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

Study Overview
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Brief Summary
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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
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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.

Official Title
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Psychosocial Intervention for Relatives of Individuals Suffering From Chronic Alcohol Dependence

Conditions
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Alcohol Abuse, Alcohol Dependence

Intervention / Treatment
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* Behavioral: Community Reinforcement and Family Training


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Immediate Intervention<br>Subjects receive 12 sessions of Community Reinforcement and Family Training (CRAFT) immediately after study inclusion | Behavioral: Community Reinforcement and Family Training<br>* 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.<br>|
| Other: Waiting list group<br>Waiting list group members receive the Community Reinforcement and Family Training CRAFT intervention after the first follow-up (3 months post study inclusion) | Behavioral: Community Reinforcement and Family Training<br>* 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Treatment Utilization of relative with AUD | Treatment utilization rates of the individual holding an AUD were assessed at 3-months follow-up | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mental well-being in participating CSO | Mental health status was assessed using the Beck Depression Inventory (BDI) and the Mental Health Inventory (MHI-5) | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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CRAFT, Concerned Significant Others, Contingency management, Reinforcement, Family Intervention