Effectiveness of Community Reinforcement and Family Training (CRAFT) on Motivational Stages of change of Drug Abusers to Engage in Treatment

Hossein Assadbeigi, Abbas Pourshahbaz, Parvaneh Mohamadkhani, Ali Farhoudian


Although motivation is important in treating the drug abuse, main people in patient's life who are concerned with the patient is important and provides a hopeful view for participating the reluctant patients in the treatment. To this end, Community Reinforcement and Family Training (CRAFT) applied. This study aimed to evaluate the effectiveness of Community Reinforcement and Family Training (CRAFT) on the family members of substance abusers to change the motivational stages of the reluctant patients. This was a quasi-experimental study with control group in which the pre-test and post-test were used. In the present study, two experimental groups (CRAFT and Nar-Anon) and a control group (as usual) were used using the purposive sampling of the families with reluctant drug abusers who referred to a methadone treatment clinic in Tehran were selected. Each of the groups consisted of 25 people. CRAFT groups were trained in 12 sessions of intervention techniques (CRAFT). Nar-Anon groups participated in self-help sessions and control group did not receive any intervention. All three groups completed demographic questionnaire and the motivational stage of change questionnaire about the main patient and the results were quantitatively analyzed using SPSS-22. There was no significant relationship between the CRAFT group and Nar-Anon group with the control group and the change of their motivation in pretest and posttest. CRAFT was effective in changing the reluctant drug abusers to engage in the treatment from the motivational stage of the "pre- contemplation" and "contemplation" stages to the "preparation" stage and changing the "preparation" stage into the "action" stage. However, there was no significant change in this regard in the other two groups. Participating in the treatment CRAFT was effective in changing the patients’ motivation to change.


Community Reinforcement and Family Training (CRAFT), Motivational Stages of change, Nar-Anon, Drug Abuse.

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