Access to care for people with alcohol use disorder in France: a mixed-method cross-sectional study protocol (ASIA)

Marie Costa (1, 2) , Fabienne Marcellin (1, 2) , Marion Coste (1, 2) , Tangui Barre (1, 2) , Sandra Nordmann (1, 2) , Marion Mora (2, 1) , Gwenaelle Maradan (2, 1) , Marc Tanti (2, 1, 3) , Christophe Cutarella (4) , Danielle Casanova (5) , Sabrina Levy-Bellaiche (6) , Pierre Polomeni (7) , Nicolas Simon (1, 2) , Perrine Roux (2, 1) , Patrizia M. Carrieri (1, 2)

1 SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale
2 ORS PACA - Observatoire régional de la santé Provence-Alpes-Côte d'Azur [Marseille]
3 CESPA - Centre d'épidémiologie et de santé publique des armées [Marseille]
4 Clinique Saint-Barnabé
5 CSAPA Les Apsyades
6 CHU Nîmes - Centre Hospitalier Universitaire de Nîmes
7 AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP)

Introduction Alcohol use disorder (AUD) is a major public health concern worldwide. In France, only 10% of people with AUD (PWAUD) receive medical care. General practitioners (GP) are one of the main entry points for AUD care. The present ongoing study, entitled ASIA (Access to Care and Indifference toward Alcohol, Acces aux Soins et Indifference a l'Alcool in French), aims to improve knowledge about factors associated with access to care for AUD by exploring related GP and PWAUD practices, experiences and perceptions. Methods and analysis The ASIA project is an ongoing cross-sectional multisite study based on a complementary mixed-method approach (quantitative and qualitative) using a convergent parallel design. The double-perspective design of the study will enable us to collect and compare data regarding both PWAUD and GP points of view. For the PWAUD quantitative study, 260 PWAUD will be interviewed using a telephone-based questionnaire. For the qualitative study, 36 PWAUD have already been interviewed. The GP quantitative study will include 100 GP in a 15min survey. Fifteen GP have already participated in semistructured interviews for the qualitative study. Logistic regression will be used to identify predictors for access to care. With respect to data analyses, qualitative interviews will be analysed using semantic analysis while quantitative logistic regression will be used for quantitative interviews. Ethics and dissemination This study was approved by the CNIL (French National Commission on Informatics and Liberties) (approval reference number: C16-10, date of approval: 17 July 2017), the CCTIRS (Advisory Committee on Information Processing in Material Research in the Field of Health) and the CEEI (Evaluation and Ethics Committee) (approval reference number: 16-312, date of approval: 8 July 2016) of INSERM (French National Institute of Health and Medical Research). Results from ASIA will be disseminated in peer-reviewed publications, conference presentations, reports and in a PhD thesis.

Mots clés: Alcohol & Alcoholism

Domaines: Sciences du Vivant [q-bio]

Marie Costa, Fabienne Marcellin, Marion Coste, Tangui Barre, Sandra Nordmann, et al.. Access to care for people with alcohol use disorder in France: a mixed-method cross-sectional study protocol (ASIA). BMJ Open, 2018, 8 (9), ⟨10.1136/bmjopen-2018-024669⟩. ⟨hal-02146884⟩