Evaluation of the ADD'Pro Vocational Reintegration Program (ADD-PRO-EVAL)

Starting soon · Not applicable

Conditions studied: Addiction, Addiction Disorders, Substance Use Recovery, Return to Work, Recovery, Recovery Outcomes, Substance Use Disorder (SUD), Employment, Supported, Employment, Substance Related Disorders, Vocational Rehabilitation, Substance Use (Drugs, Alcohol)

In brief

The goal of this clinical trial is to evaluate whether an integrated medico-psychosocial vocational support program (ADD'Pro) can improve employment outcomes in adults with substance use disorders receiving care at a specialized addiction day hospital. The main question it aims to answer is: \- Does participation in the ADD'Pro program increase the rate of competitive employment (at least one day worked in the open labour market) at 6 months compared to standard employment services? Researchers will compare participants enrolled in the ADD'Pro program to participants referred to conventional employment services (France Travail or Cap Emploi) to see if structured, dual medico-psychosocial support leads to higher rates of vocational reintegration, better employment preparation, improved quality of life, and reduced physiological stress reactivity. Participants will: * Be randomly assigned to either the ADD'Pro program or standard employment services * If assigned to ADD'Pro: receive immediate individualised support from a vocational counsellor (CIP) at the CeCler Association, running in parallel with their hospital addiction care, with no fixed end date * If assigned to standard care: be referred to conventional employment services with monthly follow-up interviews at the hospital, and the option to join ADD'Pro after 6 months * Complete structured interviews and validated questionnaires at inclusion, 3, 6, and 12 months * A sub-sample of up to 50 participants will additionally take part in a simulated job interview stress test (adapted TSST) with salivary biomarker collection and heart rate monitoring at inclusion and 6 months

Key facts

Study ID

NCT07520617

Run by

University Hospital, Clermont-Ferrand

People needed

100

Starts

2026-04-01

Expected to finish

2029-04-01

Last updated by the study team

2026-04-09

Who can join

Age: 16 and older, up to 70. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Adult of working age (18 years or older)
• Diagnosed substance use disorder receiving medical care
• Unemployed or on sick leave with a vocational reorientation project
• Motivated to work in the competitive labour market
• Living in or wishing to work in the Puy-de-Dôme department (63), France
• Legally authorised to work
• Capable of providing written informed consent
• Affiliated with a French social security scheme

You may not qualify if…

• Medical care provided under a court-ordered treatment obligation
• Previously included in the ADD'Pro program
• Residing outside the Puy-de-Dôme with no plan to work in the department
• Under legal guardianship (tutelle, curatelle, or sauvegarde de justice)
• Deprived of liberty

Where it is running

• CHU de Clermont-Ferrand — Clermont-Ferrand, France

Full record on ClinicalTrials.gov

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