Evaluation of a support program for caregivers of substance-using adolescents

Not Applicable

Completed

Conditions: Substance use
Mental and Behavioural Disorders

Registration Number: ISRCTN12212515

Lead Sponsor: Stockholm County Council

Brief Summary: Results article in https://pubmed.ncbi.nlm.nih.gov/38225922/ (added 30/01/2024) 2024 Other publications in https://pubmed.ncbi.nlm.nih.gov/38907237/ qualitative results investigating the experiences of CRAFT (added 25/06/2024)

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 113

Inclusion Criteria

Current participant inclusion criteria as of 06/10/2022:
Guardian/caregiver/previous caregiver:
1. Formal or informal present or previous caregiver to a substance-using adolescent/young adult
2. Living with, or being in close contact with, the adolescent at least 50% of the time per month, with no plan to change this pattern
3. Explicit wish that the adolescent/young adult seek formal treatment

Adolescent/young adult of the participating present/previous caregiver:
1. Aged 15-24 years
2. Existing problems related to alcohol or drug
3. Would deny formal treatment at study entry according to the caregiver

_____

Previous participant inclusion criteria:
Guardian/caregiver:
1. Formal or informal caregiver to a substance-using adolescent
2. Living with the adolescent at least 50% of the time per month, with no plan to change this pattern
3. Explicit wish that the adolescent seek formal treatment
4. Living in the Stockholm region

Adolescent of the participating caregiver:
1. Aged 15-19 years
2. Existing problems related to alcohol or drug
3. Would deny formal treatment at study entry according to the caregiver

Exclusion Criteria

Guardian/caregiver:
1. Fulfill criteria for substance related diagnosis according to DSM-5 (excluding nicotine)
2. Reporting drug use more frequent than one time per month during the last 12 months
3. Prevailing psychological or cognitive problems considered as a barrier in using the program materials, e.g. psychotic conditions
4. Participation in other support programs for significant others to people with drug or alcohol problems currently or during the last three months

Adolescent (according to the caregiver):
1. Prevailing psychological or cognitive problems e.g. psychotic conditions, neuropsychiatric disorders
2. Treatment contact for substance problems during the last 30 days
3. Violent behavior against the guardian during the past year

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Adolescents help-seeking behavior as reported by caregivers at baseline, 6, 12 and 24 weeks follow-up. At inclusion and at week 24, the information is provided in the form of an interview. At week 6 and 12, the information is provided in the form of a questionnaire.

Secondary Outcome Measures

Name	Time	Method
The following are self-reported by caregivers of their own and the adolescent's status at the baseline and at 6, 12 and 24 weeks:<br>1. Adolescent drug and alcohol consumption, assessed using:<br>1.1. Timeline Followback (TLFB)<br>1.2. Alcohol Use Disorders Identification Test (AUDIT)<br>1.3. Drug Use Disorders Identification Test (AUDIT)<br>2. Adolescent's mental health, assessed using the Child Behavior Checklist (CBCL)<br>3. Caregiver's mental health, assessed using the Depression Anxiety Stress Scale (DASS-21<br>4. Caregiver's relational satisfaction, assessed using the Relationship Happiness Scale<br>5. Caregiver's quality of life, asessed using:<br>5.1. EQ-5D<br>5.2. Satisfaction With Life Scale (SWLS)<br>6. Caregiver's self-efficacy, assessed using the Parental Self-Efficacy Scale<br>7. Caregiver's psychological flexibility, assessed using the Acceptance and Action Questionnaire - II (AAQ-II)