Efficacy of an Internet-Based Community Reinforcement and Family Training Program to Increase Treatment Engagement for AUD and to Improve Psychiatric Health for CSOs: A Randomized Controlled Trial
| Autor: | Anders Hammarberg, Sven Andréasson, Tobias Lundgren, Magnus Johansson, Claudia Fahlke, Niels Eék, Ola Siljeholm, Stina Ingesson, Karin Romberg, Lisa Bäckman |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Contingency management Alcohol use disorder Article law.invention 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Randomized controlled trial Behavior Therapy law business.product_line medicine Humans 030212 general & internal medicine Spouses Psychiatry Internet Alcohol dependence General Medicine Middle Aged Patient Acceptance of Health Care Communication skills training medicine.disease Mental health 030227 psychiatry Alcoholism Family Therapy Female Community reinforcement approach and family training business Psychology |
| Zdroj: | Alcohol and Alcoholism (Oxford, Oxfordshire) |
| ISSN: | 1464-3502 0735-0414 |
| Popis: | Aims Community Reinforcement Approach and Family Training (CRAFT) is a support program for concerned significant others (CSOs) to identified persons (IPs) with alcohol use disorders, with the purpose of engaging IPs to treatment and to improve CSO functioning. The purpose of the present study was to investigate the efficacy of an internet-based version of CRAFT (iCRAFT). Methods Randomized controlled trial comparing iCRAFT with a wait-list (WL) condition with a nation-wide uptake in Sweden. A total of 94 CSOs to a treatment refusing IP, who described the IP according to DSM-IV criteria for alcohol dependence or abuse, were included in the study. iCRAFT consisted of five weekly administered therapist-guided modules with the following content: (a) improve CSOs’ own mental health, (b) improve the CSOs skills in asking the IP to seek treatment, (c) positive communication skills training, (d) contingency management of IP drinking behavior. Main outcome measure was IPs initiative to seek treatment measured at 24 weeks. Secondary outcomes were IP’s daily alcohol consumption, CSOs mental health, quality of life and relational satisfaction. Results Of 94 participants, 15 CSOs reported IP treatment initiative during the study period. Of these, 10 belonged to the iCRAFT condition and five to the WL condition. The difference between conditions was nonsignificant, and the results were inconclusive. Participants in iCRAFT showed short-term improvements regarding depressive symptoms, quality of life and relational happiness. Conclusion This study was unable to demonstrate substantial changes in the iCRAFT program regarding IP treatment seeking or CSO mental health. |
| Databáze: | OpenAIRE |
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