Community Reinforcement and Family Training: A pilot comparison of group and self-directed delivery

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• 作者：Jennifer K. Manuel ; Ph.D.^a ; ^{jennifer.manuel@ucsf.edu} ; Julia L. Austin ; Ph.D.^b ; ^c ; William R. Miller ; Ph.D.^b ; ^d ; Barbara S. McCrady ; Ph.D.^b ; ^d ; J. Scott Tonigan ; Ph.D.^b ; ^d ; Robert J. Meyers ; Ph.D.^d ; ¹ ; Jane Ellen Smith ; Ph.D.^b ; Michael P. Bogenschutz ; M.D.^d ; ^e
• 关键词：CRAFT ; Treatment engagement ; Substance use ; Treatment outcome ; Family members
• 刊名：Journal of Substance Abuse Treatment
• 出版年：2012
• 期刊代码：174_07405472
• 类别：med
• 出版时间：July, 2012
• 卷：43
• 期：1
• 页码：129-136
• 文件大小：293 K

摘要

In a randomized clinical pilot study, 40 concerned significant others (CSOs) of treatment-refusing alcohol- and drug-using individuals were randomized to either Community Reinforcement and Family Training (CRAFT) conducted in a group format (Group CRAFT) or a Self-Directed CRAFT condition. Although results indicated no significant between-group difference in engaging treatment-refusing substance-using individuals (referred to as identified patients or IPs) into treatment, the engagement rate in Group CRAFT was similar to rates previously reported with individual CRAFT. For the intent-to-treat analysis, 60%of Group CRAFT CSOs engaged their loved one into treatment, as compared with 40%in Self-Directed CRAFT. Of CSOs in the Group condition who received at least one session of group therapy, 71%engaged their IP into treatment. CSOs in both conditions reported improvements in family cohesion and conflict at the 3- and 6-month follow-up, replicating prior CRAFT findings.