Centre for Alcohol and Drug Research

Community reinforcement and family training (CRAFT) - design of a cluster randomized controlled trial comparing individual, group and self-help interventions

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  • Rikke Hellum, Odense Patient Data Explorative Network (OPEN), Odense University Hospital, Odense, Denmark. rhellum@health.sdu.dk., Clinical Institute, University of Southern Denmark
  • ,
  • Anette Søgaard Nielsen, Psychiatric Department, Odense University Hospital, J.B. Winsløws vej 18, 5000, Odense, Denmark., OPEN Odense Patient data Explorative Network, Odense University Hospital and University of Southern Denmark, Clinical Institute, University of Southern Denmark
  • ,
  • Gallus Bischof, Department of Psychiatry and Psychotherapy, University of Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany.
  • ,
  • Kjeld Andersen, Psychiatric Department, Odense University Hospital, J.B. Winsløws vej 18, 5000, Odense, Denmark., Clinical Institute, University of Southern Denmark
  • ,
  • Morten Hesse
  • Claus Thorn Ekstrøm, Section of Biostatistics, University of Copenhagen, Øster Farimagsgade 5, 1014, København K, Denmark., Clinical Institute, University of Southern Denmark
  • ,
  • Randi Bilberg, OPEN Odense Patient data Explorative Network, Odense University Hospital and University of Southern Denmark, Clinical Institute, University of Southern Denmark, Psychiatric Department, Odense University Hospital, J.B. Winsløws vej 18, 5000, Odense, Denmark.

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
JournalBMC Public Health
Volume19
Number of pages10
ISSN1471-2458
DOIs
Publication statusPublished - Mar 2019

    Research areas

  • Alcohol treatment, Alcohol use disorder, CRAFT, Community reinforcement and family training, Concerned significant others, Treatment engagement, MEMBERS, ALCOHOL-PROBLEMS, EFFICACY, TREATMENT ENTRY, BARRIERS, SIGNIFICANT OTHERS

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