Owens Mandy D, Adwell Addy, Singh Samyukta, Osilla Karen, Tweedy Megan, Tsui Judith
Addictions, Drug & Alcohol Institute, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington, USA.
Harborview Medical Center, University of Washington, Seattle, Washington, USA.
BMC Psychiatry. 2025 Jul 31;25(1):748. doi: 10.1186/s12888-025-07132-4.
Medications for opioid use disorder (MOUD) are frontline treatments for opioid use disorder, but retention is low. Community Reinforcement and Family Training (CRAFT) is an evidence-based intervention with concerned significant others (CSOs; family, friends) that improves treatment engagement among people with substance use disorder, but is rarely available. This study aimed to assess the interest in and preferences for a CRAFT-based intervention among CSOs of patients receiving MOUD.
Patients receiving MOUD were recruited from outpatient clinics to complete a brief survey to identify CSOs who might be willing to give feedback on a CRAFT-based group. CSOs who agreed to participate were interviewed virtually using a semi-structured guide assessing preferences for a group intervention.
Over half of patient participants (n = 28/48; 58%) listed a CSO. Of n = 36 CSOs contacted, fourteen (39%) completed interviews. Interviews were transcribed and coded using thematic analysis on reasons for participating and preferences for the group. All interviewed CSOs were interested in doing the group, with the most common reasons being to learn skills, get evidence-based education, and interact with others in similar situations. Most CSOs preferred doing a virtual group in the evenings or on weekends.
Among patients receiving MOUD, a third had a CSO willing to engage in a group intervention for their family/friend. Findings will inform a pilot study of a CRAFT-based group intervention delivered by an MOUD nurse care manager. The current and future studies add to ongoing efforts to involve CSOs and to improve outcomes among individuals on MOUD.
阿片类物质使用障碍药物（MOUD）是阿片类物质使用障碍的一线治疗方法，但治疗留存率较低。社区强化与家庭训练（CRAFT）是一种针对相关重要他人（CSO；家人、朋友）的循证干预措施，可提高物质使用障碍患者的治疗参与度，但很少能获得。本研究旨在评估接受MOUD治疗的患者的CSO对基于CRAFT的干预措施的兴趣和偏好。
从门诊诊所招募接受MOUD治疗的患者，完成一项简短调查，以确定可能愿意对基于CRAFT的小组提供反馈的CSO。同意参与的CSO通过虚拟方式接受访谈，使用半结构化指南评估对小组干预的偏好。
超过一半的患者参与者（n = 28/48；58%）列出了一名CSO。在联系的n = 36名CSO中，14名（39%）完成了访谈。对访谈进行转录，并使用主题分析对参与原因和对小组的偏好进行编码。所有接受访谈的CSO都对参加小组感兴趣，最常见的原因是学习技能、接受循证教育以及与处于类似情况的其他人互动。大多数CSO更喜欢在晚上或周末参加虚拟小组。
在接受MOUD治疗的患者中，三分之一的患者有一名CSO愿意参与针对其家人/朋友的小组干预。研究结果将为MOUD护士护理经理实施的基于CRAFT的小组干预的试点研究提供参考。当前和未来的研究将为持续努力让CSO参与进来并改善接受MOUD治疗的个体的治疗效果做出贡献。
