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Trial registered on ANZCTR
Registration number
ACTRN12608000432314
Ethics application status
Approved
Date submitted
8/08/2008
Date registered
29/08/2008
Date last updated
12/04/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
BRIEF INTERVENTION ADDRESSING SUBSTANCE USE IN YOUNG PEOPLE CONSULTING FAMILY DOCTORS: A CLUSTER RANDOMISED TRIAL
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Scientific title
Brief primary care intervention to reduce excessive substance use in young people
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Secondary ID [1]
696
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nil
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Universal Trial Number (UTN)
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Trial acronym
PRISM-Ado
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
cannabis use in young people
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alcohol use in young people
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Condition category
Condition code
Mental Health
3675
3675
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0
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Addiction
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Brief (5-10 minutes) one-off preventive intervention in primary care, discussing cannabis and/or alcohol use with young people in the general practice consultation
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Intervention code [1]
3239
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Early detection / Screening
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Comparator / control treatment
usual care, i.e. care for the problem for which the young person is consulting the doctor, plus preventative care usually offered by this doctor to his/her patients
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Control group
Active
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Outcomes
Primary outcome [1]
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point prevalence of self-reported hazardous cannabis consumption in the past 30 days as measured by a telephone administered standardised questionnaire (in French)
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Assessment method [1]
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Timepoint [1]
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baseline, 3, 6 and 12 months
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Primary outcome [2]
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Point prevalence of self-reported hazardous alcohol consumption in the past 30 days as measured by a telephone administered standardised questionnaire (in French)
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Assessment method [2]
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Timepoint [2]
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baseline, 3, 6 and 12 months
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Secondary outcome [1]
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Point prevalence of self-reported abstinence from cannabis and / or alcohol in the past 30 days as measured by a telephone administered standardised questionnaire (in French)
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Assessment method [1]
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Timepoint [1]
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baseline, 3, 6 and 12 months
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Secondary outcome [2]
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Point prevalence of substance use related adverse psychosocial outcomes as measured by a telephone administered standardised questionnaire (in French)
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Assessment method [2]
7743
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Timepoint [2]
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baseline, 3, 6 and 12 months
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Eligibility
Key inclusion criteria
young people consulting family doctors for any health problem
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Minimum age
15
Years
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Maximum age
24
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
acute illness requiring immediate attention of the physician, severe mental disorder such as psychosis or suicidal thoughts requiring treatment in a specialised setting, drug or alcohol abuse requiring more immediate attention (such as for example alcohol abuse and recent court ruling regarding drunk driving), previous treatment for cannabis or alcohol dependence
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The unit of randomisation will be the family doctors. The randomisation list will be computer generated by a researcher unlinked to the trial, who will not know the participating doctors. The doctors will know to which group they are allocated by contacting the holder of the allocation schedule.
Young participants will be recruited as they attend the practice for a consultation.
Allocation of their doctor will be concealed from the patients, but doctors themselves will not of course be blind to their allocation group
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computer generated sequence required from a statistician not involved in the study
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
cluster randomisation with the doctor as the unit of randomisation
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/01/2009
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Actual
1/02/2009
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Date of last participant enrolment
Anticipated
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Actual
30/11/2010
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
600
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Accrual to date
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Final
594
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Recruitment outside Australia
Country [1]
1103
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Switzerland
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State/province [1]
1103
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Romandie
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Swiss Academy of Medical Science (Kathe-Zingg-Schwichtenberg-Fonds)
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Address [1]
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Petersplatz 13
4051 Basel
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Country [1]
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Switzerland
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Funding source category [2]
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Charities/Societies/Foundations
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Name [2]
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Safra Foundation, Geneva University Hospitals, Switzerland
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Address [2]
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4 rue Gabrielle-Perret-Gentil, 1211 Geneve 14
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Country [2]
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Switzerland
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Funding source category [3]
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Government body
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Name [3]
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Federal Office of Public Health, Switzerland
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Address [3]
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Schwarztorstrasse 96, CH-3007 Bern
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Country [3]
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Switzerland
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Primary sponsor type
University
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Name
Department of Community Health and Medicine, University of Geneva
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Address
1 rue Michel-Servet
1211 Geneve
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Country
Switzerland
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Department of Community Medicine and Primary Care
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Address [1]
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4 rue Gabrielle-Perret-Gentil, 1211 Geneve 14
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Country [1]
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Switzerland
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Commission d'ethique pour la recherche clinique en ambulatoire
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Ethics committee address [1]
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12 rue Micheli-du-Crest, 1205 Geneve 4
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Ethics committee country [1]
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Switzerland
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Date submitted for ethics approval [1]
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01/09/2008
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Approval date [1]
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24/09/2008
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Ethics approval number [1]
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protocole 08-28
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Summary
Brief summary
When excessive alcohol or cannabis use occurs at a vulnerable age such as adolescence, the physical, psychological and developmental consequences extend into adulthood. Good level evidence favours brief interventions to prevent harm associated with substance use in a variety of settings. The purpose of this study is to assess the effectiveness of a brief intervention addressing excessive substance use in reducing the prevalence of excessive substance use in young people consulting family doctors (paediatricians, general practitioners and general internists). Building on the experience of a pilot study in which we developed and successfully tested such a brief intervention in seven family practices in and around Geneva, we have designed a cluster randomised trial in primary care which aims to provide evidence of the effectiveness of this intervention. We hypothesise that the intervention can lead to a 15% reduction in the prevalence of at-risk alcohol and/or cannabis use in this population.
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Trial website
http://sante-jeunes.hug-ge.ch/EtudePrism-Ado.html
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Trial related presentations / publications
Haller DM, Meynard A, Ukoumunne O, Narring F, Broers B. Effectiveness of training family physicians to deliver a brief intervention to address excessive substance use among young patients: a cluster randomized trial. Canadian Medical Association Journal 2014 May 13,186(8):E263-72. Meynard A, Broers B, Lefebvre D, Narring F, Haller DM. Why do young people go to their family doctor in Switzerland? ICPC-2 coded reasons for encounter in young people consulting a primary care physician in the French speaking part of Switzerland. BMC family practice 2015 Haller DM, Meynard A, Lefebvre D, Hasselgard-Rowe J, Broers B, Narring F. Excessive substance use among young people consulting family doctors: a cross-sectional study. Family Practice 2015, Oct;32(5):500-4 34. Haller DM, Meynard A, Lefebvre D, Tylee A, Narring F, Broers B. Brief intervention addressing excessive cannabis use in young people consulting family practitioners: a pilot study. British Journal of General Practice 2009; 59 (560): 166-172
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Public notes
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Contacts
Principal investigator
Name
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Dr Dagmar HALLER
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Address
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Primary Care Unit (UIGP), Faculty of Medicine, CMU
1 rue Michel Servet
1211 GENEVE 4
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Country
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Switzerland
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Phone
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+4122379 50 61
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dagmar HALLER
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Address
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Primary Care Unit (UIGP), Faculty of Medicine, CMU
1 rue Michel Servet
1211 GENEVE 4
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Country
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Switzerland
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Phone
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+41 22 379 50 61
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Fax
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+41 22 372 33 88
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dagmar HALLER
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Address
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Primary Care Unit (UIGP), Faculty of Medicine, CMU
1 rue Michel Servet
1211 GENEVE 4
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Country
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Switzerland
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Phone
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+41 22 379 50 61
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Fax
2904
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+41 22 372 33 88
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Reasons for encounter in young people consulting a family doctor in the French speaking part of Switzerland: a cross sectional study.
2015
https://dx.doi.org/10.1186/s12875-015-0375-x
N.B. These documents automatically identified may not have been verified by the study sponsor.
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