Scalable Digital Delivery of Evidence-based Training for Family to Maximize Treatment Admission Rates of Opioid Use Disorder in Loved Ones
Community Reinforcement And Family Training, Family Health, Substance-Related Disorders
About this trial
This is an interventional supportive care trial for Community Reinforcement And Family Training
Eligibility Criteria
Inclusion Criteria: Is a concerned significant other (CSO) of a loved one with an OUP Be 19 years or older No substance use disorder Has concern about the opioid use of a loved one (IP) Plans to be in close contact (phone/face-to-face) with the IP (i.e., 12 days out of 30) The IP is not currently receiving treatment, or is in treatment, but the CSO perceives they may benefit from additional treatment (e.g., in residential treatment, but will need to enter outpatient treatment upon discharge or receiving drug free outpatient but not progressing, so may benefit from MAT). Exclusion Criteria: Does not agree to all procedures and sign the consent form Is not English-speaking Is not able to understand the consent form Pass a multiple-choice consent quiz (i.e., 100% correct responses) that tests the participant's comprehension of basic elements of informed consent and the requirements of the protocol administered by the research team over the phone. Participants will be given up to three opportunities to pass the consent quiz Does not have personal access to a smart phone with data or a computer with internet to be able to access the digital platform for the study conditions, quizzes, questionnaires, and follow-up communication Reports that they have a drug abuse problem or a history of drug abuse or dependence and that they have not been in recovery for at least 2 years Resides outside the United States Participated in previous We The Village pilot study
Sites / Locations
- We The Village, Inc.Recruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
CRAFT
PEER
Participants assigned to CRAFT will have access to a 12-module on-line CRAFT intervention and asked to complete one module weekly for 12 weeks. Modules introduce CRAFT concepts and provide workbooks to assist participants in learning and applying the concepts. The modules that are unlocked weekly include: 1) Introduction to CRAFT; 2) Communication Training; 3) Functional Analysis of Drug Using; 4) Positive Reinforcement; 5) Problem-solving; 6) Withdrawing Reinforcement; 7) Allowing Natural Consequences; 8) Life Enrichment; 9) Suggesting Treatment; 10) Recovery and Relapse; 11) Relationship; and 12) Recap of Skills. Two additional modules (domestic violence and opioid overdose precautions) are available at any time. CRAFT participants also attend weekly 60-minute online group sessions facilitated by a CRAFT-certified coach. During weekly group or individual sessions concepts are briefly reviewed, questions are answered, and skills are practiced through role-plays of common situations.
Participants assigned to the PEER condition will participate in an online peer support forum with other CSOs. Members of the forum post questions or comments to weekly peer-led discussions and receive responses and feedback from other CSO forum members. Members typically express concerns regarding their IP's wellbeing and ask other members to share any strategies they have employed when dealing with their IPs. Interactions typically, are based either in 12-Step strategies members have learned (usually through Al-Anon or Nar-Anon Family Groups or Family Training Workshops provided by treatment programs). A staff member from We The Village monitors forum interactions to ensure members are interacting respectfully.