation of the impact, viability and transferability of an alcohol harm reduction support programme based on mental health recovery: the Vitae study protocol

Introduction Addiction is considered a chronic disease associated with a high rate of relapse as a consequence of the addictive condition. Most of the current therapeutic work focuses on the notion of relapse prevention or avoidance and the control of its determinants. Since only a small portion of...

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Main Authors: Marc Auriacombe, Linda Cambon, Judith Martin-Fernandez, Nolwenn Stevens, Sarah Moriceau, Fuschia Serre, Hélène Blanc, Emmanuelle Latourte
Format: Article
Language:English
Published: BMJ Publishing Group 2022-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/8/e065361.full
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author Marc Auriacombe
Linda Cambon
Judith Martin-Fernandez
Nolwenn Stevens
Sarah Moriceau
Fuschia Serre
Hélène Blanc
Emmanuelle Latourte
author_facet Marc Auriacombe
Linda Cambon
Judith Martin-Fernandez
Nolwenn Stevens
Sarah Moriceau
Fuschia Serre
Hélène Blanc
Emmanuelle Latourte
author_sort Marc Auriacombe
collection DOAJ
description Introduction Addiction is considered a chronic disease associated with a high rate of relapse as a consequence of the addictive condition. Most of the current therapeutic work focuses on the notion of relapse prevention or avoidance and the control of its determinants. Since only a small portion of patients can access alcohol addiction treatment, it is crucial to find a way to offer new support towards safe consumptions, reductions or cessations. The harm reduction (HR) approach and mental health recovery perspective offers another way to support the patient with alcohol addiction. Vitae is a realist evaluation of the impact, viability and transferability of the IACA! programme, an HR programme based on the principle of psychosocial recovery for people with alcohol use disorders.Methods and analysis The Vitae study adheres to the theory-driven evaluation framework where the realist evaluation method and contribution analysis are used to explore the effects, mechanisms and influence of context on the outcomes and to develop and adjust an intervention theory. This study is a 12-month, multi-case, longitudinal descriptive pilot study using mixed methods. It is multi-centred, and carried out in 10 addiction treatment or prevention centres. In this study, outcomes are related to the evolution of alcohol use and the beneficiaries trajectory in terms of psychosocial recovery during these 12 months after the start of IACA!. The target number of participants are 100 beneficiaries and 23 professionals.Ethics and dissemination This research was approved by the Committee for the Protection of Persons Ouest V n°: 21/008-3HPS and was reported to the French National Agency for the Safety of Health Products. All participants will provide consent prior to participation. The results will be reported in international peer-reviewed journals and presented at scientific and public conferences.Trial registration numbers NCT04927455; ID-RCB2020-A03371-38.
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spelling doaj.art-a2523c0d4c1c467f8398a14cfc6075952022-12-22T03:59:02ZengBMJ Publishing GroupBMJ Open2044-60552022-08-0112810.1136/bmjopen-2022-065361Realist evaluation of the impact, viability and transferability of an alcohol harm reduction support programme based on mental health recovery: the Vitae study protocolMarc Auriacombe0Linda Cambon1Judith Martin-Fernandez2Nolwenn Stevens3Sarah Moriceau4Fuschia Serre5Hélène Blanc6Emmanuelle Latourte71 University of Bordeaux, Bordeaux, Aquitaine, FranceINSERM Bordeaux Population Health Research Center, UMR 1219, CIC1401-EC, University of Bordeaux, Bordeaux, FranceINSERM Bordeaux Population Health Research Center, UMR 1219, CIC1401-EC, University of Bordeaux, Bordeaux, FrancePHARes-MéRISP Team, Univ. Bordeaux, ISPED, Inserm, UMR 1219 Bordeaux Population Health, Bordeaux, FranceUniversity Bordeaux, Bordeaux, FranceUniversity Bordeaux, Bordeaux, FranceFounders, Santé! Organization, Marseille, FranceFounders, Santé! Organization, Marseille, FranceIntroduction Addiction is considered a chronic disease associated with a high rate of relapse as a consequence of the addictive condition. Most of the current therapeutic work focuses on the notion of relapse prevention or avoidance and the control of its determinants. Since only a small portion of patients can access alcohol addiction treatment, it is crucial to find a way to offer new support towards safe consumptions, reductions or cessations. The harm reduction (HR) approach and mental health recovery perspective offers another way to support the patient with alcohol addiction. Vitae is a realist evaluation of the impact, viability and transferability of the IACA! programme, an HR programme based on the principle of psychosocial recovery for people with alcohol use disorders.Methods and analysis The Vitae study adheres to the theory-driven evaluation framework where the realist evaluation method and contribution analysis are used to explore the effects, mechanisms and influence of context on the outcomes and to develop and adjust an intervention theory. This study is a 12-month, multi-case, longitudinal descriptive pilot study using mixed methods. It is multi-centred, and carried out in 10 addiction treatment or prevention centres. In this study, outcomes are related to the evolution of alcohol use and the beneficiaries trajectory in terms of psychosocial recovery during these 12 months after the start of IACA!. The target number of participants are 100 beneficiaries and 23 professionals.Ethics and dissemination This research was approved by the Committee for the Protection of Persons Ouest V n°: 21/008-3HPS and was reported to the French National Agency for the Safety of Health Products. All participants will provide consent prior to participation. The results will be reported in international peer-reviewed journals and presented at scientific and public conferences.Trial registration numbers NCT04927455; ID-RCB2020-A03371-38.https://bmjopen.bmj.com/content/12/8/e065361.full
spellingShingle Marc Auriacombe
Linda Cambon
Judith Martin-Fernandez
Nolwenn Stevens
Sarah Moriceau
Fuschia Serre
Hélène Blanc
Emmanuelle Latourte
Realist evaluation of the impact, viability and transferability of an alcohol harm reduction support programme based on mental health recovery: the Vitae study protocol
BMJ Open
title Realist evaluation of the impact, viability and transferability of an alcohol harm reduction support programme based on mental health recovery: the Vitae study protocol
title_full Realist evaluation of the impact, viability and transferability of an alcohol harm reduction support programme based on mental health recovery: the Vitae study protocol
title_fullStr Realist evaluation of the impact, viability and transferability of an alcohol harm reduction support programme based on mental health recovery: the Vitae study protocol
title_full_unstemmed Realist evaluation of the impact, viability and transferability of an alcohol harm reduction support programme based on mental health recovery: the Vitae study protocol
title_short Realist evaluation of the impact, viability and transferability of an alcohol harm reduction support programme based on mental health recovery: the Vitae study protocol
title_sort realist evaluation of the impact viability and transferability of an alcohol harm reduction support programme based on mental health recovery the vitae study protocol
url https://bmjopen.bmj.com/content/12/8/e065361.full
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