An RCT of Brief Intervention for Problem Drinking and Partner Violence

针对酗酒问题和伴侣暴力问题的短期干预的随机对照试验

基本信息

批准号：
8668828
负责人：
PAUL F CRITS-CHRISTOPH
金额：
$ 37.35万
依托单位：
UNIVERSITY OF PENNSYLVANIA
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-09-01 至 2017-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8668828
关键词：
Accident and Emergency department Acute Address Advisory Committees Alcohol abuse Alcohol consumption Alcohol dependence Alcohols Blinded Clinical Coercion Communities Complex Control Groups Counseling Country Couples Data Diagnosis Effectiveness Emergency Department patient Emergency Medicine Ethnic Origin Etiology Evidence based intervention Failure Female Frequencies Gender Goals Grant Health Health behavior Healthcare Heavy Drinking Illicit Drugs Individual Injury International Intervention Intervention Studies Interview Interviewer Length Literature Manuals Measures Mediator of activation protein Medical Mental Depression Mental Health Modeling Monitor Morbidity - disease rate Outcome Patients Pattern Persons Post-Traumatic Stress Disorders Preventive Intervention Primary Health Care Provider Psychotherapy Public Health Quality of life Randomized Controlled Trials Recording of previous events Reporting Research Personnel Resources Risk Role Safety Self Efficacy Services Severities Sexual abuse Social Workers Source Substance abuse problem Support Groups Support System System Telephone Time Training Translating United States Victimization Violence Visit Voice Woman Writing assault base brief intervention brief motivational intervention court drinking efficacy research experience falls follow-up hazardous drinking improved intervention effect intimate partner violence male men mortality motivational enhancement therapy motivational intervention multidisciplinary partner violence perpetrators physical abuse physical conditioning primary outcome psychosocial response satisfaction screening secondary outcome treatment program

项目摘要

DESCRIPTION (provided by applicant): Intimate partner violence (IPV) remains a major source of morbidity and mortality in the United States, with women suffering the majority of adverse long-term consequences. While both men and women perpetrate IPV at similar rates, this grant will focus on IPV-involved women drinkers (victims, perpetrators, or both). IPV and heavy drinking (4 or more drinks/day for women) are commonly seen in as co-occurring conditions in the emergency department (ED) setting, both acutely and chronically, with apparent bi-directional causation; but these two conditions are rarely addressed together. There is evidence that brief opportunistic interventions in the ED setting are effective in reducing subsequent hazardous drinking and alcohol-related injuries, but results have been less clear in women. Interventions that take a collaborative treatment approach to IPV and substance abuse have resulted in improved outcomes but have focused almost exclusively on male perpetrators, even though heavy drinking is also associated with IPV victimization and perpetration in women; indeed a woman's perpetration of IPV puts her at increased risk of violent victimization. Advised by international experts on gender and alcohol use and motivational enhancement therapy, the multidisciplinary group of investigators with experience in IPV, emergency medicine, brief ED interventions, motivational interviewing, psychotherapy efficacy research, and the modeling of complex psychosocial data, propose a randomized controlled trial with 600 women ED patients who self-disclose co-occurring problem drinking and intimate partner violence to assess whether a brief motivational intervention can decrease primary outcomes of episodes of heavy drinking and incidents of IPV, assessed weekly using an Interactive Voice Response System for 12 weeks. Both the intervention and the assessed control group will also be contacted every at 3, 6 and 12 months using individualized "safe" phone contact by interviewers blinded to group assignment for 12 months following the ED visit. To identify the impact of assessment alone, we will include a no-contact control group assessed for outcomes only at 3 months. All groups will receive standard written referrals. Secondary outcomes include IPV severity, alcohol quantity/frequency, self-rated health, health behaviors, quality of life, and relationship satisfaction. We will explore likely mediators and moderators of the intervention. The brief 25 minute manual-guided motivational intervention, which will be monitored for fidelity, will be delivered by trained social workers at the time of the ED visit, followed by a 15 minute phone booster at 10 days, as this is a model that could be generalizable to other acute health care settings.

描述（由申请人提供）：亲密伴侣暴力 (IPV) 仍然是美国发病率和死亡率的一个主要来源，其中大多数不利的长期后果由妇女承担。虽然男性和女性实施 IPV 的比例相似，但这笔赠款将重点关注涉及 IPV 的女性饮酒者（受害者、犯罪者或两者）。 IPV 和酗酒（女性每天 4 杯或更多饮酒）通常被视为急诊科 (ED) 环境中同时发生的病症，无论是急性还是慢性，具有明显的双向因果关系；但这两个条件很少同时得到解决。有证据表明，在急诊室进行短暂的机会性干预可有效减少随后的危险饮酒和与酒精相关的伤害，但对女性的结果尚不明确。对 IPV 和药物滥用采取协作治疗方法的干预措施已取得了改善的结果，但几乎完全集中于男性犯罪者，尽管大量饮酒也与女性 IPV 受害和犯罪有关；事实上，妇女实施 IPV 会使她遭受暴力侵害的风险增加。在性别和酒精使用以及动机增强治疗方面的国际专家的建议下，多学科研究小组在 IPV、急诊医学、简短的急诊干预、动机访谈、心理治疗功效研究以及复杂心理社会数据建模方面拥有丰富的经验，提出了一项随机对照研究一项针对 600 名女性 ED 患者的试验，她们自我披露了同时存在的饮酒问题和亲密伴侣暴力问题，以评估短暂的动机干预是否可以减少酗酒发作和 IPV 事件的主要结果，每周使用交互式语音应答系统为期 12 周。急诊室就诊后的 12 个月内，不知道分组情况的访调员将每隔 3、6 和 12 个月使用个性化的“安全”电话联系干预组和评估的对照组。为了单独确定评估的影响，我们将纳入一个非接触对照组，仅在 3 个月时评估结果。所有团体都将收到标准的书面推荐。次要结果包括 IPV 严重程度、饮酒量/频率、自我评价健康状况、健康行为、生活质量和关系满意度。我们将探讨干预措施的可能调解者和调节者。简短的 25 分钟手动引导激励干预将由训练有素的社会工作者在急诊室就诊时进行，并对其忠诚度进行监控，随后在 10 天时进行 15 分钟的电话助推器，因为这是一个可以可推广到其他急性医疗保健环境。

项目成果

期刊论文数量（4）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Wireless Participant Incentives Using Reloadable Bank Cards to Increase Clinical Trial Retention With Abused Women Drinkers: A Natural Experiment.

使用可再充值银行卡的无线参与者激励措施来提高受虐待女性饮酒者的临床试验保留率：一项自然实验。

DOI：
10.1177/0886260516662849
发表时间：
2019
期刊：
Journal of interpersonal violence
影响因子：
2.5
作者：
Rodgers,Melissa;Meisel,Zachary;Wiebe,Douglas;Crits-Christoph,Paul;Rhodes,KarinV
通讯作者：
Rhodes,KarinV

The Social Health Intervention Project (SHIP): protocol for a randomized controlled clinical trial assessing the effectiveness of a brief motivational intervention for problem drinking and intimate partner violence in an urban emergency department.

社会健康干预项目 (SHIP)：一项随机对照临床试验方案，评估城市急诊科针对饮酒问题和亲密伴侣暴力问题的简短动机干预的有效性。

DOI：
10.1186/1471-227x-14-10
发表时间：
2014
期刊：
BMC emergency medicine
影响因子：
2.5
作者：
Rhodes,KarinV;Rodgers,Melissa;Sommers,Marilyn;Hanlon,Alexandra;Crits-Christoph,Paul
通讯作者：
Crits-Christoph,Paul

Brief Motivational Intervention for Intimate Partner Violence and Heavy Drinking in the Emergency Department: A Randomized Clinical Trial.

针对急诊科亲密伴侣暴力和酗酒的简短动机干预：随机临床试验。

DOI：
10.1001/jama.2015.8369
发表时间：
2015
期刊：
JAMA
影响因子：
0
作者：
Rhodes,KarinV;Rodgers,Melissa;Sommers,Marilyn;Hanlon,Alexandra;Chittams,Jesse;Doyle,Andrea;Datner,Elizabeth;Crits-Christoph,Paul
通讯作者：
Crits-Christoph,Paul