Realist Evaluation of the Impact, Viability, and Transferability of an Alcohol Harm Reduction Support Program Based on Mental Health Recovery: The Vitae Study: First Results
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Abstracts from the 2023 Annual Meeting of the College on Problems of Drug Dependence, 85th Annual Scientific Meeting of the College on Problems of Drug-Dependence (CPDD), 2023-06-17, Denver. 2024-07-01, vol. 260, p. 110111
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Aim: Addiction is considered a chronic disease associated with a
high rate of unintentional relapses. Most of the current treatments
focuses on relapse prevention or avoidance and control of its
determinants. However, ...Lire la suite >
Aim: Addiction is considered a chronic disease associated with a
high rate of unintentional relapses. Most of the current treatments
focuses on relapse prevention or avoidance and control of its
determinants. However, since only a small portion of concerned
individuals access treatment, to find a way to offer support for safer
consumption behaviors is of interest. The Harm Reduction (HR)
approach and mental health recovery perspective offers another way
to support individuals with alcohol addiction. The Vitae study is a
realist evaluation of the impact, viability and transferability of the
IACA! Program, a Harm Reduction program tailored to people with
alcohol use disorders.
Methods (Optional): The Vitae study adheres to the theorydriven
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 multicentered
and carried out in 10 addiction treatment or prevention
centers in France. The target number of participants with alcohol
addiction (beneficiaries) was 100 and 23 health professionals.
Qualitative analysis permit to assess viability and transferability
conditions based on interview with professionals and beneficiaries.
Descriptive analysis of quantitative variables will permit to assess
alcohol use severity with the Addiction Severity Index (ASI), craving
assessment and the Mini International Neuropsychiatric Interview
(MINI) for comorbidities every 3 months, during 12-months.
Conclusions: Viability and transferability of complex health
interventions is a major public health topic and remains a highly
valuable research field. This study, focusing on an innovative
intervention for people with alcohol use disorder implemented in very different contexts will provide valuable information for the
implementation science but also for the Harm Reduction field.
Financial Support: INCa and IReSP< Réduire
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