Effectiveness and cost-effectiveness of sector-independent treatment coordination for people with substance-related disorders following an online assessment (ASSIST): study protocol for a randomized controlled trial.

Mueller-Stierlin, AS ; Röhrig, J ; et al.

In: Trials, Jg. 23 (2022-06-01), Heft 1, S. 448

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Background: The implementation of person-centred, need-oriented and flexible care for people with substance-related problems is often insufficient, in large part due to the complexity of addiction support services among different providers. A standardized online assessment and subsequent sector-independent treatment coordination could provide individuals with more appropriate services, thereby making better use of individual services and leading to a more effective addiction support system as a whole. The aim of this study is to determine the effectiveness and cost-effectiveness of sector-independent treatment coordination following an online assessment, in comparison with the current standard of care and treatment process in Germany.

Methods: The sample size of this randomized, controlled trial has been set to a total of 400 participants with substance-related problems. Participants living in Stuttgart, Germany, will be randomly allocated to (1) the intervention group with immediate online assessment and subsequent sector-independent treatment coordination (ASSIST) or (2) the waitlist group. Participants in the waitlist group will initially remain in usual care and only be provided with the online assessment 6 months later. Short-term effects (over 2 months) and medium-term effects (over 6 months) of ASSIST will be compared between the intervention and the waitlist groups. The primary outcome is improved treatment satisfaction. Secondary outcomes include improved subjective quality of life and empowerment, reductions in patients' substance use, unmet needs and illness-related clinical and social impairment. Health economic evaluation as well as quantitative and qualitative process evaluations will be conducted.

Discussion: The results of this study are expected to provide information on whether sector-independent treatment coordination following an online assessment contributes to improved health care service provision for people with substance-related problems. This randomized controlled trial will help identify facilitators and barriers to the sustainable implementation of a cross-sectoral care concept in substance abuse services.

Trial Registration: German Clinical Trial Register DRKS00026996 . Registered on 29 October 2021.

Titel:	Effectiveness and cost-effectiveness of sector-independent treatment coordination for people with substance-related disorders following an online assessment (ASSIST): study protocol for a randomized controlled trial.
Autor/in / Beteiligte Person:	Mueller-Stierlin, AS ; Röhrig, J ; Goetzl, C ; Krausz, M ; Lehle, J ; Prestin, E ; Schoch, VE ; Sutter, L ; Westenberg, J ; Cabanis, M
Link:	Full Text Finder (Volltext)
Zeitschrift:	Trials, Jg. 23 (2022-06-01), Heft 1, S. 448
Veröffentlichung:	[London] : BioMed Central, 2006-, 2022
Medientyp:	academicJournal
ISSN:	1745-6215 (electronic)
DOI:	10.1186/s13063-022-06343-4
Schlagwort:	Cost-Benefit Analysis Germany Humans Randomized Controlled Trials as Topic Quality of Life Substance-Related Disorders diagnosis Substance-Related Disorders therapy
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Clinical Trial Protocol; Journal Article Language: English [Trials] 2022 Jun 01; Vol. 23 (1), pp. 448. <i>Date of Electronic Publication: </i>2022 Jun 01. MeSH Terms: Quality of Life* ; Substance-Related Disorders* / diagnosis ; Substance-Related Disorders* / therapy ; Cost-Benefit Analysis ; Germany ; Humans ; Randomized Controlled Trials as Topic References: Arch Intern Med. 2006 May 22;166(10):1092-7. (PMID: 16717171) ; PLoS One. 2019 Aug 28;14(8):e0221153. (PMID: 31461466) ; Addiction. 1995 May;90(5):607-14. (PMID: 7795497) ; J Health Soc Behav. 1983 Dec;24(4):385-96. (PMID: 6668417) ; Dtsch Arztebl Int. 2019 Sep 2;116(35-36):577-584. (PMID: 31587705) ; JAMA Intern Med. 2014 Mar;174(3):399-407. (PMID: 24276929) ; BMC Psychiatry. 2016 May 23;16:159. (PMID: 27216151) ; Psychiatr Serv. 1998 May;49(5):573-5. (PMID: 9603565) ; J Psychosom Res. 2015 Apr;78(4):352-5. (PMID: 25498316) ; Behav Res Methods. 2007 May;39(2):175-91. (PMID: 17695343) ; Psychother Psychosom Med Psychol. 1989 Jul;39(7):248-55. (PMID: 2762479) ; Eur Addict Res. 2020;26(3):109-121. (PMID: 32074597) ; Addiction. 2011 Oct;106(10):1715-7. (PMID: 21793970) ; Psychol Addict Behav. 2014 Mar;28(1):154-62. (PMID: 23276315) ; Psychosomatics. 2009 Nov-Dec;50(6):613-21. (PMID: 19996233) ; Z Kinder Jugendpsychiatr Psychother. 2020 Nov;48(6):448-452. (PMID: 32208050) ; Stat Methods Med Res. 2007 Jun;16(3):219-42. (PMID: 17621469) ; Psychopathology. 2007;40(2):116-25. (PMID: 17215598) ; PLoS One. 2009 Dec 17;4(12):e8343. (PMID: 20020047) ; Psychiatr Prax. 2009 Mar;36(2):72-8. (PMID: 18924060) ; BMC Psychiatry. 2014 Oct 14;14:286. (PMID: 25312546) ; Psychiatr Prax. 2001 Oct;28 Suppl 2:S84-90. (PMID: 11605129) ; Bull World Health Organ. 2010 Nov 1;88(11):815-23. (PMID: 21076562) ; Addiction. 2010 May;105(5):862-71. (PMID: 20331557) ; Eval Program Plann. 1982;5(3):233-7. (PMID: 10259963) ; Pain Rep. 2017 May 12;2(3):e599. (PMID: 29392214) ; J Health Commun. 2017 May;22(5):413-432. (PMID: 28394729) ; Psychiatr Prax. 2001 Oct;28 Suppl 2:S79-83. (PMID: 11605128) ; Gesundheitswesen. 2004 Feb;66(2):114-20. (PMID: 14994210) Grant Information: 01NVF19016 Federal Joint Committee (DE) Contributed Indexing: Keywords: Addiction,; Cost-effectiveness; Online assessment,; Sector-independent treatment coordination,; Substance use disorder,; Substance-related problems; Treatment allocation,; e-Health, Satisfaction, Entry Date(s): Date Created: 20220601 Date Completed: 20220603 Latest Revision: 20220716 Update Code: 20240513 PubMed Central ID: PMC9156834

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