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.

中文翻译：

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基于Internet的社区强化和家庭培训计划对于提高AUD的治疗参与度并改善CSO的精神健康的功效：一项随机对照试验

目的

社区强化方法和家庭培训（CRAFT）是一项支持计划，旨在帮助重要的其他人（CSO）识别出患有酒精使用障碍的人（IP），以期使IP参与治疗并改善CSO的功能。本研究的目的是研究基于互联网的CRAFT（iCRAFT）版本的功效。

方法

一项随机对照试验，比较了iCRAFT与等待名单（WL）病情以及瑞典在全国范围内的接受情况。这项研究总共包括了94名拒绝IP的公民社会组织，他们根据DSM-IV酒精依赖或滥用的标准描述了IP。iCRAFT由五个每周由治疗师指导的管理模块组成，内容如下：（a）改善公民社会组织自身的心理健康，（b）提高公民社会组织要求知识产权寻求治疗的技能，（c）积极的沟通技巧培训，（d ）IP饮用行为的应急管理。主要结局指标是IP主动寻求在24周进行衡量的治疗。次要结果是知识产权的日常饮酒量，公民社会组织的心理健康，生活质量和关系满意度。

结果

在研究期间，有94位参与者中有15位公民社会组织报告了知识产权治疗计划。其中10个属于iCRAFT条件，五个属于WL条件。条件之间的差异不显着，结果不确定。iCRAFT的参与者在抑郁症状，生活质量和关系幸福感方面显示出短期的改善。

结论

这项研究无法证明iCRAFT计划中有关寻求IP治疗或CSO心理健康的重大变化。