Clinical trial NCT02112396: Community Reinforcement and Family Training (CRAFT) for Treatment-resistant Individuals With Alcohol Use Disorders
Official title: Psychosocial Intervention for Relatives of Individuals Suffering From Chronic Alcohol Dependence
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Alcohol Dependence
Alcohol Abuse
Keywords: CRAFT
Concerned Significant Others
Contingency management
Reinforcement
Family Intervention
Lead sponsor: University of Luebeck
Sponsor class: OTHER
Collaborators: name: German Federal Ministry of Education and Research
First posted: 2014-04-14
Enrollment: 89
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: TREATMENT

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.

Eligibility criteria: 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

Primary outcomes:
measure: Treatment Utilization of relative with AUD
timeFrame: 3 months
Secondary outcomes:
measure: Mental well-being in participating CSO
timeFrame: 3 months
Other outcomes:
measure: Drinking behavior of relative with AUD
timeFrame: 3 months
Locations:
city: Luebeck
country: Germany
facility: University of Luebeck
state: Schl.-Holstein
Study officials:
affiliation: University of Luebeck
name: Hans-Juergen Rumpf, PD Dr.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Iwen J, Bischof G, Reinhardt S, Grothues J, Hapke U, John U, Freyer-Adam J, Rumpf HJ. The impact of having a loved one with alcohol consumption-related problems on subjective health status and health-risk behaviors in a general hospital sample. Subst Use Misuse. 2010 Dec;45(14):2470-80. doi: 10.3109/10826084.2010.487233. Epub 2010 Jun 10.