Community Reinforcement and Family Training (CRAFT)

Alcohol Use Disorder Clinical Trial

— CRAFT  

Official title:

Community Reinforcement and Family Training (CRAFT)

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT03281057
• Other study ID #: CRAFT112018
• Status: Active, not recruiting
• Phase: N/A
• Start date: January 1, 2018
• Est. completion date: December 31, 2022

Study information

• Verified date: February 2022
• Source: University of Southern Denmark
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The present study is dedicated to empowering individuals close to an addicted person (i.e. concerned significant others, CSOs) to create changes in their family environment: changes that increase the likelihood of the addicted person seeking treatment.

The Danish National Clinical Guideline for the treatment of alcohol dependence recommends that alcohol treatment centers offer interventions aimed at CSOs, providing them with the support and empowerment that will enable them to motivate the problem drinker to enter treatment. In the US, the Community Reinforcement and Family Training (CRAFT) intervention has been shown to offer the most effective support to CSOs. CRAFT has consistently demonstrated a two to three times' higher impact on getting individual with an alcohol use disorder (AUD) to attend treatment, compared to other kinds of interventions. Studies of the intervention so far have, however, been small, and the format used in the delivery of CRAFT has not been fully investigated.

The aim of the present cluster randomized controlled trial is to implement and investigate CRAFT in a Danish context and with sufficient sample size. Consecutive CSOs will through cluster randomization be randomized to receive either CRAFT in a group format, CRAFT in an individual format, or a control condition, consisting of self-help material only. The primary outcome of the study will be the rate of individuals with AUD entering treatment following the intervention targeted at the CSOs within three months from its initiation. Data will be collected from all CSOs at baseline, three, and six months after baseline.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 255
• Est. completion date: December 31, 2022
• Est. primary completion date: June 30, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion criteria:

• 18 years and older

• Being a CSO to a person with AUD who is not currently in treatment for alcohol problems

• Having the intention to maintain the contact during the next 90 days

• Having had regular contact with the problem drinker for the last 90 days (face-to-face contact for several hours on at least a weekly basis) and having the intention to maintain the contact during the next 90 days.

• Being prepared support the problem drinker if he/she chooses to seek treatment, at least to some extent.

Exclusion Criteria:

• Suffering from dementia or other cognitive disorders

• Not speaking Danish

• Being psychotic or otherwise severely mentally ill

• Suffering from AUD in the last three months

• Being concerned about a person who, according to the CSO, mainly use illegal substances

Related Conditions & MeSH terms

• Alcohol Use Disorder
• Alcoholism
• Concern Significant Others
• CRAFT

Intervention

Behavioral:
• CRAFT
CRAFT is a counseling/therapist to concern significant others to get their loved one, with an alcohol use disorder, into treatment

Locations

Country	Name	City	State
Denmark	Unit if Clinical Alcohol Research	Odense
Denmark	Research Unit of Psychiatry, Psychiatric Unit Odense - University function	Odense C

Sponsors (1)

Lead Sponsor	Collaborator
Kjeld Andersen

Country where clinical trial is conducted

Denmark, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Whether the drinker has sought treatment for her/his alcohol use disorder	The proportion of problem drinkers, who enter alcohol treatment centers from baseline and until three months after their CSOs enrolled in the CRAFT study.	3 months after baseline
Secondary	Changes in the anxiety, - depression and concern symptoms of concern significant others following CRAFT intervention		3 and 6 months after baseline
Secondary	Improvement in the relationship between the concern significant other and the drinker before and after CRAFT intervention	Measured by the Relationship Happiness Scale	3 and 6 months after baseline
Secondary	Changes in number of sick leave days for concern significant others from 6 months before to 6 months after enrollment in the study.		6 months after baseline
Secondary	Changes in quality of life among concern significant others.	Measured by WHO's quality of life scale "WHOQol-Bref - Danish version"	3 and 6 months after baseline

External Links

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