Abstract
BACKGROUND: Medications for opioid use disorder (MOUD) are frontline treatments for opioid use disorder, but retention is low. Community Reinforcement and Family Training (CRAFT) is an evidence-based intervention with concerned significant others (CSOs; family, friends) that improves treatment engagement among people with substance use disorder, but is rarely available. This study aimed to assess the interest in and preferences for a CRAFT-based intervention among CSOs of patients receiving MOUD. METHODS: Patients receiving MOUD were recruited from outpatient clinics to complete a brief survey to identify CSOs who might be willing to give feedback on a CRAFT-based group. CSOs who agreed to participate were interviewed virtually using a semi-structured guide assessing preferences for a group intervention. RESULTS: Over half of patient participants (n = 28/48; 58%) listed a CSO. Of n = 36 CSOs contacted, fourteen (39%) completed interviews. Interviews were transcribed and coded using thematic analysis on reasons for participating and preferences for the group. All interviewed CSOs were interested in doing the group, with the most common reasons being to learn skills, get evidence-based education, and interact with others in similar situations. Most CSOs preferred doing a virtual group in the evenings or on weekends. CONCLUSIONS: Among patients receiving MOUD, a third had a CSO willing to engage in a group intervention for their family/friend. Findings will inform a pilot study of a CRAFT-based group intervention delivered by an MOUD nurse care manager. The current and future studies add to ongoing efforts to involve CSOs and to improve outcomes among individuals on MOUD.