Adjunctive Motivational Alcohol Intervention to Prevent Intimate Partner Violence

辅助性动机性酒精干预以预防亲密伴侣暴力

• 批准号: 10249642
• 负责人: CASEY T TAFT
• 金额: --
• 依托单位: VA BOSTON HEALTH CARE SYSTEM
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-10-01 至 2027-09-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10249642
• 关键词: Address; Aftercare; Alcohol abuse; Alcohol consumption; Alcoholics Anonymous; Alcohols; Area; Awareness; Clergy; Communities; Data; Development; Education; Educational Intervention; Effectiveness; Ensure; Family; Family member; Friends; Group Homes; Healthcare Systems; Home; Intervention; Interview; Link; Location; Marriage and Family; Measures; Medical center; Modeling; Monitor; Motivation; Outcome; Participant; Personal Satisfaction; Randomized; Readiness; Reporting; Research; Risk; Safety; Schedule; Source; System; Telephone; Testing; Therapeutic Intervention; Veterans; alcohol consequences; alcohol intervention; alcohol involvement; alcohol misuse; alcohol related problem; alcohol seeking behavior; clinically relevant; evidence base; follow-up; group intervention; help-seeking behavior; intervention program; intimate partner violence; male; military veteran; motivational enhancement therapy; prevent; programs; psychologic; screening; standard care; substance use treatment; trauma exposure; treatment as usual; treatment group; violence perpetration

Veterans exposed to trauma are at elevated risk for perpetration of intimate partner violence (IPV) and for the development of alcohol-related problems. Despite commonly found associations between alcohol misuse and IPV, we are aware of no prior research in Veterans examining the impact of adjunctive alcohol interventions for those receiving IPV intervention. We propose to provide much-needed experimental data on the efficacy of a brief alcohol Motivational Enhancement Therapy (MET) pre-group intervention for Veterans receiving group treatment for IPV perpetration. More specifically, we propose to examine whether those assigned to receive this MET intervention, relative to those receiving a 4-session Alcohol Education (AE) intervention or a standard treatment as usual (TAU) telephone monitoring intervention, evidence greater reductions in alcohol use problems and IPV perpetration, and increased help-seeking behavior for alcohol use problems. Participants will be {300} male Veterans drawn from the Strength at Home IPV intervention program at three locations: the Minneapolis VA Medical Center, the Phoenix VA Healthcare System, {and VA Ann Arbor Healthcare System}. Participants will be randomized to their pre-group conditions and then assigned to Strength at Home groups for IPV, and will receive referrals for substance use treatment in the VA system or the community. Participants with clinically relevant alcohol use problems, as determined by baseline screening measures, will complete assessments of alcohol use, readiness to change, IPV and help-seeking behavior at baseline, post IPV intervention group (3 months after completion of 4-session alcohol intervention), and four separate 3-month follow-ups after the post-treatment assessment. Collateral partners will participate via phone interview assessments for all of the IPV measures corresponding with the assessment schedule for the male participants. Differences between conditions on the major outcome variables involving alcohol use, IPV, help-seeking, and treatment engagement will be examined with random-effects regression models using an intent-to-treat approach. Study findings may assist in enhancing the efficacy of IPV interventions for the Veteran population to help ensure the safety and well-being of Veterans, their relationship partners, and their families.

接触创伤的退伍军人面临着亲密伴侣暴力的风险 （IPV）以及与酒精有关的问题的发展。尽管常见 滥用酒精与IPV之间的关联，我们知道退伍军人没有先前的研究 检查辅助酒精干预对接受IPV干预的人的影响。 我们建议提供有关短暂酒精功效的急需的实验数据 退伍军人接收组的动机增强疗法（MET）组前干预 IPV实施的治疗。更具体地说，我们建议检查那些是否 指定接受此MET干预，相对于接受4节酒精的人 教育（AE）干预或像往常一样（TAU）电话监控 干预措施，证据更大的饮酒问题和IPV持续性减少，以及 增加了对酒精使用问题的寻求帮助行为。参与者将为{300}男性 退伍军人从三个地点的家庭IPV干预计划中得出 Minneapolis VA医疗中心，凤凰VA医疗保健系统，{和VA Ann Arbor 医疗保健系统}。参与者将被随机分组​​为组前条件，然后 为IPV分配给家族组的力量，并将收到用于吸毒的推荐 在VA系统或社区中进行治疗。与临床相关的酒精使用的参与者 根据基线筛选措施确定的问题将完成评估 饮酒，愿意改变，IPV和寻求帮助的行为，邮政IPV 干预组（完成4次酒精干预后3个月）和四个 治疗后评估后的三个月随访。抵押伙伴会 通过电话访谈评估与所有IPV措施一起参加 男性参与者的评估时间表。大专业条件之间的差异 涉及饮酒，IPV，寻求帮助和治疗参与的结果变量将是 使用意图对治疗方法检查随机效应回归模型。学习 调查结果可能有助于增强IPV干预措施对退伍军人的功效 帮助确保退伍军人，他们的关系伙伴及其家人的安全和福祉。