“以前，我们总是陷入冲突，现在我们可以提供支持”——对有危险物质使用问题的青年父母实施社区强化和家庭训练（CRAFT）的经验。

'Before, we ended up in conflicts, now we can provide support'-Experiences of Community Reinforcement and Family Training (CRAFT) for parents of young adults with hazardous substance use.

机构信息

Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.

Stockholm Centre for Dependency Disorders, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.

出版信息

BMC Psychiatry. 2024 Jun 21;24(1):464. doi: 10.1186/s12888-024-05913-x.

DOI:10.1186/s12888-024-05913-x

PMID:38907237

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11191224/

Abstract

BACKGROUND

The prevalence of hazardous substance use is highest in the age between 18 and 25, but few young adults enter treatment. Community Reinforcement and Family Training (CRAFT) is a support program for concerned significant others (CSOs) of individuals with diverse substance use disorders and is proven efficacious in promoting treatment entry. The aim of the current study was to investigate the experiences of CRAFT among parents of substance using young adults.

METHODS

We used a qualitative design conducting semi-structured interviews with 10 parents of young adults (18-24 years) with hazardous substance use. The participants were recruited from a randomized controlled trial of the CRAFT program. The transcribed interviews were analyzed using thematic analysis.

RESULTS

We divided the results into three overall domains-Reasons for entering the CRAFT program, Strengths of the CRAFT program and Limitations of the CRAFT program - with three to four themes under each domain. The parents appreciated the accessible support at a time when they needed it due to feelings of shock and powerlessness, and they described communication strategies together with positive reinforcement as the two most helpful CRAFT-sessions. Regarding limitations of CRAFT in the current population, the parents wanted more accessible support for the young adults when they were ready to enter treatment, and described difficulties to practice CRAFT-components due to changing life-circumstances and fear of aggravated health for their young adults.

CONCLUSION

The results provide arguments for the health care system to implement support programs to parents of young adults with hazardous substance use. The results show that CRAFT is suitable for the current population, but with some possible additions due to changing circumstances that are common in the young adult developmental phase emerging adulthood.

TRIAL REGISTRATION

The trial was pre-registered at isrctn.com, reference number ISRCTN12212515 date: November 7, 2018.

摘要

背景

有害物质使用的流行率在 18 至 25 岁之间最高，但很少有年轻人接受治疗。社区强化和家庭培训（CRAFT）是一个针对有不同物质使用障碍的个人的相关重要他人（CSO）的支持计划，已被证明在促进治疗参与方面是有效的。本研究的目的是调查有物质使用问题的年轻成年人的父母对 CRAFT 的体验。

方法

我们使用定性设计，对 10 名有物质使用问题的年轻成年人（18-24 岁）的父母进行了半结构化访谈。这些参与者是从 CRAFT 计划的一项随机对照试验中招募的。转录后的访谈采用主题分析进行分析。

结果

我们将结果分为三个总体领域——进入 CRAFT 计划的原因、CRAFT 计划的优势和 CRAFT 计划的局限性——每个领域有三到四个主题。父母们赞赏在他们感到震惊和无能为力的时候，能够获得可及的支持，他们描述了沟通策略和积极强化是最有帮助的 CRAFT 会议。关于当前人群中 CRAFT 的局限性，父母们希望在年轻人准备接受治疗时，能够获得更多对年轻人的可及支持，并描述了由于生活环境的变化和对年轻人健康状况恶化的担忧，实施 CRAFT 计划的困难。