CRAFT Behavior Therapy: Treatment Entry Component

NCT00842036 | Completed Phase 2 DMC

• 2 other identifiers: 04065R01DA018696
• Study Type: interventional
• Target: 180
• Locations: 1 country
• Sites: 1

Brief Summary

This research compares the benefits of the original treatment, Community Reinforcement and Family Training (CRAFT), with the Treatment Entry Training (TEnT) component of CRAFT to determine if TEnt alone can produce the primary outcome of CRAFT -- treatment entry of the drug user. We also look at the impact on the well-being of the concerned significant other and the drug use of their loved one.

Conditions

Drug Addiction; Stimulant Dependence; Opiate Dependence; Alcohol Dependence; Substance Abuse

Keywords

Family Therapy; Relationship Dysfunction; Family Dysfunction; Family Relations; Stimulant Dependence; Opiate Dependence; Alcohol Dependence; Behavior Therapy; Drug Treatment; Substance Abuse; Drug Addiction

Outcome Measures

Primary Outcomes (1)

• Treatment entry of the drug user

  This may occur at any point throughout the participants' involvement in the study

Secondary Outcomes (2)

• Reduction in drug use

  2 month, 4 month, 6 month, and 9 month assessments

• Improvements in mood and functioning

  2 month, 4 month, 6 month, and 9 month assessments

Study Arms (3)

ANft

ACTIVE COMPARATOR

12- step Al/Nar-Anon Facilitation

Behavioral: 12- step Al/Nar- Anon Facilitation

TEnT

EXPERIMENTAL

Treatment Entry Training

Behavioral: Treatment Entry Training

CRAFT

EXPERIMENTAL

Community Reinforcement and Family Training

Behavioral: Community Reinforcement and Family Training

Interventions

Community Reinforcement and Family Training BEHAVIORAL

Community Reinforcement and Family Training (CRAFT) is an intervention designed for the concerned significant other (CSO) of a drug or alcohol using loved one. The CRAFT intervention consists of approximately 12 sessions lasting 45-60 minutes. The goal of the CRAFT intervention is to train the CSO in new ways to interact with the person of concern (PC). There are four components that the CSO is trained on which include awareness training, community reinforcement training, treatment entry training, and CSO mood enhancement.

CRAFT

Treatment Entry Training BEHAVIORAL

Treatment Entry Training (TEnT) is a component of the Community Reinforcement and Family Training intervention and it is currently under investigation to determine if it is sufficient to produce the primary and most consistent outcome of CRAFT- treatment entry of the drug user. The intervention will consist of a minimum of 4 sessions and a maximum of 6 sessions that are each 45-60 minutes long. TEnT will include awareness training, safety training, and the Treatment Entry Training component of CRAFT.

TEnT

12- step Al/Nar- Anon Facilitation BEHAVIORAL

The underlying philosophy of the 12- step approach for concerned significant others (CSO) is that the CSO is powerless to control the drinker/drug user and must detach, focusing instead on accepting the situation and on strengthening his or her mental health. Eight content areas are discussed with the CSO over the course of the intervention. There will be a minimum of 8 sessions and a maximum of 12 sessions that are each 45-60 minutes long.

ANft

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Concerned Significant Other (CSO) and Person of Concern (PC) over 18 years of age
• is a family member (such as a close relative, spouse, intimate partner), roommate or significant other who is concerned about a PC
• reports that the PC has a pattern of drug or alcohol use that meets the criterion for abuse or dependence on stimulants, opiates, or alcohol according to DSM-IV-TR
• reports that the PC is not currently in treatment and has not received treatment during the past 6 weeks (other than detoxification)
• reports having been in the relationship with the identified PC for at least 3 months
• reports contact with the identified PC on at least 12 of the past 30 days with no planned change in the amount of contact in the next 10 months
• provides evidence that the PC has refused to seek treatment when CSO asked

You may not qualify if:

• does not demonstrate complete understanding of their participation by reading the consent form and passing a consent quiz that tests comprehension of the basic elements of informed consent and requirements of the protocol, or does not agree to participate by signing an informed consent
• declines to: provide valid locator information, allow videotaped sessions, and/or participate in follow-ups
• CSO has a drug abuse problem themselves as determined through clinical assessment and DSM-IV-TR criteria
• is not able to comprehend the content in the self-report materials (written at about 6th grade reading level)
• reports that the PC behaves in a manner consistent with an unremitting psychosis or another psychiatric disorder (e.g., significant developmental delay) that would contraindicate the planned CRAFT intervention
• intends to receive more than 6 hours of individual counseling focusing on the PC's addiction for the 6 months after they are enrolled in the study
• PC has a recent history of severe domestic violence (e.g., the PC has committed criminal assault during the past 2 years, or has a history of severe violence involving a weapon or resulting in hospitalization
• has an immediate family member, friend, roommate, co-worker, or other person who has already enrolled in the study and his/her participation is not likely to be independent of the initially enrolled CSO's participation
• fails to complete 2 sessions with a family trainer

Sponsors & Collaborators

• Treatment Research Institute: lead

Study Sites (1)

TRI South Street

Philadelphia, Pennsylvania, 19106, United States

Location

MeSH Terms

Conditions

Substance-Related Disorders; Opioid-Related Disorders; Alcoholism

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders; Narcotic-Related Disorders; Alcohol-Related Disorders

Study Officials

• Kimberly C Kirby, Ph.D.

  Treatment Research Institute

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: February 11, 2009
• First Posted: February 12, 2009
• Study Start: January 1, 2006
• Primary Completion: December 1, 2009
• Study Completion: December 1, 2009
• Last Updated: March 28, 2023

Record last verified: 2023-03

Locations

US (1)