Clinicians’ experiences of delivering online Community Reinforcement and Family Training (CRAFT) for families affected by substance use in rural Australia

IF 3.5

Drug and alcohol dependence reports Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI:10.1016/j.dadr.2026.100416

Subash Thapa , Heidi Gray , Nicole Snowdon , Brian Serna , Brianna Jacobson , Julaine Allan

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引用次数: 0

Abstract

Background

Interventions that support family members or concerned significant others (CSOs) of people with alcohol or drug dependence can enhance recovery, strengthen family functioning, and reduce recurrence rates. Yet factors influencing successful implementation of CSO-focused online programs, especially in rural Australia remain poorly understood. This study explored the implementation experiences of clinicians delivering online Community Reinforcement and Family Training (CRAFT).

Methods

This exploratory descriptive qualitative study involved semi-structured interviews with seven clinicians who delivered CRAFT. Data were analysed thematically using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework.

Results

CRAFT was perceived as well-structured, feasible, and compatible with routine clinical practice, enhancing clinicians’ confidence and enabling CSOs to develop skills in self-care, positive communication, problem-solving, and supporting healthy behaviours among loved ones. Successful implementation depended on clinician enthusiasm, flexible delivery modes (online as well as in-person), tailored content, and ongoing feedback, while challenges included CSO emotional overwhelm, competing responsibilities, limited digital literacy, and insufficient alcohol and drug services for loved ones. Socio-cultural factors, including reluctance to discuss alcohol or substance dependence, also limited engagement. Clinicians intended to retain key program components in practice but time constraints, telehealth limitations, and rural service gaps hindered sustained integration. Suggested improvements included cultural adaptation and structured opportunities for family–service collaboration.

Conclusions

Online CRAFT is a promising, practice-ready intervention for supporting and empowering rural families affected by alcohol and drug use. Its integration into health services will depend on addressing workforce capacity, digital access, and rural service inequities, alongside policy-level commitment to family-focused programs.

Clinical trial registration

ACTRN12623000796684 (registered 26 July 2023)

查看原文本刊更多论文

临床医生为澳大利亚农村受药物使用影响的家庭提供在线社区强化和家庭培训（CRAFT）的经验。

背景：支持酒精或药物依赖者的家庭成员或相关重要他人（cso）的干预措施可以促进康复，加强家庭功能，并降低复发率。然而，影响以公民社会组织为重点的在线课程成功实施的因素，特别是在澳大利亚农村，仍然知之甚少。本研究探讨了临床医生提供在线社区强化和家庭培训（CRAFT）的实施经验。方法：这项探索性描述性定性研究包括对7名实施CRAFT的临床医生进行半结构化访谈。使用RE-AIM （Reach, Effectiveness, Adoption, Implementation, Maintenance）框架对数据进行了主题分析。结果：CRAFT被认为结构良好，可行，与常规临床实践相兼容，增强了临床医生的信心，使cso能够发展自我护理，积极沟通，解决问题和支持亲人健康行为的技能。成功的实施取决于临床医生的热情、灵活的交付模式（在线和面对面）、量身定制的内容和持续的反馈，而挑战包括CSO的情绪压力、相互竞争的责任、有限的数字素养以及为亲人提供的酒精和药物服务不足。社会文化因素，包括不愿讨论酒精或物质依赖，也限制了参与。临床医生打算在实践中保留关键的方案组成部分，但时间限制、远程医疗限制和农村服务差距阻碍了持续整合。建议的改进包括文化适应和家庭服务合作的结构性机会。结论：在线CRAFT是一种有希望的、可付诸实践的干预措施，可为受酒精和药物使用影响的农村家庭提供支持和赋权。将其纳入卫生服务将取决于解决劳动力能力、数字获取和农村服务不平等问题，以及政策层面对以家庭为重点的规划的承诺。临床试验注册：ACTRN12623000796684（2023年7月26日注册）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Drug and alcohol dependence reports Psychiatry and Mental Health

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0.00%

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审稿时长

100 days