Integrated Motivational Strategies for Intimate Partner Violence Perpetrators with Substance Use: A Randomized Controlled Trial.

IF 3.6 1区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Psychosocial Intervention Pub Date : 2024-09-02 eCollection Date: 2024-09-01 DOI:10.5093/pi2024a13
Cristina Expósito-Álvarez, Manuel Roldán-Pardo, Gail Gilchrist, Marisol Lila
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Abstract

Objective: Intimate partner violence (IPV) perpetrators with alcohol and/or other drug use problems (ADUPs) have been identified as one of the main high-risk and highly resistant groups of perpetrators requiring special attention in intervention programs for IPV perpetrators. This randomized controlled trial (RCT) aimed to evaluate whether an individualized motivational plan adjusted to ADUPs (IMP-ADUPs) was superior to standard motivational strategies (IMP) in reducing ADUPs, and IPV and increasing treatment adherence in IPV perpetrators. Method: Data from a full sample of IPV perpetrators (n = 140) and a subsample of participants with ADUPs (n = 55) were collected at pre- and post-intervention and 12-month follow-up. Final outcomes included alcohol, cocaine, and cannabis use, self-reported IPV, risk of recidivism assessed by facilitators, and official IPV recidivism. Proximal outcomes included treatment adherence (stage of change, intervention dose, active participation, and dropout). Results: Both intent-to-treat (ITT) and per-protocol (PP) analyses were conducted. The IMP-ADUPs condition was superior to the IMP in reducing alcohol use at post-intervention in both the full sample and ADUPs subsample. The full sample of participants in the IMP-ADUPs condition were in a more advanced stage of change post-intervention and showed increased active participation during the intervention process than IMP participants. All participants were in a more advanced stage of change at post-intervention and reduced their alcohol use and their risk of recidivism at post-intervention and 12-month follow-up. Conclusions: These results underscore the need to develop individualized treatment approaches to address participants' risks and needs and promote their motivation to change.

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针对使用药物的亲密伴侣施暴者的综合激励策略:随机对照试验。
目的:有酗酒和/或使用其他药物问题(ADUPs)的亲密伴侣暴力(IPV)施暴者已被确定为主要的高风险和高抵抗力施暴者群体之一,需要在针对IPV施暴者的干预计划中予以特别关注。本随机对照试验(RCT)旨在评估针对 ADUPs 调整的个性化动机计划(IMP-ADUPs)在减少 ADUPs 和 IPV 以及提高 IPV 施暴者的治疗依从性方面是否优于标准动机策略(IMP)。研究方法收集了 IPV 施暴者全样本(n = 140)和有 ADUPs 的参与者子样本(n = 55)的干预前、干预后和 12 个月随访的数据。最终结果包括酒精、可卡因和大麻使用情况、自我报告的 IPV、由促进者评估的再犯风险以及官方 IPV 再犯情况。近端结果包括治疗依从性(变化阶段、干预剂量、积极参与和辍学)。结果进行了意向治疗(ITT)和按方案(PP)分析。在全部样本和 ADUPs 子样本中,IMP-ADUPs 条件在减少干预后饮酒方面均优于 IMP。与 IMP 参与者相比,IMP-ADUPs 条件下的全样本参与者在干预后处于更高级的改变阶段,并且在干预过程中表现出更多的积极参与。在干预后和 12 个月的随访中,所有参与者在干预后都进入了更高的改变阶段,并减少了饮酒量和再犯风险。结论:这些结果表明,有必要制定个性化的治疗方法,以应对参与者的风险和需求,并促进他们的改变动机。
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来源期刊
Psychosocial Intervention
Psychosocial Intervention PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
8.00
自引率
8.30%
发文量
10
审稿时长
14 weeks
期刊介绍: Psychosocial Intervention is a peer-reviewed journal that publishes papers in all areas relevant to psychosocial intervention at the individual, family, social networks, organization, community, and population levels. The Journal emphasizes an evidence-based perspective and welcomes papers reporting original basic and applied research, program evaluation, and intervention results. The journal will also feature integrative reviews, and specialized papers on theoretical advances and methodological issues. Psychosocial Intervention is committed to advance knowledge, and to provide scientific evidence informing psychosocial interventions tackling social and community problems, and promoting social welfare and quality of life. Psychosocial Intervention welcomes contributions from all areas of psychology and allied disciplines, such as sociology, social work, social epidemiology, and public health. Psychosocial Intervention aims to be international in scope, and will publish papers both in Spanish and English.
期刊最新文献
Which Psychosocial Strengths Could Combat the Adolescent Suicide Spectrum? Dissecting the Covitality Model. A Controlled Evaluation of a Psychosocial Outreach Support Program for Adults with Severe Mental Illness. Care Competencies Training Enhances Adolescents' Well-being: A Randomized Controlled Trial. Integrated Motivational Strategies for Intimate Partner Violence Perpetrators with Substance Use: A Randomized Controlled Trial. Understanding the Effect of Loneliness on Quality of Life in Older Adults from Longitudinal Approaches.
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