Digital CRAFT Training for Drug Addiction
Recruiting in Palo Alto (17 mi)
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: We The Village, Inc.
Disqualifiers: Non-English speaking, others
No Placebo Group
Approved in 2 Jurisdictions
Trial Summary
What is the purpose of this trial?The goal of this project is to demonstrate digital training efficacy at scale and commercial readiness.
This pilot project will advance piloted digital training programs for CRAFT and maximize scalability. In this project, investigators will:
Aim 1: Optimize the digital CRAFT training product based on data and feedback from the pilot and commercialization advisors.
Aim 2: Conduct a fully powered randomized control trial of 3 levels of digital training (Level 1 - Digital tutorial only \[T\]; Level 2 - Tutorial \& digital training materials for self-study \[TM\]; Level 3 - Tutorial, digital materials, feedback and coaching \[TMC\]) to examine the effects of training on CRAFT knowledge, fidelity, and plus IP treatment entry/retention and counselor skill pre- and post-tutorial, at 12 weeks and at 6 months.
Will I have to stop taking my current medications?
The trial protocol does not specify whether participants must stop taking their current medications.
What data supports the effectiveness of the CRAFT treatment for drug addiction?
Research shows that Community Reinforcement and Family Training (CRAFT) is effective in engaging individuals with alcohol dependence in treatment and improving the well-being of their family members. Although specific studies on drug addiction are limited, CRAFT has been successful in similar contexts, suggesting it could be beneficial for drug addiction as well.
12345Is CRAFT training safe for humans?
The available research on CRAFT training, primarily focused on helping family members of people with alcohol problems, does not report any safety concerns for participants. It is generally considered safe for use in humans.
14678How is CRAFT Training different from other treatments for drug addiction?
CRAFT Training is unique because it involves family and friends in the treatment process, teaching them how to encourage their loved ones to seek help for drug addiction. Unlike other treatments that focus directly on the person with addiction, CRAFT empowers the support network to create a positive environment that motivates change.
16789Eligibility Criteria
This trial is for professionals working with families affected by opioid use disorder (OUD). Participants should be interested in learning about the Community Reinforcement and Family Training (CRAFT) approach to maximize treatment rates of OUD.Inclusion Criteria
Work in a counselor-related profession
Report having access to a computer and smartphone with internet access, email, and word processing capability
Provide valid locator information to allow research and CRAFT training staff to contact them to schedule study-related appointments
+10 more
Exclusion Criteria
I do not speak English.
Participated in the Qualitative Review aspect of the study
Does not complete the baseline assessment requirements
+1 more
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2-4 weeks
Digital Training
Participants engage in digital training through tutorials, materials, and coaching over a 6-month period
6 months
Weekly digital engagement
Follow-up
Participants are monitored for CRAFT knowledge, fidelity, and treatment entry/retention at 3 and 6 months
6 months
Participant Groups
The study tests three levels of digital training on CRAFT: a basic tutorial, a tutorial with self-study materials, and a comprehensive package including feedback and coaching. The effectiveness will be measured through knowledge acquisition, fidelity to the method, and impact on treatment entry/retention.
3Treatment groups
Experimental Treatment
Active Control
Group I: TMC - Digital Tutorial plus training Materials plus feedback and CoachingExperimental Treatment3 Interventions
Participants receive the digital tutorial (T) plus the digital Training materials (TM), plus they submit audio recordings of sessions with clients and receive feedback on their application of CRAFT and receive group coaching on how to improve.
Group II: TM - Digital Tutorial plus training MaterialsExperimental Treatment2 Interventions
Participants receive the digital tutorial (T), plus access to 15 additional in depth modules of digital training materials also released weekly alongside the tutorial modules. Modules remain available during the 6-month study timeframe. Participants receive weekly contact encouraging engagement in all of the materials available to them.
Group III: T - Digital Tutorial overviewActive Control1 Intervention
A digital tutorial consisting of a curriculum dashboard for review of 20 modules, including videos, PDFs, text and quizzes, which are to be unlocked sequentially over seven weeks. Modules remain available during the 6-month study timeframe. Participants receive weekly contact encouraging engagement in all of the materials available to them.
CRAFT Training is already approved in United States, Canada for the following indications:
🇺🇸 Approved in United States as Community Reinforcement and Family Training for:
- Substance use disorder treatment support for family members and friends
🇨🇦 Approved in Canada as Community Reinforcement and Family Training for:
- Substance use disorder treatment support for family members and friends
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
We The Village, Inc.New York, NY
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Who Is Running the Clinical Trial?
We The Village, Inc.Lead Sponsor
National Institute on Drug Abuse (NIDA)Collaborator
Public Health Management CorporationCollaborator
References
Community reinforcement and family training (CRAFT) - design of a cluster randomized controlled trial comparing individual, group and self-help interventions. [2023]Around 585,000 people in Denmark engage in harmful use of alcohol with 140,000 suffering from outright alcohol dependence. The concerned significant others (CSOs) are affected by the drinking, often suffering almost as much as the person with alcohol use disorder. Community Reinforcement and Family Training (CRAFT) is aimed at CSOs who struggle unsuccessfully, in an effort to motivate their loved ones to stop drinking and seek treatment. The aims of this study are 1) To implement CRAFT interventions into the daily routine of operating Danish alcohol treatment centers 2) To investigate whether 6-week-individual CRAFT, 6-week-open group-based CRAFT or CRAFT based on self-help material, is efficient in getting problem drinkers to seek treatment for their alcohol problems 3) To investigate which of the three interventions (individual, group or self-directed CRAFT) is the most effective and in which group of population.
Community reinforcement and family training and rates of treatment entry: a systematic review. [2021]Adaptations with different modes of delivery and target addictions have found highly divergent rates of success for Community Reinforcement Approach and Family Training (CRAFT). This study aims to clarify which (1) treatment components and (2) participant characteristics contribute to rates of identified patient (IP) treatment entry.
Developing Community Reinforcement and Family Training (CRAFT) for Parents of Treatment-Resistant Adolescents. [2022]We describe a project focused on training parents to facilitate their treatment-resistant adolescent's treatment entry and to manage their child after entry into community-based treatment. Controlled studies show that Community Reinforcement and Family Training (CRAFT) is a unilateral treatment that fosters treatment entry of adults; however, there are no controlled trials for parents with a substance-abusing child. We examined the behavioral parent training literature to guide us in tailoring CRAFT for parents of adolescents. We discuss adaptations to CRAFT, outcomes and experiences gained from a brief pilot of the revised CRAFT program, and the future directions of this work.
Efficacy of the Community Reinforcement and Family Training for concerned significant others of treatment-refusing individuals with alcohol dependence: A randomized controlled trial. [2019]The Community Reinforcement and Family Training (CRAFT) is a promising approach for Concerned Significant Others (CSOs) of alcohol-dependent individuals (ADI) that aims to engage treatment-refusing patients in alcohol treatment and to improve CSO functioning. To date, only two randomized controlled trials (RCTs) of CRAFT-based treatment for CSOs of ADI are available, both conducted in the U.S. For the first time, this study analyses the efficacy of CRAFT in a sample of CSOs outside of the U.S.
Community reinforcement and family training: an effective option to engage treatment-resistant substance-abusing individuals in treatment. [2022]Many individuals with substance use disorders are opposed to seeking formal treatment, often leading to disruptive relationships with concerned significant others (CSOs). This is disturbing, as untreated individuals are often associated with a variety of other addiction-related problems. Community Reinforcement and Family Training (CRAFT) provides an option to the more traditional treatment and intervention approaches. The objective of this systematic review was to compare CRAFT with the Alcoholics Anonymous/Narcotics Anonymous (Al-Anon/Nar-Anon) model and the Johnson Institute intervention in terms of its ability to engage patients in treatment and improve the functioning of CSOs.
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. [2020]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).
Primary Outcome from a cluster-randomized trial of three formats for delivering Community Reinforcement and Family Training (CRAFT) to the significant others of problem drinkers. [2022]Community Reinforcement and Family Training (CRAFT) is an intervention designed to help the concerned significant others (CSOs) of people with alcohol problems who are reluctant to seek treatment. It aims to improve the well-being of CSOs and teach them how to change their behavior in order to positively influence the "identified patient" (IP) to seek treatment.
How concerned significant others experience Community Reinforcement and Family Training (CRAFT) - a qualitative study. [2022]Heavy 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.
The Community Reinforcement Approach. [2019]This chapter reviews two behavioral substance abuse treatments: The Community Reinforcement Approach (CRA) and Community Reinforcement and Family Training (CRAFT). Both of these programs were built on the concept that an individual's recovery is greatly affected by his or her unique environment. This environment, or reinforcing "community," is composed of family, friends, work/school, social activities, and perhaps spiritual affiliations. CRA, the first of these two programs to be developed, was created specifically for the problem drinker (Hunt & Azrin, 1973). The goal of CRA is to rearrange multiple aspects of an individual's "community" so that a clean and sober lifestyle is more rewarding than one that is dominated by alcohol and drugs. Subsequently, CRAFT was developed for the many individuals with substance abuse problems who are vehemently opposed to treatment (Institute of Medicine, 1990). CRAFT works through concerned family members and friends of these treatment refusers in an effort to get them to seek therapy (Sisson & Azrin, 1986). Descriptions and the empirical support for CRA and CRAFT follow.