Evidence map›Paper›PMID 24656054›Full record

Trial reportDrug and alcohol dependence2014

A randomized pilot clinical trial to evaluate the efficacy of Community Reinforcement and Family Training for Treatment Retention (CRAFT-T) for improving outcomes for patients completing opioid detoxification.

Gregory S Brigham, Natasha Slesnick, Theresa M Winhusen, Daniel F Lewis, Xiamei Guo, Eugene Somoza

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04250077 (SBIR Phase 1), which is not on this map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04250077 nacompletednot on this mapstarted 2020, after this paper: background citation

SBIR Phase 1: Scalable Digital Delivery of Evidence-based Training for Family to Maximize Treatment Admission Rates of Opioid Use Disorder in Loved Ones-- We The Village Family Support Study

TypeinterventionalSponsorWe The Village, Inc.Ran2020 to 2020Enrolled45ConditionsCommunity Reinforcement And Family Training, Family Health, Substance-Related DisordersArmsCommunity Reinforcement And Family Training (CRAFT), We The Village Peer Community Forum
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.

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  14. Initial insights from a quality improvement initiative to develop an evidence-informed young adult substance use program.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Gregory S BrighamAddiction Sciences Division, Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH 45220, USA; Maryhaven, Columbus, OH 43207, USA. Electronic address: Gbrigham@maryhaven.com.
Natasha SlesnickDepartment of Human Sciences, The Ohio State University, Columbus, OH 43210, USA.
Theresa M WinhusenAddiction Sciences Division, Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH 45220, USA.
Daniel F LewisAddiction Sciences Division, Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH 45220, USA.
Xiamei GuoDepartment of Human Sciences, The Ohio State University, Columbus, OH 43210, USA.
Eugene SomozaAddiction Sciences Division, Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH 45220, USA; Cincinnati VA Medical Center, Cincinnati, OH 45220, USA.
University of Cincinnati Medical Center · USThe Ohio State University · USCincinnati VA Medical Center · US

Funding

Clinical Trials Network, Ohio Valley Node U10DA013732U10DA013732 · NIDA · UNIVERSITY OF CINCINNATI · PI WINHUSEN, T JOHN · 2000 to 2015
$45.0M
Community Reinforcement and Family Training for Treatment Retention/HIV Risk(CDAK23DA021512 · NIDA · UNIVERSITY OF CINCINNATI · PI BRIGHAM, GREGORY S · 2007 to 2011
$864k
NIDA NIH HHS 5K23DA021512-02NIDA NIH HHS K23 DA021512NIDA NIH HHS U10 DA013732NIDA NIH HHS U10-DA013732
6 · The paper itself

Abstract

backgroundDetoxification with psychosocial counseling remains a standard opioid-use disorder treatment practice but is associated with poor outcomes. This study tested the efficacy of a newly developed psychosocial intervention, Community Reinforcement Approach and Family Training for Treatment Retention (CRAFT-T), relative to psychosocial treatment as usual (TAU), for improving treatment outcomes.

methodsA randomized, 14-week trial with follow-up visits at 6 and 9 months post-randomization conducted at two substance use disorder (SUD) treatment programs. Opioid-dependent adults (i.e., identified patient - IP) enrolled in a residential buprenorphine-detoxification program and their identified concerned significant other (CSO) was randomized to CRAFT-T (n=28 dyads) or TAU (n=24 dyads). CRAFT-T consisted of two sessions with the IP and CSO together and 10 with the CSO alone, over 14 weeks. TAU for the CSOs was primarily educational and referral to self-help. All IPs received treatment as usually provided by the SUD program in which they were enrolled. The primary outcome was time to first IP drop from treatment lasting 30 days or more. Opioid and other drug use were key secondary outcomes.

resultsCRAFT-T resulted in a moderate but non-significant effect on treatment retention (p=0.058, hazard ratio=0.57). When the CSO was parental family, CRAFT-T had a large and significant effect on treatment retention (p<0.01, hazard ratio=.040). CRAFT-T had a significant positive effect on IP opioid and other drug use (p<0.0001).

conclusionCRAFT-T is a promising treatment for opioid use disorder but replication is needed to confirm these results.

Indexed as

AdultBuprenorphineCombined Modality TherapyFemaleHumansMaleNarcotic AntagonistsOpioid-Related DisordersPatient CompliancePilot ProjectsPsychotherapyYoung AdultBuprenorphineNarcotic AntagonistsAddictionDependenceFamilyTreatment

Identifiers

PMID24656054
PMCPMC4022345
OpenAlexW2008166428

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.