How concerned significant others experience Community Reinforcement and Family Training (CRAFT) – a qualitative study

Rikke Hellum*, Randi Bilberg, Gallus Bischof, Anette Søgaard Nielsen

*Kontaktforfatter

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Abstract

Introduction: Heavy drinking causes serious harm, not only to the drinker but also to relationships and concerned significant others (CSOs). Community Reinforcement and Family Training (CRAFT) is an intervention developed to help the CSOs of substance users. The aim of this study was to investigate the drivers and aims underlying CSO participation in CRAFT, as well as their experience of the intervention itself and their module preferences. Method: This is a qualitative study based on data from semi-structured interviews with 11 female help-seeking CSOs of individuals with alcohol problems. The participants were recruited from an RCT study of a variety of CRAFT delivery formats (group sessions + written material, individual sessions + written material or self-delivered CRAFT with written material only). The interviews were audio-recorded, transcribed, and analyzed by Interpretative Phenomenological Analysis. Results: CSOs reported CRAFT helpful when both delivered by means of individual sessions or group sessions. The “Communication Element” in CRAFT, the module focusing on positive reinforcement and acquiring a clearer understanding of AUD, appeared to be particularly helpful elements of CRAFT. Furthermore, being met with acceptance and non-judgmental attitudes seemed to count highly for the CSOs. The written material a helpful supplement to the face-to-face interventions. The written material a helpful supplement to the face-to-face interventions. Conclusion: CSOs who participated in the CRAFT intervention felt helped by its components, irrespective of delivery format.

OriginalsprogEngelsk
Artikelnummer241
TidsskriftBMC Family Practice
Vol/bind22
Udgave nummer1
Antal sider14
ISSN1471-2296
DOI
StatusUdgivet - 3. dec. 2021

Bibliografisk note

Funding Information:
The CRAFT study is funded by Trygfonden, the University of Southern Denmark and the Research Foundation for Psychiatric Research in the Region of Southern Denmark. The funding bodies had no influence on the design of the study or collection, analysis, and interpretation of data or in writing the manuscript.

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