Partner Violence Intervention for Alcohol Clinic Clients

针对酒精诊所客户的伴侣暴力干预

• 批准号: 7035914
• 负责人: JULIE A SCHUMACHER
• 金额: $ 7.23万
• 依托单位: UNIVERSITY OF MISSISSIPPI MED CTR
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-04-15 至 2008-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7035914
• 关键词: alcoholism /alcohol abuse therapy; behavior therapy; behavioral /social science research tag; clinical research; comorbidity; counseling; disease /disorder prevention /control; disease /disorder proneness /risk; domestic violence; handbook; health care referral /consultation; human subject; human therapy evaluation; interview; male; motivation; self help; sex partner; social psychology; spouse abuse; substance abuse related behavior; therapy design /development

DESCRIPTION (provided by applicant): Despite consistent findings of a highly elevated prevalence and frequency of intimate partner violence (IPV) in alcohol treatment settings, very few alcohol treatment clients receive partner violence treatment either within alcohol treatment facilities or concurrently or subsequently at outside facilities. In the proposed exploratory/developmental study (R21) we will develop and examine the preliminary efficacy of a Motivational Interview for intimate partner violence (MI-IPV) for use in alcohol treatment settings. The first 9 months of the proposed project will be devoted to manual development, which will involve adaptation of the general principles and skills of MI to IPV in an alcohol treatment setting. This will be accomplished through an iterative process that incorporates investigator expertise and observations as well as client and counselor feedback into successive drafts of the manual. In months 10 through 27, we will conduct a pilot study with 54 men, who are receiving alcohol treatment-as-usual at an outpatient alcohol clinic, and who report IPV in the pretreatment year. Participants will be randomized to receive either a comprehensive assessment of partner violence and relationship functioning followed by the 90-minute MI-IPV intervention and provision of referrals or to a control condition comprising the comprehensive assessment and referral only. The MI-IPV intervention involves provision of extensive personalized feedback about partner violence, risks, and related problems designed to stimulate a self-directed change process. Outcomes will be assessed through self-report and collateral partner reports of partner violence and related variables at baseline, post-treatment, and 3- and 6-month follow-ups. The pilot study will provide preliminary data about the efficacy of MI-IPV in enhancing client motivation to reduce IPV, enhancing client IPV-related help seeking, and reducing physical and emotional abuse of partners, which will inform a larger clinical trial.

描述（由申请人提供）：尽管在酒精治疗环境中表明高度升高的患病率和亲密伴侣暴力（IPV）的频率持续，但很少有酒精治疗客户在酒精治疗设施中或同时或随后在外部设施中接受伴侣暴力治疗。在拟议的探索/发展研究（R21）中，我们将开发和研究亲密伴侣暴力的动机访谈（MI-IPV）在酒精治疗环境中使用的初步疗效。拟议项目的前9个月将致力于手动开发，该项目将涉及在酒精治疗环境中适应MI到IPV的一般原则和技能。这将通过迭代过程来完成，该过程将研究人员的专业知识和观察结果以及客户和辅导员的反馈纳入手册的连续草案。在第10至27个月中，我们将对54名男性进行试点研究，他们在门诊酒精诊所接受酒精治疗，以及谁 在预处理年份报告IPV。参与者将被随机地接受对伴侣暴力的全面评估和关系功能，然后进行90分钟的MI-IPV干预和推荐提供，或者对控制条件，包括全面评估和推荐。 MI-IPV干预涉及提供有关合作伙伴暴力，风险和相关问题的广泛个性化反馈，旨在刺激自我指导的变更过程。结果将通过自我报告和附带合作伙伴的报告评估，伴侣暴力和基线，治疗后以及3个月和6个月的随访中的相关变量。试点研究将提供有关MI-IPV在增强客户减少IPV的动力，增强客户IPV相关的帮助寻求帮助以及减少对伴侣的身体和情感虐待的初步数据，这将为更大的临床试验提供依据。

项目成果

Development of a Brief Motivational Enhancement Intervention for Intimate Partner Violence in Alcohol Treatment Settings.

制定针对酒精治疗环境中亲密伴侣暴力的简短动机增强干预措施。

• DOI: 10.1080/10926771.2011.546749
• 发表时间: 2011
• 期刊: Journal of aggression, maltreatment & trauma
• 作者: Schumacher,JulieA;Coffey,ScottF;Stasiewicz,PaulR;Murphy,ChristopherM;Leonard,KennethE;Fals-Stewart,William
• 通讯作者: Fals-Stewart,William