The Unit of Clinical Alcohol Research (UCAR), Institute of Clinical Research, University of Southern Denmark, J.B. Winsløws vej 18, 5000, Odense C, Denmark.
Psychiatric Department, Region of Southern Denmark, Odense, Denmark.
BMC Public Health. 2022 May 10;22(1):928. doi: 10.1186/s12889-022-13293-8.
Community Reinforcement and Family Training (CRAFT) is an intervention designed to help the concerned significant others (CSOs) of people with alcohol problems who are reluctant to seek treatment. It aims to improve the well-being of CSOs and teach them how to change their behavior in order to positively influence the "identified patient" (IP) to seek treatment.
The aim of the present pragmatic cluster-randomized trial was to compare the effectiveness of three formats for delivering CRAFT in real life settings: group sessions, individual sessions, and written material only (control group). Eighteen public treatment centers for alcohol use disorders were randomly assigned to deliver CRAFT in one of the three formats as part of their daily clinical routine. CSOs were recruited via pamphlets, general practitioners, and advertisements on social media. Trained clinicians delivered CRAFT in individual and group format, and self-administered CRAFT was limited to handing out a self-help book. The primary outcome was treatment engagement of the IP after three months.
A total of 249 CSOs were found to be eligible and randomly assigned to receive CRAFT delivered in group, individual, or self-administered format. The three-month follow-up rate was 60%. At three months follow-up, 29% (n = 32) of the CSOs who received group/individual CRAFT reported that their IP had engaged in treatment. The corresponding rate for the CSOs who received self-administered CRAFT was lower (15%; n = 5) but did not differ significantly from the other group of CSOs (Odds ratio (OR) = 2.27 (95% CI: 0.80, 6.41)).
We hypothesized that CSOs receiving CRAFT in a group format would improve the most, but although our findings pointed in this direction, the differences were not statistically significant.
Clinical trials.gov ID: NCT03281057 . Registration date:13/09/2017.
社区强化和家庭培训（CRAFT）是一种干预措施，旨在帮助那些不愿意寻求治疗的酗酒者的相关重要他人（CSO）。它旨在改善 CSO 的福祉，并教他们如何改变行为，以积极影响“被识别患者”（IP）寻求治疗。
本实用随机分组试验的目的是比较在现实环境中以三种形式提供 CRAFT 的有效性：小组会议、个人会议和仅书面材料（对照组）。18 家公共酒精使用障碍治疗中心被随机分配在三种形式中的一种形式下提供 CRAFT，作为其日常临床常规的一部分。CSO 通过小册子、全科医生和社交媒体上的广告招募。经过培训的临床医生以个人和小组形式提供 CRAFT，自我管理的 CRAFT 仅限于分发自助手册。主要结果是三个月后 IP 的治疗参与度。
共有 249 名 CSO 被认为符合条件并被随机分配接受小组、个人或自我管理的 CRAFT 治疗。三个月的随访率为 60%。在三个月的随访中，接受小组/个人 CRAFT 的 29%（n=32）的 CSO 报告其 IP 已经接受了治疗。接受自我管理 CRAFT 的 CSO 的相应比例较低（15%；n=5），但与其他 CSO 组没有显著差异（优势比（OR）=2.27（95%CI：0.80，6.41））。
我们假设接受小组形式 CRAFT 的 CSO 会改善最多，但尽管我们的发现指向这个方向，但差异没有统计学意义。
ClinicalTrials.gov ID：NCT03281057。注册日期：2017 年 9 月 13 日。
