Evidence map›Paper›PMID 31912156›Full record

Trial reportAlcohol and alcoholism (Oxford, Oxfordshire)2020

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.

Niels EÉk, Karin Romberg, Ola Siljeholm, Magnus Johansson, Sven Andreasson, Tobias Lundgren, Claudia Fahlke, Stina Ingesson, Lisa Bäckman, Anders Hammarberg

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Alcohol and alcoholism (Oxford, Oxfordshire), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 13% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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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

10 authors at 5 institutions in 1 country.

Niels EÉkDepartment of Psychology, University of Gothenburg, PO Box 500, SE405 30 Gothenburg, Sweden.
Karin RombergDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, SE171 77 Stockholm, Sweden.
Ola SiljeholmDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, SE171 77 Stockholm, Sweden.
Magnus JohanssonDepartment of Public Health Sciences, Karolinska Institutet, SE171 77 Stockholm, Sweden.
Sven AndreassonDepartment of Public Health Sciences, Karolinska Institutet, SE171 77 Stockholm, Sweden.
Tobias LundgrenDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, SE171 77 Stockholm, Sweden.
Claudia FahlkeDepartment of Psychology, University of Gothenburg, PO Box 500, SE405 30 Gothenburg, Sweden.
Stina IngessonDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, SE171 77 Stockholm, Sweden.
Lisa BäckmanSahlgrenska University Hospital, The Clinic for Addictions and Dependency, SE413 45, Gothenburg, Sweden.
Anders HammarbergDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, SE171 77 Stockholm, Sweden.
Stockholm Health Care Services · SEKarolinska Institutet · SEUniversity of Gothenburg · SESahlgrenska University Hospital · SEStockholm County Council · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsCommunity 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).

methodsRandomized 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.

resultsOf 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.

conclusionThis study was unable to demonstrate substantial changes in the iCRAFT program regarding IP treatment seeking or CSO mental health.

Indexed as

InternetAlcoholismBehavior TherapyFamily TherapyFemaleHumansMaleMiddle AgedPatient Acceptance of Health CareSpouses

Identifiers

PMID31912156
PMCPMC7082489
OpenAlexW3000532347

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.