Najdini Maha, Frigaux Antoine, Mathieu Joris, Shadili Gérard, Guenoun Tamara, Vlachopoulou Xanthie, Belot Rose-Angélique, Bazan Ariane, Gressier Florence, Robin Marion, Essadek Aziz
Laboratoire INTERPSY UR4432, Université de Lorraine, 23 Boulevard Albert 1er, Nancy, 54015, France.
Centre Psychothérapique de Nancy, 1 Rue Dr Archambault, Laxou, 54520, France.
BMC Psychol. 2025 May 30;13(1):582. doi: 10.1186/s40359-025-02738-5.
This research protocol for the study ATICC (Addiction, Trauma and Immigration, prevention and Cross-Cultural support for care with the Grand Est youth network) aims to model the complex interrelations between trauma, substance use behaviors, migration and representations of mental health among vulnerable youth residing in Transitional Housing for Young Adults. This study focuses on a specific and underexplored population, many of whom have experienced traumatic events and/or complex migratory trajectories. The ultimate objective of this research is to develop transferable models of understanding that can inform the design of prevention and support programs tailored to this demographic.
METHODS/DESIGN: We adopt a tripartite methodology approach: (1) a cross-sectional study using standardized questionnaires to identify factors associated with substance use, trauma, and barriers to healthcare access; (2) an in-depth qualitative study based on semi-structured individual interviews with substance users, exploring their subjective experiences and perceptions related to substance use and mental health care; and (3) a longitudinal interventional study involving various configurations of focus groups open to residents of transitional housing structures, aiming to assess the impact of these group sessions on participants' psychological well-being and attitudes toward care. Quantitative analyses will include descriptive and multivariate statistical tests using R, while qualitative data will be analyzed through thematic analysis with NVivo. The effectiveness of the group intervention will be evaluated using pre/post-tests, mixed models, and appropriate statistical corrections.
Analyses are expected to identify key psychosocial factors influencing addictive behaviors and mental health, highlight cultural and structural barriers to care, and assess the psychological benefits of the group intervention. The ATICC study aims to contribute to the development of culturally adapted prevention and support models for young adults in precarious situations. The results should assist healthcare professionals and policymakers in designing evidence-based interventions that effectively address the specific needs of this population.
This study is registered with the Biomedical Research Identification Number (n°ID-RCB) assigned in France by the National Agency for the Safety of Medicines and Health Products (ANSM): 2024-A01534-43, and have received the approval from the committee for the protection of persons (CPP) Ile-de-France on November 18, 2024. Cette étude a également été déposée sur clinicaltrials (NCT06922721, date assigned April 10, 2025).
本研究方案针对“ATICC（成瘾、创伤与移民，为大东部地区青年网络提供预防和跨文化护理支持）”研究，旨在构建居住在青年过渡性住房中的弱势青年群体中创伤、物质使用行为、移民与心理健康观念之间复杂的相互关系模型。本研究聚焦于一个特定且未被充分探索的人群，他们中的许多人经历过创伤事件和/或复杂的移民轨迹。本研究的最终目标是开发可推广的理解模型，为针对这一人群量身定制的预防和支持项目的设计提供参考。
方法/设计：我们采用三方研究方法：（1）一项横断面研究，使用标准化问卷来确定与物质使用、创伤及医疗保健获取障碍相关的因素；（2）一项深入的定性研究，基于对物质使用者的半结构化个人访谈，探索他们与物质使用及心理保健相关的主观体验和认知；（3）一项纵向干预研究，涉及面向过渡性住房结构居民开放的各种焦点小组形式，旨在评估这些小组会议对参与者心理健康及护理态度的影响。定量分析将包括使用R软件进行描述性和多变量统计测试，而定性数据将通过NVivo软件进行主题分析。小组干预的有效性将使用前后测试、混合模型及适当的统计校正进行评估。
预计分析将识别影响成瘾行为和心理健康的关键心理社会因素，突出护理的文化和结构障碍，并评估小组干预的心理益处。“ATICC”研究旨在为处境不稳定的青年开发文化适应性预防和支持模型做出贡献。研究结果应有助于医疗保健专业人员和政策制定者设计基于证据的干预措施，有效满足这一人群的特定需求。
本研究已在法国由国家药品和健康产品安全局（ANSM）分配的生物医学研究识别号（n°ID-RCB）下注册：2024 - A01534 - 43，并于2024年11月18日获得法兰西岛地区保护人员委员会（CPP）的批准。本研究也已在ClinicalTrials上登记（NCT06922721，指定日期为2025年4月10日）。
