Community Reinforcement and Family Training (CRAFT) for Treatment-resistant Individuals With Alcohol Use Disorders

University of Luebeck89 enrolled

Overview

The present study examines the efficacy of the Community Reinforcement and Family Training (CRAFT) for Concerned Significant Others (CSOs) of individuals with alcohol use disorders (AUDs) using a randomized waiting list (WL) control group. It is hypothesized that after the Intervention group has received CRAFT and prior to the WL- group having received CRAFT, treatment utilization of individuals with AUDs are substantially elevated in the Intervention group.

CRAFT is an evidence-based intervention aiming to promote treatment entry by treatment refusing individuals suffering from addiction by coaching their Concerned Significant others (e.g., family members). The intervention is based on diverse elements such as communication training, contingency management, functional analysis of problem behaviors and strategies to improve the live of CSOs and aims to rearrange contingencies in the natural environment of the drinkers so that clean behavior is reinforced and drinking behavior is effectively discouraged. The intervention was developed for adult CSOs and usually consists of up to 12 weekly face-to-face sessions with a duration of one hour each.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Alcohol Dependence Alcohol Abuse

Interventions

Community Reinforcement and Family TrainingBEHAVIORAL

The Intervention is based on the CRAFT literature and includes Building and sustaining motivation of CSOs, functional analysis of problem behaviors, domestic violence precautions (if mandatory), improving communication skills of CSOs, use of negative consequences of drinking behavior, positive reinforcement of clean and sober behavior, strategies to enrich CSOs lives, and strategies for inviting the addicted individual to enter treatment.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * CSOs of individuals with an AUD according to the Diagnostic and Statistical Manual (DSM-IV) or the International Classification of Diseases (ICD-10) * At least 18 years old * At least 15 hours of contact per week to the addicted individual Exclusion Criteria: * History of severe domestic violence * Current diagnosis of drug- or alcohol dependence of CSO

Locations (1)

University of Luebeck

Lübeck, Schl.-Holstein, Germany

Outcomes

Primary Outcomes

Treatment Utilization of relative with AUD

Treatment utilization rates of the individual holding an AUD were assessed at 3-months follow-up

Time frame: 3 months

Secondary Outcomes

Mental well-being in participating CSO

Mental health status was assessed using the Beck Depression Inventory (BDI) and the Mental Health Inventory (MHI-5)

Time frame: 3 months

Data from ClinicalTrials.gov

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