The effect of CRA Plus Training on treatment model adherence, treatment outcomes and interaction with the working alliance in outpatient addiction care: a RCT

Recruiting

Conditions: Substance use disorders

Registration Number: NL-OMON25251

Lead Sponsor: u funding.

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: Not specified

Target Recruitment: 260

Inclusion Criteria

In order to be eligible to participate in this study, a therapist must meet the following criteria:

· No previous experience with CRA,

· =18 months since start of working at IrisZorg,

· Completed CRA certification within 12 months after completing the CRA basic training,

· Working at an outpatient facility,

· Working with adult patients,

· Written informed consent.

In order to be eligible to participate in this study, a patient must meet the following criteria:

· A primary diagnosis of substance use (meeting the DSM-5 criteria),

· Age 18+,

· Sufficient Dutch language proficiency,

· Written informed consent.

Exclusion Criteria

For therapist subjects there are no additional exclusion criteria. Patients who suffer from severe, current (since intake) psychiatric symptoms (especially manic, psychotic, suicidal and aggressive symptoms) that may endanger themselves or others and jeopardize study adherence will be excluded.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The main study parameter is CRA treatment adherence in terms of the mean number of individual CRA procedures completed by therapists in sessions with each individual patient (range 0-12). Adherence is measured by therapists self-reported adherence per session. The CRA Session Report is used for measuring CRA treatment adherence. Therapists report their use of CRA procedures every session. The treatment trajectories will differ in length. Measurements are made up to a maximum of one year.

Secondary Outcome Measures