Alcohol Abuse, Alcohol Dependence
Conditions
Keywords
CRAFT, Concerned Significant Others, Contingency management, Reinforcement, Family Intervention
Brief summary
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.
Detailed description
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.
Interventions
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.
Sponsors
German Federal Ministry of Education and Research
University of Luebeck
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Treatment Utilization of relative with AUD | 3 months | Treatment utilization rates of the individual holding an AUD were assessed at 3-months follow-up |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mental well-being in participating CSO | 3 months | Mental health status was assessed using the Beck Depression Inventory (BDI) and the Mental Health Inventory (MHI-5) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Drinking behavior of relative with AUD | 3 months | Drinking behavior assessed by the AUDIT-C |
Countries
Germany
Outcome results
None listed