Community Reinforcement and Family Training (CRAFT)

NCT ID: NCT03281057

Last Updated: 2025-03-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

255 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-01

Study Completion Date

2023-12-31

Brief Summary

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The present study is dedicated to empowering individuals close to an addicted person (i.e. concerned significant others, CSOs) to create changes in their family environment: changes that increase the likelihood of the addicted person seeking treatment.

The Danish National Clinical Guideline for the treatment of alcohol dependence recommends that alcohol treatment centers offer interventions aimed at CSOs, providing them with the support and empowerment that will enable them to motivate the problem drinker to enter treatment. In the US, the Community Reinforcement and Family Training (CRAFT) intervention has been shown to offer the most effective support to CSOs. CRAFT has consistently demonstrated a two to three times' higher impact on getting individual with an alcohol use disorder (AUD) to attend treatment, compared to other kinds of interventions. Studies of the intervention so far have, however, been small, and the format used in the delivery of CRAFT has not been fully investigated.

The aim of the present cluster randomized controlled trial is to implement and investigate CRAFT in a Danish context and with sufficient sample size. Consecutive CSOs will through cluster randomization be randomized to receive either CRAFT in a group format, CRAFT in an individual format, or a control condition, consisting of self-help material only. The primary outcome of the study will be the rate of individuals with AUD entering treatment following the intervention targeted at the CSOs within three months from its initiation. Data will be collected from all CSOs at baseline, three, and six months after baseline.

Detailed Description

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Conditions

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CRAFT Concern Significant Others Alcohol Use Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Cluster randomization Clinical trial with 3 arms - individual, group, and self-help intervention.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Individual CRAFT

Individual CRAFT is offered to 135 participants and each participants are going to get 6 sessions.

Group Type EXPERIMENTAL

CRAFT

Intervention Type BEHAVIORAL

CRAFT is a counseling/therapist to concern significant others to get their loved one, with an alcohol use disorder, into treatment

Group CRAFT

Open group CRAFT is offered to 135 participants in 6 sessions.

Group Type EXPERIMENTAL

CRAFT

Intervention Type BEHAVIORAL

CRAFT is a counseling/therapist to concern significant others to get their loved one, with an alcohol use disorder, into treatment

Self-help materials

Self-help materials (control group) are going to be offered a self-help book, because it is unethically not to offer any intervention, as the CRAFT intervention in early studies have shown to be very effectful

Group Type EXPERIMENTAL

CRAFT

Intervention Type BEHAVIORAL

CRAFT is a counseling/therapist to concern significant others to get their loved one, with an alcohol use disorder, into treatment

Interventions

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CRAFT

CRAFT is a counseling/therapist to concern significant others to get their loved one, with an alcohol use disorder, into treatment

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* 18 years and older
* Being a CSO to a person with AUD who is not currently in treatment for alcohol problems
* Having the intention to maintain the contact during the next 90 days
* Having had regular contact with the problem drinker for the last 90 days (face-to-face contact for several hours on at least a weekly basis) and having the intention to maintain the contact during the next 90 days.
* Being prepared support the problem drinker if he/she chooses to seek treatment, at least to some extent.

Exclusion Criteria

* Suffering from dementia or other cognitive disorders
* Not speaking Danish
* Being psychotic or otherwise severely mentally ill
* Suffering from AUD in the last three months
* Being concerned about a person who, according to the CSO, mainly use illegal substances
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kjeld Andersen

OTHER

Sponsor Role lead

Responsible Party

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Kjeld Andersen

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Anette Søgaard Nielsen, Ass. Prof.

Role: STUDY_CHAIR

Unit of Clinical Research, University of Southern Denmark

Locations

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Unit if Clinical Alcohol Research

Odense, , Denmark

Site Status

Research Unit of Psychiatry, Psychiatric Unit Odense - University function

Odense C, , Denmark

Site Status

Countries

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Denmark

References

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Hellum R, Bilberg R, Andersen K, Bischof G, Hesse M, Nielsen AS. Primary Outcome from a cluster-randomized trial of three formats for delivering Community Reinforcement and Family Training (CRAFT) to the significant others of problem drinkers. BMC Public Health. 2022 May 10;22(1):928. doi: 10.1186/s12889-022-13293-8.

Reference Type DERIVED
PMID: 35538465 (View on PubMed)

Hellum R, Nielsen AS, Bischof G, Andersen K, Hesse M, Ekstrom CT, Bilberg R. Community reinforcement and family training (CRAFT) - design of a cluster randomized controlled trial comparing individual, group and self-help interventions. BMC Public Health. 2019 Mar 14;19(1):307. doi: 10.1186/s12889-019-6632-5.

Reference Type DERIVED
PMID: 30871596 (View on PubMed)

Other Identifiers

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CRAFT112018

Identifier Type: -

Identifier Source: org_study_id

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