Pilot development and feasibility of telehealth Community Reinforcement and Family Training (CRAFT) for early psychosis and substance use.
Pilot development and feasibility of telehealth Community Reinforcement and Family Training (CRAFT) for early psychosis and substance use.
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DOI：
10.1016/j.psychres.2022.114804
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发表时间：
2022-11
影响因子：
11.3
通讯作者：
Ongur, Dost
中科院分区：
文献类型：
--
作者：
McCarthy, Julie M.;Wood, Andrea J.;Shinners, M. Grace;Heinrich, Hadley;Weiss, Roger D.;Mueser, Kim T.;Meyers, Robert J.;Carol, Emily E.;Hudson, James I.;Ongur, Dost
物质使用与早期精神病患者的不良结局相关。社区强化和家庭培训（CRAFT）是一种以证据为基础的方法，可以帮助家庭减少物质使用，参与治疗，改善家庭福祉，但尚未对精神病和物质使用进行研究。本研究的目的是开发和评估远程医疗干预利用CRAFT经历早期精神病和物质使用的家庭。20名家庭成员完成了适应早期精神病的CRAFT（CRAFT-EP）的6至8次远程保健会议。参与者在基线，中期和干预后，三个月的随访，每次会议后的调查，以及一个焦点小组，以衡量完成会议的平均百分比，平均计划满意度评级，远程医疗偏好和定性反馈完成的评估电池。参与者的会议出席率为100%，99%的会议的程序满意度达到或接近优秀。一半的参与者更喜欢主要是虚拟的混合计划，而45%的人更喜欢完全虚拟的访问。交流是最有帮助的主题，与会者要求提供更多的书面例子和资源。CRAFT-EP作为一项比较常规治疗加CRAFT-EP与常规治疗的初步随机对照试验中的积极干预是可行的，可接受的。
Substance use is associated with poor outcomes for individuals with early psychosis. Community Reinforcement and Family Training (CRAFT) is an evidence-based approach that helps families to reduce substance use, engage in treatment, and improve family wellbeing, but it has not yet been studied for psychosis and substance use. The present study aimed to develop and evaluate a telehealth intervention utilizing CRAFT for families experiencing early psychosis and substance use. Twenty family members completed six to eight telehealth sessions of CRAFT adapted for early psychosis (CRAFT-EP). Participants completed an assessment battery at baseline, mid- and post-intervention, a three-month follow-up, surveys after each session, and a focus group to measure mean percentage of sessions completed, mean program satisfaction ratings, telehealth preference, and qualitative feedback. Participants had 100% session attendance, and program satisfaction was at or near excellent for 99% of sessions. Half of participants preferred a primarily virtual hybrid program, whereas 45% preferred exclusively virtual visits. Communication was the most helpful topic, and participants requested additional written examples and resources. CRAFT-EP is feasible and acceptable to serve as the active intervention in a pilot randomized controlled trial comparing treatment as usual plus CRAFT-EP to treatment as usual.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
DOI：
10.1016/j.jagp.2020.08.004
发表时间：
2021-01
期刊：
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
影响因子：
--
作者：
Cimarolli VR;Burack O;Minahan JM;Falzarano F;Reinhardt JP;Shi X
通讯作者：
Shi X
影响因子：
4.4
作者：
Carpenters, Kenneth M.;Foote, Jeffrey;Clarkin, Sean
通讯作者：
Clarkin, Sean
影响因子：
2.7
作者：
Chaudhry S;Weiss A;Dillon G;O'Shea A;Hansel TC
通讯作者：
Hansel TC
影响因子：
3.4
作者：
Kirby, Kimberly C.;Benishek, Lois A.;Meyers, Robert J.
通讯作者：
Meyers, Robert J.