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

Alcohol Dependence Clinical Trial

— CRAFT  

Official title:

Psychosocial Intervention for Relatives of Individuals Suffering From Chronic Alcohol Dependence

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02112396
• Other study ID #: BMBF-01GX0702
• Secondary ID: 07-210
• Status: Completed
• Phase: N/A
• First received: April 1, 2014
• Last updated: April 9, 2014
• Start date: August 2008
• Est. completion date: June 2011

Study information

• Verified date: April 2014
• Source: University of Luebeck
• Contact: n/a
• Is FDA regulated: No
• Health authority: Germany: Ethics Commission
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 89
• Est. completion date: June 2011
• Est. primary completion date: March 2011
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years and older

Eligibility

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

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Alcohol Abuse
• Alcohol Dependence
• Alcoholism

Intervention

Behavioral:
• Community Reinforcement and Family Training
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.

Locations

Country	Name	City	State
Germany	University of Luebeck	Luebeck	Schl.-Holstein

Sponsors (2)

Lead Sponsor	Collaborator
University of Luebeck	German Federal Ministry of Education and Research

Country where clinical trial is conducted

Germany, 

References & Publications (1)

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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Drinking behavior of relative with AUD	Drinking behavior assessed by the AUDIT-C	3 months	No
Primary	Treatment Utilization of relative with AUD	Treatment utilization rates of the individual holding an AUD were assessed at 3-months follow-up	3 months	No
Secondary	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	No