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

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ClinicalTrials.gov Identifier: NCT02112396
Recruitment Status : Completed
First Posted : April 14, 2014
Last Update Posted : April 14, 2014
Sponsor:
Collaborator:
German Federal Ministry of Education and Research
Information provided by (Responsible Party):
Hans-Jürgen Rumpf, University of Luebeck

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.

Condition or disease Intervention/treatment Phase
Alcohol Dependence Alcohol Abuse Behavioral: Community Reinforcement and Family Training Not Applicable

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.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 89 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Psychosocial Intervention for Relatives of Individuals Suffering From Chronic Alcohol Dependence
Study Start Date : August 2008
Actual Primary Completion Date : March 2011
Actual Study Completion Date : June 2011

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Immediate Intervention
Subjects receive 12 sessions of Community Reinforcement and Family Training (CRAFT) immediately after study inclusion
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.

Waiting list group
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
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.




Primary Outcome Measures :
  1. Treatment Utilization of relative with AUD [ Time Frame: 3 months ]
    Treatment utilization rates of the individual holding an AUD were assessed at 3-months follow-up


Secondary Outcome Measures :
  1. Mental well-being in participating CSO [ Time Frame: 3 months ]
    Mental health status was assessed using the Beck Depression Inventory (BDI) and the Mental Health Inventory (MHI-5)


Other Outcome Measures:
  1. Drinking behavior of relative with AUD [ Time Frame: 3 months ]
    Drinking behavior assessed by the AUDIT-C



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02112396


Locations
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Germany
University of Luebeck
Luebeck, Schl.-Holstein, Germany, 23538
Sponsors and Collaborators
University of Luebeck
German Federal Ministry of Education and Research
Investigators
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Principal Investigator: Hans-Juergen Rumpf, PD Dr. University of Luebeck

Publications:
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Responsible Party: Hans-Jürgen Rumpf, PD Dr. Hans-Jürgen Rumpf, University of Luebeck
ClinicalTrials.gov Identifier: NCT02112396     History of Changes
Other Study ID Numbers: BMBF-01GX0702
07-210 ( Other Identifier: University of Luebeck, Ethics Committee )
First Posted: April 14, 2014    Key Record Dates
Last Update Posted: April 14, 2014
Last Verified: April 2014

Keywords provided by Hans-Jürgen Rumpf, University of Luebeck:
CRAFT
Concerned Significant Others
Contingency management
Reinforcement
Family Intervention

Additional relevant MeSH terms:
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Alcoholism
Alcohol-Related Disorders
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders