OBJECTIVE Involving family members in a patient's treatment for alcohol use disorder (AUD) leads to more positive outcomes, but evidence-based family-involved treatments have not been adopted widely in AUD treatment programs. Study aims the following: (a) modify an empirically supported 12-session AUD treatment, alcohol behavioral couple therapy (ABCT) to make it shorter and appropriate for any concerned family member and (b) conduct a small clinical trial to obtain feasibility data and effect size estimates of treatment efficacy. METHOD ABCT content was adapted to three-sessions following input from clinicians, patients, and family members. Patient and family member dyads were recruited from an inpatient treatment program and randomized to the new treatment, brief family-involved treatment (B-FIT), or treatment-as-usual (TAU). Drinking was assessed using the Form-90; family support and family functioning were assessed using the Family Environment Scale Conflict and Cohesion subscales and the Family Adaptability and Cohesion Evaluation Scale-IV, Communication scale. Dyads (n = 35) were assessed at baseline and 4-month follow-up. RESULTS On average, dyads received one of three B-FIT sessions with 6 dyads receiving no sessions due to scheduling conflicts or patient discharge. At follow-up, there was a large-to-medium effect size estimate favoring B-FIT for proportion drinking days (patient report, n = 22; Hedges' g = 1.01; patient or family report, n = 28; Hedges' g = .48). Results for family support or family functioning measures favored TAU. CONCLUSIONS Implementation of brief family-involved treatment in inpatient AUD treatment was challenging, but preliminary data suggest the potential value of B-FIT in impacting drinking outcomes. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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一项针对酒精使用障碍的短期家庭参与治疗的随机试点试验：治疗参与度和结果。

目标 让家庭成员参与患者的酒精使用障碍 (AUD) 治疗会带来更积极的结果，但基于证据的家庭参与治疗尚未在 AUD 治疗计划中广泛采用。研究目标如下：(a) 修改经经验支持的 12 次 AUD 治疗、酒精行为夫妻疗法 (ABCT)，使其更短并适合任何相关家庭成员；(b) 进行小型临床试验以获得可行性数据和治疗效果的效应大小估计。方法 ABCT 内容根据临床医生、患者和家庭成员的意见调整为三个会议。从住院治疗计划中招募患者和家庭成员，并随机接受新的治疗、简短的家庭参与治疗 (B-FIT) 或常规治疗 (TAU)。使用 Form-90 评估饮酒情况；使用家庭环境量表冲突和凝聚力子量表以及家庭适应性和凝聚力评估量表-IV、沟通量表评估家庭支持和家庭功能。在基线和 4 个月随访时对二元组 (n = 35) 进行评估。结果 平均而言，两人接受了 3 次 B-FIT 课程中的一场，其中 6 人由于日程安排冲突或患者出院而没有接受任何课程。随访时，对于饮酒天数比例，有利于 B-FIT 的大到中效应大小估计（患者报告，n = 22；Hedges' g = 1.01；患者或家属报告，n = 28；Hedges' g = .48）。家庭支持或家庭功能措施的结果有利于 TAU。结论 在住院 AUD 治疗中实施简短的家庭参与治疗具有挑战性，但初步数据表明 B-FIT 在影响饮酒结果方面具有潜在价值。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。