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.

遭受创伤的退伍军人遭受亲密伴侣暴力的风险较高 （IPV）并针对与酒精相关的问题的发展。尽管常见 酗酒与 IPV 之间的关联，我们知道之前没有针对退伍军人的研究 检查辅助酒精干预措施对接受 IPV 干预措施的影响。 我们建议提供急需的关于短暂饮酒功效的实验数据 退伍军人接受组的动机增强治疗（MET）组前干预 IPV 实施的治疗。更具体地说，我们建议检查这些是否 相对于接受 4 次酒精治疗的患者，分配接受 MET 干预的患者 教育 (AE) 干预或标准治疗 (TAU) 电话监控 干预措施，有证据表明酒精使用问题和 IPV 犯罪有所减少，以及 针对酗酒问题寻求帮助的行为增多。参与者为{300}男性 退伍军人从三个地点的“Strength at Home IPV”干预计划中抽调出来： 明尼阿波利斯退伍军人医疗中心、菲尼克斯退伍军人医疗保健系统、{和退伍军人管理局安娜堡 医疗保健系统}。参与者将被随机分配到他们的分组前条件，然后 分配到 IPV 家庭力量小组，并将收到药物使用转介 在 VA 系统或社区中接受治疗。有临床相关饮酒情况的参与者 通过基线筛查措施确定的问题将完成对 饮酒、改变的准备程度、IPV 和基线寻求帮助行为、IPV 后 干预组（完成 4 次酒精干预后 3 个月），以及 4 治疗后评估后单独进行 3 个月的随访。抵押合作伙伴将 通过电话访谈参与与以下内容相对应的所有 IPV 措施的评估 男性参与者的评估时间表。专业条件差异 涉及饮酒、IPV、寻求帮助和治疗参与的结果变量将 使用意向治疗方法通过随机效应回归模型进行检查。学习 研究结果可能有助于提高退伍军人群体 IPV 干预措施的有效性 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。