Thomas Lefèvre1, Céline Denis2, Claire Marchand3, Camille Vidal4, Rémi Gagnayre5, Patrick Chariot6. 1. AP-HP, Hôpital Jean-Verdier, Department of Forensic Medicine, 93140 Bondy, France; IRIS - Institut de recherches interdisciplinaires sur les enjeux sociaux (INSERM, CNRS, EHESS, Université Paris 13, UMR 8156-723), 93 100 Bobigny, France. Electronic address: thomas.lefevre@univ-paris13.fr. 2. AP-HP, Hôpital Jean-Verdier, Department of Forensic Medicine, 93140 Bondy, France. Electronic address: celine.denis@aphp.fr. 3. Paris 13 University, Sorbonne Paris Cite, Educations and Health Practices Laboratory (LEPS), (EA 3412), UFR SMBH, F-93017 Bobigny, France. Electronic address: Claire.marchand@univ-paris13.fr. 4. AP-HP, Hôpital Jean-Verdier, Department of Forensic Medicine, 93140 Bondy, France. Electronic address: clj.vidal@gmail.com. 5. Paris 13 University, Sorbonne Paris Cite, Educations and Health Practices Laboratory (LEPS), (EA 3412), UFR SMBH, F-93017 Bobigny, France. Electronic address: remi.gagnayre@univ-paris13.fr. 6. AP-HP, Hôpital Jean-Verdier, Department of Forensic Medicine, 93140 Bondy, France; IRIS - Institut de recherches interdisciplinaires sur les enjeux sociaux (INSERM, CNRS, EHESS, Université Paris 13, UMR 8156-723), 93 100 Bobigny, France. Electronic address: Patrick.chariot@univ-paris13.fr.
Abstract
BACKGROUND: The 15- to 35-year-old population has little contact with the health care system and is exposed to risk factors. Several studies demonstrated the feasibility of brief interventions (BIs) in different settings, e.g., in addiction medicine during police custody, where arrestees are entitled to a medical examination. Approximately 700,000 individuals are detained in police custody in France annually, and custody is an opportunity for young people to be medically examined. The characteristics of the detainees and previous experience with BIs suggest that custody is an opportunity to contribute to primary prevention. We propose to investigate the feasibility of such a contribution. OBJECTIVES: The aim of this article is to present a study protocol and some preliminary results. The primary research objective is to assess the feasibility of performing brief interventions without a specific topic in police custody settings in arrestees aged 15-35 years. The secondary research objectives include i) testing four strategies for engaging in BIs that maximize the chances of success of the BI; ii) identifying the determinants that can orient the practitioner's choice to use a specific strategy over another one; and iii) analysing the differences between individuals who engage in BIs and those who do not and, in those who do engage, the determinants of success of the intervention. METHODS: A two-step randomized and prospective study: i) randomization of eligible patients into 4 groups of 500 patients each; analysis of the response rates for each strategy; performance of the BI; and analyses of the associated factors and ii) a real-life, full-scale phase study evaluating the effectiveness of BIs performance of the BI; and analyses of the interventions. Analyses of the determinants of a positive response to BI, of success and of the topic of intervention will be conducted. EXPECTED RESULTS: The rates of BI performed, rates of success, and characteristics associated with response and with success are the main expected results. Additionally, the development and assessment of filter questions and an improved BI dedicated to primary prevention for police custody settings will be attained.
RCT Entities:
BACKGROUND: The 15- to 35-year-old population has little contact with the health care system and is exposed to risk factors. Several studies demonstrated the feasibility of brief interventions (BIs) in different settings, e.g., in addiction medicine during police custody, where arrestees are entitled to a medical examination. Approximately 700,000 individuals are detained in police custody in France annually, and custody is an opportunity for young people to be medically examined. The characteristics of the detainees and previous experience with BIs suggest that custody is an opportunity to contribute to primary prevention. We propose to investigate the feasibility of such a contribution. OBJECTIVES: The aim of this article is to present a study protocol and some preliminary results. The primary research objective is to assess the feasibility of performing brief interventions without a specific topic in police custody settings in arrestees aged 15-35 years. The secondary research objectives include i) testing four strategies for engaging in BIs that maximize the chances of success of the BI; ii) identifying the determinants that can orient the practitioner's choice to use a specific strategy over another one; and iii) analysing the differences between individuals who engage in BIs and those who do not and, in those who do engage, the determinants of success of the intervention. METHODS: A two-step randomized and prospective study: i) randomization of eligible patients into 4 groups of 500 patients each; analysis of the response rates for each strategy; performance of the BI; and analyses of the associated factors and ii) a real-life, full-scale phase study evaluating the effectiveness of BIs performance of the BI; and analyses of the interventions. Analyses of the determinants of a positive response to BI, of success and of the topic of intervention will be conducted. EXPECTED RESULTS: The rates of BI performed, rates of success, and characteristics associated with response and with success are the main expected results. Additionally, the development and assessment of filter questions and an improved BI dedicated to primary prevention for police custody settings will be attained.