La thérapie familiale en francophonie (serveur d'exploration)

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CANABIC: CANnabis and Adolescents: effect of a Brief Intervention on their Consumption – study protocol for a randomized controlled trial

Identifieur interne : 000087 ( Main/Exploration ); précédent : 000086; suivant : 000088

CANABIC: CANnabis and Adolescents: effect of a Brief Intervention on their Consumption – study protocol for a randomized controlled trial

Auteurs : Catherine Laporte [France] ; Hélène Vaillant-Roussel [France] ; Bruno Pereira [France] ; Olivier Blanc [France] ; Gilles Tanguy [France] ; Paul Frappé [France] ; David Costa [France] ; Yoann Gaboreau [France] ; Mélanie Badin [France] ; Laurent Marty [France] ; Gilles Clément [France] ; Claude Dubray [France] ; Bruno Falissard [France] ; Pierre-Michel Llorca [France] ; Philippe Vorilhon [France]

Source :

RBID : PMC:3917531

Abstract

Background

Cannabis is the most consumed illegal substance in France. General practitioners (GPs) are the health professionals who are most consulted by adolescents. Brief intervention (BI) is a promising care initiative for the consumption of cannabis, and could be a tool for GPs in caring for adolescents who consume cannabis. The aim of the CANABIC study is to measure the impact of a BI carried out by a GP on the consumption of cannabis by adolescents of 15 to 25 years of age.

Methods

A randomized clustered controlled trial, stratified over three areas (Auvergne, Languedoc-Roussillon, and Rhône - Alpes), comparing an intervention group, which carries out the BI in consultation, and a control group, which ensures routine medical care. The main assessment criterion is the consumption of cannabis by amount of joints per month, at 12 months. The amount necessary to highlight a significant difference between the two groups of 30% of consumption at 12 months is 250 patients (50 GPs, 5 patients per GP; risk α = 5%; power = 90%; intra-cluster correlation coefficient ρ = 0.2; Hawthorne effect = 15%; lost to follow-up rates for GPs = 10% and for patients = 20%). This plan is replicated for the three areas, and therefore a total of 750 patients are expected.

The secondary criteria for judgment are the associated consumption of tobacco and alcohol, the perception of the consequences of consumption, and the driving of a vehicle following consumption.

Discussion

Research about BI for young cannabis users is underway. The aim of the CANABIC study is to validate a BI suited to adolescents who consume cannabis, which may be performed in the general practice. This would provide a tool for their treatment by a GP, which could be widely distributed during initial or further medical training.

Trial registration

CANABIC is a randomized clustered trial (NCT01433692, registered 2011 Sept 12), PHRC funded: Clinical Research Hospital Program (Governmental Fund, Health Ministry). Date first patient randomized: March 2012.


Url:
DOI: 10.1186/1745-6215-15-40
PubMed: 24479702
PubMed Central: 3917531


Affiliations:


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<wicri:regionArea>Department of General Medicine, Faculty of Medicine of Clermont-Ferrand, 28 Place Henri Dunant, 63000 Clermont-Ferrand</wicri:regionArea>
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<author>
<name sortKey="Frappe, Paul" sort="Frappe, Paul" uniqKey="Frappe P" first="Paul" last="Frappé">Paul Frappé</name>
<affiliation wicri:level="3">
<nlm:aff id="I5">Department of General Medicine, Saint-Etienne Faculty of Medicine, 15 Rue Ambroise Paré, 42023 St Etienne Cedex 2, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of General Medicine, Saint-Etienne Faculty of Medicine, 15 Rue Ambroise Paré, 42023 St Etienne Cedex 2</wicri:regionArea>
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<region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">St Etienne</settlement>
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<author>
<name sortKey="Costa, David" sort="Costa, David" uniqKey="Costa D" first="David" last="Costa">David Costa</name>
<affiliation wicri:level="3">
<nlm:aff id="I6">Department of General Medicine, Montpellier Faculty of Medicine, 2 Rue de l'École de Médecine, 34000 Montpellier, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of General Medicine, Montpellier Faculty of Medicine, 2 Rue de l'École de Médecine, 34000 Montpellier</wicri:regionArea>
<placeName>
<region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
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</affiliation>
</author>
<author>
<name sortKey="Gaboreau, Yoann" sort="Gaboreau, Yoann" uniqKey="Gaboreau Y" first="Yoann" last="Gaboreau">Yoann Gaboreau</name>
<affiliation wicri:level="3">
<nlm:aff id="I7">Department of General Medicine, Grenoble Faculty of Medicine, Domaine de la Merci, BP 170 La Tronche, 38042 Grenoble Cedex 9, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of General Medicine, Grenoble Faculty of Medicine, Domaine de la Merci, BP 170 La Tronche, 38042 Grenoble Cedex 9</wicri:regionArea>
<placeName>
<region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Grenoble</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Badin, Melanie" sort="Badin, Melanie" uniqKey="Badin M" first="Mélanie" last="Badin">Mélanie Badin</name>
<affiliation wicri:level="3">
<nlm:aff id="I6">Department of General Medicine, Montpellier Faculty of Medicine, 2 Rue de l'École de Médecine, 34000 Montpellier, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of General Medicine, Montpellier Faculty of Medicine, 2 Rue de l'École de Médecine, 34000 Montpellier</wicri:regionArea>
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<region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Marty, Laurent" sort="Marty, Laurent" uniqKey="Marty L" first="Laurent" last="Marty">Laurent Marty</name>
<affiliation wicri:level="3">
<nlm:aff id="I1">Department of General Medicine, Faculty of Medicine of Clermont-Ferrand, 28 Place Henri Dunant, 63000 Clermont-Ferrand, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of General Medicine, Faculty of Medicine of Clermont-Ferrand, 28 Place Henri Dunant, 63000 Clermont-Ferrand</wicri:regionArea>
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<region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Auvergne (région administrative)</region>
<settlement type="city">Clermont-Ferrand</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3">
<nlm:aff id="I8">Health anthropologist, 7 rue de l'église, 63450 St Amant Tallende, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Health anthropologist, 7 rue de l'église, 63450 St Amant Tallende</wicri:regionArea>
<placeName>
<region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Auvergne (région administrative)</region>
<settlement type="city">St Amant Tallende</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Clement, Gilles" sort="Clement, Gilles" uniqKey="Clement G" first="Gilles" last="Clément">Gilles Clément</name>
<affiliation wicri:level="3">
<nlm:aff id="I1">Department of General Medicine, Faculty of Medicine of Clermont-Ferrand, 28 Place Henri Dunant, 63000 Clermont-Ferrand, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of General Medicine, Faculty of Medicine of Clermont-Ferrand, 28 Place Henri Dunant, 63000 Clermont-Ferrand</wicri:regionArea>
<placeName>
<region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Auvergne (région administrative)</region>
<settlement type="city">Clermont-Ferrand</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Dubray, Claude" sort="Dubray, Claude" uniqKey="Dubray C" first="Claude" last="Dubray">Claude Dubray</name>
<affiliation wicri:level="3">
<nlm:aff id="I9">Clinical Investigation Centre (Inserm CIC -501), Clermont-Ferrand University Hospital, 58 Rue Montalembert, 63000 Clermont-Ferrand, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Clinical Investigation Centre (Inserm CIC -501), Clermont-Ferrand University Hospital, 58 Rue Montalembert, 63000 Clermont-Ferrand</wicri:regionArea>
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<region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Auvergne (région administrative)</region>
<settlement type="city">Clermont-Ferrand</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Falissard, Bruno" sort="Falissard, Bruno" uniqKey="Falissard B" first="Bruno" last="Falissard">Bruno Falissard</name>
<affiliation wicri:level="3">
<nlm:aff id="I10">Faculty of Medicine, Paris South, INSERM 669 Unit, Maison de Solenn, 97 Bld de Port Royal, 75679 Paris cedex 14, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Faculty of Medicine, Paris South, INSERM 669 Unit, Maison de Solenn, 97 Bld de Port Royal, 75679 Paris cedex 14</wicri:regionArea>
<placeName>
<region type="region" nuts="2">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Llorca, Pierre Michel" sort="Llorca, Pierre Michel" uniqKey="Llorca P" first="Pierre-Michel" last="Llorca">Pierre-Michel Llorca</name>
<affiliation wicri:level="3">
<nlm:aff id="I4">Adult Psychiatry Department – B, Clermont-Ferrand University Hospital, 58 Rue Montalembert, 63000 Clermont-Ferrand, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Adult Psychiatry Department – B, Clermont-Ferrand University Hospital, 58 Rue Montalembert, 63000 Clermont-Ferrand</wicri:regionArea>
<placeName>
<region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Auvergne (région administrative)</region>
<settlement type="city">Clermont-Ferrand</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Vorilhon, Philippe" sort="Vorilhon, Philippe" uniqKey="Vorilhon P" first="Philippe" last="Vorilhon">Philippe Vorilhon</name>
<affiliation wicri:level="3">
<nlm:aff id="I1">Department of General Medicine, Faculty of Medicine of Clermont-Ferrand, 28 Place Henri Dunant, 63000 Clermont-Ferrand, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of General Medicine, Faculty of Medicine of Clermont-Ferrand, 28 Place Henri Dunant, 63000 Clermont-Ferrand</wicri:regionArea>
<placeName>
<region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Auvergne (région administrative)</region>
<settlement type="city">Clermont-Ferrand</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3">
<nlm:aff id="I11">EA 4681PEPRADE, University of Auvergne, Faculty of Medicine of Clermont-Ferrand, 28 Place Henri Dunant, 63000 Clermont-Ferrand, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>EA 4681PEPRADE, University of Auvergne, Faculty of Medicine of Clermont-Ferrand, 28 Place Henri Dunant, 63000 Clermont-Ferrand</wicri:regionArea>
<placeName>
<region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Auvergne (région administrative)</region>
<settlement type="city">Clermont-Ferrand</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Trials</title>
<idno type="eISSN">1745-6215</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
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<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>Cannabis is the most consumed illegal substance in France. General practitioners (GPs) are the health professionals who are most consulted by adolescents. Brief intervention (BI) is a promising care initiative for the consumption of cannabis, and could be a tool for GPs in caring for adolescents who consume cannabis. The aim of the CANABIC study is to measure the impact of a BI carried out by a GP on the consumption of cannabis by adolescents of 15 to 25 years of age.</p>
</sec>
<sec>
<title>Methods</title>
<p>A randomized clustered controlled trial, stratified over three areas (Auvergne, Languedoc-Roussillon, and Rhône - Alpes), comparing an intervention group, which carries out the BI in consultation, and a control group, which ensures routine medical care. The main assessment criterion is the consumption of cannabis by amount of joints per month, at 12 months. The amount necessary to highlight a significant difference between the two groups of 30% of consumption at 12 months is 250 patients (50 GPs, 5 patients per GP; risk α = 5%; power = 90%; intra-cluster correlation coefficient ρ = 0.2; Hawthorne effect = 15%; lost to follow-up rates for GPs = 10% and for patients = 20%). This plan is replicated for the three areas, and therefore a total of 750 patients are expected.</p>
<p>The secondary criteria for judgment are the associated consumption of tobacco and alcohol, the perception of the consequences of consumption, and the driving of a vehicle following consumption.</p>
</sec>
<sec>
<title>Discussion</title>
<p>Research about BI for young cannabis users is underway. The aim of the CANABIC study is to validate a BI suited to adolescents who consume cannabis, which may be performed in the general practice. This would provide a tool for their treatment by a GP, which could be widely distributed during initial or further medical training.</p>
</sec>
<sec>
<title>Trial registration</title>
<p>CANABIC is a randomized clustered trial (
<ext-link ext-link-type="uri" xlink:href="http://clinicaltrials.gov/ct2/show/NCT01433692?term=canabic&rank=1">NCT01433692</ext-link>
, registered 2011 Sept 12), PHRC funded: Clinical Research Hospital Program (Governmental Fund, Health Ministry). Date first patient randomized: March 2012.</p>
</sec>
</div>
</front>
<back>
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<name sortKey="Kraus, L" uniqKey="Kraus L">L Kraus</name>
</author>
</analytic>
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<analytic>
<author>
<name sortKey="Legleye, S" uniqKey="Legleye S">S Legleye</name>
</author>
<author>
<name sortKey="Karila, L" uniqKey="Karila L">L Karila</name>
</author>
<author>
<name sortKey="Beck, F" uniqKey="Beck F">F Beck</name>
</author>
<author>
<name sortKey="Reynaud, M" uniqKey="Reynaud M">M Reynaud</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Supper, I" uniqKey="Supper I">I Supper</name>
</author>
<author>
<name sortKey="Ecochard, R" uniqKey="Ecochard R">R Ecochard</name>
</author>
<author>
<name sortKey="Bois, C" uniqKey="Bois C">C Bois</name>
</author>
<author>
<name sortKey="Paumier, F" uniqKey="Paumier F">F Paumier</name>
</author>
<author>
<name sortKey="Bez, N" uniqKey="Bez N">N Bez</name>
</author>
<author>
<name sortKey="Letrillart, L" uniqKey="Letrillart L">L Letrillart</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Page, Mj" uniqKey="Page M">MJ Page</name>
</author>
<author>
<name sortKey="French, Sd" uniqKey="French S">SD French</name>
</author>
<author>
<name sortKey="Mckenzie, Je" uniqKey="Mckenzie J">JE McKenzie</name>
</author>
<author>
<name sortKey="O Onnor, Da" uniqKey="O Onnor D">DA O’Connor</name>
</author>
<author>
<name sortKey="Green, Se" uniqKey="Green S">SE Green</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Costes, Jm" uniqKey="Costes J">JM Costes</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Gates, S" uniqKey="Gates S">S Gates</name>
</author>
<author>
<name sortKey="Mccambridge, J" uniqKey="Mccambridge J">J McCambridge</name>
</author>
<author>
<name sortKey="Smith, La" uniqKey="Smith L">LA Smith</name>
</author>
<author>
<name sortKey="Foxcroft, Dr" uniqKey="Foxcroft D">DR Foxcroft</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Mccambridge, J" uniqKey="Mccambridge J">J McCambridge</name>
</author>
<author>
<name sortKey="Slym, Rl" uniqKey="Slym R">RL Slym</name>
</author>
<author>
<name sortKey="Strang, J" uniqKey="Strang J">J Strang</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Gmel, G" uniqKey="Gmel G">G Gmel</name>
</author>
<author>
<name sortKey="Gaume, J" uniqKey="Gaume J">J Gaume</name>
</author>
<author>
<name sortKey="Bertholet, N" uniqKey="Bertholet N">N Bertholet</name>
</author>
<author>
<name sortKey="Fluckiger, J" uniqKey="Fluckiger J">J Flückiger</name>
</author>
<author>
<name sortKey="Daeppen, J B" uniqKey="Daeppen J">J-B Daeppen</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="D Mico, Ej" uniqKey="D Mico E">EJ D’Amico</name>
</author>
<author>
<name sortKey="Miles, Jnv" uniqKey="Miles J">JNV Miles</name>
</author>
<author>
<name sortKey="Stern, Sa" uniqKey="Stern S">SA Stern</name>
</author>
<author>
<name sortKey="Meredith, Ls" uniqKey="Meredith L">LS Meredith</name>
</author>
</analytic>
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</listBibl>
</div1>
</back>
</TEI>
<affiliations>
<list>
<country>
<li>France</li>
</country>
<region>
<li>Auvergne (région administrative)</li>
<li>Auvergne-Rhône-Alpes</li>
<li>Languedoc-Roussillon</li>
<li>Occitanie (région administrative)</li>
<li>Rhône-Alpes</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Clermont-Ferrand</li>
<li>Grenoble</li>
<li>Montpellier</li>
<li>Paris</li>
<li>St Amant Tallende</li>
<li>St Etienne</li>
</settlement>
</list>
<tree>
<country name="France">
<region name="Auvergne-Rhône-Alpes">
<name sortKey="Laporte, Catherine" sort="Laporte, Catherine" uniqKey="Laporte C" first="Catherine" last="Laporte">Catherine Laporte</name>
</region>
<name sortKey="Badin, Melanie" sort="Badin, Melanie" uniqKey="Badin M" first="Mélanie" last="Badin">Mélanie Badin</name>
<name sortKey="Blanc, Olivier" sort="Blanc, Olivier" uniqKey="Blanc O" first="Olivier" last="Blanc">Olivier Blanc</name>
<name sortKey="Blanc, Olivier" sort="Blanc, Olivier" uniqKey="Blanc O" first="Olivier" last="Blanc">Olivier Blanc</name>
<name sortKey="Clement, Gilles" sort="Clement, Gilles" uniqKey="Clement G" first="Gilles" last="Clément">Gilles Clément</name>
<name sortKey="Costa, David" sort="Costa, David" uniqKey="Costa D" first="David" last="Costa">David Costa</name>
<name sortKey="Dubray, Claude" sort="Dubray, Claude" uniqKey="Dubray C" first="Claude" last="Dubray">Claude Dubray</name>
<name sortKey="Falissard, Bruno" sort="Falissard, Bruno" uniqKey="Falissard B" first="Bruno" last="Falissard">Bruno Falissard</name>
<name sortKey="Frappe, Paul" sort="Frappe, Paul" uniqKey="Frappe P" first="Paul" last="Frappé">Paul Frappé</name>
<name sortKey="Gaboreau, Yoann" sort="Gaboreau, Yoann" uniqKey="Gaboreau Y" first="Yoann" last="Gaboreau">Yoann Gaboreau</name>
<name sortKey="Laporte, Catherine" sort="Laporte, Catherine" uniqKey="Laporte C" first="Catherine" last="Laporte">Catherine Laporte</name>
<name sortKey="Llorca, Pierre Michel" sort="Llorca, Pierre Michel" uniqKey="Llorca P" first="Pierre-Michel" last="Llorca">Pierre-Michel Llorca</name>
<name sortKey="Marty, Laurent" sort="Marty, Laurent" uniqKey="Marty L" first="Laurent" last="Marty">Laurent Marty</name>
<name sortKey="Marty, Laurent" sort="Marty, Laurent" uniqKey="Marty L" first="Laurent" last="Marty">Laurent Marty</name>
<name sortKey="Pereira, Bruno" sort="Pereira, Bruno" uniqKey="Pereira B" first="Bruno" last="Pereira">Bruno Pereira</name>
<name sortKey="Tanguy, Gilles" sort="Tanguy, Gilles" uniqKey="Tanguy G" first="Gilles" last="Tanguy">Gilles Tanguy</name>
<name sortKey="Vaillant Roussel, Helene" sort="Vaillant Roussel, Helene" uniqKey="Vaillant Roussel H" first="Hélène" last="Vaillant-Roussel">Hélène Vaillant-Roussel</name>
<name sortKey="Vorilhon, Philippe" sort="Vorilhon, Philippe" uniqKey="Vorilhon P" first="Philippe" last="Vorilhon">Philippe Vorilhon</name>
<name sortKey="Vorilhon, Philippe" sort="Vorilhon, Philippe" uniqKey="Vorilhon P" first="Philippe" last="Vorilhon">Philippe Vorilhon</name>
</country>
</tree>
</affiliations>
</record>

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