How concerned significant others experience Community Reinforcement and Family Training (CRAFT) – a qualitative study

BMC Family Practice

Gallus Bischof¹  Rikke Hellum²  Anette Søgaard Nielsen²  Randi Bilberg² 

[1] Department of Psychiatry and Psychotherapy, University of Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany;Unit of Clinical Alcohol Research, Clinical Institute, University of Southern Denmark, J.B. Winsløws vej 18, 5000, Odense C, Denmark;Psychiatric Department, Odense University Hospital, J.B. Winsløws vej 18, 5000, Odense C, Denmark;Odense Patient Data Explorative Network (OPEN), Odense University Hospital, Odense, Denmark;

关键词: Community reinforcement and family training;    CRAFT;    Concerned significant others;    Relatives;    Abuse of alcohol;    Alcohol use disorder;    Alcohol problems;    Addiction substances;   

DOI  :  10.1186/s12875-021-01596-5

来源: Springer

【 摘 要 】

IntroductionHeavy drinking causes serious harm, not only to the drinker but also to relationships and concerned significant others (CSOs). Community Reinforcement and Family Training (CRAFT) is an intervention developed to help the CSOs of substance users. The aim of this study was to investigate the drivers and aims underlying CSO participation in CRAFT, as well as their experience of the intervention itself and their module preferences.MethodThis is a qualitative study based on data from semi-structured interviews with 11 female help-seeking CSOs of individuals with alcohol problems. The participants were recruited from an RCT study of a variety of CRAFT delivery formats (group sessions + written material, individual sessions + written material or self-delivered CRAFT with written material only). The interviews were audio-recorded, transcribed, and analyzed by Interpretative Phenomenological Analysis.ResultsCSOs reported CRAFT helpful when both delivered by means of individual sessions or group sessions. The “Communication Element” in CRAFT, the module focusing on positive reinforcement and acquiring a clearer understanding of AUD, appeared to be particularly helpful elements of CRAFT. Furthermore, being met with acceptance and non-judgmental attitudes seemed to count highly for the CSOs. The written material a helpful supplement to the face-to-face interventions. The written material a helpful supplement to the face-to-face interventions.ConclusionCSOs who participated in the CRAFT intervention felt helped by its components, irrespective of delivery format.

【 授权许可】

CC BY