RecruitingNot ApplicableNCT06618755

Motivational Interviews Post Hospitalisation on Maintaining AbstiNence for 1 Year après le Sevrage en Alcool

IMMANENCE - Intérêt d'un Suivi Sous Forme d'Entretiens Motivationnels spécifiques Post Hospitalisation Sur le Maintien de l'AbstiNENCE Durant l'année Suivant le Sevrage en Alcool

Sponsor

University Hospital, Montpellier

Enrollment

104 participants

Start Date

Dec 18, 2024

Study Type

INTERVENTIONAL

Conditions

Alcohol Use Disorder Addiction

Summary

The aim of this clinical study is to evaluate the efficacy of reinforced inpatient aftercare versus usual care on the percentage of days of abstinence during the first year following withdrawal in adults with alcohol use disorders undergoing inpatient withdrawal. The hypothesis is that reinforced post-withdrawal follow-up, of the motivational interview type, during the first 4 months following hospitalisation, in addition to the usual care, would allow : * Increase the percentage of days of abstinence in the year following withdrawal. * Reduce the rate of relapse in the year following withdrawal. * An increase in the cumulative and maximum duration of abstinence, an increase in motivation to maintain the change initiated and a reduction in the use of other substances in the year following withdrawal. * A reduction in the impact of risk factors involved in the relapse process in the year following withdrawal. All participants will have assessments to monitor their abstinence and consumption. In addition to their assessments, the experimental group will have motivational talks once every 15 days.

Eligibility

Min Age: 18 Years

Inclusion Criteria4

With alcohol use disorders defined by at least 2 DSM-V criteria for at least 12 months).
Being treated for withdrawal in hospital.
With a goal of complete abstinence.
With a means of communication (telephone).

Exclusion Criteria9

Lack of understanding (written and spoken) of the French language.
Breach of HC withdrawal contract, following failure to comply with the rules of the addictology service and somatic complications of addiction.
Eviction from the department, discharge against medical advice during hospitalisation for withdrawal.
Proven cognitive problems compromising understanding of the implications of the study and the proposed follow-up. proposed follow-up.
Serious decompensated somatic pathology.
Non-membership or non-beneficiaries of a national health insurance scheme.
Person protected by law, under guardianship or curatorship.
Not having signed free and informed consent to participate in the research.
Simultaneous participation in another clinical trial.

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Interventions

OTHERExperimental group : PSH (usual care) with motivational interviewing

The experimental group will begin follow-up after the 1st inclusion visit, during hospitalisation for withdrawal. The first motivational interview will take place 1 to 4 days before discharge from full hospitalisation. The following 10 motivational interviews will be held 2 weeks apart and will follow a framework based on the following objectives: to create a relationship of trust and an effective and lasting therapeutic alliance from the first interview; to create personalised objectives for the user, in line with their addictive pathology; to support the user as they modify, 'fail' and 'succeed' in achieving these objectives; to encourage the emergence and maintenance of the user's desire to change.