Community Reinforcement and Family Training (CRAFT) - design of a cluster randomized controlled trial comparing individual, group and self-help interventions

Rikke Hellum, Anette Søgaard Nielsen, Gallus Bischof, Kjeld Andersen, Morten Hesse, Claus Thorn Ekstrøm, Randi Marie Bilberg

Research output: Contribution to journalJournal articleResearchpeer-review

80 Downloads (Pure)

Abstract

Background: Around 585,000 people in Denmark engage in harmful use of alcohol with 140,000 suffering from outright alcohol dependence. The concerned significant others (CSOs) are affected by the drinking, often suffering almost as much as the person with alcohol use disorder. Community Reinforcement and Family Training (CRAFT) is aimed at CSOs who struggle unsuccessfully, in an effort to motivate their loved ones to stop drinking and seek treatment. The aims of this study are 1) To implement CRAFT interventions into the daily routine of operating Danish alcohol treatment centers 2) To investigate whether 6-week-individual CRAFT, 6-week-open group-based CRAFT or CRAFT based on self-help material, is efficient in getting problem drinkers to seek treatment for their alcohol problems 3) To investigate which of the three interventions (individual, group or self-directed CRAFT) is the most effective and in which group of population. Methods: The study is a three-arm, cluster randomized controlled trial: A: individual CRAFT, group CRAFT, and CRAFT as a self-help intervention. A total of 405 concerned significant others to persons with alcohol abuse will be recruited from 24 alcohol outpatient clinics. The participants will fill out a questionnaire regarding i.e. life quality, if the drinking person entered treatment (main outcome) and satisfaction with the intervention, at baseline and after 3 and 6 months. Discussion: We expect to establish evidence as to whether CRAFT is efficient in a Danish treatment setting and whether CRAFT is most effective at individual, group or self-help material only. Trial registration: Clinical trials.gov ID: NCT03281057. Registration date: September 13th, 2017.

Original languageEnglish
Article number307
JournalB M C Public Health
Volume19
Number of pages10
ISSN1471-2458
DOIs
Publication statusPublished - 14. Mar 2019

Fingerprint

Self-Help Groups
Randomized Controlled Trials
Alcohols
Drinking
Alcoholism
Denmark
Ambulatory Care Facilities
Quality of Life
Clinical Trials

Keywords

  • Alcohol treatment
  • Alcohol use disorder
  • CRAFT
  • Community reinforcement and family training
  • Concerned significant others
  • Treatment engagement

Cite this

@article{79dc344b5d654400b8db449f41163dcc,
title = "Community Reinforcement and Family Training (CRAFT) - design of a cluster randomized controlled trial comparing individual, group and self-help interventions",
abstract = "Background: Around 585,000 people in Denmark engage in harmful use of alcohol with 140,000 suffering from outright alcohol dependence. The concerned significant others (CSOs) are affected by the drinking, often suffering almost as much as the person with alcohol use disorder. Community Reinforcement and Family Training (CRAFT) is aimed at CSOs who struggle unsuccessfully, in an effort to motivate their loved ones to stop drinking and seek treatment. The aims of this study are 1) To implement CRAFT interventions into the daily routine of operating Danish alcohol treatment centers 2) To investigate whether 6-week-individual CRAFT, 6-week-open group-based CRAFT or CRAFT based on self-help material, is efficient in getting problem drinkers to seek treatment for their alcohol problems 3) To investigate which of the three interventions (individual, group or self-directed CRAFT) is the most effective and in which group of population. Methods: The study is a three-arm, cluster randomized controlled trial: A: individual CRAFT, group CRAFT, and CRAFT as a self-help intervention. A total of 405 concerned significant others to persons with alcohol abuse will be recruited from 24 alcohol outpatient clinics. The participants will fill out a questionnaire regarding i.e. life quality, if the drinking person entered treatment (main outcome) and satisfaction with the intervention, at baseline and after 3 and 6 months. Discussion: We expect to establish evidence as to whether CRAFT is efficient in a Danish treatment setting and whether CRAFT is most effective at individual, group or self-help material only. Trial registration: Clinical trials.gov ID: NCT03281057. Registration date: September 13th, 2017.",
keywords = "Alcohol treatment, Alcohol use disorder, CRAFT, Community reinforcement and family training, Concerned significant others, Treatment engagement",
author = "Rikke Hellum and Nielsen, {Anette S{\o}gaard} and Gallus Bischof and Kjeld Andersen and Morten Hesse and Ekstr{\o}m, {Claus Thorn} and Bilberg, {Randi Marie}",
year = "2019",
month = "3",
day = "14",
doi = "10.1186/s12889-019-6632-5",
language = "English",
volume = "19",
journal = "B M C Public Health",
issn = "1471-2458",
publisher = "BioMed Central",

}

Community Reinforcement and Family Training (CRAFT) - design of a cluster randomized controlled trial comparing individual, group and self-help interventions. / Hellum, Rikke; Nielsen, Anette Søgaard; Bischof, Gallus; Andersen, Kjeld; Hesse, Morten; Ekstrøm, Claus Thorn; Bilberg, Randi Marie.

In: B M C Public Health, Vol. 19, 307, 14.03.2019.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Community Reinforcement and Family Training (CRAFT) - design of a cluster randomized controlled trial comparing individual, group and self-help interventions

AU - Hellum, Rikke

AU - Nielsen, Anette Søgaard

AU - Bischof, Gallus

AU - Andersen, Kjeld

AU - Hesse, Morten

AU - Ekstrøm, Claus Thorn

AU - Bilberg, Randi Marie

PY - 2019/3/14

Y1 - 2019/3/14

N2 - Background: Around 585,000 people in Denmark engage in harmful use of alcohol with 140,000 suffering from outright alcohol dependence. The concerned significant others (CSOs) are affected by the drinking, often suffering almost as much as the person with alcohol use disorder. Community Reinforcement and Family Training (CRAFT) is aimed at CSOs who struggle unsuccessfully, in an effort to motivate their loved ones to stop drinking and seek treatment. The aims of this study are 1) To implement CRAFT interventions into the daily routine of operating Danish alcohol treatment centers 2) To investigate whether 6-week-individual CRAFT, 6-week-open group-based CRAFT or CRAFT based on self-help material, is efficient in getting problem drinkers to seek treatment for their alcohol problems 3) To investigate which of the three interventions (individual, group or self-directed CRAFT) is the most effective and in which group of population. Methods: The study is a three-arm, cluster randomized controlled trial: A: individual CRAFT, group CRAFT, and CRAFT as a self-help intervention. A total of 405 concerned significant others to persons with alcohol abuse will be recruited from 24 alcohol outpatient clinics. The participants will fill out a questionnaire regarding i.e. life quality, if the drinking person entered treatment (main outcome) and satisfaction with the intervention, at baseline and after 3 and 6 months. Discussion: We expect to establish evidence as to whether CRAFT is efficient in a Danish treatment setting and whether CRAFT is most effective at individual, group or self-help material only. Trial registration: Clinical trials.gov ID: NCT03281057. Registration date: September 13th, 2017.

AB - Background: Around 585,000 people in Denmark engage in harmful use of alcohol with 140,000 suffering from outright alcohol dependence. The concerned significant others (CSOs) are affected by the drinking, often suffering almost as much as the person with alcohol use disorder. Community Reinforcement and Family Training (CRAFT) is aimed at CSOs who struggle unsuccessfully, in an effort to motivate their loved ones to stop drinking and seek treatment. The aims of this study are 1) To implement CRAFT interventions into the daily routine of operating Danish alcohol treatment centers 2) To investigate whether 6-week-individual CRAFT, 6-week-open group-based CRAFT or CRAFT based on self-help material, is efficient in getting problem drinkers to seek treatment for their alcohol problems 3) To investigate which of the three interventions (individual, group or self-directed CRAFT) is the most effective and in which group of population. Methods: The study is a three-arm, cluster randomized controlled trial: A: individual CRAFT, group CRAFT, and CRAFT as a self-help intervention. A total of 405 concerned significant others to persons with alcohol abuse will be recruited from 24 alcohol outpatient clinics. The participants will fill out a questionnaire regarding i.e. life quality, if the drinking person entered treatment (main outcome) and satisfaction with the intervention, at baseline and after 3 and 6 months. Discussion: We expect to establish evidence as to whether CRAFT is efficient in a Danish treatment setting and whether CRAFT is most effective at individual, group or self-help material only. Trial registration: Clinical trials.gov ID: NCT03281057. Registration date: September 13th, 2017.

KW - Alcohol treatment

KW - Alcohol use disorder

KW - CRAFT

KW - Community reinforcement and family training

KW - Concerned significant others

KW - Treatment engagement

U2 - 10.1186/s12889-019-6632-5

DO - 10.1186/s12889-019-6632-5

M3 - Journal article

VL - 19

JO - B M C Public Health

JF - B M C Public Health

SN - 1471-2458

M1 - 307

ER -